A health-equity framework for tailoring digital non-pharmacological interventions in aging

Adam Turnbull, Michelle C. Odden, Christine E. Gould, Ehsan Adeli, Robert M. Kaplan, Feng Vankee Lin
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Abstract

If designed with health equity in mind, digital non-pharmacological interventions (NPIs) represent a cost-effective, scalable means of reducing health disparities associated with age-related mental health disorders in older adults in the USA. However, disparities in technological access, literacy and effectiveness can limit the impact of these interventions in older adults from disadvantaged groups. We present a health-equity-promoting framework for the development of digital NPIs for age-related mental health disorders and provide an example from the literature that highlights how interventions can be targeted at specific groups to increase technological access, literacy and effectiveness to ensure that these interventions can meet their potential of reducing health disparities. Presenting a health-equity-promoting framework, this Perspective argues for considering access to technology, health literacy and effectiveness in digital non-pharmacological interventions for older adults.

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老龄化数字非药物干预的健康公平框架
如果在设计时考虑到健康公平问题,数字化非药物干预(NPIs)就是一种具有成本效益、可扩展的手段,可用于减少美国老年人与年龄相关的心理健康疾病相关的健康差距。然而,技术普及、文化水平和有效性方面的差异会限制这些干预措施对弱势群体老年人的影响。我们提出了一个促进健康公平的框架,用于开发针对与年龄相关的心理健康障碍的数字 NPI,并提供了一个文献实例,强调如何针对特定群体采取干预措施,以提高技术普及率、文化水平和有效性,从而确保这些干预措施能够实现其减少健康差距的潜力。本视角提出了一个促进健康平等的框架,主张在针对老年人的数字化非药物干预中考虑技术的可及性、健康素养和有效性。
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