Abstract
The emergence of various tools and technologies has contributed to the creation of new roles in healthcare, such as digital navigators, who support both clinicians and patients with the adoption and sustained use of these technologies. The digital navigator role is gaining traction for its potential to be adapted and scaled across diverse healthcare settings. However, the formalization of digital navigator roles in healthcare remains limited. This review presents a comprehensive summary of the characteristics of digital navigator roles and their reported implementation practice characteristics. This review utilized the PRISMA-ScR checklist and included 78 studies that met the inclusion criteria. Most studies were conducted in the United States (85.9%) and used qualitative (35.9%) or mixed-methods (30.8%), with mobile apps (60.3%) and telemedicine/virtual care (30.8%) being the most frequently reported technologies for which digital navigators provided support. Although available material and human resources were frequently discussed as key determinants of implementation success, only a few studies reported the use of financial strategies (e.g., securing funding). Other insights generated from this review include working toward standardizing core competencies, clearly defining the scope of the role, and documenting caseloads and intensities of training that digital navigators receive before and during the role.
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References
Mechanic, O. J. et al. Evaluation of Telehealth Visit Attendance After Implementation of a Patient Navigator Program. JAMA Netw. Open 5, e2245615 (2022).
Mohr, D. C. et al. Comparison of the Effects of Coaching and Receipt of App Recommendations on Depression, Anxiety, and Engagement in the IntelliCare Platform: Factorial Randomized Controlled Trial. J. Med Internet Res 21, e13609 (2019).
Ben-Zeev, D., Drake, R. & Marsch, L. Clinical technology specialists. BMJ 350, h945 (2015).
Noel, V. A., Carpenter-Song, E., Acquilano, S. C., Torous, J. & Drake, R. E. The technology specialist: a 21st century support role in clinical care. NPJ Digit. Med. 2, 61 (2019).
Wisniewski, H., Gorrindo, T., Rauseo-Ricupero, N., Hilty, D. & Torous, J. The Role of Digital Navigators in Promoting Clinical Care and Technology Integration into Practice. Digit. Biomark. 4, 119–135 (2020).
Connolly, S. L., Kuhn, E., Possemato, K. & Torous, J. Digital Clinics and Mobile Technology Implementation for Mental Health Care. Curr. Psychiatry Rep. 23, 38 (2021).
Rodriguez, J. A. et al. Digital healthcare equity in primary care: implementing an integrated digital health navigator. J. Am. Med. Inform. Assoc. JAMIA 30, 965–970 (2023).
Wisiewski, H. & Torous, J. Digital Navigators to Implement Smartphone and Digital Tools in Care. Acta Psychiatr. Scand. 141, 350–355 (2020).
Offodile, A. C., Seitz, A. J. & Peterson, S. K. Digital Health Navigation: An Enabling Infrastructure for Optimizing and Integrating Virtual Care Into Oncology Practice. JCO Clin. Cancer Inform. 5, 1151–1154 (2021).
Sequeira, L. et al. Exploring contextual factors impacting the implementation of and engagement with a digital platform supporting psychosis recovery: A brief report. Transl. Behav. Med. 13, 896–902 (2023).
Schwarz, J. et al. Digitale Navigatoren zur Akzeptanz- und Kompetenzentwicklung mit Mental Health Apps. Nervenheilkunde 43, 701–708 (2024).
Gorban, C. et al. Building Mutually Beneficial Collaborations Between Digital Navigators, Mental Health Professionals, and Clients: Naturalistic Observational Case Study. JMIR Ment. Health 11, e58068 (2024).
Perret, S. et al. Standardising the role of a digital navigator in behavioural health: a systematic review. Lancet Digit. Health 5, e925–e932 (2023).
Shalaby, R. A. H. & Agyapong, V. I. O. Peer Support in Mental Health: Literature Review. JMIR Ment. Health 7, e15572 (2020).
Sunderland, K. & Mishkin, W. Guidelines for the Practice and Training of Peer Support. https://mentalhealthcommission.ca/wp-content/uploads/2021/09/Guidelines-for-the-Practice-and-Training-of-Peer-Support.pdf (2013).
Rebeiro Gruhl, K., Lacarte, S. & Boucher, M. Mainstream Integration of Mental Health Peer Support in Canada: A Mixed Method Study. Can. J. Commun. Ment. Health 42, 75–95 (2023).
Nowak, D. A. & Mulligan, K. Social prescribing. Can. Fam. Physician 67, 88–91 (2021).
Khan, K., Tierney, S. & Owen, G. Applying an equity lens to social prescribing. J. Public Health 46, 458–462 (2024).
Marshall, R. et al. Social prescribing in the USA: emerging learning and opportunities. Lancet Public Health 10, e531–e536 (2025).
Torous, J. Hybrid and Virtual Care: Interest Outstrips Infrastructure. NEJM Catal. 6, (2025).
Arias López, M.D.P. et al. Digital literacy as a new determinant of health: A scoping review. PLOS Digit. Health 2, e0000279 (2023).
Wilson, S. et al. Recommendations to advance digital health equity: a systematic review of qualitative studies. Npj Digit. Med. 7, 173 (2024).
Abernethy, A. et al. The Promise of Digital Health: Then, Now, and the Future. NAM Perspect. https://doi.org/10.31478/202206e (2022).
Doueiri, Z. N., Bajra, R., Srinivasan, M., Schillinger, E. & Cuan, N. Bridging the Telehealth Digital Divide With Collegiate Navigators: Mixed Methods Evaluation Study of a Service-Learning Health Disparities Course. JMIR Med. Educ. 10, e57077 (2024).
Lee, O. E.-K. & Kim, D.-H. Bridging the digital divide for older adults via Intergenerational Mentor-Up. Res. Soc. Work Pract. 29, 786–795 (2019).
Macrynikola, N. et al. Testing the Feasibility, Acceptability, and Potential Efficacy of an Innovative Digital Mental Health Care Delivery Model Designed to Increase Access to Care: Open Trial of the Digital Clinic. JMIR Ment. Health 12, e65222 (2025).
Tuot, D. S. et al. Lessons From the Field From a Volunteer Telehealth Ambassador Program to Enhance Video Visits Among Low-Income Patients: Qualitative Improvement Study. JMIR Form. Res. 8, e49993 (2024).
Yang, R., Ganeshan, S., Thompson, A., McAllister, S. & Mourad, M. Impact of a resident and student-led video visitation navigation program. BMC Med. Educ. 22, 110 (2022).
Yu, K. et al. Longitudinal Effects of an Intergenerational mHealth Program for Older Type 2 Diabetes Patients in Rural Taiwan. Diab. Educ. 46, 206–216 (2020).
Carpenter-Song, E. et al. Individualized Intervention to Support Mental Health Recovery Through Implementation of Digital Tools into Clinical Care: Feasibility Study. Community Ment. Health J. 58, 99–110 (2022).
Casillas, A. & Abhat, A. The Los Angeles County Department of Health Services Health Technology Navigators: A novel health workforce to digitally empower patient communities in safety net systems. J. Med. ACCESS 8, 27550834231223024 (2024).
Chen, K. et al. The Digital Navigator: Standardizing Human Technology Support in App-Integrated Clinical Care. Telemed. E-Health 30, e1963–e1970 (2024).
Davis, T., Shore, P. & Lu, M. Peer Technical Consultant: Veteran-Centric Technical Support Model for VA Home-Based Telehealth Programs. Fed. Pract. Health Care Prof. VA DoD. PHS 33, 31–36 (2016).
Emerson, M. R., Dinkel, D., Watanabe-Galloway, S., Torous, J. & Johnson, D. J. Adaptation of digital navigation training for integrated behavioral health providers: Interview and survey study. Transl. Behav. Med. 13, 612–623 (2023).
Green, J. B., Rodriguez, J., Keshavan, M., Lizano, P. & Torous, J. Implementing Technologies to Enhance Coordinated Specialty Care Framework: Implementation Outcomes From a Development and Usability Study. JMIR Form. Res. 7, e46491 (2023).
Hassett, L. et al. Activity and MObility UsiNg Technology (AMOUNT) rehabilitation trial - description of device use and physiotherapy support in the post-hospital phase. Disabil. Rehabil. 43, 3454–3460 (2021).
Kelpin, S. et al. Increasing digital equity to promote online smoking cessation program engagement among rural adults: a randomized controlled pilot trial. Commun. Med. 4, 194 (2024).
Johnston, B. & Yellowlees, P. Telepsychiatry Consultations in Primary Care Coordinated by Virtual Care Navigators. Psychiatr. Serv. Wash. DC 67, 142 (2016).
Choudhury, A. et al. Intensive Remote Onboarding to Improve Digital Health Access Among Safety-Net Patients During a Pandemic: An Implementation Study. Telemed. E-Health. https://doi.org/10.1089/tmj.2024.0452 (2025).
Aure, C. F., Kluge, A. & Moen, A. Promoting dietary awareness: Home-dwelling older adults’ perspectives on using a nutrition application. Int. J. Older People Nurs. 15, e12332 (2020).
Shaw, C. L., Casterline, G. L., Taylor, D., Fogle, M. & Granger, B. Increasing Health Portal Utilization in Cardiac Ambulatory Patients: A Pilot Project. CIN Comput. Inform. Nurs. 35, 512–519 (2017).
Chen, K. et al. Effect of a Telehealth Navigator Program on Video Visit Scheduling and Completion in Primary Care. J. Prim. Care Community Health 15, 21501319231225997 (2024).
Rodriguez, J. A., Zelen, M., Szulak, J., Moore, K. & Park, L. A system-wide approach to digital equity: the Digital Access Coordinator program in primary care. J. Am. Med. Inform. Assoc. JAMIA 31, 1583–1587 (2024).
Cha, B. S. et al. Variability in the Integration of Peers in a Multi-site Digital Mental Health Innovation Project. Adm. Policy Ment. Health 51, 226–239 (2024).
Chen, K. et al. Effect of a Volunteer-Staffed Outreach Call Initiative on Video Usage and Attendance for Telehealth Visits in an Urban Primary Care Safety-Net Setting. J. Eval. Clin. Pract. 31, e70019 (2025).
Hernandez-Ramos, R. et al. Evaluation of a pilot implementation of a digital cognitive behavioral therapy platform for isolated older adults in county mental health services. Implement. Res. Pract. 5, 26334895241288571 (2024).
Macrynikola, N., Nguyen, N., Lane, E., Yen, S. & Torous, J. The Digital Clinic: An Innovative Mental Health Care Delivery Model Utilizing Hybrid Synchronous and Asynchronous Treatment. NEJM Catal. 4, CAT.23.0100 (2023).
Viglione, C. et al. A technology-assisted health coaching intervention vs. enhanced usual care for Primary Care-Based Obesity Treatment: a randomized controlled trial. BMC Obes. 6, 4 (2019).
Buck, B., Kopelovich, S. L., Tauscher, J. S., Chwastiak, L. & Ben-Zeev, D. Developing the workforce of the digital future: leveraging technology to train community-based mobile mental health specialists. J. Technol. Behav. Sci. 8, 209–215 (2023).
Matthews, A. K. et al. The Use of Navigators to Increase Patient Portal Enrollment among Patients in a Federally Qualified Health Care System. Ethn. Dis. DECIPHeR, 117–125 (2024).
Nadkarni, A. et al. Assessment of a Digital Health Coordination Program to Mitigate Telehealth Access Disparities. Telemed. J. E-Health. J. Am. Telemed. Assoc. 30, 1484–1487 (2024).
Wong, A. K. C. et al. Exploring the Experiences of Community-Dwelling Older Adults on Using Wearable Monitoring Devices With Regular Support From Community Health Workers, Nurses, and Social Workers: Qualitative Descriptive Study. J. Med. Internet Res. 26, e49403 (2024).
Vasti, E. & Pletcher, M. J. Recruiting Student Health Coaches to Improve Digital Blood Pressure Management: Randomized Controlled Pilot Study. JMIR Form. Res. 4, e13637 (2020).
Stockman, J. K. et al. Feasibility and Acceptability of a Web-Based Peer Navigation-Psychoeducational HIV Intervention for Women. Res. Soc. Work Pract. 33, 242–262 (2023).
Jaso-Yim, B. et al. Evaluation of the impact of a digital care navigator on increasing patient registration with digital mental health interventions in routine care. Internet Inter. 38, 100777 (2024).
Saiyed, S. M., Ng, W. L., Cherry, M., Khattab, S. & Pathan, H. Implementing a Digital Health Navigator: Strategies and Experience in the Hospital Setting to Alleviate Digital Equity. Telehealth Med. Today 9, (2024).
Tomasino, K. N. et al. Harnessing peer support in an online intervention for older adults with depression. Am. J. Geriatr. Psychiatry 25, 1109–1119 (2017).
Hernandez-Ramos, R. et al. Conducting Internet-Based Visits for Onboarding Populations With Limited Digital Literacy to an mHealth Intervention: Development of a Patient-Centered Approach. JMIR Form. Res. 5, e25299 (2021).
Rodriguez-Villa, E. et al. The digital clinic: Implementing technology and augmenting care for mental health. Gen. Hosp. Psychiatry 66, 59–66 (2020).
Westergaard, R. P. et al. Acceptability of a mobile health intervention to enhance HIV care coordination for patients with substance use disorders. Addict. Sci. Clin. Pract. 12, 11 (2017).
Borghouts, J. et al. Understanding the Role of Support in Digital Mental Health Programs With Older Adults: Users’ Perspective and Mixed Methods Study. JMIR Form. Res. 6, e43192 (2022).
Alfaro, A. J. et al. Geri-Mobile Health: Feasibility of a VA Mental Health Mobile Apps Coaching Program for Older Veterans. Clin. Gerontol. 47, 110–121 (2024).
Alon, N. et al. Digital Navigator Training to Increase Access to Mental Health Care in Community-Based Organizations. Psychiatr. Serv. Wash. DC 75, 608–611 (2024).
Baumel, A. et al. Health Technology Intervention After Hospitalization for Schizophrenia: Service Utilization and User Satisfaction. Psychiatr. Serv. 67, 1035–1038 (2016).
Possemato, K., Kuhn, E., Johnson, E. M., Hoffman, J. E. & Brooks, E. Development and refinement of a clinician intervention to facilitate primary care patient use of the PTSD Coach app. Transl. Behav. Med. 7, 116–126 (2017).
Schueller, S. M. et al. A Mobile Phone–Based Intervention to Improve Mental Health Among Homeless Young Adults: Pilot Feasibility Trial. JMIR Mhealth Uhealth 7, e12347 (2019).
Isaacs, D. et al. Technology Integration: The Role of the Diabetes Care and Education Specialist in Practice. Diabetes Educ. 46, 323–334 (2020).
Kozelka, E. E. et al. Documenting the digital divide: Identifying barriers to digital mental health access among people with serious mental illness in community settings. SSM - Ment. Health 4, 100241 (2023).
Hawley, C. E. et al. Connecting the disconnected: Leveraging an in-home team member for video visits for older adults. J. Am. Geriatr. Soc. 72, 1408–1419 (2024).
Fisher, C., Biehl, E., Titmuss, M. P., Schwartz, R. & Gantha, C. S. HSS@Home, Physical Therapist-Led Telehealth Care Navigation for Arthroplasty Patients: A Retrospective Case Series. HSS J. Musculoskelet. J. Hosp. Spec. Surg. 15, 226–233 (2019).
Graham, A. K. et al. Coached mobile app platform for the treatment of depression and anxiety among primary care patients: a randomized clinical trial. JAMA Psychiatry 77, 906–914 (2020).
Damschroder, L. J. et al. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement. Sci. IS 4, 50 (2009).
Kim, K. K., McGrath, S. P., Solorza, J. L. & Lindeman, D. The ACTIVATE Digital Health Pilot Program for Diabetes and Hypertension in an Underserved and Rural Community. Appl. Clin. Inform. 14, 644–653 (2023).
Leung, D. K. Y. et al. Hybrid-delivered community psychoeducation for people aged 50 and older: A mixed-method evaluation and lesson learned. Internet Inter. 35, 100699 (2024).
Purnell, L. et al. Acceptability and Usability of a Wearable Device for Sleep Health Among English- and Spanish-Speaking Patients in a Safety Net Clinic: Qualitative Analysis. JMIR Form. Res. 7, e43067 (2023).
Boiteau, C. et al. Bridging the digital divide for outpatients treated with anticancer chemotherapy: a retrospective quantitative and qualitative analysis of an adapted electronic Patient Reported Outcome program. Support. Care Cancer. J. Multinatl. Assoc. Support. Care Cancer 33, 130 (2025).
Jongstra, S. et al. Development and Validation of an Interactive Internet Platform for Older People: The Healthy Ageing Through Internet Counselling in the Elderly Study. Telemed. J. E-Health. J. Am. Telemed. Assoc. 23, 96–104 (2017).
Rodriguez-Villa, E., Naslund, J., Keshavan, M., Patel, V. & Torous, J. Making mental health more accessible in light of COVID-19: Scalable digital health with digital navigators in low and middle-income countries. Asian J. Psychiatry 54, 102433 (2020).
Chang, S., Gray, L., Alon, N. & Torous, J. Patient and Clinician Experiences with Sharing Data Visualizations Integrated into Mental Health Treatment. Soc. Sci.-BASEL 12, 648 (2023).
21st Century Cures Act: Interoperability, Information Blocking, and the ONC Health IT Certification Program. https://www.federalregister.gov/documents/2020/05/01/2020-07419/21st-century-cures-act-interoperability-information-blocking-and-the-onc-health-it-certification (2020).
Dopp, A. R. et al. Translating economic evaluations into financing strategies for implementing evidence-based practices. Implement. Sci. IS 16, 66 (2021).
Bowser, D. M., Henry, B. F. & McCollister, K. E. Cost analysis in implementation studies of evidence-based practices for mental health and substance use disorders: a systematic review. Implement. Sci. IS 16, 26 (2021).
Breitenstein, S. M. et al. Implementation Fidelity in Community-Based Interventions. Res. Nurs. Health 33, 164–173 (2010).
Uchtmann, L. et al. Expected Competencies and Personal Attributes of Digital Navigators to Support Digital Mental Health Care: A Focus Group and Interview Study With Patients and Health Care Professionals. Preprint at https://doi.org/10.2196/preprints.83073 (2025).
Strudwick, G. et al. A comprehensive understanding of digital navigators in healthcare: A scoping review protocol. JBI Evidence Synthesis 0, 1–18 (2026).
Tricco, A. C. et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann. Intern. Med. 169, 467–473 (2018).
Munn, Z. et al. Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Med. Res. Methodol. 18, 143 (2018).
Christensen, B. E. & Fagan, R. P. Healthcare Settings. in The CDC Field Epidemiology Manual (eds Rasmussen, S. A. & Goodman, R. A.) 0 (Oxford University Press, 2019). https://doi.org/10.1093/oso/9780190933692.003.0018.
Peters, M. D. J. et al. Scoping Reviews. https://jbi-global-wiki.refined.site/space/MANUAL/355862497/10.+Scoping+reviews (2024).
Peters, M. D. J. et al. Updated methodological guidance for the conduct of scoping reviews. JBI Evid. Synth. 18, 2119–2126 (2020).
Hsieh, H.-F. & Shannon, S. E. Three approaches to qualitative content analysis. Qual. Health Res. 15, 1277–1288 (2005).
Powell, B. J. et al. A refined compilation of implementation strategies: results from the Expert Recommendations for Implementing Change (ERIC) project. Implement. Sci. IS 10, 21 (2015).
Waltz, T. J. et al. Use of concept mapping to characterize relationships among implementation strategies and assess their feasibility and importance: results from the Expert Recommendations for Implementing Change (ERIC) study. Implement. Sci. IS 10, 109 (2015).
Damschroder, L. J., Reardon, C. M., Widerquist, M. A. O. & Lowery, J. The updated Consolidated Framework for Implementation Research based on user feedback. Implement. Sci. IS 17, 75 (2022).
Calvert, E. et al. Evaluating clinical outcomes for anxiety and depression: A real-world comparison of the digital clinic and primary care. J. Affect. Disord. 377, 275–283 (2025).
Dopke, C. A. et al. Development of Coaching Support for LiveWell: A Smartphone-Based Self-Management Intervention for Bipolar Disorder. JMIR Form. Res. 5, e25810 (2021).
Kwasny, M. J., Schueller, S. M., Lattie, E., Gray, E. L. & Mohr, D. C. Exploring the use of multiple mental health apps within a platform: secondary analysis of the IntelliCare field trial. JMIR Ment. Health 6, e11572 (2019).
Lei, Y. et al. Satisfaction, user experiences, and initial efficacy of a technology-supported self-management intervention (iSMART) to improve post-stroke functioning: a remoted randomized controlled trial. Top. Stroke Rehabil. 1–15. https://doi.org/10.1080/10749357.2025.2450950 (2025).
Menezes, P. et al. Use of a mobile phone app to treat depression comorbid with hypertension or diabetes: a pilot study in Brazil and Peru. JMIR Ment. Health 6, e11698 (2019).
PHELPS, R. E. & BUCKNER, E. B. Improving Heart Failure Patient Engagement with Mobile Apps Using: Patients can become overwhelmed by the time and energy it takes to keep healthy while living with heart failure. J. Christ. Nurs. 41, 106–111 (2024).
Kryger, M. A. et al. The Effect of the Interactive Mobile Health and Rehabilitation System on Health and Psychosocial Outcomes in Spinal Cord Injury: Randomized Controlled Trial. J. Med. Internet Res. 21, e14305 (2019).
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The authors would like to acknowledge that this study is funded by a Canadian Institutes of Health Research Project Grant (FRN 197890).
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G.S. and S.K. conceived and secured funding for this review. H.D.S., I.K., J.S. collaborated with a health sciences librarian, T.R., to develop the core search strategy. T.R/ tested, revised, and finalized the core search strategy, translated it for use in selected databases, and ran all database searches. H.D.S., I.K., J.S., C.P., V.M., and S.G. participated in the study selection process. H.D.S., I.K., J.S., C.P., V.M., and S.G. participated in data extraction and analysis. H.D.S. participated in data validation. H.D.S., J.K., and I.K. participated in data visualization. H.D.S., J.K. and V.M. worked on tables and supplementary materials. H.D.S., G.S. wrote the original draft of the review manuscript. H.D.S., J.K., I.K., C.P., S.G., V.M., T.R., J.T., S.K., and G.S. critically reviewed and provided feedback on the manuscript. H.D.S., J.K., and I.K. worked on manuscript revisions. HDS administered the review and G.S. supervised the review.
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Shin, H.D., Kemp, J., Kassam, I. et al. A scoping review of the characteristics, responsibilities, implementations and evaluations of digital navigators in healthcare. npj Digit. Med. (2026). https://doi.org/10.1038/s41746-026-02647-w
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DOI: https://doi.org/10.1038/s41746-026-02647-w


