{"id":"https://openalex.org/W4415827784","doi":"https://doi.org/10.1016/j.ijmedinf.2025.106173","title":"Digital Health Disparities: A Review of Barriers and Solutions for Racially Diverse Groups","display_name":"Digital Health Disparities: A Review of Barriers and Solutions for Racially Diverse Groups","publication_year":2025,"publication_date":"2025-11-03","ids":{"openalex":"https://openalex.org/W4415827784","doi":"https://doi.org/10.1016/j.ijmedinf.2025.106173","pmid":"https://pubmed.ncbi.nlm.nih.gov/41205583"},"language":"en","primary_location":{"id":"doi:10.1016/j.ijmedinf.2025.106173","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ijmedinf.2025.106173","pdf_url":null,"source":{"id":"https://openalex.org/S53142634","display_name":"International Journal of Medical Informatics","issn_l":"1386-5056","issn":["1386-5056","1872-8243"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Medical Informatics","raw_type":"journal-article"},"type":"review","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1016/j.ijmedinf.2025.106173","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5114283555","display_name":"Jennifer Teke","orcid":null},"institutions":[{"id":"https://openalex.org/I4210104168","display_name":"Medway NHS Foundation Trust","ror":"https://ror.org/01apxt611","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210104168"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Jennifer Teke","raw_affiliation_strings":["Department of Research and Innovation, Medway NHS Foundation Trust, Gillingham ME7 5NY, the United Kingdom of Great Britain and Northern Ireland; Faculty of Medicine, Health and Social Care, Canterbury Christ Church University, the United Kingdom of Great Britain and Northern Ireland. Electronic address: j.teke@nhs.net"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Research and Innovation, Medway NHS Foundation Trust, Gillingham ME7 5NY, the United Kingdom of Great Britain and Northern Ireland; Faculty of Medicine, Health and Social Care, Canterbury Christ Church University, the United Kingdom of Great Britain and Northern Ireland. Electronic address: j.teke@nhs.net","institution_ids":["https://openalex.org/I4210104168"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5076095176","display_name":"David B. Olawade","orcid":"https://orcid.org/0000-0003-0188-9836"},"institutions":[{"id":"https://openalex.org/I157227730","display_name":"University of East London","ror":"https://ror.org/057jrqr44","country_code":"GB","type":"education","lineage":["https://openalex.org/I157227730"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"David B. Olawade","raw_affiliation_strings":["Department of Research and Innovation, Medway NHS Foundation Trust, Gillingham ME7 5NY, the United Kingdom of Great Britain and Northern Ireland; Department of Allied and Public Health, School of Health, Sport and Bioscience, University of East London, London, the United Kingdom of Great Britain and Northern Ireland; Department of Public Health, York St John University, London, the United Kingdom of Great Britain and Northern Ireland. Electronic address: d.olawade@uel.ac.uk"],"raw_orcid":"https://orcid.org/0000-0003-0188-9836","affiliations":[{"raw_affiliation_string":"Department of Research and Innovation, Medway NHS Foundation Trust, Gillingham ME7 5NY, the United Kingdom of Great Britain and Northern Ireland; Department of Allied and Public Health, School of Health, Sport and Bioscience, University of East London, London, the United Kingdom of Great Britain and Northern Ireland; Department of Public Health, York St John University, London, the United Kingdom of Great Britain and Northern Ireland. Electronic address: d.olawade@uel.ac.uk","institution_ids":["https://openalex.org/I157227730"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5117388623","display_name":"Navami Leena","orcid":null},"institutions":[{"id":"https://openalex.org/I29891158","display_name":"University of Sharjah","ror":"https://ror.org/00engpz63","country_code":"AE","type":"education","lineage":["https://openalex.org/I29891158"]}],"countries":["AE"],"is_corresponding":false,"raw_author_name":"Navami Leena","raw_affiliation_strings":["Faculty of Public Health and Healthcare Management, Westford University College, Sharjah, United Arab Emirates. Electronic address: drnavami@gmail.com"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Faculty of Public Health and Healthcare Management, Westford University College, Sharjah, United Arab Emirates. Electronic address: drnavami@gmail.com","institution_ids":["https://openalex.org/I29891158"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5104542093","display_name":"Kusal Weerasinghe","orcid":null},"institutions":[{"id":"https://openalex.org/I4210104168","display_name":"Medway NHS Foundation Trust","ror":"https://ror.org/01apxt611","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210104168"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Kusal Weerasinghe","raw_affiliation_strings":["Department of Research and Innovation, Medway NHS Foundation Trust, Gillingham ME7 5NY, the United Kingdom of Great Britain and Northern Ireland. Electronic address: kusal.weerasinghe@nhs.net"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Research and Innovation, Medway NHS Foundation Trust, Gillingham ME7 5NY, the United Kingdom of Great Britain and Northern Ireland. Electronic address: kusal.weerasinghe@nhs.net","institution_ids":["https://openalex.org/I4210104168"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5120237223","display_name":"Siobhan Mc Lernon","orcid":null},"institutions":[{"id":"https://openalex.org/I28257850","display_name":"London South Bank University","ror":"https://ror.org/02vwnat91","country_code":"GB","type":"education","lineage":["https://openalex.org/I28257850"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Siobhan Mc Lernon","raw_affiliation_strings":["College of Health and Life Sciences, School of Nursing and Midwifery, London South Bank University, London, the United Kingdom of Great Britain and Northern Ireland. Electronic address: siobhan.mclernon@lsbu.ac.uk"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"College of Health and Life Sciences, School of Nursing and Midwifery, London South Bank University, London, the United Kingdom of Great Britain and Northern Ireland. Electronic address: siobhan.mclernon@lsbu.ac.uk","institution_ids":["https://openalex.org/I28257850"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5016885854","display_name":"Calvin Moorley","orcid":"https://orcid.org/0000-0002-5969-2465"},"institutions":[{"id":"https://openalex.org/I28257850","display_name":"London South Bank University","ror":"https://ror.org/02vwnat91","country_code":"GB","type":"education","lineage":["https://openalex.org/I28257850"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Calvin Moorley","raw_affiliation_strings":["College of Health and Life Sciences, School of Nursing and Midwifery, London South Bank University, London, the United Kingdom of Great Britain and Northern Ireland. Electronic address: moorleyc@lsbu.ac.uk"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"College of Health and Life Sciences, School of Nursing and Midwifery, London South Bank University, London, the United Kingdom of Great Britain and Northern Ireland. Electronic address: moorleyc@lsbu.ac.uk","institution_ids":["https://openalex.org/I28257850"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5076095176"],"corresponding_institution_ids":["https://openalex.org/I157227730"],"apc_list":{"value":3210,"currency":"USD","value_usd":3210},"apc_paid":{"value":3210,"currency":"USD","value_usd":3210},"fwci":5.1595,"has_fulltext":true,"cited_by_count":4,"citation_normalized_percentile":{"value":0.96031554,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":99,"max":100},"biblio":{"volume":"206","issue":null,"first_page":"106173","last_page":"106173"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11519","display_name":"Digital Mental Health Interventions","score":0.4235000014305115,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11519","display_name":"Digital Mental Health Interventions","score":0.4235000014305115,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11446","display_name":"Mobile Health and mHealth Applications","score":0.16380000114440918,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13847","display_name":"Literature Analysis and Criticism","score":0.042899999767541885,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/digital-health","display_name":"Digital health","score":0.6894999742507935},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.6118999719619751},{"id":"https://openalex.org/keywords/multidisciplinary-approach","display_name":"Multidisciplinary approach","score":0.6100000143051147},{"id":"https://openalex.org/keywords/psychological-intervention","display_name":"Psychological intervention","score":0.5921000242233276},{"id":"https://openalex.org/keywords/health-equity","display_name":"Health equity","score":0.5559999942779541},{"id":"https://openalex.org/keywords/health-literacy","display_name":"Health literacy","score":0.5289999842643738},{"id":"https://openalex.org/keywords/digital-literacy","display_name":"Digital literacy","score":0.4855000078678131},{"id":"https://openalex.org/keywords/socioeconomic-status","display_name":"Socioeconomic status","score":0.46219998598098755},{"id":"https://openalex.org/keywords/digital-divide","display_name":"Digital divide","score":0.45419999957084656}],"concepts":[{"id":"https://openalex.org/C2780433410","wikidata":"https://www.wikidata.org/wiki/Q5276090","display_name":"Digital health","level":3,"score":0.6894999742507935},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.6118999719619751},{"id":"https://openalex.org/C22467394","wikidata":"https://www.wikidata.org/wiki/Q849359","display_name":"Multidisciplinary approach","level":2,"score":0.6100000143051147},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.5921000242233276},{"id":"https://openalex.org/C2250968","wikidata":"https://www.wikidata.org/wiki/Q1512929","display_name":"Health equity","level":3,"score":0.5559999942779541},{"id":"https://openalex.org/C2778843546","wikidata":"https://www.wikidata.org/wiki/Q3097973","display_name":"Health literacy","level":3,"score":0.5289999842643738},{"id":"https://openalex.org/C2777646416","wikidata":"https://www.wikidata.org/wiki/Q242069","display_name":"Digital literacy","level":2,"score":0.4855000078678131},{"id":"https://openalex.org/C147077947","wikidata":"https://www.wikidata.org/wiki/Q1515895","display_name":"Socioeconomic status","level":3,"score":0.46219998598098755},{"id":"https://openalex.org/C173655357","wikidata":"https://www.wikidata.org/wiki/Q244752","display_name":"Digital divide","level":3,"score":0.45419999957084656},{"id":"https://openalex.org/C26517878","wikidata":"https://www.wikidata.org/wiki/Q228039","display_name":"Key (lock)","level":2,"score":0.453900009393692},{"id":"https://openalex.org/C47602998","wikidata":"https://www.wikidata.org/wiki/Q2588869","display_name":"Language barrier","level":2,"score":0.4456999897956848},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.4011000096797943},{"id":"https://openalex.org/C108827166","wikidata":"https://www.wikidata.org/wiki/Q175975","display_name":"Internet privacy","level":1,"score":0.3912000060081482},{"id":"https://openalex.org/C202645933","wikidata":"https://www.wikidata.org/wiki/Q4930","display_name":"eHealth","level":3,"score":0.36169999837875366},{"id":"https://openalex.org/C547764534","wikidata":"https://www.wikidata.org/wiki/Q8236","display_name":"Literacy","level":2,"score":0.3555999994277954},{"id":"https://openalex.org/C125209646","wikidata":"https://www.wikidata.org/wiki/Q1338878","display_name":"Cultural diversity","level":2,"score":0.33079999685287476},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.32850000262260437},{"id":"https://openalex.org/C169536714","wikidata":"https://www.wikidata.org/wiki/Q1666159","display_name":"Cultural competence","level":2,"score":0.3222000002861023},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.3138999938964844},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.30979999899864197},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3077999949455261},{"id":"https://openalex.org/C17632256","wikidata":"https://www.wikidata.org/wiki/Q1076968","display_name":"Digital media","level":2,"score":0.3075000047683716},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.3059999942779541},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3057999908924103},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.30559998750686646},{"id":"https://openalex.org/C47344431","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health policy","level":3,"score":0.2924000024795532},{"id":"https://openalex.org/C2781255760","wikidata":"https://www.wikidata.org/wiki/Q18354027","display_name":"Limited English proficiency","level":3,"score":0.27480000257492065},{"id":"https://openalex.org/C2985890590","wikidata":"https://www.wikidata.org/wiki/Q244752","display_name":"Digital inclusion","level":3,"score":0.27320000529289246},{"id":"https://openalex.org/C137403100","wikidata":"https://www.wikidata.org/wiki/Q41710","display_name":"Ethnic group","level":2,"score":0.27000001072883606},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.26820001006126404},{"id":"https://openalex.org/C192531217","wikidata":"https://www.wikidata.org/wiki/Q595868","display_name":"Computer literacy","level":2,"score":0.265500009059906},{"id":"https://openalex.org/C109359841","wikidata":"https://www.wikidata.org/wiki/Q728944","display_name":"Inclusion (mineral)","level":2,"score":0.260699987411499},{"id":"https://openalex.org/C2778080475","wikidata":"https://www.wikidata.org/wiki/Q4353774","display_name":"Health communication","level":2,"score":0.260699987411499},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.25600001215934753},{"id":"https://openalex.org/C2779363104","wikidata":"https://www.wikidata.org/wiki/Q17069079","display_name":"mHealth","level":3,"score":0.25029999017715454}],"mesh":[{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017216","descriptor_name":"Telemedicine","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D017216","descriptor_name":"Telemedicine","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D017216","descriptor_name":"Telemedicine","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D044469","descriptor_name":"Racial Groups","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D044469","descriptor_name":"Racial Groups","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D044469","descriptor_name":"Racial Groups","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D054625","descriptor_name":"Healthcare Disparities","qualifier_ui":"Q000208","qualifier_name":"ethnology","is_major_topic":true},{"descriptor_ui":"D054625","descriptor_name":"Healthcare Disparities","qualifier_ui":"Q000208","qualifier_name":"ethnology","is_major_topic":true},{"descriptor_ui":"D054625","descriptor_name":"Healthcare Disparities","qualifier_ui":"Q000208","qualifier_name":"ethnology","is_major_topic":true},{"descriptor_ui":"D063731","descriptor_name":"Mobile Applications","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D063731","descriptor_name":"Mobile Applications","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D063731","descriptor_name":"Mobile Applications","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1016/j.ijmedinf.2025.106173","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ijmedinf.2025.106173","pdf_url":null,"source":{"id":"https://openalex.org/S53142634","display_name":"International Journal of Medical Informatics","issn_l":"1386-5056","issn":["1386-5056","1872-8243"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Medical Informatics","raw_type":"journal-article"},{"id":"pmid:41205583","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41205583","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International journal of medical informatics","raw_type":null},{"id":"pmh:oai:ray.yorksj.ac.uk:13351","is_oa":false,"landing_page_url":"https://orcid.org/0000-0003-0188-9836","pdf_url":null,"source":{"id":"https://openalex.org/S4306400356","display_name":"Research at York St John (York St John University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I124246371","host_organization_name":"York St John University","host_organization_lineage":["https://openalex.org/I124246371"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"PeerReviewed"}],"best_oa_location":{"id":"doi:10.1016/j.ijmedinf.2025.106173","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ijmedinf.2025.106173","pdf_url":null,"source":{"id":"https://openalex.org/S53142634","display_name":"International Journal of Medical Informatics","issn_l":"1386-5056","issn":["1386-5056","1872-8243"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Medical Informatics","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":53,"referenced_works":["https://openalex.org/W2015987792","https://openalex.org/W2146373152","https://openalex.org/W2800658779","https://openalex.org/W2801691972","https://openalex.org/W2809743108","https://openalex.org/W2908564285","https://openalex.org/W2921457201","https://openalex.org/W2942276079","https://openalex.org/W2948948196","https://openalex.org/W2955623634","https://openalex.org/W2969931139","https://openalex.org/W2972578706","https://openalex.org/W2993903168","https://openalex.org/W3002211593","https://openalex.org/W3014459784","https://openalex.org/W3035344208","https://openalex.org/W3088418926","https://openalex.org/W3098966312","https://openalex.org/W3112580914","https://openalex.org/W3118945436","https://openalex.org/W3120049174","https://openalex.org/W3131339777","https://openalex.org/W3136595486","https://openalex.org/W3154933051","https://openalex.org/W3158083285","https://openalex.org/W3180113882","https://openalex.org/W3182270423","https://openalex.org/W3194018341","https://openalex.org/W3199339177","https://openalex.org/W4200262318","https://openalex.org/W4200308910","https://openalex.org/W4206324271","https://openalex.org/W4210615723","https://openalex.org/W4220657744","https://openalex.org/W4220797751","https://openalex.org/W4229025008","https://openalex.org/W4251820231","https://openalex.org/W4283390668","https://openalex.org/W4285320067","https://openalex.org/W4293458822","https://openalex.org/W4307384243","https://openalex.org/W4308635655","https://openalex.org/W4311282572","https://openalex.org/W4312760008","https://openalex.org/W4313490307","https://openalex.org/W4318041835","https://openalex.org/W4320066496","https://openalex.org/W4387850420","https://openalex.org/W4388204259","https://openalex.org/W4389062732","https://openalex.org/W4389247783","https://openalex.org/W4389251643","https://openalex.org/W4400453921"],"related_works":[],"abstract_inverted_index":{"BACKGROUND:":[0],"Digital":[1],"health":[2,54,100,142,220,243],"applications":[3,244],"have":[4],"transformed":[5],"healthcare":[6,40,236,251],"delivery":[7],"by":[8,152],"offering":[9],"convenient,":[10],"cost-effective":[11],"means":[12],"of":[13,52,82,136],"managing":[14],"chronic":[15],"diseases":[16],"and":[17,28,50,60,67,84,94,126,161,164,193,211,214,238,247],"promoting":[18],"wellness.":[19],"However,":[20],"racially":[21,57,104,146,224],"diverse":[22,58,105,147,225],"groups":[23,59,148],"experience":[24],"substantially":[25],"lower":[26],"adoption":[27,49,115,144,222],"utilisation":[29,51],"rates":[30],"compared":[31],"to":[32,64,123,240],"majority":[33],"populations,":[34],"revealing":[35],"underlying":[36],"challenges":[37],"that":[38,107,140],"perpetuate":[39],"disparities.":[41,252],"OBJECTIVE:":[42],"This":[43],"narrative":[44],"review":[45],"examined":[46],"barriers":[47],"affecting":[48],"digital":[53,99,141,158,184,207,219,242],"apps":[55],"among":[56,103,145,223],"explored":[61],"evidence-based":[62],"strategies":[63,112,176],"improve":[65],"engagement":[66],"ensure":[68,241],"equitable":[69],"access.":[70],"METHOD:":[71],"A":[72],"comprehensive":[73],"literature":[74],"search":[75],"was":[76,121],"conducted":[77],"across":[78,130],"PubMed,":[79],"Scopus,":[80],"Web":[81],"Science,":[83],"Google":[85],"Scholar":[86],"for":[87,113],"peer-reviewed":[88],"articles":[89],"published":[90],"between":[91],"January":[92],"2010":[93],"June":[95],"2024.":[96],"Studies":[97],"examining":[98],"app":[101,143,221,234],"usage":[102],"populations":[106],"discussed":[108],"barriers,":[109],"facilitators,":[110],"or":[111],"improving":[114],"were":[116,170],"included.":[117],"Codebook":[118],"thematic":[119],"analysis":[120],"employed":[122],"synthesise":[124],"findings":[125],"identify":[127],"recurring":[128],"patterns":[129],"38":[131,137],"included":[132],"studies.":[133],"RESULTS:":[134],"Analysis":[135],"studies":[138],"revealed":[139],"is":[149],"significantly":[150,217],"hindered":[151],"multifaceted":[153],"barriers.":[154,174],"Socioeconomic":[155],"constraints,":[156,206],"limited":[157],"literacy,":[159],"cultural":[160,210],"linguistic":[162,212],"mismatches,":[163,213],"trust":[165,215],"concerns":[166,216],"regarding":[167],"data":[168,190],"privacy":[169,191],"the":[171],"most":[172],"common":[173],"Evidence-based":[175],"include":[177],"developing":[178],"culturally":[179],"tailored":[180],"applications,":[181],"implementing":[182],"community-based":[183],"literacy":[185,208],"training":[186],"programmes,":[187],"establishing":[188],"transparent":[189],"practices,":[192],"fostering":[194],"collaborations":[195],"with":[196],"trusted":[197],"community":[198],"organisations.":[199],"CONCLUSION:":[200],"Four":[201],"key":[202],"barrier":[203],"categories:":[204],"socioeconomic":[205],"limitations,":[209],"impede":[218],"groups.":[226],"Addressing":[227],"these":[228],"requires":[229],"targeted,":[230],"multidisciplinary":[231],"interventions":[232],"involving":[233],"developers,":[235],"providers,":[237],"policymakers":[239],"are":[245],"inclusive":[246],"accessible,":[248],"ultimately":[249],"reducing":[250]},"counts_by_year":[{"year":2026,"cited_by_count":4}],"updated_date":"2026-04-28T14:05:53.105641","created_date":"2025-11-03T00:00:00"}
