{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T02:19:11Z","timestamp":1787797151540,"version":"build-2784847793"},"reference-count":75,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T00:00:00Z","timestamp":1782604800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T00:00:00Z","timestamp":1782604800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Digital health interventions (DHIs) are increasingly popular as a potential method to address educational and support needs of individuals with long\u2010term conditions, as they are largely accessible to most people, can be highly effective, and delivered at low cost. We have developed a DHI to better support chronic kidney disease (CKD) self\u2010management and demonstrated its efficacy in a UK\u2010based clinical trial. The trial population, however, was fairly homogeneous, and those from underserved populations (including ethnic minority groups), who would have likely benefited from the DHI, were underrepresented. Understanding how ethnic minority communities perceive DHIs is essential for identifying their needs, priorities and challenges, and for ensuring that future DHIs are relevant, acceptable and equitable. Given the potential impact of DHIs, patients should be actively involved in their design and implementation. To support this, patient and public involvement and engagement (PPIE) consultations were conducted to: 1) understand people with CKD from South Asian (SA) backgrounds\u2019 perspectives of DHIs; 2) identify factors that require consideration when adapting DHIs to address health inequities; and 3) clarify how best to conduct PPIE projects in adapting DHIs for traditionally underserved groups, particularly ethnic minority groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>PPIE consultation focus groups were conducted in\u2010person with ten individuals (60% male, age: 69\u2009\u00b1\u20097) from SA backgrounds thrice, audio\u2010recorded and transcribed verbatim. Data were analysed using thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Participants identified several barriers and facilitators to accessing and using DHIs. Language was reported to be the biggest barrier to accessing and using online health information. Having culturally appropriate information available in their own language would increase the acceptability and uptake of the DHI among SAs. Not making assumptions and being respectful about individual choices, cultural or religious beliefs, was considered key to engaging people. Promotion by a trusted person (doctors, peers, community leaders) was perceived to help alleviate the fear of DHIs and improve uptake and usage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>People from SA backgrounds are open to using DHIs, but they need to be available in their own language and be culturally appropriate. The findings will be used to adapt our CKD self\u2010management DHI to better address the needs of those from SA backgrounds.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>Patients and members of the public were directly involved in the participation of the patient and public involvement and engagement (PPIE) consultations. Community engagement officers from the Centre of Ethnic Health, who were from South Asian backgrounds, were involved in the PPIE consultation, recruitment, development of a semi\u2010structured focus group guide, and facilitation of consultation focus groups.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70745","type":"journal-article","created":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T08:44:02Z","timestamp":1782636242000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perceptions of People From South Asian Backgrounds With Chronic Kidney Disease on Digital Health Interventions: Patient and Public Involvement and Engagement Consultation Focus Group"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5855-4159","authenticated-orcid":false,"given":"Courtney J.","family":"Lightfoot","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Sciences, School of Medical Sciences University of Leicester Leicester UK"},{"name":"Leicester Partnership for Kidney Health Research, School of Medical Sciences, University of Leicester and NIHR Leicester Biomedical Research Centre Glenfield Hospital Leicester UK"},{"name":"NIHR Leicester Biomedical Research Centre Leicester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9610-4717","authenticated-orcid":false,"given":"Roseanne E.","family":"Billany","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Sciences, School of Medical Sciences University of Leicester Leicester UK"},{"name":"Leicester Partnership for Kidney Health Research, School of Medical Sciences, University of Leicester and NIHR Leicester Biomedical Research Centre Glenfield Hospital Leicester UK"},{"name":"NIHR Leicester Biomedical Research Centre Leicester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Hill","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Sciences, School of Medical Sciences University of Leicester Leicester UK"},{"name":"Leicester Partnership for Kidney Health Research, School of Medical Sciences, University of Leicester and NIHR Leicester Biomedical Research Centre Glenfield Hospital Leicester UK"},{"name":"NIHR Leicester Biomedical Research Centre Leicester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew P. 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