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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">IPROC</journal-id>
      <journal-id journal-id-type="nlm-ta">iproc</journal-id>
      <journal-title>Iproceedings</journal-title>
      <issn pub-type="epub">2369-6893</issn>
      <publisher>
        <publisher-name>JMIR Publications</publisher-name>
        <publisher-loc>Toronto, Canada</publisher-loc>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">v8i1e41096</article-id>
      <article-id pub-id-type="pmid"/>
      <article-id pub-id-type="doi">10.2196/41096</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Abstract</subject>
        </subj-group>
        <subj-group subj-group-type="article-type">
          <subject>Abstract</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Digital Health for Vulnerable Populations: From Co-design to Scaling and Replication</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="editor">
          <name>
            <surname>Dinesen</surname>
            <given-names>Birthe</given-names>
          </name>
        </contrib>
      </contrib-group>
      <contrib-group>
        <contrib id="contrib1" contrib-type="author" corresp="yes">
          <name name-style="western">
            <surname>Berkowitz</surname>
            <given-names>Gale</given-names>
          </name>
          <degrees>DrPH</degrees>
          <xref rid="aff1" ref-type="aff">1</xref>
          <address>
            <institution>Center for Information Technology Research in the Interest of Society and the Banatao Institute</institution>
            <institution>University of California</institution>
            <addr-line>356G Sutardja Dai Hall</addr-line>
            <addr-line>Berkeley, CA, 94720</addr-line>
            <country>United States</country>
            <phone>1 5102604586</phone>
            <email>gberkowitz@gmail.com</email>
          </address>
          <ext-link ext-link-type="orcid">https://orcid.org/0000-0001-9390-361X</ext-link>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <label>1</label>
        <institution>Center for Information Technology Research in the Interest of Society and the Banatao Institute</institution>
        <institution>University of California</institution>
        <addr-line>Berkeley, CA</addr-line>
        <country>United States</country>
      </aff>
      <author-notes>
        <corresp>Corresponding Author: Gale Berkowitz <email>gberkowitz@gmail.com</email></corresp>
      </author-notes>
      <pub-date pub-type="collection">
        <season>Jan-Dec</season>
        <year>2022</year>
      </pub-date>
      <pub-date pub-type="epub">
        <day>19</day>
        <month>8</month>
        <year>2022</year>
      </pub-date>
      <volume>8</volume>
      <issue>1</issue>
      <elocation-id>e41096</elocation-id>
      <history>
        <date date-type="received">
          <day>14</day>
          <month>7</month>
          <year>2022</year>
        </date>
        <date date-type="accepted">
          <day>17</day>
          <month>8</month>
          <year>2022</year>
        </date>
      </history>
      <copyright-statement>©Gale Berkowitz. Originally published in Iproceedings (https://www.iproc.org), 19.08.2022.</copyright-statement>
      <copyright-year>2022</copyright-year>
      <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
        <p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in Iproceedings, is properly cited. The complete bibliographic information, a link to the original publication on https://www.iproc.org/, as well as this copyright and license information must be included.</p>
      </license>
      <self-uri xlink:href="https://www.iproc.org/2022/1/e41096" xlink:type="simple"/>
      <abstract>
        <sec sec-type="background">
          <title>Background</title>
          <p>The COVID-19 pandemic has made it clear that technology access, digital literacy, and telehealth access have become more crucial than ever before. At the Center for Information Technology Research in the Interest of Society (CITRIS) at the University of California, 2 projects are focused on communities have the least access to quality health care services, including low-income workers in rural areas as well as low-income older adults in their community.</p>
        </sec>
        <sec sec-type="objective">
          <title>Objective</title>
          <p>Co-designed technology innovation is a core competency of CITRIS Health. This presentation will focus on 2 of CITRIS Health’s co-designed signature programs: ACTIVATE and Lighthouse. Co-designed innovations have the intended outcomes of improving access to technology, increasing technology literacy, and ultimately improving health outcomes.</p>
        </sec>
        <sec sec-type="methods">
          <title>Methods</title>
          <p>Co-design refers to a participatory approach to designing solutions, in which community members are treated as equal collaborators in the design process—they give feedback, and they try out devices. It is part of an innovation process. Key components of a co-design process involve the following: intentionally involving users in designing solutions, postponing design decisions until after gathering feedback, synthesizing feedback from participants into insights, and developing solutions based on feedback.</p>
        </sec>
        <sec sec-type="results">
          <title>Results</title>
          <p>Both projects have undergone formal evaluations to assess the process of implementation as well as outcomes. Additionally, each project has a systematic process for monitoring its own implementation and key metrics. Common near-term outcomes include positive feedback from co-designers about the inclusivity of the design progress and optimism that technology selections, training, and interventions will lead to the intended outcomes.</p>
        </sec>
        <sec sec-type="conclusions">
          <title>Conclusions</title>
          <p>Ultimately, the intention of these co-designed innovations is to create models that are feasible and sustainable. They will provide a roadmap for both public and private partners, setting a gold standard in California and across the nation.</p>
        </sec>
      </abstract>
      <kwd-group>
        <kwd>telehealth</kwd>
        <kwd>co-design</kwd>
        <kwd>health outcomes</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <back>
    <app-group/>
    <fn-group>
      <fn fn-type="conflict">
        <p>None declared.</p>
      </fn>
    </fn-group>
  </back>
</article>
