Digital health innovations for non-communicable disease management during the COVID-19 pandemic: a rapid scoping review

• Published in: BMJ innovations Vol. 9; no. 1; pp. 3 - 18
• Main Authors: Murthy, Shruti, Kamath, Prashanthi, Godinho, Myron Anthony, Gudi, Nachiket, Jacob, Anil, John, Oommen
• Format: Journal Article
• Language: English
• Published: London All India Institute of Medical Sciences 01.01.2023; BMJ Publishing Group LTD
• Subjects: Continuity of care; Coronaviruses; COVID-19; delivery of health care; Design; disease management; Disease transmission; global health; Health facilities; Health services; health services research; Intervention; Mental health; Pandemics; Personal health; Public health; Review; Severe acute respiratory syndrome coronavirus 2; Subject heading schemes; Technological change; Telemedicine
• ISSN: 2055-8074; 2055-642X
• DOI: 10.1136/bmjinnov-2021-000903

ObjectiveTo identify and summarise the digital health interventions (DHIs) implemented for non-communicable disease (NCD) management for COVID-19.DesignRapid scoping review. Three reviewers jointly screened titles–abstracts and full texts. One reviewer screened all excluded records. Data were mapped to WHO DHI Classification and narratively summarised.Data sourcesPubMed, CENTRAL, CINAHL, EMBASE.Eligibility criteria for selecting studiesPeer-reviewed primary research published between 1 November 2019 and 19 September 2021 on DHI for NCD management during the COVID-19 pandemic. Reviews, editorials, letters, commentaries, opinions, conference abstracts and grey literature were excluded.ResultsEighty-three studies drawn from 5275 records were included. A majority of the studies were quantitative in design. Forty per cent of the DHIs were implemented in the Americas. Nearly half of these DHIs targeted mental health conditions. A majority of the interventions were delivered remotely and via telephones. Zoom (26.5%), email (17%) and WhatsApp (7.5%) were the top three platforms for care delivery. Telemedicine, targeted client interventions, personal health tracking and on-demand information services for clients were the most frequently implemented interventions. Details regarding associated costs, sustainability, scalability and data governance of the DHI implementations were not described in the majority of the studies.ConclusionWhile DHIs supported NCD management during the COVID-19 pandemic, their implementation has not been equitable across geographies or NCDs. While offering promise towards supporting the continuum of care during care delivery disruptions, DHIs need to be embedded into healthcare delivery settings towards strengthening health systems rather than standalone parallel efforts to overcome system level challenges.