Evidence map›Paper›PMID 42146715›Full record

ReviewFrontiers in digital health2026

Implementing home-based digital health in rural Canada: a scoping review.

Joy Lai, Amareena Saleh-Singh, Gladys Olisaekee

Abstract readReview
In one paragraph

Review in Frontiers in digital health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

3 authors.

Joy Lai *Institute of Biomedical Engineering, Faculty of Applied Science and Engineering, University of Toronto, Toronto, Ontario, Canada.
Amareena Saleh-Singh *Munk School of Global Affairs & Public Policy, University of Toronto, Toronto, Ontario, Canada.
Gladys Olisaekee *Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This scoping review maps the current evidence on implementing home-based digital health technologies in rural Canada. It examines available readiness tools and indicators, stakeholder perspectives, barriers, and outcomes to provide evidence-based insights for successful implementation. Methods: A comprehensive search was conducted in Ovid MEDLINE, IEEE Xplore, and Scopus between February and March 2025. Eligible studies focused on patient-facing, home-based digital health technologies in rural or remote Canadian contexts. Articles addressing pre-implementation, implementation, or adoption of home-based digital health solutions were also included. Data extraction and thematic analysis were performed to synthesize findings. Results: Sixteen studies met the inclusion criteria, spanning diverse rural regions of British Columbia, Ontario, and several Prairie and Atlantic provinces. Findings were categorized under four major themes: (1) readiness tools, frameworks, and indicators; (2) patient and provider perspectives; (3) barriers and corresponding strategies; and (4) outcomes and impacts of home-based digital health implementation in rural Canada. While patients and providers are generally positive towards home-based digital health technologies, several context-dependent factors influence their success. Key barriers include digital divides, infrastructure limitations, and varying digital literacy. Effective implementation necessitates addressing these challenges through tailored strategies, such as culturally sensitive design, infrastructure development, digital literacy training, and community engagement. Conclusion: Home-based digital health technologies have the potential to improve healthcare access and outcomes in rural Canada. Successful implementation requires careful consideration of contextual factors, proactive barrier mitigation, and a focus on co-design with users to ensure equitable access and outcomes.

Indexed as

Canadacommunity readinessdigital health implementationdigital literacyhealth equityhome-based digital healthremote monitoringrural health services

Identifiers

PMID42146715
PMCPMC13176280

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.