Bridging the Digital Divide in Digital Therapeutics (DTx): Partnership Strategies to Reduce Disparities in Representation Across DTx Development and Deployment as a Pathway to Reduce Health Disparities
Time: -Topics: Digital Health, Community Engagement
While there is great promise in Digital Therapeutics (DTx), to date, the reality of the situation is quite different, with a range of inequities still present. We refer to these “new digital divides” as the evolving gaps apparent in how DTx are produced (often explicitly excluding historically underserved groups), adopted (often not offered to historically underserved groups), and engaged with (even when they are tried, they are often not used very long). While there are many possible ways to address this problem, we hypothesize that one key approach is cultivating processes that foster robust, mutually beneficial partnerships among individuals with varying levels of trained expertise (i.e., knowledge gained from specialized training) and lived expertise (i.e., personal knowledge gained from direct experience). Critically, each person often has varying levels of relevant lived and trained expertise to a given DTx. We hypothesize that partnership processes should actively invite, discuss, and foster dynamic guidance that incorporates each team members full array of expertise relevant to the DTx. By doing so, a team could be enriched with the relevant knowledge, skills, and wisdom to equitably engage in co-designing DTx solutions that can work in real-world contexts with specific populations. In this Live Research Spotlight, we explore strategies for building robust partnerships in DTx development to address the evolving challenge of digital divides. This paper begins with a summary of the current literature on new digital divides, setting the stage for our hypothesis that effective partnership and team formation are crucial for overcoming these divides. Next, we propose an approach to recognize these different levels of expertise for each individual in the team and offer suggestions on how to foster dynamic decision-making with different individuals driving different facets of the DTx design, development, testing, or monitoring phases. This proposed methodology, grounded in team science and partnership formation theory, includes a series of questions designed to guide the prioritization of expertise at various moments throughout the development and deployment of DTx. Our approach has not yet been rigorously vetted. Thus, we offer our hypothesized approach to invite other groups to work with us on effective team formation and partnership processes as one hypothesized approach to overcome emerging digital divides.
Keywords: Public health, e-HealthAuthors and Affliiates
Presenter: Meelim Kim, University of California San DiegoCo-Presenter: Steven A. De La Torre, MPH, PhD, University of California San Diego
Co-Author: Uchechi Mitchell, PhD, University of Illinois Chicago
Co-Author: Heather Cole-Lewis, PhD, PhD, Google
Co-Author: Dana Lewis, OpenAPS
Co-Author: Blanca Melendrez, University of California San Diego
Co-Author: Bonnie Spring, PhD, ABPP, FSBM, PhD, ABPP, FSBM, Northwestern University
Co-Author: Eric Hekler, PhD, FSBM, PhD, FSBM, UC San Diego
Bridging the Digital Divide in Digital Therapeutics (DTx): Partnership Strategies to Reduce Disparities in Representation Across DTx Development and Deployment as a Pathway to Reduce Health Disparities
Category
Scientific > Poster/Paper/Live Research Spotlight