Evidence map›Paper›PMID 41020319›Full record

SynthesisHealth promotion international2025

The inclusion and impact of digital determinants of health in digital nutrition interventions for adolescents: a systematic review.

Paris Mooney, Lai Ting Veronica Lam, Allyson R Todd, Stephanie R Partridge, Rebecca Raeside

Abstract readSystematic Review
In one paragraph

Synthesis in Health promotion international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Building the Capacity of Adolescents as Researchers: The Co-Creation of the Health Hive Online Course.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  4. Review
  5. Article
  6. Article
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

5 authors.

Paris MooneyNutrition and Dietetics Group, Faculty of Medicine and Health, Susan Wakil School of Nursing and Midwifery, The University of Sydney, Level 8, Susan Wakil Health Building, Western Ave, Camperdown, NSW 2050, Australia.
Lai Ting Veronica LamNutrition and Dietetics Group, Faculty of Medicine and Health, Susan Wakil School of Nursing and Midwifery, The University of Sydney, Level 8, Susan Wakil Health Building, Western Ave, Camperdown, NSW 2050, Australia.
Allyson R ToddFaculty of Medicine and Health, Susan Wakil School of Nursing and Midwifery, The University of Sydney, Level 8, Susan Wakil Health Building, Western Ave, Camperdown, NSW 2050, Australia.
Stephanie R PartridgeFaculty of Medicine and Health, Susan Wakil School of Nursing and Midwifery, The University of Sydney, Level 8, Susan Wakil Health Building, Western Ave, Camperdown, NSW 2050, Australia.ORCID 0000-0001-5390-3922
Rebecca RaesideFaculty of Medicine and Health, Susan Wakil School of Nursing and Midwifery, The University of Sydney, Level 8, Susan Wakil Health Building, Western Ave, Camperdown, NSW 2050, Australia.ORCID 0000-0003-2016-6393

Funding

a Postgraduate Research Scholarship in Adolescent HealthNational Heart Foundation 106646University of SydneyUniversity of Sydney Horizon Fellowship
6 · The paper itself

Abstract

Digital determinants of health (DDoH) is an emerging concept that captures domains relating to both digital health adoption and health equity. Digital transformations are reshaping many aspects of healthcare and health promotion, including how adolescent nutrition interventions are developed, delivered and utilized. As digital health interventions expand in popularity, it is crucial that they do not widen existing health disparities. This systematic review aimed to evaluate whether the DDoH are addressed in the development or delivery of digital nutrition interventions for adolescents, and whether this impacts access or use of these interventions to influence nutrition outcomes. Ten major electronic databases were searched and dual screened, capturing randomized controlled trials published from 2005 that aimed to improve nutrition outcomes through digital health interventions among adolescents 10-19 years. Primary outcome was objective or self-report change in nutrition intake or behaviours. DDoH assessment criteria were developed against nine pre-established dimensions. Study and intervention characteristics including information aligning with DDoH assessment criteria were extracted, and data synthesized in narrative format. Twenty articles representing 19 unique studies (13 246 participants) were identified, with 84% of studies conducted in high-income countries. All studies delivered interventions through mobile phone or computers and addressed at least one DDoH criteria. Affordability (100%) and usability (42%) were the most common DDoH criteria addressed. No studies successfully addressed all DDoH criteria. Therefore, we were unable to assess impact of addressing DDoH on adolescent nutrition outcomes. Overall, DDoH were inadequately addressed or reported in the development of digital nutrition interventions targeting adolescents.

Indexed as

Health PromotionSocial Determinants of HealthAdolescentCell PhoneChildHumansRandomized Controlled Trials as TopicTelemedicineYoung Adultadolescent healthdigital determinants of healthdigital healthhealth equitynutrition

Identifiers

PMID41020319
PMCPMC12477533

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.