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. 2023 Oct 12;2(10):e0000314. doi: 10.1371/journal.pdig.0000314

Table 3. Proposed framework for DDOH assessment.

Theme Definition Questions
Accessibility The understanding of a community or person’s ability to access—both physically and financially—the foundational technology needed for the practical use of digital health tools, including hardware, software, and the internet. Does this community or person have access to all the foundational technology (internet, etc.) needed to use this tool?
Usability The creation of software, hardware, and related services that account for the physical, mental, socioeconomic, racial, and language barriers of a community or person. Is the tool designed and set up appropriately so that this community or person can feasibly use it?
Data and Algorithm Equity The strength with which underlying data and algorithms accurately account for diverse and underinvested communities or persons. Will this tool treat this community or person fairly? Is there any way in which the technology will act with bias toward this community or person?
Digital Literacy The assessment of a community or person’s ability to effectively interact with digital technology to find, understand and apply information. Does this community or person have the foundational computer skills to use this tool?
Trust The knowledge of a community or person’s level of trust in the technology and/or the institutional parties offering/associated/affiliated with the digital health platform. Does this community or person trust me? This technology? This institution?