Public Health最新文献

{"title":"Service redesign for outpatient services: Strategies to improve the wait","authors":"Simon R.E. Davidson ,&nbsp;Robin Haskins ,&nbsp;Bridie Ingham ,&nbsp;Ryan Gallagher ,&nbsp;Damien Smith ,&nbsp;Bruce Donald ,&nbsp;Judith Henderson ,&nbsp;Michael Edger ,&nbsp;Christopher Barnett ,&nbsp;Christopher M. Williams","doi":"10.1016/j.puhe.2025.03.011","DOIUrl":"10.1016/j.puhe.2025.03.011","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the effectiveness of a multicomponent waitlist optimisation strategy on the proportion of patients overdue to be seen for a neurosurgical (spinal pain) outpatient service at an Australian public hospital.</div></div><div><h3>Study design</h3><div>An interrupted time series study in the outpatient department of a tertiary referral hospital in New South Wales, Australia.</div></div><div><h3>Methods</h3><div>We implemented and evaluated nine waitlist optimisation strategies. We compared a Pre-implementation phase (January 2015–January 2016), a Implementation phase (February 2016–December 2017), and a Post-implementation phase (January 2018–January 2020). We included data from all adults who had been referred for neck and back pain. We used three outcomes of interest; they were: (i) the proportion of patients overdue to be seen (based on their triage category) for a given month, (ii) the proportion of patients that were waiting longer than one year for an initial appointment each month and (iii) the total neurosurgical waitlist number.</div></div><div><h3>Results</h3><div>We included data from 11,520 unique individuals who had a mean age of 54 years (SD 17), 51 % (5900) were female, and 8·8 % (1004) identified as Aboriginal and/or Torres Strait Islander. Across the three phases, there were 26,928 monthly data points Pre-implementation, 36,009 Implementation, and 15,326 Post-implementation. The trend in the proportion of patients overdue to be seen in the Post-Implementation phase was 7 % lower (OR 0·93 [95 % CI 0·89, 0·97]) compared to Pre-implementation.</div></div><div><h3>Conclusion</h3><div>The waitlist optimisation strategies tested in this study led to a large reduction in the proportion of patients overdue to be seen on the neurosurgical waitlist. The tested strategies can be used by other services to address extended waits in outpatient services.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"242 ","pages":"Pages 214-219"},"PeriodicalIF":3.9,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143681538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Suicidal ideation among US adolescents during the COVID-19 pandemic: Exploring individual, interpersonal, and community-level resilience factors","authors":"Yingwei Yang","doi":"10.1016/j.puhe.2025.03.009","DOIUrl":"10.1016/j.puhe.2025.03.009","url":null,"abstract":"<div><h3>Objectives</h3><div>The COVID-19 pandemic had a substantial psychological impact on adolescents in the United States (US). This study aimed to explore the multi-level resilience factors associated with adolescent suicidal ideation during the pandemic.</div></div><div><h3>Study Design</h3><div>Cross-sectional study.</div></div><div><h3>Methods</h3><div>We conducted this study using data collected in 2021 from a nationally representative sample of US high school students (N = 7,628). The outcome variable was self-reported suicidal ideation during the pandemic. Predictors included three individual factors (sleep duration, physical activity, and muscle strengthening), two interpersonal factors (parental monitoring and virtual connectedness), and two community factors (violence-free environments and school connectedness). We built four multivariate logistic regression models to measure associations between the outcome variable and the multi-level predictors.</div></div><div><h3>Results</h3><div>Nearly one in five adolescents (19.9 %) reported suicidal ideation during the pandemic. Adolescents with sufficient sleep duration (OR = 0.51, p &lt; 0.001), muscle strengthening exercises on 3–7 days per week (OR = 0.79, p &lt; 0.01), high levels of parental monitoring (OR = 0.54, p &lt; 0.001), high levels of virtual connectedness with family and friends (OR = 0.77, p &lt; 0.05), living in a violence-free community (OR = 0.46, p &lt; 0.001), and high levels of school connectedness (OR = 0.43, p &lt; 0.001) were less likely to report suicidal ideation.</div></div><div><h3>Conclusions</h3><div>The findings of this study highlight the positive role of individual behaviors (e.g., sufficient sleep, regular exercise) and supportive environments (e.g., family, school, and community) in protecting adolescents from suicidal ideation during the pandemic. Comprehensive intervention programs are needed to improve multi-level resilience factors and reduce suicide risk among US adolescents beyond the pandemic.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"242 ","pages":"Pages 199-205"},"PeriodicalIF":3.9,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143681537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inequalities in epilepsy mortality: A decade-long analysis of insured versus uninsured adults in Mexico","authors":"Bayron Alexander Sandoval-Bonilla ,&nbsp;Alvaro García-Pérez ,&nbsp;Maria De la Cerda Vargas ,&nbsp;Daniel San Juan ,&nbsp;Alejandra Calderon Vallejo ,&nbsp;Nelly Cisneros González ,&nbsp;José Carrillo Ruiz ,&nbsp;Maximo León Vazquez ,&nbsp;Enrique De Font-Reaulx ,&nbsp;David King Stephens","doi":"10.1016/j.puhe.2025.03.004","DOIUrl":"10.1016/j.puhe.2025.03.004","url":null,"abstract":"<div><h3>Objective</h3><div>To identify standardized mortality rate (SMR) differences among adults with varying access to medical services in Mexico over a decade.</div></div><div><h3>Study design</h3><div>Retrospective longitudinal study.</div></div><div><h3>Methods</h3><div>We compared SMR between insured and uninsured adults with epilepsy in Mexico (Ethics Committee number: CE/FESI/042023/1612). Mortality data from 2005 to 2006 and 2015–2016 were obtained from the National Institute of Statistics and Geography (INEGI). Crude death rates (CDR) per 100,000 person-years were calculated, and SMRs with 95 % confidence intervals (CI) adjusted for age and gender were estimated using Stata V.15.</div></div><div><h3>Results</h3><div>In 2005–2006, there were 658 epilepsy-related deaths (CDR = 0.91 per 100,000 person-years). In 2015–2016, there were 1916 deaths (CDR = 1.22 per 100,000 person-years). The 2005–2006 age-adjusted mortality rate was higher in the insured [0.84 (95 % CI 0.80–0.96)] than the uninsured [0.16 (95 % CI 0.10–0.29)]. In 2015–2016, the uninsured mortality rate was 1.55 (95 % CI 0.76–2.11) versus 1.10 (95 % CI 0.62–1.99) for the insured. Mortality rates increased with age, especially in the uninsured.</div></div><div><h3>Conclusions</h3><div>Mortality due to epilepsy was higher among the uninsured. Rates were higher in men than women. In Mexico, SMR increases after age 50, with the elderly consistently showing higher SMR in both insured and uninsured groups. Our findings show a substantially changed mortality of epilepsy between insured and no insured population. Reasons for these inequalities in mortality rates are apparent but also are likely to be multifactorial.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"242 ","pages":"Pages 192-198"},"PeriodicalIF":3.9,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143643267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preterm birth and public health challenges: Incidence and risk factors","authors":"Rozhan Khezri ,&nbsp;Saeedeh Askari ,&nbsp;Sepideh Jahanian ,&nbsp;Neda Ashayeri","doi":"10.1016/j.puhe.2025.03.003","DOIUrl":"10.1016/j.puhe.2025.03.003","url":null,"abstract":"<div><h3>Objectives</h3><div>Preterm birth is a global problem, with most preterm births occurring in low and middle-income countries like Iran. This study determined the incidence and risk factors associated with preterm birth in rural areas of sardasht, Iran.</div></div><div><h3>Study design</h3><div>Case-control study.</div></div><div><h3>Methods</h3><div>A case-control study was conducted among 414 pregnant women in rural areas (138 cases and 276 controls) in Sardashat, Iran. Data were extracted from medical records. Gestational age was estimated through ultrasound during the first trimester. Statistical analyses were performed with logistic regression.</div></div><div><h3>Results</h3><div>Results of multivariable logistic regression analysis showed a significant association between preterm birth and the following factors: Education levels, antenatal care visits [AOR = 2.74 (95 % CI; 1.42–5.28)], maternal anemia in the first trimester [AOR = 4.92 (95 % CI; 1.30–18.71)], parity [AOR = 3.48 (95 % CI; 1.25–9.69)], premature rupture of membranes [AOR = 8.32 (95 % CI; 2.89–23.91)], gestational diabetes mellitus [AOR = 7.87 (95 % CI; 2.19–28.31)], preeclampsia [AOR = 6.14 (95 % CI; 1.74–21.7)], history of abortion [AOR = 2.69 (95 % CI; 1.23–5.90)] and maternal age.</div></div><div><h3>Conclusion</h3><div>Preterm birth was significantly associated with education level, antenatal care visits, premature rupture of membranes, gestational diabetes mellitus, preeclampsia, maternal anemia, parity, history of abortion and maternal age. High-risk pregnant women should receive more intensive prenatal care to prevent preterm birth.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"242 ","pages":"Pages 186-191"},"PeriodicalIF":3.9,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143643382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between health literacy and risk of depression: A systematic review and meta-analysis of observational studies","authors":"X. Li ,&nbsp;X. Yin ,&nbsp;Z. Guan ,&nbsp;Y. Qian ,&nbsp;T. Loux","doi":"10.1016/j.puhe.2025.03.001","DOIUrl":"10.1016/j.puhe.2025.03.001","url":null,"abstract":"<div><h3>Objectives</h3><div>Depression, one of the most prevalent mental disorders, constitutes a pressing threat to global population health. In recent years, an increasing number of observational studies have explored the association between health literacy (HL) and depression risk; however, their results are inconsistent. Furthermore, no study has yet systematically synthesized this association based on findings from observational studies.</div></div><div><h3>Study design</h3><div>Systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>A systematic literature search was performed to identify eligible studies from five databases (PubMed, MEDLINE, EMBASE, PsycINFO, and the Cochrane Library). The overall odds ratios (ORs) with 95 % confidence intervals (CIs) were estimated to evaluate the role of HL in the development and progression of depression using random-effects models. Subgroup analyses were conducted to explore the potential sources of heterogeneity.</div></div><div><h3>Results</h3><div>Eleven observational studies, including nine cross-sectional and two longitudinal studies, were included in the current review. Meta-analysis revealed that higher levels of HL were associated with lower risk of depression (OR = 0.90, 95 % CI: 0.86–0.94). Subgroup analysis demonstrated that studies of adolescent individuals using the Chinese Adolescent Interactive Health Literacy Questionnaire (CAIHLQ) to quantify HL exhibited stronger associations (OR = 0.43, 95 % CI: 0.34–0.54).</div></div><div><h3>Conclusions</h3><div>Our meta-analysis demonstrated a statistically significant negative association between adequate levels of HL and the likelihood of depression, especially among adolescents. More longitudinal studies with rigorous design are needed to further explore the causal relationship and long-term associations.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"242 ","pages":"Pages 179-185"},"PeriodicalIF":3.9,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143641679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early life factors and dementia risk: A study of adverse childhood experiences and later-life cognition and behaviour","authors":"Dinithi Mudalige ,&nbsp;Dylan X. Guan ,&nbsp;Clive Ballard ,&nbsp;Byron Creese ,&nbsp;Anne Corbett ,&nbsp;Ellie Pickering ,&nbsp;Adam Hampshire ,&nbsp;Pamela Roach ,&nbsp;Eric E. Smith ,&nbsp;Zahinoor Ismail","doi":"10.1016/j.puhe.2025.02.008","DOIUrl":"10.1016/j.puhe.2025.02.008","url":null,"abstract":"<div><h3>Objectives</h3><div>Adverse childhood experiences (ACE) are associated with brain alterations and cognitive decline. In later life, cognitive impairment and mild behavioural impairment (MBI) are associated with greater dementia risk. We investigated whether more severe ACE are cross-sectionally associated with worse later-life cognitive and behavioural symptoms.</div></div><div><h3>Study design</h3><div>Cross-sectional study.</div></div><div><h3>Methods</h3><div>Data are from the Canadian Platform for Research Online to Investigate Health, Quality of Life, Cognition, Behaviour, Function, and Caregiving in Aging (CAN-PROTECT). Measures included the Childhood Trauma Screener (CTS-5), neuropsychological testing, Everyday Cognition (ECog)-II scale, and MBI Checklist (MBI-C). Linear regressions modelled associations between ACE severity and neuropsychological test scores. Multivariable negative binomial regressions (zero-inflated, if appropriate) modelled associations between ACE severity and ECog-II and MBI-C scores. All models controlled for age, sex, education, and ethnocultural origin. Clinical diagnoses of depression and/or anxiety were explored as covariates or mediators.</div></div><div><h3>Results</h3><div>In adjusted analyses, higher ACE scores were associated with worse performance on Trail-Making B (standardized b = 0.10, q = 0.003), Switching Stroop (b = −0.08, q = 0.027), Paired Associates Learning (b = −0.08, q = 0.049), and Digit Span (b = −0.08, q = 0.029). Higher ACE scores were also associated with higher ECog-II (b = 1.08, q = 0.029) and MBI-C (b = 1.20, q &lt; 0.001) scores; these associations were neither mediated by affective symptoms (ECog p = 0.16; MBI p = 0.13) nor moderated by sex (ECog p = 0.09; MBI p = 0.46).</div></div><div><h3>Conclusion</h3><div>Older adults with a history of more severe ACE show greater cognitive and behavioural risk markers for dementia that cannot be explained by previous psychiatric history. Further research into ACE as an early modifiable risk factor for dementia is warranted.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"242 ","pages":"Pages 172-178"},"PeriodicalIF":3.9,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143637647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spatiotemporal distribution and time-series analysis of rifampicin-resistant tuberculosis in Chongqing municipality, China","authors":"Shili Xian ,&nbsp;Ya Yu ,&nbsp;Jian Chen ,&nbsp;Bo Wu ,&nbsp;Chengguo Wu ,&nbsp;Jun Fan ,&nbsp;Lihong Mu","doi":"10.1016/j.puhe.2025.03.002","DOIUrl":"10.1016/j.puhe.2025.03.002","url":null,"abstract":"<div><h3>Objectives</h3><div>Chongqing has a high burden of rifampicin-resistant tuberculosis (RR-TB), and the implementation of Chongqing's Stop TB Action Plan (2019–2022) as well as the COVID-19 (Coronavirus Disease 2019) pandemic may have affected its distribution. This study aimed to investigate the spatial and temporal distribution characteristics of RR-TB in Chongqing to provide a reference for identifying priority regions for prevention and control.</div></div><div><h3>Study design</h3><div>A prospective study.</div></div><div><h3>Methods</h3><div>Spatial autocorrelation analysis and spatiotemporal scanning were used to identify spatial and temporal RR-TB distribution patterns. The temporal trend and seasonality of the case series were explored using a time-series analysis.</div></div><div><h3>Results</h3><div>There were 3,114 cases reported during the study period. From 2018 to 2022, the rate of notified cases of RR-TB in Chongqing changed, first increasing and then decreasing; a maximum of 684 cases was reached by 2020. The majority of cases were detected in January through May. Cluster areas were concentrated in the southeastern and northeastern regions, mainly in Pengshui County.</div></div><div><h3>Conclusions</h3><div>This study identified seasonal trends and spatial and temporal distribution patterns of RR-TB in Chongqing. The southeastern and northeastern parts of Chongqing should be prioritised for control efforts, and further investigations should be conducted to analyse case causes and propose control measures.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"242 ","pages":"Pages 165-171"},"PeriodicalIF":3.9,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143628078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editor's Note.","authors":"","doi":"10.1016/j.puhe.2025.02.016","DOIUrl":"https://doi.org/10.1016/j.puhe.2025.02.016","url":null,"abstract":"","PeriodicalId":49651,"journal":{"name":"Public Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preparing for Co-Creation: A roadmap for planning a co-creation initiative from a case study on sedentary behaviour in Scottish SMEs – A health CASCADE study","authors":"Mira Vogelsang ,&nbsp;Lauren McCaffrey ,&nbsp;Gemma C. Ryde ,&nbsp;Maïté Verloigne ,&nbsp;Philippa Dall","doi":"10.1016/j.puhe.2025.02.036","DOIUrl":"10.1016/j.puhe.2025.02.036","url":null,"abstract":"<div><h3>Objective</h3><div>Co-creation is recognised as a promising approach for addressing complex health issues by collaborating with end-users to develop tailored solutions that meet their needs. Planning a co-creation initiative–resulting in a co-creation protocol–requires balancing between providing clear project details and the need for flexibility in co-creation. However, existing structured guidance necessary for effective co-creation planning in the literature does not exist. This study aimed to develop a practical co-creation planning roadmap for public health researchers and practitioners.</div></div><div><h3>Study design</h3><div>Iterative development of an evidence-based co-creation planning roadmap based on case study reflections and expert input, and supported by existing co-creation literature.</div></div><div><h3>Methods</h3><div>The roadmap was developed based on the experience of applying the PRODUCES framework and principles of the planning phase by Leask and colleagues (2019) for planning a co-creation case study on reducing sedentary behaviour in Scottish companies. The roadmap underwent several rounds of iteration with the research team, incorporated feedback from researchers experienced with co-creation, and was further supported by the established evidence base of co-creation literature.</div></div><div><h3>Results</h3><div>The resulting roadmap has a seven-step approach, divided into four sections, involving: whether and why co-creation is an appropriate approach, framing the co-creation initiative (Section 1: Identify), defining stakeholders and co-creator sampling, describing resources and outcomes (Section 2: Define), structuring co-creation sessions, selecting methods for the co-creation sessions (Section 3: Structure) and planning for evaluation (Section 4: Plan Evaluation).</div></div><div><h3>Conclusion</h3><div>The roadmap offers a structured and accessible process to guide the planning of co-creation initiatives. We suggest that the roadmap be applied to different contexts to further refine and validate its utility, with the ultimate goal of enhancing the systematic planning of co-creation in public health.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"242 ","pages":"Pages 157-164"},"PeriodicalIF":3.9,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143600960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of digital contact tracing interventions for COVID-19: A systematic scoping review","authors":"Ha-Linh Quach ,&nbsp;Erin I. Walsh ,&nbsp;Thi Ngoc Anh Hoang ,&nbsp;Richard Norman Leslie Terrett ,&nbsp;Florian Vogt","doi":"10.1016/j.puhe.2025.02.019","DOIUrl":"10.1016/j.puhe.2025.02.019","url":null,"abstract":"<div><h3>Objectives</h3><div>Digital contact tracing (DCT) interventions have been deployed at unprecedented scale during COVID-19. However, no comprehensive appraisal of the evidence exists to date regarding their effectiveness. We aimed to systematically review the global literature for a holistic understanding of DCT effectiveness during COVID-19, and to identify factors that enabled or hindered its effectiveness.</div></div><div><h3>Study design</h3><div>Systematic scoping review.</div></div><div><h3>Methods</h3><div>We searched six databases for peer-reviewed literature relevant to the evaluation of DCT interventions during COVID-19 (January 2024) (CRD42021268586). We compiled implemented DCT interventions from grey literature. Effectiveness appraisals, different operationalizations, measurements, and definitions of DCT effectiveness, as well as associated factors were synthesized qualitatively. Study quality was assessed using the Mixed Methods Appraisal Tool. We followed Cochrane and PRISMA guidance.</div></div><div><h3>Results</h3><div>We identified 133 studies evaluating 121 different DCT implementations. Seventy-three (60 %) studies found DCT to be effective, mostly when evaluating epidemiological impact metrics. Public trust emerged as crucial for DCT to be effective, which requires high and enforceable data safety and privacy standards, clear and transparent communication, high accuracy and reliability of the intervention, and an acceptance-enhancing implementation approach of other pandemic response measures by public health authorities more broadly. Most evaluations took place in high rather than low-resource settings.</div></div><div><h3>Conclusion</h3><div>While technical performance matters, DCT effectiveness primarily depends on a relatively small number of non-technical drivers centred around public trust. DCT should only be implemented as integrated part of a broader public health framework. Our findings hold important insights for the design, implementation, and evaluation of other digital technology for pandemic response.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"242 ","pages":"Pages 146-156"},"PeriodicalIF":3.9,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143591589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}