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Item type:Publication, Locally adapting digital health technologies to address the global challenge of Parkinson's disease(2025-08-29)Parkinson's disease is the fastest growing neurological disorder worldwide. As the global burden of the disease continues to grow, along with the environmental consequences of industrialization, it remains essential to diagnose, treat, and study Parkinson's disease among historically marginalized populations living in remote and relatively unindustrialized regions of the world. The diagnosis and monitoring of the motor manifestations of the disease depends on in-person examination of the speed, amplitude, and frequency of movement by trained providers. Digital health technologies allow synchronous, remote, video-based access to trained providers able to diagnose and monitor the progression of Parkinson's disease using clinical rating scales. Digital health technologies can be expensive, and their use requires sustainable access to trained providers, powerful computers and high-speed internet that are not widely available for historically marginalized populations, such as those living in remote Andean regions of Latin America. Local adaptation of health technologies could be promoted in partnership with historically marginalized communities to study their unique epidemiology while building local capacity to expand care and support community-driven education and research efforts.3 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Barriers and limitations to the development of a telemental health service for workers in Peru- A user-centered approach(Public Library of Science, 2025)Over the past decade, the surge in digital healthcare services has transformed traditional healthcare, requiring multidisciplinary engagement to adapt to the digital realm. The rise of telehealth services, particularly amid COVID-19, has been widely embraced globally, but its implementation in Peru faces unique challenges, including infrastructure issues and economic constraints. Therefore, this research aims to identify the barriers and limitations in developing a telemental health service for screening, evaluation, and timely referral of vulnerable occupational groups. Materials and methods A qualitative study was undertaken. We adopted a phenomenological approach, utilizing semi-structured interviews with vulnerable occupational groups and decision-makers. We conducted 23 interviews: 5 providers of telemental health services, 5 teachers users, 5 police officers users and 5 health professionals of telemental health services, and 3 decision-makers involved in telemental health regulation in Peru.; exploring experiences, barriers, and facilitators related to mental telemental health. The interviews were recorded and transcribed verbatim, furthermore, a thematic analysis was done to identify key themes. Results The research identified barriers and limitations to developing a telemental health services screening service based on the experiences of workers, some of them were related to user dissatisfaction, emphasizing the need for personalized solutions beyond technical aspects. Scheduling issues call for flexibility and improved communication. Healthcare professionals’ varied experiences highlight the necessity for targeted training, while successful telemental health services integration demands addressing resource limitations through a comprehensive approach. Conclusion The study advocates for a holistic, user-centred paradigm in telemental health services implementation, addressing both technological aspects and human and systemic elements. Multifaceted challenges inherent in telemental health, particularly in Peru, emphasize the need for strategic interventions by stakeholders. The study calls for a policy shift towards enhancing telemental health equity through system-level changes and eliminating structural barriers for marginalized populations.2
