Acceptability of delivering and accessing health information through text messaging among community health advisors.

Acceptability of delivering and accessing health information through text messaging among community health advisors.
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DOI:
10.2196/mhealth.2641
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发表时间:
2013-09-09
影响因子:
5
通讯作者:
Scarinci I
Scarinci I
中科院分区:
医学2区
文献类型:
--
作者:
Schoenberger YM;Phillips J;Mohiuddin MO;McNees P;Scarinci I

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通信技术可以通过促进癌症控制和增进人口和个人健康,在减少通信不平等和癌症差异方面发挥重要作用。研究表明,手机短信(SMS)或短信等技术可以成为一种有效的健康沟通策略,影响个人与健康相关的决策、行为和结果。这项研究的目的是探索通信技术的使用,评估移动技术在传递和获取健康信息方面的可接受性,并确定深南癌症控制网络培训的社区健康顾问作为研究伙伴(CHARP)对癌症和健康信息的需求。采用混合方法设计,并遵循三角测量方案,将定量和定性数据结合起来。进行了焦点小组(4个焦点小组;n=37)和自我管理调查(n=77),以确定CHARP手机和短信的使用情况。目标是确定移动电话干预的障碍和促进者。所有参与者都是非洲裔美国人(37/37,100%),11/37(89%)是女性,平均年龄为53.4岁(SD 13.9;焦点组)和59.9岁(SD 8.7;调查)。几乎所有(33/37,89%)的焦点小组参与者都报告拥有手机。在这些人中,8/33(24%)拥有智能手机,22/33(67%)有短信计划,18/33(55%)和11/33(33%)分别在一周或一天内多次收发短信。在调查参与者中也看到了类似的反应,75/77(97%)的人报告拥有手机,其中22/75(30%)拥有智能手机,39/75(53%)有短信计划,37/75(50%)每周或每天多次收到和发送短信(37%)。焦点小组与会者提到的短信系统的好处包括可供选择的通信形式、传播信息的快速方法和通信的私密性。这两组人报告的使用移动技术接收健康信息的主要障碍是费用和不知道如何发送短信。与重点小组参与者一起探讨了克服障碍的方法,而教育是最被提议的解决办法。大多数CHARP赞成每周收到一条短信,提供癌症/健康信息。这项研究的结果表明,CHARP可以接受接收集中于癌症/健康信息的短信,并可能参与移动健康研究。这些发现是开发旨在提供癌症/健康信息的互动移动健康计划的第一步,并为作为研究伙伴的深南网络社区健康顾问(DSN CHARP)提供支持网络。
Communication technologies can play a significant role in decreasing communication inequalities and cancer disparities by promoting cancer control and enhancing population and individual health. Studies have shown that technology, such as the mobile phone short message service (SMS) or text messaging, can be an effective health communication strategy that influences individuals’ health-related decisions, behaviors, and outcomes. The purpose of this study was to explore usage of communication technologies, assess the acceptability of mobile technology for delivery and access of health information, and identify cancer and health information needs among Deep South Network for Cancer Control trained Community Health Advisors as Research Partners (CHARPs). A mixed-method design was used, and a triangulation protocol was followed to combine quantitative and qualitative data. Focus groups (4 focus groups; n=37) and self-administered surveys (n=77) were conducted to determine CHARPs mobile phone and text message usage. The objective was to include identification of barriers and facilitators to a mobile phone intervention. All participants were African American (37/37, 100%), 11/37 (89%) were women, and the mean age was 53.4 (SD 13.9; focus groups) and 59.9 (SD 8.7; survey). Nearly all (33/37, 89%) of focus group participants reported owning a mobile phone. Of those, 8/33 (24%) owned a smartphone, 22/33 (67%) had a text messaging plan, and 18/33 (55%) and 11/33 (33%) received and sent text messages several times a week or day, respectively. Similar responses were seen among the survey participants, with 75/77 (97%) reporting owning a mobile phone, and of those, 22/75 (30%) owned a smartphone, 39/75 (53%) had a text messaging plan, and 37/75 (50%) received and 27/75 (37%) sent text messages several times a week or day. The benefits of a text messaging system mentioned by focus group participants included alternative form of communication, quick method for disseminating information, and privacy of communication. The main barriers reported by both groups to using mobile technology to receive health information were cost and not knowing how to text message. Ways to overcome barriers were explored with focus group participants, and education was the most proposed solution. Majority of CHARPs were in favor of receiving a weekly text message that would provide cancer/health information. The findings from this study indicate that CHARPs are receptive to receiving text messages focusing on cancer/health information and would be likely to engage in mobile health research. These findings represent the first step in the development of an interactive mobile health program designed to provide cancer/health information and a support network for the Deep South Network Community Health Advisors as Research Partners (DSN CHARPs).
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影响因子: 7.4
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