Using e-Health to Enable Culturally Appropriate Mental Healthcare in Rural Areas
Open accessAbstract
The objective of this study was to review relevant research issues in the provision of culturally appropriate e-mental healthcare and make recommendations for expanding and prioritizing research efforts in this area. A workshop was convened by the Office of Rural Mental Health Research (ORMHR) at the National Institute of Mental Health (NIMH), the Center for Reducing Health Disparities at the University of California, Davis, the California Telemedicine and e-Health Center, and the California Endowment in December 2005, during which papers were presented concerning culture and e-mental health. Relevant literature was reviewed and research questions were developed. Major issues in the provision of culturally appropriate e-mental healthcare were defined, as were the barriers to the provision of such care in rural areas and interventions to overcome these barriers. Rural areas have increased barriers to culturally appropriate mental healthcare because of increased rates of poverty, increasingly large ethnic minority populations, and various degrees of geographical isolation and cultural factors specific to rural communities. Although culture and language are major barriers to receiving appropriate mental healthcare, including e-mental healthcare, they cannot be separated from other related influential variables, such as poverty and geography. Each of these critical issues must be taken into account when planning technologically enabled rural mental health services. This review de…
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Studying the acceptability of technology among such populations can be extremely challenging because socioeconomic barriers such as education level and geographic concentration of poverty can act as confounders in research assessing access and use of technology among different racial/ethnic communities.
“Studying the acceptability of technology among such populations can be extremely challenging because there are a host of important socioeconomic barriers such as education level and the geographic concentration of poverty that can act as confounders in research that assesses levels of access and use of technology among different racial/ethnic communities.14”
From Pre-experience Perceptions About Telemedicine Among African Americans and Latinos in South Central Los Angeles (2009) · cites this paper as [14]
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Salud mental y tecnologías móviles en comunidades indígenas transnacionales
Ruíz, M. M., Autrán, R. R., Castillo Baldera, E., & Huerta, G. L. C. (2016) · Dialnet (Universidad de la Rioja) · Cited by 1 · see citing works
How to Build, Evaluate, and Increase Your e-Mental Health Program Efficiency
Hilty, D. M., Shoemaker, E. Z., & Shore, J. H. (2015) · Springer eBooks · doi:10.1007/978-3-319-20852-7_4
Self-citationDigital Behavior Change Interventions
Messer, D. W., Shanholtz, C. E., & Chowdhury, A. (2018) · Advances in human and social aspects of technology book series · doi:10.4018/978-1-5225-7128-5.ch008
Zanganeh, K. S., & Burrell, D. N. (2022) · International Journal of Patient-Centered Healthcare · doi:10.4018/ijpch.309950
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Mahmoud, H., Whaibeh, E. R., & McDermott, M. (2022) · Springer eBooks · doi:10.1007/978-3-030-97325-4_7
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Hilty, D. M., Mishkind, M. C., Malik, T. S., & Crawford, A. S. (2022) · Springer eBooks · doi:10.1007/978-3-031-11984-2_1
Self-citationSmartphone-Based Treatment in Psychiatry: A Systematic Review
Faurholt‐Jepsen, M., Tønning, M. L., & Kessing, L. V. (2023) · Springer eBooks · doi:10.1007/978-3-031-10698-9_5
Mucić, D., & Hilty, D. M. (2024) · Springer eBooks · doi:10.1007/978-3-031-59936-1_1
Self-citationHow to Build, Evaluate, and Improve Your Telemental Health Program
Hilty, D. M., & Shore, J. H. (2024) · Springer eBooks · doi:10.1007/978-3-031-59936-1_7
Self-citationThe Future of Medicine/Healthcare in the Metaverse
Kumagai, H. (2025) · IEEJ Transactions on Electronics Information and Systems · doi:10.1541/ieejeiss.145.417
far, S. H., Movahed, M., & Mahmoudiani, S. (2025) · Journal of Sociology Bulletin of Yerevan University · doi:10.46991/bysu.f/2025.16.1.055
Maheshwari, K., & Shahi, S. (2025) · doi:10.38124/ijisrt/25nov043
- Authors
- Yellowlees, P., Marks, S., Hilty, D., & Shore, J. H.
- Affiliations
- University of California Davis Medical Center (US)
- University of California, Irvine (US)
- University of California, Davis Health System, Sacramento, California.
- University of Colorado Denver (US)
- Venue
- Telemedicine and e-Health
- Publisher
- SAGE Publications
- Published
- 2008-06
- Volume
- 14
- Issue
- 5
- Pages
- 486-492
- ISSN
- 1530-5627 (ISSN-L)
- 1556-3669
- PMC
- PMC2998942
- OpenAlex
- W2043123476
- Cited by
- 96
- References
- 31
- Citations by year
- 2025: 5 · 2024: 11 · 2023: 7 · 2022: 7 · 2021: 7 · 2020: 8 · 2019: 6 · 2018: 3 · 2017: 4 · 2016: 4 · 2015: 12 · 2014: 1 · 2013: 8 · 2012: 5
- FWCI
- 2.65
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Telemedicine Journal and e-Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of California, Davis
- National Institute of Mental Health
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- e-mental health, rural mental health, language barriers, cultural barriers, poverty, ethnic minorities, geographic isolation, telemedicine, health disparities, rural population, frontier populations, research priorities
- MeSH terms
- California, Humans, Mental Health Services, Rural Population, Telemedicine, Cultural Diversity
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