Wenna Wang, Wenyan Luan, Zhenxiang Zhang, Yongxia Mei
Association between medication literacy and medication adherence and the mediating effect of self-efficacy in older people with multimorbidity
BMC geriatrics
advancements abundance mobile phones portable health devices created opportunity use mobile health mhealth population health systems increasing evidence feasibility acceptance mhealth indigenous populations providing synthesis qualitative findings mhealth indigenous populations gain insights strengths challenges mhealth use indigenous populations review aimed identify synthesize qualitative data pertaining experiences perceptions mhealth perspectives end users patients service providers living colonial settler democracies canada australia new zealand united states pacific islands spmi region northern europe may 2021 systematic searches peerreviewed scientific papers conducted across 5 databases pubmed cinahl embase psycinfo web science qualitative mixed method studies included mhealth intervention primary focus responding health challenges indigenous populations two authors independently screened papers eligibility assessed risk bias using modified version critical appraisal skills programme metaaggregative approach used analyze findings included studies seventeen papers met eligibility criteria 8 studies patients 7 studies service providers 2 studies included patients service providers studies conducted australia n10 canada n2 new zealand n2 papua new guinea n1 united states n1 samoa n1 interpretation qualitative findings shows commonalities indigenous patients service providers perceptions mhealth summarize findings six themes 1 mhealth literacy 2 mhealth facilitator connection support 3 mhealth content needed culturally relevant 4 mhealth security confidentiality 5 mhealth supporting rather replacing service providers 6 workplace organizational capacity research suggests mhealth meet needs patients service providers mhealth intervention culturally relevant accounts digital health literacy incorporates interactive components supported workplaces fits health provider workflows meets security confidentiality standards future mhealth research indigenous populations partner key representatives eg patients service providers executive leaders mhealth design appropriate purpose people setting delivery