Evidence map›Paper›PMID 41213690›Full record

ArticleBMJ open2025

Equity of digital self-management tools in adults with multiple long-term conditions: a scoping review protocol.

Heather Walker, Timothy Robbins, Austen El-Osta, Lucy Stirland, David Taylor, Andy Jones, Emily McBride, Asra Aslam

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Heather WalkerSchool of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, UK heather.walker.2@glasgow.ac.uk.ORCID http://orcid.org/0000-0003-0148-0766
Timothy RobbinsUniversity Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.
Austen El-OstaSelf-Care Academic Research Unit (SCARU), Department of Primary Care and Public Health, Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-8772-4938
Lucy StirlandDivision of Psychiatry, Centre for Clinical Brain Sciences, The University of Edinburgh, Edinburgh, UK.ORCID http://orcid.org/0000-0002-5678-4583
David TaylorInstitute of Security Science and Technology, Imperial College London, London, England, UK.
Andy JonesCentre for Health Services Studies, University of Kent, Canterbury, UK.
Emily McBrideSchool of Mental Health and Psychological Sciences, King's College London, London, England, UK.
Asra AslamSchool of Information, Journalism and Communication, The University of Sheffield, Sheffield, England, UK.

Funding

Wellcome Trust
6 · The paper itself

Abstract

introductionAdults living with multiple long-term conditions (MLTC)-defined as the presence of two or more physical or mental health conditions-often face fragmented and complex care. Digital tools offer scalable self-management solutions but may exacerbate inequities due to the digital divide and other factors. The aim of this scoping review is to map and summarise the existing literature on digital self-management tools used in MLTC, with a particular focus on how equity of access is considered in their development, implementation and evaluation. METHODS AND ANALYSIS: Scoping review methodology will be based on the Joanna Briggs Institute guidance for scoping reviews and Arskey and O'Malley's framework and will be reported in alignment with Preferred Reporting Items for Systematic Review and Meta-Analyses extension for Scoping Reviews. Comprehensive search terms based on 'multimorbidity', 'digital tools' and 'self-management' have been developed. Peer-reviewed publications will be identified using MEDLINE, Embase, Emcare, Scopus, CINAHL and PubMed. Two reviewers will independently screen titles and abstracts, with subsequent full text review also being performed in duplicate to ensure they meet the eligibility criteria. Discrepancies will be resolved by discussion with a third reviewer. Included studies will focus on digital tools for the self-management of MLTC in adults (≥18 years old) in any setting. Equity dimensions will include, but are not limited to, digital literacy, treatment burden, socioeconomic status, polypharmacy and access disparities. ETHICS AND DISSEMINATION: Ethical approval is not required for this scoping review. The results of the scoping review will be published in an open access, peer-reviewed journal for wider dissemination. Additionally, findings will contribute to topic guides and mapping of a research networking event with key stakeholders (including patient and public involvement and engagement members, clinicians, researchers and industry) in MLTC, around the same subject area.

Indexed as

Self-ManagementAdultChronic DiseaseHumansResearch DesignScoping Reviews as TopicChronic DiseaseDigital TechnologyHealth EquityMultimorbiditySelf CareSelf-Management

Identifiers

PMID41213690
PMCPMC12598953

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Registered trials

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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.