ArticleJournal of medical Internet research2023
Mapping Inequities in Digital Health Technology Within the World Health Organization's European Region Using PROGRESS PLUS: Scoping Review.
Article in Journal of medical Internet research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 5 of them syntheses that pooled 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.
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.
Who cites it
42 citing papers in PubMed, 5 syntheses or guidelines pooled it, 57 citations in OpenAlex.
- Cognitive remediation therapy in low-and-middle-income countries (LAMICs) for people with psychosis: a systematic review of its efficacy on functional and cognitive outcomes.Social psychiatry and psychiatric epidemiology · 2026Pooled it
- Digital Inequalities in the Use of eHealth Services in European Public Health Care Systems: Systematic Review of Observational Studies.Journal of medical Internet research · 2026Pooled it
- Barriers to and Facilitators of Digital Health Technology Adoption Among Older Adults With Chronic Diseases: Updated Systematic Review.JMIR aging · 2025Pooled it
- Evaluation of health equity frameworks in telehealth and digital health: a systematic review and narrative synthesis.Frontiers in public health · 2025Pooled it
- Interventions to promote health literacy among working-age populations experiencing socioeconomic disadvantage: systematic review.Frontiers in public health · 2024Pooled it
- Population-Based Cancer Prevention Education Intervention Through mHealth: A Randomized Controlled Trial.Journal of medical systems · 2024Trial
- "Like Taking Part in Star Wars": Qualitative Study Using Thematic Analysis to Explore the Acceptability and Experiences of Older Adults Participating in Remote Longitudinal Sleep and Dementia Research.Journal of medical Internet research · 2026Article
- Engaging Older Adults With Neurocognitive Disorders in Digital Health Technologies: Scoping Review.JMIR human factors · 2026Article
- Centering Equity During Health Technology Innovation: Scoping Review of Methods and Research Adjustments to Promote Inclusive Coproduction.Journal of medical Internet research · 2026Article
- Human-AI collaboration for dysphagia rehabilitation from effectiveness to implementation complexity: a systematic review.NPJ digital medicine · 2026Article
- Empowering Older Adults Through Values-Informed Solutions for Technology Adoption: Protocol for a Feasibility and Acceptability Randomized Controlled Pilot Trial.JMIR research protocols · 2026Article
- Digital Health Interventions for Diabetes Distress in Type 2 Diabetes: Protocol for a Scoping Literature Review Focused on Equity and Inclusion.JMIR research protocols · 2026Article
- Representativeness of participants in a randomized controlled trial on modalities of monitoring oral HIV pre-exposure prophylaxis use.AIDS research and therapy · 2026Article
- Equity, accessibility, and public health implications of digital platforms delivering real-time air quality information: A technology review.PLOS digital health · 2026Article
- Digital navigation as an access barrier: waiting times, equity, and universal health coverage in a digitalizing health system.Frontiers in public health · 2026Article
- Feasibility of the LvL UP digital lifestyle coaching intervention designed to prevent non-communicable diseases and common mental disorders.Scientific reports · 2025Article
- Development of an evidence-based evaluation framework for digital health software products.Scientific reports · 2025Article
- Strategies for engaging "hard-to-reach" populations in a panel for digital health research: A qualitative study among experts.PLOS digital health · 2025Article
- Leveraging Influencers to Reach and Engage Vulnerable Individuals With a Digital Health Intervention: Quasi-Experimental Field Study.Journal of medical Internet research · 2025Article
- Youth Uptake of Digital Sexual and Reproductive Health Services Across Sociodemographic Groups (2018-2022): A Total Population Study from Stockholm, Sweden.Mayo Clinic proceedings. Digital health · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe use of digital technologies within health care rapidly increased as services transferred to web-based platforms during the COVID-19 pandemic. Inequalities in digital health across the domains of equity are not routinely examined; yet, the long-term integration of digitally delivered services needs to consider such inequalities to ensure equitable benefits.
objectiveThis scoping review aimed to map inequities in access, use, and engagement with digital health technologies across equity domains.
methodsWe searched 4 electronic databases (MEDLINE, ASSIA, PsycINFO, and Scopus) for quantitative and mixed methods reviews and meta-analyses published between January 2016 and May 2022. Reviews were limited to those that included studies from the World Health Organization's European region. Extracted data were mapped against Cochrane's PROGRESS PLUS (place of residence, race, ethnicity, culture, and language, occupation, gender and sex, religion, education, socioeconomic status, social capital, and other characteristics) dimensions of equity.
resultsIn total, 404 unique citations were identified from the searches, and 2 citations were identified from other sources. After eligibility assessment, 22 reviews were included. Consistent evidence was found showing higher access to digital health technologies among patients who were of White ethnicity, were English speaking, and had no disability. There were no reviews that explored differences in access to digital health care by age, gender and sex, occupation, education, or homeless or substance misuse. Higher use of digital health technologies was observed among populations that were White, English speaking, younger, with a higher level of education, of higher economic status, and residents in urban areas. No clear evidence of differences in the use of digital technologies by occupation, gender and sex, disability, or homeless or substance misuse was found, nor was clear evidence found in the included reviews on inequalities in the engagement with digital technologies. Finally, no reviews were identified that explored differences by place of residence.
conclusionsDespite awareness of the potential impact of inequalities in digital health, there are important evidence gaps across multiple equity domains. The development of a common framework for evaluating digital health equity in new health initiatives and consistency in reporting findings is needed.
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Registered trials
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.