Alexis Chaet|Bijan Morshedi|Kristen J. Wells|Laura E. Barnes|Rupa S. Valdez
Spanish-Language Consumer Health Information Technology Interventions: A Systematic Review
University of Virginia|University of Virginia|San Diego State University|University of Virginia|University of Virginia
background consumer health information technology becomes thoroughly integrated patient care critical tools appropriate diverse patient populations intended serve cultural differences associated ethnicity one aspect diversity may play role usertechnology interactions objective aim evaluate current scope consumer health interventions targeted us spanishspeaking latino population characterize interventions terms technological attributes health domains cultural tailoring evaluation metrics methods narrative synthesis conducted existing spanishlanguage consumer health interventions indexed within health computer science databases database searches limited englishlanguage articles published january 1990 september 2015 studies included detailed assessment patientcentered electronic technology intervention targeting health within us spanishspeaking latino population included studies required majority latino population sample following extracted articles first authors last name publication year population characteristics journal domain health domain technology platform functionality available languages intervention us region cultural tailoring intervention delivery location study design evaluation metrics results included 42 studies review studies published 2009 2015 majority percentage female study participants mean age participants ranged 15 68 interventions commonly focused urban population centers within western region united states articles specifying technology domain computer found common however fairly even distribution across technologies noted cancer diabetes child infant maternal health common health domains targeted consumer health interventions half interventions culturally tailored frequently used evaluation metric behaviorattitude change followed usability knowledge retention conclusions study characterizes existing body research exploring consumer health interventions us spanishspeaking latino population reveals three primary needs within field first increase studies targeting latino population last decade promising advancement future research needed focuses latino subpopulations previously overlooked second preliminary steps taken culturally tailor consumer health interventions us spanishspeaking latino population however focus must expand beyond intervention content finally field work promote longterm evaluation technology efficacy moving beyond intermediary measures toward measures health outcomes