ReviewJournal of medical Internet research2024
Cultural and Contextual Adaptation of Digital Health Interventions: Narrative Review.
Review in Journal of medical Internet research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 8 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
80 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- Inequalities in Exclusively Mobile Interventions Targeting Weight-Related Behaviors: Systematic Review of Observational Studies.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026Pooled it
- Leveling up immunization: a systematic review of gamification interventions to improve Human Papillomavirus (HPV) vaccine uptake.BMC public health · 2026Pooled it
- Effects of narrative-based interventions on self-efficacy and self-management in chronic disease: A systematic review and meta-analysis.Applied psychology. Health and well-being · 2026Pooled it
- Retention and Engagement in Culturally Adapted Digital Mental Health Interventions: Systematic Review of Dropout, Attrition, and Adherence in Non-Western, Educated, Industrialized, Rich, Democratic Settings.JMIR mental health · 2026Pooled it
- Endometriosis Support and Development of Digital Technology-Based Interventions: Systematic Review.JMIR human factors · 2025Pooled it
- Planning for the Unexpected and Unintended Effects of mHealth Interventions: Systematic Review.Journal of medical Internet research · 2025Pooled it
- Effectiveness of Interventions to Improve Digital Health Literacy in Forced Migrant Populations: Mixed Methods Systematic Review.Journal of medical Internet research · 2025Pooled it
- Do the effects of internet-delivered cognitive-behavioral therapy (i-CBT) last after a year and beyond? A meta-analysis of 154 randomized controlled trials (RCTs).Clinical psychology review · 2024Pooled it
- Randomized Comparison of Online Motivational Themes in Clinical Trial Recruitment.Circulation. Cardiovascular quality and outcomes · 2025Trial
- GamblingLess: In-The-Moment: a mixed-methods acceptability and engagement evaluation of a gambling just-in-time adaptive intervention.Addiction science & clinical practice · 2025Trial
- Psychological Distress as a Mediator of the Association Between Racism-based Police Violence and Mental Health Help-Seeking Among Black and Hispanic Emerging Adults.Journal of racial and ethnic health disparities · 2026Article
- Web-Based Physiotherapy Resources for Bronchiectasis: Evaluation of Content, Quality, and Implementation Evidence.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026Article
- Generative AI Engagement and Perceived Nutrition-Oriented Feeding Practices Among Urban Indonesian Mothers: Mixed Methods Study.JMIR pediatrics and parenting · 2026Article
- Coloring-Based Serious Game in Chinese College Students With Alexithymia: Prospective Longitudinal Exploratory Mixed Methods Study.JMIR serious games · 2026Article
- Current challenges for global equity related to the implementation of artificial intelligence in pediatric imaging.Pediatric radiology · 2026Review
- Adolescent Health Literacy in TikTok Mediated Environments: A Critical Examination of Student Generated Digital Health Communication.Journal of paediatrics and child health · 2026Article
- Digital Transformation in Health Care: Are We on the Right Track?Journal of medical Internet research · 2026Article
- mHealth for Oral Care in Aging: A Narrative Review of Mobile Applications for Older Adults and Caregivers.Dentistry journal · 2026Review
- Acceptability and feasibility of digital gamified cognitive training intervention for preschool children with cancer-related cognitive late effects: a mixed-methods study.BMC psychology · 2026Article
- Nurse-led mobile health symptom management in patients with head and neck cancer undergoing concurrent chemoradiotherapy: a randomized controlled trial.BMC nursing · 2026Article
20 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEmerging evidence suggests that positive impacts can be generated when digital health interventions are designed to be responsive to the cultural and socioeconomic context of their intended audiences.
objectiveThis narrative review aims to synthesize the literature about the cultural adaptation of digital health interventions. It examines how concepts of culture and context feature in design and development processes, including the methods, models, and content of these interventions, with the aim of helping researchers to make informed decisions about how to approach cultural adaptation in digital health.
methodsLiterature searches for this narrative review were conducted across 4 databases. Following full-text article screening by 2 authors, 16 studies of interventions predominantly focused on the self-management of health were selected based on their detailed focus on the process of cultural adaptation. Key considerations for cultural adaptation were identified and synthesized through a qualitative narrative approach, enabling an integrative and in-depth understanding of cultural adaptation.
resultsThe literature demonstrates varying approaches and levels of cultural adaptation across stages of intervention development, involving considerations such as the research ethos orienting researchers, the methodologies and models used, and the resultant content adaptations. In relation to the latter, culturally appropriate and accessible user interface design and translation can be seen as particularly important in shaping the level of adaptation.
conclusionsOptimizing cultural adaptation involves linking culture with other contextual factors such as economic conditions and social systems to ensure accessibility and the sustained use of digital health interventions. Culturally humble approaches that use the involvement of a broad range of participants, experts, and other stakeholders are demonstrated to spark vital insights for content development, implementation, and evaluation.
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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.