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一个用于为老年人量身定制数字非药物干预措施的健康公平框架。

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

作者信息

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

机构信息

Department of Psychiatry & Behavioral Sciences, Stanford University, Stanford, CA, USA.

Department of Epidemiology and Population Health, Stanford University, Stanford, CA, USA.

出版信息

Nat Ment Health. 2024 Nov;2(11):1277-1284. doi: 10.1038/s44220-024-00347-6. Epub 2024 Nov 1.

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.

摘要

如果在设计时考虑到健康公平性,数字非药物干预措施(NPIs)是一种具有成本效益且可扩展的手段,有助于减少美国老年人中与年龄相关的心理健康障碍相关的健康差距。然而,技术获取、素养和有效性方面的差距可能会限制这些干预措施对弱势群体中老年人的影响。我们提出了一个促进健康公平的框架,用于开发针对年龄相关心理健康障碍的数字NPIs,并提供文献中的一个例子,该例子强调了如何针对特定群体进行干预,以提高技术获取、素养和有效性,确保这些干预措施能够发挥其减少健康差距的潜力。

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