Evidence map›Paper›PMID 30157518›Full record

ReviewYearbook of medical informatics2018

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

Jina Huh, Jejo Koola, Alejandro Contreras, Alanah Kp Castillo, Melissa Ruiz, Keely G Tedone, Melissa Yakuta, Melody K Schiaffino

Open access · hybridAbstract readReview
In one paragraph

Review in Yearbook of medical informatics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
9.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 75 citations in OpenAlex.

  1. Pooled it
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  4. An exploratory study to understand how rurality status and demographic characteristics are associated with enrollment, engagement, and retention in a digital health intervention targeting the Appalachian region.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
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  9. Consumer Health Information: A Narrative Review.Medical journal of the Islamic Republic of Iran · 2026
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  14. [Community-based Disease Prevention and Health Promotion: Promoting Digital Health Literacy among People in Precarious Living Conditions].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Jina HuhMichigan State University, MI, USA.
Jejo KoolaUniversity of California San Diego, CA, USA.
Alejandro ContrerasInstitute for Behavioral and Community Health, San Diego State University, CA, USA.
Alanah Kp CastilloInstitute for Behavioral and Community Health, San Diego State University, CA, USA.
Melissa RuizInstitute for Behavioral and Community Health, San Diego State University, CA, USA.
Keely G TedoneInstitute for Behavioral and Community Health, San Diego State University, CA, USA.
Melissa YakutaInstitute for Behavioral and Community Health, San Diego State University, CA, USA.
Melody K SchiaffinoInstitute for Behavioral and Community Health, San Diego State University, CA, USA.
San Diego State University · USMichigan State University · USUniversity of California, San Diego · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesUnderserved populations can benefit from consumer health informatics (CHI) that promotes self-management at a lower cost. However, prior literature suggested that the digital divide and low motivation constituted barriers to CHI adoption. Despite increased Internet use, underserved populations continue to show slow CHI uptake. The aim of the paper is to revisit barriers and facilitators that may impact CHI adoption among underserved populations.

methodsWe surveyed the past five years of literature. We searched PubMed for articles published between 2012 and 2017 that describe empirical evaluations involving CHI use by underserved populations. We abstracted and summarized data about facilitators and barriers impacting CHI adoption.

resultsFrom 645 search results, after abstract and full-text screening, 13 publications met the inclusion criteria of identifying barriers to and facilitators of underserved populations' CHI adoption. Contrary to earlier literature, the studies suggested that the motivation to improve health literacy and adopt technology was high among studied populations. Beyond the digital divide, barriers included: low health and computer literacy, challenges in accepting the presented information, poor usability, and unclear content. Factors associated with increased use were: user needs for information, user-access mediated by a proxy person, and early user engagement in system design.

conclusionsWhile the digital divide remains a barrier, newer studies show that high motivation for CHI use exists. However, simply gaining access to technology is not sufficient to improve adoption unless CHI technology is tailored to address user needs. Future interventions should consider building larger empirical evidence on identifying CHI barriers and facilitators.

Indexed as

Consumer Health InformaticsMedically Underserved AreaHumansMedical Informatics ApplicationsMinority GroupsSocioeconomic Factors

Identifiers

PMID30157518
PMCPMC6115231
OpenAlexW2888890752

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.