处于弱势地位的个人通常不太愿意参与基于人群的癌症筛查。教育视频、叙述或决策辅助等数字工具有望通过根据受邀者的喜好定制信息需求来接触和告知他们。本次审查旨在概述数字工具的设计特征和报告结果，旨在支持筛查处于弱势地位的受邀者做出明智的决策。审查是根据范围界定审查指南的首选报告项目进行的。我们检索了 PubMed、Scopus/MEDLINE 和 Web of Science，纳入了评估数字工具有效性的研究，重点是接触和/或告知处于弱势地位的筛查受邀者进行乳腺癌、宫颈癌或结直肠癌筛查。对于每项纳入的研究，提取了研究人群、数字工具类型、开发过程、报告的设计特征和报告的效果。我们找到了 448 篇文章，阅读全文后最终将 13 篇纳入本综述。研究设计包括随机对照试验 (n = 5)、前后测试设计 (n = 7) 和实验设计 (n = 1)。确定了六种不同类型的数字工具：决策辅助 (n = 6)、教育计划 (n = 3)、叙事视频 (n = 1)、短信干预 (n = 1)、动画视频 (n = 1)和 iPad 计划 (n = 1)。 12/13 干预措施中应用了针对特定人群的设计，例如避免使用行话和使用画外音功能。报告的关于接触和告知目标人群的结果指标包括：知识、态度、筛查意图、自我效能、敏感性、知情感、价值观清晰度和筛查接受度。所有数字工具都报告了至少一项报告的结果指标的显着改善。数字工具的使用似乎有助于接触或告知处于弱势地位的癌症筛查受邀者。然而，关于这些工具的开发过程及其对与接触和告知处于弱势地位的筛查受邀者相关的结果措施的影响，没有发现足够的证据。未来的研究可能会考虑将多种数字工具和动画视觉信息与语音文本相结合，以更好地接触和告知处于弱势地位的筛选受邀者。版权所有 © 2024 作者。由 Elsevier B.V. 出版。保留所有权利。

Individuals in a vulnerable position are generally less inclined to participate in population-based cancer screening. Digital tools, such as educational videos, narratives or decision aids, show promise in reaching and informing these invitees by tailoring information needs based on their preferences. This review aims to provide an overview of design features and reported outcomes of digital tools intended to support informed decision making among screening invitees in a vulnerable position.The review was conducted according to the Preferred Reporting Items for Scoping Reviews guidelines. We searched PubMed, Scopus/MEDLINE and Web of Science and included studies when the effectiveness of the digital tool was assessed and focussed on reaching and/or informing screening invitees in a vulnerable position for breast, cervical or colorectal cancer screening. For each included study, the study population, type of digital tool, the development process, reported design features and reported effects were extracted.We found 448 articles, and finally 13 were included in this review after reading full text. Study designs included randomised controlled trials (n = 5), pre-post-test design (n = 7) and experimental design (n = 1). Six different types of digital tools were identified: decision aids (n = 6), educational programs (n = 3), narrative video (n = 1), text-messaging intervention (n = 1), animation video (n = 1), and iPad program (n = 1). A population specific design was applied in 12/13 interventions, such as avoiding jargon and using a voice over function. Reported outcomes measures regarding reaching and informing the target population were: knowledge, attitude, screening intention, self-efficacy, susceptibility, feeling informed, values clarity, and screening uptake. All digital tools reported a significant improvement on at least one of the reported outcome measures.The use of digital tools seems to contribute to reach or inform screening invitees in a vulnerable position for cancer screening. However, insufficient evidence was found regarding the development process of the tools and their effects on outcome measures related to reaching and informing the screening invitees in a vulnerable position. Future research may look in to combining multiple digital tools and animated visual information in combination with spoken text to improve reaching and informing screening invitees in a vulnerable position.Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved.