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Uptake and Acceptability of Information and Communication Technology in a Community-Based Cohort of People Who Inject Drugs: Implications for Mobile Health Interventions.

Genz A, Kirk G, Piggott D, Mehta SH, Linas BS, Westergaard RP - JMIR Mhealth Uhealth (2015)

Bottom Line: While these strategies hold promise for reducing barriers to care for medically-underserved populations, their acceptability among marginalized populations such as people who inject drugs is not well-understood.Utilization of information and communication technology among this cohort of people who inject drugs was reported at a lower level than what has been estimated for the general U.S. Our findings identify a potential barrier to successful implementation of mobile health and Internet-based interventions for people who inject drugs, particularly those who are older and have lower levels of income and educational attainment.As mobile communication technology continues to expand, future studies should re-examine whether mHealth applications become more accessible and accepted by socioeconomically disadvantaged groups.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.

ABSTRACT

Background: Mobile phone and Internet-based technologies are increasingly used to disseminate health information and facilitate delivery of medical care. While these strategies hold promise for reducing barriers to care for medically-underserved populations, their acceptability among marginalized populations such as people who inject drugs is not well-understood.

Objective: To understand patterns of mobile phone ownership, Internet use and willingness to receive health information via mobile devices among people who inject drugs.

Methods: We surveyed current and former drug injectors participating in a longitudinal cohort study in Baltimore, Maryland, USA. Respondents completed a 12-item, interviewer-administered questionnaire during a regular semi-annual study visit that assessed their use of mobile technology and preferred modalities of receiving health information. Using data from the parent study, we used logistic regression to evaluate associations among participants' demographic and clinical characteristics and their mobile phone and Internet use.

Results: The survey was completed by 845 individuals, who had a median age of 51 years. The sample was 89% African-American, 65% male, and 33% HIV-positive. Participants were generally of low education and income levels. Fewer than half of respondents (40%) indicated they had ever used the Internet. Mobile phones were used by 86% of respondents. Among mobile phone owners, 46% had used their phone for text messaging and 25% had accessed the Internet on their phone. A minority of respondents (42%) indicated they would be interested in receiving health information via phone or Internet. Of those receptive to receiving health information, a mobile phone call was the most favored modality (66%) followed by text messaging (58%) and Internet (51%).

Conclusions: Utilization of information and communication technology among this cohort of people who inject drugs was reported at a lower level than what has been estimated for the general U.S.

Population: Our findings identify a potential barrier to successful implementation of mobile health and Internet-based interventions for people who inject drugs, particularly those who are older and have lower levels of income and educational attainment. As mobile communication technology continues to expand, future studies should re-examine whether mHealth applications become more accessible and accepted by socioeconomically disadvantaged groups.

No MeSH data available.


Related in: MedlinePlus

Willingness to receive health information via mobile phone, text message or internet (N=845).
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figure1: Willingness to receive health information via mobile phone, text message or internet (N=845).

Mentions: The majority of respondents (58.2%, 492/845) indicated they would not like to receive health information via mobile phone, text message, or Web. Of the 353 respondents who expressed willingness to receive health information via one or more ICT modalities, 65.7% (232/353) indicated they would like to receive health information by phone, 57.5% (203/353) were willing to receive health-related text messages, and 50.7% (179/353) would use the Web to receive health information (Figure 1). When queried about the type of health information they would be willing to receive, 62.3% (220/353) indicated they would be interested in information about smoking cessation and 58.4% (206/353) would utilize ICT for medication reminders. Most indicated they would prefer health-related communications to be infrequent. Only 15.6% (55/353) preferred daily communication, while larger proportions favored weekly (25.5%, 90/353) or monthly (42.2%, 149/353) communication.


Uptake and Acceptability of Information and Communication Technology in a Community-Based Cohort of People Who Inject Drugs: Implications for Mobile Health Interventions.

Genz A, Kirk G, Piggott D, Mehta SH, Linas BS, Westergaard RP - JMIR Mhealth Uhealth (2015)

Willingness to receive health information via mobile phone, text message or internet (N=845).
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4526964&req=5

figure1: Willingness to receive health information via mobile phone, text message or internet (N=845).
Mentions: The majority of respondents (58.2%, 492/845) indicated they would not like to receive health information via mobile phone, text message, or Web. Of the 353 respondents who expressed willingness to receive health information via one or more ICT modalities, 65.7% (232/353) indicated they would like to receive health information by phone, 57.5% (203/353) were willing to receive health-related text messages, and 50.7% (179/353) would use the Web to receive health information (Figure 1). When queried about the type of health information they would be willing to receive, 62.3% (220/353) indicated they would be interested in information about smoking cessation and 58.4% (206/353) would utilize ICT for medication reminders. Most indicated they would prefer health-related communications to be infrequent. Only 15.6% (55/353) preferred daily communication, while larger proportions favored weekly (25.5%, 90/353) or monthly (42.2%, 149/353) communication.

Bottom Line: While these strategies hold promise for reducing barriers to care for medically-underserved populations, their acceptability among marginalized populations such as people who inject drugs is not well-understood.Utilization of information and communication technology among this cohort of people who inject drugs was reported at a lower level than what has been estimated for the general U.S. Our findings identify a potential barrier to successful implementation of mobile health and Internet-based interventions for people who inject drugs, particularly those who are older and have lower levels of income and educational attainment.As mobile communication technology continues to expand, future studies should re-examine whether mHealth applications become more accessible and accepted by socioeconomically disadvantaged groups.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.

ABSTRACT

Background: Mobile phone and Internet-based technologies are increasingly used to disseminate health information and facilitate delivery of medical care. While these strategies hold promise for reducing barriers to care for medically-underserved populations, their acceptability among marginalized populations such as people who inject drugs is not well-understood.

Objective: To understand patterns of mobile phone ownership, Internet use and willingness to receive health information via mobile devices among people who inject drugs.

Methods: We surveyed current and former drug injectors participating in a longitudinal cohort study in Baltimore, Maryland, USA. Respondents completed a 12-item, interviewer-administered questionnaire during a regular semi-annual study visit that assessed their use of mobile technology and preferred modalities of receiving health information. Using data from the parent study, we used logistic regression to evaluate associations among participants' demographic and clinical characteristics and their mobile phone and Internet use.

Results: The survey was completed by 845 individuals, who had a median age of 51 years. The sample was 89% African-American, 65% male, and 33% HIV-positive. Participants were generally of low education and income levels. Fewer than half of respondents (40%) indicated they had ever used the Internet. Mobile phones were used by 86% of respondents. Among mobile phone owners, 46% had used their phone for text messaging and 25% had accessed the Internet on their phone. A minority of respondents (42%) indicated they would be interested in receiving health information via phone or Internet. Of those receptive to receiving health information, a mobile phone call was the most favored modality (66%) followed by text messaging (58%) and Internet (51%).

Conclusions: Utilization of information and communication technology among this cohort of people who inject drugs was reported at a lower level than what has been estimated for the general U.S.

Population: Our findings identify a potential barrier to successful implementation of mobile health and Internet-based interventions for people who inject drugs, particularly those who are older and have lower levels of income and educational attainment. As mobile communication technology continues to expand, future studies should re-examine whether mHealth applications become more accessible and accepted by socioeconomically disadvantaged groups.

No MeSH data available.


Related in: MedlinePlus