US Minority Homeless Youth's Access to and Use of Mobile Phones: Implications for mHealth Intervention Design
US Minority Homeless Youth's Access to and Use of Mobile Phones: Implications for mHealth Intervention Design
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DOI：
10.1080/10810730.2015.1103331
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发表时间：
2016-01-01
影响因子：
4.4
通讯作者：
Cheskin, Lawrence J.
中科院分区：
文献类型：
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作者：
Jennings, Larissa;Lee, Nicole;Cheskin, Lawrence J.
针对无家可归青年的干预措施很少利用mHealth技术的潜力，部分原因是关于无家可归青年的电话行为、看法和干预偏好的数据有限。我们对巴尔的摩和华盛顿特区服务不足的社区的无家可归青年进行了9个焦点小组(n=52名无家可归青年)和41个人的结构化访谈，以确定青年如何感知他们的手机，随着时间的推移获得和维持移动服务，并认为应该为这些人群设计mHealth计划。我们还衡量了手机的使用情况、功能、来源、拥有时间以及更换手机或号码的原因。结果显示，手机覆盖率很高，因为大多数年轻人都是自己购买手机或接受他人的礼物付款。由于资金限制和人际冲突，维持移动连接往往具有挑战性。年轻人重视手机以获得社会支持，但使用了几种策略来避免手机拥有带来的负面后果，如骚扰、盗窃或关系纠纷。年轻人最喜欢与性、生殖和心理健康有关的mHealth内容，前提是移动通信是保密的、授权的，并与其他数字媒体相结合。随着时间的推移，整合隐藏电话、财务支持和安全管理可能会改善无家可归青年获得和参与移动健康战略的机会。
Few interventions for homeless youth have leveraged the potential of mHealth technologies, in part because of the limited data on phone behaviors, perceptions, and intervention preferences among youth experiencing homelessness. We conducted 9 focus groups (n=52 homeless youth) and 41 individual structured interviews also with homeless youth in underserved communities in Baltimore and Washington, DC, to ascertain how youth perceived their mobile phone, acquired and maintained mobile services over time, and thought mHealth programs for this population should be designed. We also measured phone use, functionality, source, duration of ownership, and reasons for changing phones or numbers. Results showed that mobile coverage was high, as most youth self-purchased phones or received gift payments from others. Maintaining mobile connectivity was often challenging because of financial constraints and interpersonal conflict. Youth valued phones to access social support but used several tactics to avoid perceived negative consequences of phone ownership, such as harassment, theft, or relational disputes. Youth most preferred mHealth content relating to sexual, reproductive, and mental health provided that mobile communication was confidential, empowering, and integrated with other digital media. Integrating hidden phones, financial support, and safety management may improve homeless youth's access to and engagement with mHealth strategies over time.