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Population ageing, incarceration and the growing digital divide: Understanding the effects of digital literacy inequity experienced by older people leaving prison.

BACKGROUND: Digital inequity refers to the inequality and exclusion experienced by those who lack the same opportunities or circumstances to support the development of digital skills as the rest of modern society. One rapidly growing and highly vulnerable group to digital inequity is older people attempting to reintegrate into society after release from prison, where technology access is limited. Inadequate support for digital skills in this population entails widespread consequences for public health, human rights, social welfare and recidivism. This qualitative study is the first to: examine

"The Computer as a Sophisticated Disguise of the Devil" : Supposed Technophobia in German-Speaking Protestant Churches towards Electronic Data Processing (EDP).

Christian churches are sometimes perceived as being hostile towards technology due to the supposed incompatibility of the cold, rational world of technology and the warm, humane organization of the church. Even when electronic data processing (EDP) was introduced in German-speaking Protestant churches in Western Europe, a lack of acceptance of technology was repeatedly problematized by church digitization pioneers as a central hurdle in church digitization processes. According to them, the "synchronization" (David Gugerli) of church and computer was therefore to prove particularly prone to con

European advances in digital rheumatology: explainable insights and personalized digital health tools for psoriatic arthritis.

The shift from traditional to technology-based diagnosis and management of psoriatic arthritis (PsA) represents a significant evolution in patient care. Traditionally, PsA was diagnosed and managed through clinical evaluations, physical examinations, and basic imaging techniques. With the evolution of digital technologies, the PsA care is transforming, giving rise to the field of digital rheumatology. In this vein, Europe has invested in research initiatives, like iPROLEPSIS, that could accelerate this transformation and redefine PsA care within a digital world. In this Viewpoint we present th

Quality improvement project to transition psychosocial oncology clinical care to a telehealth workflow during the COVID-19 pandemic: a quasi-experimental study.

INTRODUCTION: The COVID-19 pandemic created an urgent need for an innovative method of care delivery for psychosocial oncology. The psychosocial oncology services at the University Health Network in Toronto, Canada transitioned expeditiously to digital technologies that were readily available and accessible for patients and clinicians, facilitating care provision while reducing the transmission of COVID-19. This study aims to provide a validated framework for transitioning to digital delivery methods of care. METHODS: A quality improvement team was established and tasked with successfully tran

Digital empowerment of dance movement therapy: innovative applications and evidence-based evaluation in mental health interventions.

BACKGROUND AND OBJECTIVES: Mental health disorders are a severe global public health crisis. Dance movement therapy (DMT) offers unique benefits, but traditional DMT is limited by subjective evaluation, non-standardized protocols, and restricted access. Digital technologies such as virtual reality, artificial intelligence, and wearable sensors may address these limitations; however, a structural gap remains between technological application and rigorous clinical evidence. METHODS: This narrative review synthesizes literature from PubMed, Web of Science, Scopus, and CNKI. Sources used for popu

Why are women not online? A study protocol to understand gender-based digital exclusion among marginalized women in Pakistan and promote digital gender inclusion.

BACKGROUND: Gender-based digital exclusion remains a major challenge in Pakistan, where women are significantly less likely than men to own mobile phones or access mobile internet. Barriers include family disapproval, sociocultural and religious restrictions, safety concerns, and patriarchal norms that limit women's autonomy. Although government initiatives have expanded digital access and literacy, they largely focus on individual-level solutions and do not adequately address the social and structural factors shaping women's digital exclusion. GOAL AND OBJECTIVES: This study aims to explore

Parenting in the Digital Era: Quantitative and Qualitative Insights from Families of Children with Neurodevelopmental Disorders.

BACKGROUND/OBJECTIVES: This study explored parents' perspectives regarding digital media use in children and adolescents with neurodevelopmental disorders (NDs) and examined how these views vary according to family and clinical characteristics. METHODS: Data were collected from an Italian survey involving 352 families. Items assessed the perceived effects of digital devices on child development and parenting, awareness of screen time guidelines, and use of time- and content-limiting tools. Quantitative analyses were complemented by a reflexive thematic analysis of open-ended responses describ

Technology-Facilitated Domestic and Sexual Violence: A Review.

This article investigates the phenomenon of domestic and sexual violence against adult women using digital communications technologies. The article explores terminological and conceptual challenges and describes the empirical research literature in this field to date in relation to digital dating abuse, intimate partner cyberstalking, technology-facilitated sexual assault, image-based sexual abuse, and online sexual harassment. The article also discusses policy and practice responses to this growing problem, as well as future directions for research. We argue that research and practice need to

The potential impact of digital economy on energy poverty in the context of Chinese provinces.

This study focused on exploring the impact of the digital economy (DE) on energy poverty (EP) across Chinese provinces from 2004 to 2018, motivated by the critical need to understand how technological advancements in the digital sector influence energy accessibility and sustainability. Conducted against the backdrop of global digital transformation, the research aimed to dissect the nuanced ways in which the DE contributes to mitigating EP, employing dynamic panel threshold and indirect effect models to capture both the direct and nuanced, and intermediate effects of digital progress on energy

Integrating digital and narrative medicine in modern healthcare: a systematic review.

The increasing integration of digital technologies in healthcare, such as electronic health records, telemedicine, and diagnostic algorithms, improved efficiency but raised concerns about the depersonalization of care. Narrative medicine has emerged as a pedagogical and clinical response to this shift, emphasizing the value of patient stories, socio-cultural contexts, and reflective practice. Understanding how digital tools support, rather than undermine, narrative competencies is critical for developing a more human-centered healthcare education. This review systematically examined empirical

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… Introduction The rise of digital technologies in healthcare has changed clinical practices, improving efficiency, diagnostic precision, and access to care. However, this technological emphasis comes at the expense of personal interactions between healthcare providers and patients. … The results derived from these frameworks suggest promising synergies between narrative medicine and digital technology in developing empathy and professionalism in medical education. …

Patient trust and readiness for digital health-enabled precision care after heart transplantation: a real-world survey.

BACKGROUND: Digital health may support continuous, personalized follow-up after heart transplantation; however, successful implementation depends on patient trust, digital confidence, and acceptable data-governance arrangements. OBJECTIVE: To characterize digital access, perceived usefulness, trust, privacy concerns, and implementation readiness among adult heart transplant recipients, and to explore differences across demographic and technology-use subgroups. METHODS: In this cross-sectional study, consecutive adult heart transplant recipients attending routine follow-up at a tertiary cente

MedDigital trends and tactics to lead into the future.

Physician executives need to harness appropriate digital technology by understanding key trends and implementing best tactics. Being and doing MedDigital means taking back control and improving care--and, at the same time, improving efficiencies and the bottom line. This article presents seven e-trends that are shaping health care: (1) Consumers and patients are pushing doctors to go digital; (2) from Web health information to MedDigital decision support; (3) beyond managed care to custom health; (4) wireless is the way of the new world; (5) Passive web portals yield to digital destinations; (…

The Impact of Robot-Assisted Digital Education on Prenatal Women's Health Literacy: A Randomized Controlled Trial.

Objective: This study aimed to evaluate the effectiveness of a robot-assisted digital education method in reducing anxiety and promoting healthy behaviors among pregnant women with gestational diabetes mellitus (GDM). Design: A randomized controlled trial was conducted to compare the impact of robot-assisted health education with conventional video-based education. Participants: A total of 66 pregnant women from a single hospital were randomly assigned to either the experimental group (n = 32) or the control group (n = 34). Outcomes: The primary outcome was the reduction of anxiety levels. Sec

Protocol of digital decision support system (DDSS) embedded within a tele-primary healthcare platform in Pakistan: an assessment of usability, acceptability, effectiveness and perceived quality of care in a resource-constrained setting.

BACKGROUND: A digital decision support system in healthcare is a digital health intervention that assists healthcare professionals in decision-making by providing treatment recommendations and enhancing diagnostic accuracy and quality of care. This will be the first study in Pakistan to assess the system's usability, acceptability and effectiveness in improving healthcare outcomes while also evaluating the perceived quality of care. This comprehensive assessment will inform policy development in areas such as the scale-up of digital health interventions, data privacy and technology interoperab

Digital Literacy Training for Low-Income Older Adults Through Undergraduate Community-Engaged Learning: Single-Group Pretest-Posttest Study.

BACKGROUND: Digital technology is a social determinant of health that affects older people's ability to engage in health maintenance and disease prevention activities; connect with family and friends; and, more generally, age in place. Unfortunately, disparities in technology adoption and use exist among older adults compared with other age groups and are even greater among low-income older adults. OBJECTIVE: In this study, we described the development and implementation of a digital literacy training program designed with the dual goals of training low-income older adults in the community an…

A 3D-simulation study of the deformation, tension, and stress of 3D-printed and conventional denture base materials after immersion in artificial saliva.

The worldwide application of digital technology has presented dentistry with transformative opportunities. The concept of digital dentures, incorporating computer-aided design (CAD) and computer-aided manufacturing (CAM) techniques, holds the promise of improved precision, customization, and overall patient satisfaction. However, the shift from traditional dentures to their digital counterparts should not be taken lightly, as the intricate interplay between oral physiology, patient comfort, and long-term durability requires thorough examination.

Buy or Build: Challenges Developing Consumer Digital Health Interventions.

BACKGROUND: Digital health interventions offer opportunities to improve collaborative care between clinicians and patients. Designing and implementing digital health interventions requires decisions about buying or building each technology-related component, all of which can lead to unanticipated issues. OBJECTIVES: This study aimed to describe issues encountered from our "buy or build" decisions developing two digital health interventions over different timeframes, designed to use patient-generated health data to: (1) improve hypertension control and (2) measure and improve adherence to HIV-

Digital markers of asthma exacerbations: a systematic review.

BACKGROUND AND OBJECTIVE: With the increase in use of digital technologies, there is growing interest in digital markers, where technology is used to detect early markers of disease deterioration. The aim of this systematic review is to summarise the evidence relating to digital markers of asthma exacerbations. METHODS: A systematic search of the following databases was conducted, using key search terms relating to asthma, digital and exacerbations: Ovid MEDLINE, EMBASE, Psycinfo, Cochrane Database of Systematic Reviews and Cochrane Central Register of Controlled Trials. Studies that aimed to

Train-the-Trainer Evaluation of Technology-Enhanced Learning in Preservice Midwifery Education in Nigeria: Qualitative Descriptive Study.

BACKGROUND: Midwifery education in Nigeria is undergoing a transformation in pedagogical approach. Existing traditional teaching materials are being supplemented by digital technology-enhanced learning resources; however, educators' limited pedagogical capacity may hinder their adoption. Thus, train-the-trainer (TTT) workshops were implemented to build capacity among midwifery educators to prepare them for the implementation of a digital learning platform across 20 institutions in Nigeria. OBJECTIVE: This study aimed to describe the development and qualitative evaluation of a TTT program to s…

Understanding Older Adults' Technology Use Preferences and Needs From a Triangular Perspective: Qualitative Study.

BACKGROUND: Technology use is increasingly integrated into daily life, including among older adults, whose adoption and engagement with technology warrant closer examination. According to the matching person and technology model, technology adoption is more likely when a person's preferences and needs align with a device's functions and features, as well as the environment in which it is used. However, factors such as age-related changes, evolving preferences, and the rapid pace of digital transformation complicate this process. Additionally, older adults often rely on support from family memb