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Assistive Technology in Promoting Health Equity for People with Chronic Conditions

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Global Health".

Deadline for manuscript submissions: closed (8 May 2023) | Viewed by 6351

Special Issue Editors


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Guest Editor
College of Nursing, University of South Carolina, Columbia, SC 29208, USA
Interests: improving outcomes and quality of life for adults with chronic conditions;safe and high quality hospital to home care transitions

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Guest Editor
College of Social Work, University of South Carolina, Columbia, SC 29208, USA
Interests: technology for health promotion and informed decisions in aging adults; smart and connected health; health and cancer communications with diverse populations

Special Issue Information

Dear Colleagues,

Chronic diseases, also known as non-communicable diseases, are defined as conditions lasting at least a year that require ongoing medical attention or limit activities of daily living or both. According to the World Health Organization, chronic diseases account for high rates of morbidity, healthcare costs, and 71% of all deaths globally. However, chronic diseases affect various racial/ethnic groups disparately because of several socioeconomic determinants. To promote health equity, defined by the Centers for Disease Control and Prevention as “when every person has an opportunity to attain his or her full health potential and no one is disadvantaged from achieving this potential because of social position or other socially determined circumstances”, several interdisciplinary fields are developing innovative, health-equity-focused interventions. Increasingly, these interventions are being disseminated through various forms of technology.

Technology can promote self-management, communication, and consultation with health and social services providers, activities of daily living, and environmental comfort and safety. However, amid these promising developments is a growing concern that access to technology, including the internet, may lead to further health disparities/health inequity among people and populations who lack access to technological innovations due to lack of resources to purchase technology, low technological literacy, or lack of technological infrastructure. This Special Issue of the International Journal of Environmental Research and Public Health (IJERPH) focuses on providing a snapshot of the current state of knowledge related to the meaningful use of technology to promote health equity among diverse populations living with chronic conditions. New research papers, brief reports, methodological papers, reviews, and commentaries are invited to this issue. Papers should include implications for future research, policy, and other approaches that are needed to ensure technological advances reduce rather than widen health disparities among people and populations with chronic diseases.

Dr. Cynthia Corbett
Dr. Otis L. Owens
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • chronic diseases
  • technology
  • health equity
  • healthcare disparities
  • health status disparities
  • minority health

Published Papers (3 papers)

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Research

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13 pages, 754 KiB  
Article
Individuals with Sickle Cell Disease Using SBAR as a Communication Tool: A Pilot Study
by Deborah M. Jean-Baptiste, Maureen Wassef, Susan Sullivan Bolyai and Coretta Jenerette
Int. J. Environ. Res. Public Health 2022, 19(21), 13817; https://doi.org/10.3390/ijerph192113817 - 24 Oct 2022
Viewed by 2249
Abstract
Background: Sickle cell disease (SCD) is a hemoglobinopathy that causes debilitating pain. Patients often report dissatisfaction during care seeking for pain or a sickle cell crisis (SCC). The Theory of Self-Care Management for SCD conceptualizes assertive communication as a self-care management resource that [...] Read more.
Background: Sickle cell disease (SCD) is a hemoglobinopathy that causes debilitating pain. Patients often report dissatisfaction during care seeking for pain or a sickle cell crisis (SCC). The Theory of Self-Care Management for SCD conceptualizes assertive communication as a self-care management resource that improves healthcare outcomes. Objectives: This pilot study aimed to determine whether adults with SCD could learn to use the Situation, Background, Assessment, Recommendation (SBAR) communication method using a web-based trainer, and it aimed to determine their perceptions of the training. Methods: The participants included n = 18 adults with SCD. Inter-rater reliability (IRR) among three reviewers was used to evaluate the participants’ ability to respond as expected to prompts using SBAR communication within the web-based platform. Content analysis was used to describe the participants’ perspectives of the acceptability of using the SBAR patient–HCP communication simulation. Results: The SBAR IRR ranged from 64 to 94%, with 72% to 94% of the responses being evaluated as the using of the SBAR component as expected. The predominant themes identified were (1) Patient–Provider Communication and Interaction; (2) Patients want to be Heard and Believed; (3) Accuracy of the ED Experience and Incorporating the Uniqueness of each Patient; and (4) the Overall Usefulness of the Video Trainer emerging. Conclusions: This pilot study supported the usefulness and acceptability of a web-based intervention in training adults with SCD to use SBAR to enhance patient–HCP communication. Enhancing communication may mitigate the barriers that individuals with SCD encounter during care seeking and improve the outcomes. Additional studies with larger samples need to be conducted. Full article
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Review

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14 pages, 624 KiB  
Review
Leveraging Digital Technology to Support Pregnant and Early Parenting Women in Recovery from Addictive Substances: A Scoping Review
by Phyllis Raynor, Cynthia Corbett, Delia West, D’Arion Johnston, Kacey Eichelberger, Alain Litwin, Constance Guille and Ron Prinz
Int. J. Environ. Res. Public Health 2023, 20(5), 4457; https://doi.org/10.3390/ijerph20054457 - 02 Mar 2023
Viewed by 1482
Abstract
Little is known about digital health interventions used to support treatment for pregnant and early parenting women (PEPW) with substance use disorders (SUD). Methods: Guided by the Arksey and O’Malley’s Scoping Review Framework, empirical studies were identified within the CINAHL, PsycInfo, PubMed, and [...] Read more.
Little is known about digital health interventions used to support treatment for pregnant and early parenting women (PEPW) with substance use disorders (SUD). Methods: Guided by the Arksey and O’Malley’s Scoping Review Framework, empirical studies were identified within the CINAHL, PsycInfo, PubMed, and ProQuest databases using subject headings and free-text keywords. Studies were selected based on a priori inclusion/exclusion criteria, and data extraction and descriptive analysis were performed. Results: A total of 27 original studies and 30 articles were included. Varying study designs were used, including several feasibility and acceptability studies. However, efficacious findings on abstinence and other clinically important outcomes were reported in several studies. Most studies focused on digital interventions for pregnant women (89.7%), suggesting a dearth of research on how digital technologies may support early parenting women with SUD. No studies included PEPW family members or involved PEPW women in the intervention design. Conclusions: The science of digital interventions to support treatment for PEPW is in an early stage, but feasibility and efficacy results are promising. Future research should explore community-based participatory partnerships with PEPW to develop or tailor digital interventions and include family or external support systems to engage in the intervention alongside PEPW. Full article
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Other

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15 pages, 3038 KiB  
Essay
Behavior Change in Chronic Health: Reviewing What We Know, What Is Happening, and What Is Next for Hearing Loss
by Sophie Brice and Helen Almond
Int. J. Environ. Res. Public Health 2023, 20(8), 5605; https://doi.org/10.3390/ijerph20085605 - 21 Apr 2023
Cited by 1 | Viewed by 2038
Abstract
Untreated age-related sensorineural hearing loss is challenged by low adoption and adherence to hearing aids for treatment. Hearing care has evolved from traditional clinic-controlled treatment to online consumer-centered hearing care, supported by the increasingly person-centered design of hearing aid technology. Greater evidence and [...] Read more.
Untreated age-related sensorineural hearing loss is challenged by low adoption and adherence to hearing aids for treatment. Hearing care has evolved from traditional clinic-controlled treatment to online consumer-centered hearing care, supported by the increasingly person-centered design of hearing aid technology. Greater evidence and a more nuanced understanding of the personal need for adoption versus adherence to the use of consumer hearing care devices are required. Research considering consumer hearing aid acceptance behavior rests on behavior modification theories to guide clinical approaches to increasing hearing aid adoption and adherence. However, in the context of complex chronic health management, there may be a gap in how these theories effectively align with the needs of consumers. Similarly, market data indicates evolving consumer behavior patterns have implications for hearing care theory and implementation, particularly in terms of sustained behavior change. This essay proposes that evidence, including theory and application, be strengthened by revising basic theoretical premises of personal experience with complex chronic health, in addition to considering recent changes in commercial contexts. Full article
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