Use of the Internet and Digital Devices Among People With Severe Mental Ill Health During the COVID-19 Pandemic Restrictions.
Use of the Internet and Digital Devices Among People With Severe Mental Ill Health During the COVID-19 Pandemic Restrictions.
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DOI：
10.3389/fpsyt.2021.732735
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发表时间：
2021
影响因子：
4.7
通讯作者：
Peckham E
中科院分区：
文献类型：
--
作者：
Spanakis P;Heron P;Walker L;Crosland S;Wadman R;Newbronner E;Johnston G;Gilbody S;Peckham E
背景：COVID-19 大流行造成的限制导致人们每天依赖生活数字化，包括获得医疗保健服务。患有严重精神疾病（SMI，例如双相情感障碍或精神病谱系障碍）的人遭受数字排斥的风险更大，并且尚不清楚他们在多大程度上适应了在线服务提供。这项研究探讨了大流行限制期间互联网和数字设备的使用及其与身心健康变化的关系。方法：367 名患有 SMI 诊断的成年人完成了一项调查（在线或离线），并提供了有关互联网连接和设备的访问、互联网知识、在线活动以及使用互联网的障碍的信息。他们还自我报告了自大流行限制开始以来精神和身体健康的变化。结果：在疫情限制期间，61.6% 的人限制或不使用互联网。大多数人可以访问互联网和数字设备，但大约一半的人表示缺乏知识。最常见的活动是获取信息和娱乐（88.9%）、与朋友和家人保持联系（84.8%）以及购买商品（食品除外）（84.3%）。最常见的障碍是认为互联网“不有趣”（28.3%）或“太难”（27.9%），以及“安全问题”（22.1-24.3%）。疫情期间“大量”（相对于“很少或根本不”）使用互联网与年龄较小（18-30 岁：Adj OR 4.76；31-45：6.39；Ps < 0.001；对比 66+）、诊断为双相情感障碍（与精神病相比；Adj OR = 3.88，P < 0.001）或报告网络使用率下降有关。心理健康（与没有下降相比；Adj OR = 1.92，P = 0.01）。结论：在疫情期间，大多数 SMI 患者很少或不使用互联网，这似乎主要归因于缺乏兴趣和技能，而不是缺乏设备或连接。患有精神病的老年人应该成为支持 SMI 患者数字参与的干预措施的重点。
Background: Restrictions due to the COVID-19 pandemic have led to everyday reliance on digitalisation of life, including access to health care services. People with severe mental ill health (SMI—e.g., bipolar or psychosis spectrum disorders) are at greater risk for digital exclusion and it is unknown to what extent they adapted to online service delivery. This study explored use of the Internet and digital devices during the pandemic restrictions and its association with physical and mental health changes. Methods: Three hundred sixty seven adults with an SMI diagnosis completed a survey (online or offline) and provided information on access to Internet connexion and devices, internet knowledge, online activities, and barriers to using the Internet. They also self-reported changes in mental and physical health since the beginning of the pandemic restrictions. Results: During the pandemic restrictions 61.6% were limited or non-users of the Internet. The majority had access to the Internet and digital devices but around half reported knowledge deficits. Most common activities were accessing information and entertainment (88.9%), staying in touch with friends and families (84.8%), and purchasing goods (other than food) (84.3%). Most common barriers were finding the Internet “not interesting” (28.3%) or “too difficult” (27.9%), as well as “security concerns” (22.1–24.3%). Using the Internet “a lot” (vs. “just a bit or not at all”) during the pandemic was associated with younger age (18–30: Adj ORs 4.76; 31–45: 6.39; Ps < 0.001; vs. 66+), having a diagnosis of bipolar disorder (compared to psychosis; Adj OR = 3.88, P < 0.001), or reporting a decline in mental health (compared to no decline; Adj OR = 1.92, P = 0.01). Conclusion: Most people with SMI were limited or non-users of the Internet during the pandemic, which seems to be mainly attributable to lack of interest and skills, rather than lack of devices or connectivity. Older adults with psychosis should be the focus of interventions to support digital engagement in people with SMI.
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