{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T22:13:45Z","timestamp":1778019225063,"version":"3.51.4"},"reference-count":41,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,5,18]],"date-time":"2023-05-18T00:00:00Z","timestamp":1684368000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Digit. Health"],"abstract":"<jats:p>The maternal health crisis in the United States is becoming increasingly worse, with disparities continuing to escalate among marginalized populations. mHealth can contribute to addressing the Social Determinants of Health (SDOH) that produce inequities in maternal morbidity and mortality. Reducing inequities through mHealth can be achieved by designing these technologies to align with SDOH. As mHealth developed to support maternal health has primarily supported the extension of clinical care, there is an opportunity to integrate frameworks and methods from human factors\/ergonomics and public health to produce thorough comprehension of SDOH through intentional partnerships with marginalized populations. Potential for this opportunity is presented through a case study derived from a community-based participatory research process focused on transportation access to maternal health services. Through multi-faceted, interdisciplinary, and community-based approaches to designing mHealth that attends to the systemic factors that generate and escalate inequities, improvements in the maternal health crisis could be realized.<\/jats:p>","DOI":"10.3389\/fdgth.2023.1193920","type":"journal-article","created":{"date-parts":[[2023,5,18]],"date-time":"2023-05-18T06:53:25Z","timestamp":1684392805000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":9,"title":["Designing mobile health to align with the social determinants of health"],"prefix":"10.3389","volume":"5","author":[{"given":"Courtney C.","family":"Rogers","sequence":"first","affiliation":[]},{"given":"Sophia S.","family":"Jang","sequence":"additional","affiliation":[]},{"given":"Whitney","family":"Tidwell","sequence":"additional","affiliation":[]},{"given":"Sarah","family":"Shaughnessy","sequence":"additional","affiliation":[]},{"given":"Juliane","family":"Milburn","sequence":"additional","affiliation":[]},{"given":"Fern R.","family":"Hauck","sequence":"additional","affiliation":[]},{"given":"Ishan C.","family":"Williams","sequence":"additional","affiliation":[]},{"given":"Rupa S.","family":"Valdez","sequence":"additional","affiliation":[]}],"member":"1965","published-online":{"date-parts":[[2023,5,18]]},"reference":[{"key":"B1","author":"Gunja","year":""},{"key":"B2","year":""},{"key":"B3","doi-asserted-by":"publisher","first-page":"230","DOI":"10.1089\/jwh.2020.8882","article-title":"Social and structural determinants of health inequities in maternal health","volume":"30","author":"Crear-Perry","year":"2021","journal-title":"J Womens Health"},{"key":"B4","doi-asserted-by":"publisher","first-page":"896","DOI":"10.1097\/AOG.0000000000003762","article-title":"Social determinants of pregnancy-related mortality and morbidity in the United States: a systematic review","volume":"135","author":"Wang","year":"2020","journal-title":"Obstet Gynecol"},{"key":"B5","year":""},{"key":"B6","year":""},{"key":"B7","year":""},{"key":"B8","year":""},{"key":"B9","year":""},{"key":"B10","year":""},{"key":"B11","author":"Whitman","year":""},{"key":"B12","doi-asserted-by":"publisher","first-page":"914","DOI":"10.1177\/1071181319631531","article-title":"An exploration of patient ergonomics in historically marginalized communities","volume":"63","author":"Valdez","year":"2019","journal-title":"Proc Hum Factors Ergon Soc Annu Meet"},{"key":"B13","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1136\/amiajnl-2014-002826","article-title":"Transforming consumer health informatics through a patient work framework: connecting patients to context","volume":"22","author":"Valdez","year":"2015","journal-title":"J Am Med Inform Assoc JAMIA"},{"key":"B14","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1016\/j.apergo.2014.09.009","article-title":"The patient work system: an analysis of self-care performance barriers among elderly heart failure patients and their informal caregivers","volume":"47","author":"Holden","year":"2015","journal-title":"Appl Ergon"},{"key":"B15","volume-title":"Continual permutations of action","author":"Strauss","year":"1993"},{"key":"B16","doi-asserted-by":"publisher","first-page":"1575","DOI":"10.1080\/00140139.2018.1503339","article-title":"Uncovering the invisible patient work system through a case study of breast cancer self-management","volume":"61","author":"Gorman","year":"2018","journal-title":"Ergonomics"},{"key":"B17","doi-asserted-by":"publisher","first-page":"e27452","DOI":"10.2196\/27452","article-title":"Designing consumer health information technology to support biform and articulation work: a qualitative study of diet and nutrition management as patient work","volume":"8","author":"Rogers","year":"2021","journal-title":"JMIR Hum Factors"},{"key":"B18","doi-asserted-by":"publisher","DOI":"10.1080\/00140139.2013.838643","article-title":"SEIPS 2.0: a human factors framework for studying and improving the work of healthcare professionals and patients","volume":"56","author":"Holden","year":"2013","journal-title":"Ergonomics"},{"key":"B19","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1080\/00140139.2016.1168529","article-title":"Macroergonomic factors in the patient work system: examining the context of patients with chronic illness","volume":"60","author":"Holden","year":"2017","journal-title":"Ergonomics"},{"key":"B20","doi-asserted-by":"publisher","first-page":"103279","DOI":"10.1016\/j.apergo.2020.103279","article-title":"Medication transitions: vulnerable periods of change in need of human factors and ergonomics","volume":"90","author":"Holden","year":"2021","journal-title":"Appl Ergon"},{"key":"B21","doi-asserted-by":"publisher","first-page":"66","DOI":"10.1080\/20476965.2017.1390060","article-title":"Infinicare framework for integrated understanding of health-related activities in clinical and daily-living contexts","volume":"7","author":"Ozkaynak","year":"2018","journal-title":"Health Syst Basingstoke Engl"},{"key":"B22","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1177\/2327857921101072","article-title":"A user-centered need analysis of cancer patient navigation \u2014 an intersection of collaborative work and collaborative health IT","volume":"10","author":"Zachary","year":"2021","journal-title":"Proc Int Symp Hum Factors Ergon Health Care"},{"key":"B23","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1518\/155723408X299834","article-title":"Macroergonomics: the analysis and design of work systems","volume":"3","author":"Hendrick","year":"2007","journal-title":"Rev Hum Factors Ergon"},{"key":"B24","doi-asserted-by":"publisher","first-page":"309","DOI":"10.1080\/00140130210123516","article-title":"Validating a framework for participatory ergonomics (the PEF)","volume":"45","author":"Haines","year":"2002","journal-title":"Ergonomics"},{"key":"B25","doi-asserted-by":"publisher","DOI":"10.1080\/00140139.2022.2068647","article-title":"Applying the sustainable system-of-systems framework: wastewater(s) in a rapidly urbanising South African settlement","author":"Thatcher","year":"2022","journal-title":"Ergonomics"},{"key":"B26","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1146\/annurev.publhealth.19.1.173","article-title":"Review of community-based research: assessing partnership approaches to improve public health","volume":"19","author":"Israel","year":"1998","journal-title":"Annu Rev Public Health"},{"key":"B27","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-1742514","article-title":"Provocations for reimagining informatics approaches to health equity","author":"Valdez","year":"2022","journal-title":"Yearb Med Inform"},{"key":"B28","doi-asserted-by":"publisher","first-page":"167","DOI":"10.1055\/s-0042-1742520","article-title":"Consumer health informatics for racial and ethnic minoritized communities: minor progress, Major opportunities","volume":"31","author":"Valdez","year":"2022","journal-title":"Yearb Med Inform"},{"key":"B29","doi-asserted-by":"publisher","first-page":"2009","DOI":"10.1093\/jamia\/ocab088","article-title":"Informatics-enabled citizen science to advance health equity","author":"Valdez","year":"2021","journal-title":"J Am Med Inform Assoc"},{"key":"B30","doi-asserted-by":"publisher","DOI":"10.1007\/s40615-018-0480-3","article-title":"\u201cI love fruit but I can\u2019t afford it\u201d: using participatory action research to develop community-based initiatives to mitigate challenges to chronic disease management in an African American community living in public housing","author":"Rogers","year":"2018","journal-title":"J Racial Ethn Health Disparities"},{"key":"B31","doi-asserted-by":"publisher","first-page":"308","DOI":"10.1053\/j.semperi.2017.04.008","article-title":"Exploring the social determinants of racial\/ethnic disparities in prenatal care utilization and maternal outcome","volume":"41","author":"Gadson","year":"2017","journal-title":"Semin Perinatol"},{"key":"B32","doi-asserted-by":"publisher","first-page":"976","DOI":"10.1007\/s10900-013-9681-1","article-title":"Traveling towards disease: transportation barriers to health care access","volume":"38","author":"Syed","year":"2013","journal-title":"J Community Health"},{"key":"B33","doi-asserted-by":"publisher","first-page":"170","DOI":"10.1080\/01441647.2016.1257660","article-title":"Distributive justice and equity in transportation","volume":"37","author":"Pereira","year":"2017","journal-title":"Transp Rev"},{"key":"B34","doi-asserted-by":"publisher","first-page":"665","DOI":"10.1080\/17450101.2019.1607156","article-title":"Transit justice as spatial justice: learning from activists","volume":"14","author":"Enright","year":"2019","journal-title":"Mobilities"},{"key":"B35","doi-asserted-by":"publisher","DOI":"10.1080\/0376835X.2022.2059449","article-title":"A participatory learning approach for the development of a maternal mobile health technology in Zimbabwe","author":"Dabengwa","year":"2023","journal-title":"Dev South Afr"},{"key":"B36","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1145\/2858036.2858331","article-title":"Syrian Refugees and digital health in Lebanon: opportunities for improving antenatal health","volume-title":"Proceedings of the 2016 CHI conference on human factors in computing systems","author":"Talhouk","year":"2016"},{"key":"B37","doi-asserted-by":"publisher","first-page":"1622","DOI":"10.1177\/1071181322661223","article-title":"Using a patient work system model to systematically assess the social determinants of health","volume":"66","author":"Rogers","year":"2022","journal-title":"Proc Hum Factors Ergon Soc Annu Meet"},{"key":"B38","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1016\/B978-0-12-816427-3.00015-4","article-title":"Chapter 15\u2014design for inclusivity","volume-title":"Design for health","author":"Benda","year":"2020"},{"key":"B39","doi-asserted-by":"publisher","first-page":"34","DOI":"10.3390\/informatics8020034","article-title":"A systematic review of design workshops for health information technologies","volume":"8","author":"Ozkaynak","year":"2021","journal-title":"Informatics"},{"key":"B40","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocab032","article-title":"Meeting the challenge: health information technology's Essential role in achieving precision medicine","author":"Zayas-Cab\u00e1n","year":"2021","journal-title":"J Am Med Inform Assoc"},{"key":"B41","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocac136","article-title":"Engaging the disability community in informatics research: rationales and practical steps","author":"Valdez","year":"2022","journal-title":"J Am Med Inform Assoc"}],"container-title":["Frontiers in Digital Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fdgth.2023.1193920\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,18]],"date-time":"2023-05-18T06:53:29Z","timestamp":1684392809000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fdgth.2023.1193920\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,18]]},"references-count":41,"alternative-id":["10.3389\/fdgth.2023.1193920"],"URL":"https:\/\/doi.org\/10.3389\/fdgth.2023.1193920","relation":{},"ISSN":["2673-253X"],"issn-type":[{"value":"2673-253X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,18]]},"article-number":"1193920"}}