Faculty, Staff and Student Publications

Language

English

Publication Date

1-1-2024

Journal

AMIA Annual Symposium Proceedings

PMID

40417563

PMCID

PMC12099333

PubMedCentral® Posted Date

5-22-2025

PubMedCentral® Full Text Version

Post-print

Abstract

Although digital health tools are increasingly common for managing health conditions, these applications are often developed without consideration of differences across user populations. A reproducible framework is needed to support tailoring applications to include cultural considerations, potentially leading to better adoption and more effective use. As a first step, this study captures a snapshot of Black women's barriers and facilitators in using digital health products for self-management of hypertensive disorders of pregnancy (HDP). One-on-one semi-structured interviews were conducted with 17 Black pregnant women with HDP. We established a unique model for cultural tailoring with these experiences using Black feminist theory and the CDC's Social-Ecological Model (SEM). 38 themes across the four levels of SEM were found through grounded theory. These themes can inform the feature development of a digital health intervention. Future work will instantiate and validate a framework that provides theoretical constructs for developing culturally tailored digital health interventions.

Keywords

Humans, Female, Pregnancy, Self-Management, Black or African American, Hypertension, Pregnancy-Induced, Adult, Interviews as Topic, Telemedicine, Digital Health

Published Open-Access

yes

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