DIGITAL HEALTH最新文献

{"title":"A systematic review: Evaluating the implementation determinants and progress of artificial intelligence, big data, and cloud computing with East African healthcare systems.","authors":"Raidah R Gangji, Mohamed Zahir Alimohamed","doi":"10.1177/20552076261490181","DOIUrl":"10.1177/20552076261490181","url":null,"abstract":"<p><strong>Objectives: </strong>East African health systems face dual challenges of infectious disease burdens and rising non-communicable diseases within resource-constrained environments. Artificial Intelligence (AI), Big Data, and Cloud Computing offer transformative potential for healthcare delivery through enhanced diagnostics, optimized resource allocation, and improved care continuity.</p><p><strong>Methods: </strong>We conducted a systematic review following PRISMA 2020 guidelines, searching PubMed, IEEE Xplore Web of Science, and Google Scholar for studies on AI, Big Data, and Cloud Computing applications in East-African healthcare systems (2014-2024). Risk of bias was assessed using the ROBIS-I tool, with narrative synthesis used to analyze findings. Thematic analysis was guided by the Consolidated Framework for Implementation Research (CFIR).</p><p><strong>Results: </strong>From 129 identified studies, 19 met inclusion criteria. Findings revealed promising pilot implementations demonstrating preliminary evidence of improved diagnostic accuracy and operational efficiency. However, based on the available evidence, no interventions achieved sustainable scale-up using predefined scaling criteria. Five key barriers emerged: inadequate infrastructure (reported in 74% of studies), limited workforce digital literacy (58%), incomplete governance frameworks (47%), poor system interoperability (42%), and unsustainable financing models dependent on donor funding (37%).</p><p><strong>Conclusion: </strong>A significant policy-practice gap exists between comprehensive national digital health strategies and ground-level implementation. While pilot projects show measurable benefits, systematic barriers prevent scaling to routine practice. Based on the available evidence, success may require coordinated investments across infrastructure, workforce development, governance, interoperability, and sustainable financing, supported by implementation science approaches. However, the moderate risk of bias in included studies and the developing state of implementation research in the region warrant cautious interpretation of these findings.</p>","PeriodicalId":51333,"journal":{"name":"DIGITAL HEALTH","volume":"12 ","pages":"20552076261490181"},"PeriodicalIF":3.9,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13562856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148957305","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":"Leveraging electronic health records for data-driven comorbidity phenotyping in heart failure: Identification of eight risk-stratified phenotypes in a Chinese population.","authors":"Ruixue Ma, Yuanyuan Wang, Luzhao Feng, Zuolin Lu, Maigeng Zhou, Weihao Shao, Yunyuan Kong, Ruitai Shao, Chen Wang","doi":"10.1177/20552076261481018","DOIUrl":"10.1177/20552076261481018","url":null,"abstract":"<p><strong>Objective: </strong>To identify comorbidity subgroups of heart failure (HF) from electronic health record (EHR) data by computational phenotyping and evaluate their associations with mortality and healthcare utilization.</p><p><strong>Background: </strong>Multimorbidity drives HF complexity, yet conventional classifications capture it poorly and EHR-based comorbidity phenotyping in Asian HF populations remains limited.</p><p><strong>Methods: </strong>In this retrospective cohort using EHR data from 462 hospitals in Yichang, China (2018-2023), latent class analysis was applied to 17 ICD-10-coded comorbidity indicators among 95,593 adults with incident HF. Cox and negative binomial models assessed all-cause mortality and healthcare utilization, adjusted for age and sex. Sensitivity analyses examined stricter HF definitions, alternative class solutions, wider comorbidity ascertainment, and competing risk of death.</p><p><strong>Results: </strong>Eight phenotypes emerged; most prevalent were Cardiometabolic (31.4%) and Minimal Comorbidity (28.9%; low probabilities for all conditions except COPD). Versus Cardiometabolic, Malignancy-Anemia had the highest mortality (adjusted HR 5.00, 95% CI 4.69-5.32), followed by Cardiorenal-Anemia (2.35), Severe Multimorbidity (1.99) and Minimal Comorbidity (1.93, 1.85-2.01). Malignancy-Anemia had the highest hospitalization rate (incidence rate ratio 2.85, 95% CI 2.68-3.03), yet its cumulative incidence of first hospitalization did not differ from the reference once death was treated as a competing event (subdistribution HR 1.03; P = 0.287), reflecting high early mortality. Excess mortality in Minimal Comorbidity was not attenuated by capturing index-encounter diagnoses, adjusting for baseline healthcare contact, or stratifying by COPD; phenotype ordering held across alternative HF definitions and class solutions.</p><p><strong>Conclusions: </strong>Phenotypes derived entirely from routinely coded data separate HF patients into prognostically distinct groups differing up to five-fold in adjusted mortality. Low coded comorbidity does not indicate low clinical risk, with direct implications for risk tools built on administrative data. With adjustment limited to age and sex in one region, these are hypothesis-generating prognostic associations requiring external validation and prospective evaluation before clinical use.</p>","PeriodicalId":51333,"journal":{"name":"DIGITAL HEALTH","volume":"12 ","pages":"20552076261481018"},"PeriodicalIF":3.9,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13558937/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931691","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":"Exploring the use of digital and paper-based patient-held medication lists to improve medication adherence and health outcomes in polypharmacy: A scoping review.","authors":"Hassan Mohammadian, Aldanah Azzam, Omar Adel Abd Elrahman, Ahmed Reyad Tehemar, Noor Alsalemi","doi":"10.1177/20552076261451983","DOIUrl":"10.1177/20552076261451983","url":null,"abstract":"<p><strong>Background: </strong>Medication non-adherence is a major global healthcare challenge, particularly among adults with polypharmacy. Patient-held medication lists (PHMLs) may empower patients and support better medication adherence.</p><p><strong>Objectives: </strong>To systematically map existing literature on the impact of PHMLs on adherence, clinical outcomes, patient satisfaction, and adverse drug reactions (ADRs) among adults with polypharmacy.</p><p><strong>Methods: </strong>This scoping review followed the Joanna Briggs Institute (JBI) methodology and PRISMA-ScR guidelines. Three databases were searched (PubMed, Embase, and ProQuest) between 2010 and March 2025. Eligible studies included adults with polypharmacy, evaluating PHMLs in any healthcare setting, and reporting at least one outcome of interest.</p><p><strong>Results: </strong>Thirteen studies were included. Three of seven showed significant improvement in adherence, and two of four reported better glycemic control, improved lipid profiles, or a reduction in hospitalization rates. Patient satisfaction improved in all seven studies assessing it. Three of five studies found significant reductions in medication errors and serious side effects.</p><p><strong>Conclusion: </strong>PHMLs show promise in improving adherence, satisfaction, selected clinical outcomes, and medication safety in polypharmacy, despite mixed results. Further research should assess long-term impacts and scalable implementation.</p>","PeriodicalId":51333,"journal":{"name":"DIGITAL HEALTH","volume":"12 ","pages":"20552076261451983"},"PeriodicalIF":3.9,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13558915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931603","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":"Implementing the Empowering Better End of life Dementia Care (EMBED-Care) Framework to improve palliative dementia care in care homes: A feasibility evaluation.","authors":"Juliet Gillam, Nathan Davies, Clare Ellis-Smith, Ayesha Dar, Elizabeth Sampson, Catherine Evans","doi":"10.1177/20552076261476137","DOIUrl":"10.1177/20552076261476137","url":null,"abstract":"<p><strong>Objective: </strong>Care homes are the main provider of palliative care for people living with dementia. In the UK around 70% of care homes are residential, with no onsite medical or nursing staff to manage residents' complex needs. eHealth interventions can support holistic care delivery in this context; however, adoption in care homes has been limited. Innovative approaches grounded in implementation science are required to encourage uptake. This study aimed to assess the feasibility of a theoretically informed implementation plan for the EMBED-Care Framework, an eHealth intervention delivered via a mobile app to support holistic assessment and decision-making for people living with dementia in care homes.</p><p><strong>Methods: </strong>An embedded mixed-methods feasibility study was conducted in two residential homes. Qualitative data included non-participant observations, focus groups and semi-structured interviews with staff, analysed using codebook thematic analysis informed by Normalisation Process Theory. Quantitative data comprised app-usage metrics, analysed descriptively. Patient and public involvement informed the study design and conduct.</p><p><strong>Results: </strong>Twenty staff across two care homes used the intervention with 26 residents. Although some uptake was observed, usage data indicated that the Framework was largely not used as intended. Whilst care staff acknowledged its potential benefit, they faced substantial practical challenges to its use related to workload and a sense it was duplicating existing care processes. These issues led to negative appraisals of its impact and compromised staff engagement.</p><p><strong>Conclusion: </strong>Feasibility evaluation enabled rapid identification of barriers and refinement of implementation strategies. Iterative revisions to strategies related to providing further staff support, including a more tailored approach to training, and additional reminders to use the Framework. The Framework itself also requires adaptation to improve 'fit' in the care home context. Further collaboration on the revised strategies with people living with dementia and their family carers is required.</p>","PeriodicalId":51333,"journal":{"name":"DIGITAL HEALTH","volume":"12 ","pages":"20552076261476137"},"PeriodicalIF":3.9,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13554648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921822","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":"Evaluation of an augmented reality-assisted system for standardizing spirometry (AR-SPIRO trial): Protocol for three-stage system development, agreement validation, and pragmatic implementation.","authors":"Tianqi Peng, DanJing Hu, Hanling Zhou, Hanna Wu, Yushi Zhang, Yaodie Peng, Xiang Li, Bin Duan, Xiaoyan Chang, Yong Li, Xiaopan Li, Chunyan Yu, Hongtao Niu, Ting Yang","doi":"10.1177/20552076261488207","DOIUrl":"10.1177/20552076261488207","url":null,"abstract":"<p><strong>Objective: </strong>Spirometry, the gold-standard diagnostic tool for chronic obstructive pulmonary disease, is limited in primary care due to shortages of qualified technicians and inconsistent testing quality. Evidence for augmented reality (AR)-assisted spirometry remains limited. This three-stage study aims to evaluate the task performance, operational efficiency, cost-effectiveness, and usability of an AR-assisted spirometry system, AR-SPIRO.</p><p><strong>Methods: </strong>The pre-evaluation stage included system development, technical verification, and usability testing. In Phase 1, a single-center randomized crossover agreement validation and usability evaluation study will compare the quality of spirometry between the AR-assisted and senior technician-led modes using weighted Kappa coefficients. In Phase 2, a multi-center, open-label, pragmatic, randomized implementation evaluation will be conducted at 14 primary care institutions. High-risk participants will be randomly assigned to AR-assisted or technician-led guidance. AR-SPIRO integrates a portable spirometer, a mobile terminal for real-time flow data processing, and AR glasses for synchronized visual-auditory feedback.</p><p><strong>Results: </strong>The AR-SPIRO system has been developed, and technical verification and preliminary usability testing have been completed. The study protocol has been finalized, and the Phase 1 agreement validation and Phase 2 pragmatic implementation evaluation are planned according to the predefined protocol.</p><p><strong>Conclusion: </strong>AR-SPIRO is expected to provide standardized spirometry guidance in primary care. This trial will provide evidence for the usability and implementation value of AR-SPIRO in resource-limited settings.</p>","PeriodicalId":51333,"journal":{"name":"DIGITAL HEALTH","volume":"12 ","pages":"20552076261488207"},"PeriodicalIF":3.9,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13554636/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921675","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":"Patients' willingness to use, willingness to pay, preferences for digital chronic disease management service packages of internet hospitals in China: A cross-sectional survey.","authors":"Liyun Liu, Lizheng Shi, Shenchao Han","doi":"10.1177/20552076261484789","DOIUrl":"10.1177/20552076261484789","url":null,"abstract":"<p><strong>Objective: </strong>Digital chronic disease management (CDM) service packages are an emerging service type of telemedicine platforms. This study aims to examine patients' willingness to use (WTU), willingness to pay (WTP), and preferences for digital CDM service packages of internet hospitals among hospital outpatients in China's high-income regions.</p><p><strong>Methods: </strong>A cross-sectional study was conducted across the outpatient settings of multiple hospitals in Zhejiang province, which ranked first in per capita disposable income of urban residents among all China's provinces.</p><p><strong>Results: </strong>Among 1262 participants, 63.47% (801/1262) had WTU, 45.25% (571/1262) had WTP. Binary logistic regression analyses showed that younger age, higher education levels, having chronic disease, and being an online health information seeker were significantly associated with greater odds of both WTU and WTP. Higher monthly income (8001-17,000 CNY vs. ≤2000 CNY) was significantly associated with WTU, while higher monthly income (>17,000 CNY vs. ≤2000 CNY) and having basic medical insurance were significantly associated with WTP. Among 571 participants with WTP, more than 80% preferred physician-led packages at >300 CNY/month, 10.51% preferred nurse- and health manager-led packages (100-300 CNY/month), and 7.53% preferred AI-assisted platform and medical staff packages (<100 CNY/month). Ordered logistic regression found that marital status (divorced) was the only significant factor for package preferences, though this should be interpreted with caution due to limited subgroup size.</p><p><strong>Conclusion: </strong>Findings replicated and extended the Andersen Behavioral Model and Grossman Model to the context of digital CDM services. A distinct economic threshold separated WTU from WTP for digital CDM service packages: WTU emerged at moderately high income levels, while WTP required high income and basic medical insurance coverage. Financial affordability constituted a substantial barrier. Among willing-to-pay patients, the majority preferred physician-led packages, suggesting that doctors should retain a central role in digital CDM service delivery.</p>","PeriodicalId":51333,"journal":{"name":"DIGITAL HEALTH","volume":"12 ","pages":"20552076261484789"},"PeriodicalIF":3.9,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13554586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921796","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":"Better understanding the ethical and social issues associated with social media uses in physiotherapy: A critical interpretive synthesis.","authors":"Pauline Lemersre, Jonathan Gervais-Hupé, Alexandre Mathieu-Fritz, Annie Carrier, Arthur Filleul, Nathan Bourges, Anne Hudon, Diana Zidarov","doi":"10.1177/20552076261487056","DOIUrl":"10.1177/20552076261487056","url":null,"abstract":"<p><strong>Introduction: </strong>Social media uses by physiotherapists are proliferating (e.g. interprofessional collaboration, publicity, information dissemination). While offering opportunities for health democratization, these practices raise ethical and social issues such as cyberincivility and digital literacy-related inequalities, necessitating deeper ethical and social reflection in physiotherapy. Critical literature reviews are useful to develop an evidence-informed theoretical framework to inform ethical reflections.</p><p><strong>Methods: </strong>This review employed critical interpretive synthesis to examine ethical and social issues in physiotherapists' social media uses, searching Medline, Embase, CINAHL, and Web of Science (2000-2025), yielding relevant studies via PRISMA-guided screening. Inductive data extraction and analysis were used to generate synthetic constructs through iterative critique, integrating evidence from empirical and non-empirical studies on this topic.</p><p><strong>Results: </strong>Out of 4547 studies, 28 included studies reveal eight key ethical and social issues in physiotherapists social media uses: privacy concerns and confidentiality, conflict of interest and transparency, cyberincivility and professional misconduct, risks of blurred boundaries between professional and personal spheres, power imbalance during digital interactions with vulnerable populations, risks of uncontrollable and overloaded digital information dissemination, disinformation and misinformation in professional online communication, and risks of jeopardizing intellectual property rights. The resulting conceptual framework prompts reflection on developing digital professionalism in physiotherapy centred on cybercivility and accountability. Fostering digital professionalism requires training professionals and students with digital literacy as a core competency and developing and disseminating clear guidelines.</p><p><strong>Conclusion: </strong>This review proposes deeper ethical reflections on social media uses in physiotherapy. It emphasizes the need for empirical research to address gaps, enhance reflexivity, and advance digital professionalism.</p>","PeriodicalId":51333,"journal":{"name":"DIGITAL HEALTH","volume":"12 ","pages":"20552076261487056"},"PeriodicalIF":3.9,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13554593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921747","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":"Organisational readiness for digitalisation in health care: Findings from qualitative research in four EU countries/region.","authors":"Mirna Macur, Randi Lehmann Boesen, Linda Justi, Morten Sønderskov Frydensberg, Elisenda Reixach Espaulella, Mateja Bahun, Barbara Benedik, Stefania Chiappinotto, Federico Fonda, Alvisa Palese","doi":"10.1177/20552076261485976","DOIUrl":"10.1177/20552076261485976","url":null,"abstract":"<p><strong>Background: </strong>Digitalisation in healthcare is progressing more slowly than in other sectors, despite being highly needed and prioritised by the World Health Organization, the European Union, and individual countries. Therefore, investigating readiness for digitalisation across European regions may inform strategies required to accelerate the process.</p><p><strong>Objectives: </strong>This study explores organisational readiness for digitalisation in healthcare in four different countries/regions: Catalonia (Spain), South Denmark, Italy, and Slovenia.</p><p><strong>Methods: </strong>An exploratory descriptive qualitative study was conducted and reported according to the COREQ guidelines. Focus groups and individual interviews with 74 healthcare professionals (HCP) and healthcare managers (HCM) from four partner countries/regions were carried out, recorded, transcribed, and thematically analysed.</p><p><strong>Results: </strong>Four themes summarised organisational readiness for digitalisation, including barriers, facilitators, and drivers of digital transformation: \"Organisational Readiness for Digitalisation: Between Potential and Persistent Gaps\"; \"Convincing Design: Intuitive Technologies for Sustainable Change\"; \"Barriers to Change: Structural, Cultural, and Professional Obstacles\"; and \"The Drivers of Transformation: Technological and Organisational Levers for Progress\".</p><p><strong>Conclusion: </strong>Organisational readiness is shaped by the interplay of technological, organisational, and professional factors. Strengthening organisational readiness for digitalisation requires coordinated investment in digital infrastructure, continuous education and training, supportive leadership, and participatory implementation strategies to ensure sustainable digital transformation.</p>","PeriodicalId":51333,"journal":{"name":"DIGITAL HEALTH","volume":"12 ","pages":"20552076261485976"},"PeriodicalIF":3.9,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13554697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921827","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":"Navigating childhood fever: A registry-based analysis of parental engagement patterns and information needs in mHealth.","authors":"Moritz Gwiasda, David D Martin, Ekkehart Jenetzky","doi":"10.1177/20552076261473743","DOIUrl":"10.1177/20552076261473743","url":null,"abstract":"<p><strong>Background: </strong>Acute childhood fever can lead to parental anxiety which contributes to the overcrowding of pediatric emergency care. Mobile health (mHealth) applications offer support to empower caregivers. Real-world evidence regarding usage disparities and their actual impact on user empowerment remains scarce.</p><p><strong>Objective: </strong>This observational study investigates the sociodemographic determinants of mHealth usage and evaluates its effect on parental confidence as parent-reported outcome measure (PROM).</p><p><strong>Methods: </strong>A FeverApp registry data analysis was conducted. An ecological momentary assessment tool regarding fever management of parents. The main sample (N=24,800) was analyzed to identify sociodemographic usage disparities and thematic navigation patterns using correlation clustering. A subsample (n=3,825) completed a 5-point questionnaire regarding perceived safety in managing fever, as the primary PROM. The relationship between interaction frequency and the PROM was evaluated using an ordinal logistic regression model.</p><p><strong>Results: </strong>Highly educated parents demonstrate the highest engagement (mean = 14.1 interactions) compared to those with lower education (9.8 interactions). The PROM analysis revealed a clear dose-response relationship: higher interaction frequencies strongly predicted higher levels of self-reported safety. Parents with lower educational backgrounds frequently fell below the usage threshold. Furthermore, correlation analysis indicated that parents navigate information in highly structured, action-oriented clusters.</p><p><strong>Conclusions: </strong>Linking objective data with PROMs suggests that mHealth interventions are positively associated with enhanced parental self-efficacy. The identified equity gap highlights that some designs may leave vulnerable populations behind. To serve as equitable public health tools, future digital health systems must integrate adaptive, low-threshold pathways to ensure the necessary engagement for confident decision-making.</p>","PeriodicalId":51333,"journal":{"name":"DIGITAL HEALTH","volume":"12 ","pages":"20552076261473743"},"PeriodicalIF":3.9,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13554676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921838","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":"Retraction: HealthLINE: A messaging chatbot for supporting chronic disease self-management.","authors":"","doi":"10.1177/20552076261483838","DOIUrl":"https://doi.org/10.1177/20552076261483838","url":null,"abstract":"<p><p>[This retracts the article DOI: 10.1177/20552076251394891.].</p>","PeriodicalId":51333,"journal":{"name":"DIGITAL HEALTH","volume":"12 ","pages":"20552076261483838"},"PeriodicalIF":3.9,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13554534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921780","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}