Measuring the digital divide among people with Severe Mental Ill Health using the Essential Digital Skills framework
Measuring the digital divide among people with Severe Mental Ill Health using the Essential Digital Skills framework
复制标题
使用基本数字技能框架衡量严重精神疾病患者之间的数字鸿沟
DOI：
10.1101/2021.08.18.21262204
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Panagiotis S
中科院分区：
文献类型：
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作者：
Panagiotis S
目的在大流行期间医疗和其他服务的大规模数字化中，没有数字技能的人面临数字排斥的风险。到大流行结束时，这种风险可能不会减弱。本文旨在了解患有严重精神疾病(SMI)的人是否具有必要的数字技能来适应这些变化，避免数字排斥。方法英国各地249名患有SMI的成年人在线或线下完成了一项调查。他们根据基本数字技能(EDS)框架、社会人口信息和数字访问提供了关于其数字技能的信息。结果42.2%的人没有基础技能，46.2%的人缺乏日常生活技能(缺乏基础或生活技能)。23.0%的工作人员缺乏职业生活技能(缺乏基础或工作技能)。最常见的缺失技能是处理密码和使用设备设置(基础技能)和在线解决问题(生活技能)。人们有兴趣更多地了解大约一半他们不具备的技能。年龄较大、未就业、有精神病谱系障碍或家里没有互联网接入的人更有可能缺乏基础技能。结论在这项客观和基准的调查中，相当一部分SMI患者缺乏基础技能。这表明数字排斥的风险很高，需要有针对性的政策和卫生部门的支持，以确保人们保持获得关键服务的机会，并培养数字技能和信心。据我们所知，这是第一次使用EDS框架描述这一点。包括国民健康服务(NHS)在内的服务机构需要意识到并减轻风险。
AimsAmid the vast digitalisation of health and other services during the pandemic, people with no digital skills are at risk of digital exclusion. This risk might not abate by the end of the pandemic. This article seeks to understand whether people with severe mental ill health (SMI) have the necessary digital skills to adapt to these changes and avoid digital exclusion.MethodsTwo hundred and forty-nine adults with SMI across England completed a survey online or offline. They provided information on their digital skills based on the Essential Digital Skills (EDS) framework, sociodemographic information, and digital access. This is the first time that the EDS is benchmarked in people with SMI.Results42.2% had no Foundation Skills, and 46.2% lacked skills for daily life (lacking Foundation or Life Skills). 23.0% of those working lacked skills for professional life (lacking Foundation or Work Skills). The most commonly missing skills were handling passwords and using the device settings (Foundation Skills) and online problem solving (Skills for Life). People were interested in learning more about approximately half of the skills they did not have. People were more likely to lack Foundation Skills if they were older, not in employment, had a psychosis-spectrum disorder, or had no Internet access at home.ConclusionA significant portion of people with SMI lacked Foundation Skills in this objective and benchmarked survey. This points to a high risk for digital exclusion and the need for focused policy and tailored health sector support to ensure people retain access to key services and develop digital skills and confidence. To our knowledge, this is the first time this has been described using the EDS framework. Services, including the National Health Service (NHS), need to be aware of and mitigate the risks.