Strategies to Improve Use of Online Health Information in Systemically Excluded Populations: A Rapid Realist Synthesis (Preprint)

BACKGROUND As internet use for obtaining health information increases, it has become evident that many online platforms are not designed to accommodate systematically excluded populations, such as individuals with low English literacy, racial and ethnic minority groups, and those of diverse gender and sexual orientations. More targeted efforts are needed to reach and impact these populations effectively. OBJECTIVE With the rise of online platforms, especially with the incorporation of artificial intelligence, it is essential to design platforms with systemically excluded communities in mind. METHODS Using the Rapid Realist Review methodology, the authors reviewed published literature to form evidence-based recommendations that can be incorporated into online health information platform design to make the platforms more equitable. RESULTS The recommendations include (a) enhancing the readability of online content, (b) addressing the public's perceptions of disease and providing behavior cues, (c) creating culturally relevant content, (d) ensuring diversity in visual aids, and (e) enhancing consumer trust in information on the platform. CONCLUSIONS See above