Consumer Health Informatics Adoption among Underserved Populations: Thinking beyond the Digital Divide.

摘要: Objectives: Underserved populations can benefit from consumer health informatics (CHI) that promotes self-management at a lower cost. However, prior literature suggested the digital divide and low motivation constituted barriers to CHI adoption. Despite increased Internet use, underserved continue show slow uptake. The aim of paper is revisit facilitators may impact adoption among populations. Methods: We surveyed past five years literature. We searched PubMed for articles published between 2012 2017 describe empirical evaluations involving use by abstracted summarized data about impacting Results: From 645 search results, after abstract full-text screening, 13 publications met inclusion criteria identifying populations' Contrary earlier literature, studies improve literacy adopt technology was high studied Beyond divide, included: computer literacy, challenges in accepting presented information, poor usability, unclear content. Factors associated with were: user needs user-access mediated proxy person, early engagement system design. Conclusions: While remains barrier, newer exists. simply gaining access not sufficient unless tailored address needs. Future interventions should consider building larger evidence on facilitators.