TY  - JOUR
AU  - Henson, Connie
AU  - Chapman, Felicity
AU  - Shepherd, Gina
AU  - Carlson, Bronwyn
AU  - Rambaldini, Boe
AU  - Gwynne, Kylie
PY  - 2023
DA  - 2023/4/18
TI  - How Older Indigenous Women Living in High-Income Countries Use Digital Health Technology: Systematic Review
JO  - J Med Internet Res
SP  - e41984
VL  - 25
KW  - digital health
KW  - Aboriginal and Torres Strait Islander
KW  - Indigenous
KW  - Aboriginal
KW  - health technology
KW  - engagement
KW  - co-design
KW  - cultural safety
KW  - older Ingenuous women
KW  - older women
KW  - older adult
KW  - gerontology
KW  - lived experience
KW  - patient experience
KW  - ethic
KW  - minority
KW  - minorities
KW  - elder
KW  - usability
KW  - acceptability
KW  - preference
KW  - PRISMA
KW  - systematic review
KW  - review methodology
KW  - social media
KW  - wearable
AB  - Background: Research associated with digital health technologies similar to the technologies themselves has proliferated in the last 2 decades. There are calls for these technologies to provide cost-effective health care for underserved populations. However, the research community has also underserved many of these populations. Older Indigenous women are one such segment of the population. Objective: Our objective is to systematically review the literature to consolidate and document what we know about how older Indigenous women living in high-income countries use digital health technology to enhance their health. Methods: We analyzed the peer-reviewed literature by systematically searching 8 databases in March 2022. We included studies published between January 2006 and March 2022 with original data specific to older Indigenous women from high-income countries that reported on the effectiveness, acceptability, and usability of some user-focused digital health technology. We incorporated 2 measures of quality for each study. We also conducted a thematic analysis and a lived experience analysis, which examined each paper from the perspectives of older Indigenous women. We followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines in this study. Results: Three papers met the inclusion criteria. The key findings were that older Indigenous women do not see themselves reflected in mainstream health messaging or other digital health offerings. They prefer an approach that considers their uniqueness and diversity. We also identified 2 significant gaps in the literature. First, research reporting on older Indigenous women from high-income countries’ experiences with digital health technology is minimal. Second, the limited research related to older Indigenous women has not consistently engaged Indigenous people in the research process or governance. Conclusions: Older Indigenous women want digital health technologies to respond to their needs and preferences. Research is needed to understand their requirements and preferences to ensure equity as we move toward greater adoption of digital health technology. Engaging older Indigenous women throughout the research is essential to ensuring that digital health products and services are safe, usable, effective, and acceptable for older Indigenous women. 
SN  - 1438-8871
UR  - https://www.jmir.org/2023/1/e41984
UR  - https://doi.org/10.2196/41984
UR  - http://www.ncbi.nlm.nih.gov/pubmed/37071466
DO  - 10.2196/41984
ID  - info:doi/10.2196/41984
ER  -