mHealth Uses and Opportunities for Teens from Communities with High Health Disparities: A Mixed-Methods Study.
mHealth Uses and Opportunities for Teens from Communities with High Health Disparities: A Mixed-Methods Study.
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DOI：
10.1007/s41347-022-00278-y
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发表时间：
2022-09-13
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尽管智能手机普及，但来自面临显著行为健康差异的社区的青少年通常对移动的健康（mHealth）的参与度较低。这项研究的目的是描述青少年和照顾者对智能手机使用和访问，mHealth以及mHealth如何在大流行期间及以后解决青少年的行为健康需求的观点。采用远程招募和方法，使17名青少年（M年龄= 15.9 ± 0.9）和10名照顾者生活在城市社区，具有显着的社会经济和健康差异。参与者完成了焦点小组或访谈（基于偏好）和自我报告问卷（例如，行为健康史、流行病影响、技术使用）。定性和定量数据分别采用专题分析和描述性分析进行分析。定量和定性数据均显示青少年及其家人的相关行为健康问题、疫情的影响以及频繁使用智能手机。主要的青少年和照顾者主题包括（1）健康和健康问题，（2）障碍，（3）智能手机的使用，（4）智能手机的影响，以及（5）对移动健康的意见/建议。这项多方法和多信息提供者的研究强调了来自边缘化社区的青少年的生活经历，并提供了关键的见解，以提高移动健康工具的可接受性和现实世界的参与。为了消除在大流行之后为这一人群提供护理的障碍，必须为移动医疗工具提供明确的信息（例如，数据隐私、使用预期）。这些发现证明了与青少年和社区护理人员合作的重要性，这些社区在未来的mHealth设计，开发和部署中面临着巨大的健康差距。
Despite widespread access to smartphones, teens from communities facing significant behavioral health disparities typically have low mobile health (mHealth) engagement. The purpose of this study was to characterize teen and caregiver perspectives about smartphone use and access, mHealth, and how mHealth could address teens’ behavioral health needs during the pandemic and beyond. Remote recruitment and methodologies were used to engage 17 teens (M age = 15.9 ± 0.9) and 10 caregivers living in urban communities with significant socioeconomic and health disparities. Participants completed a focus group or interview session (based on preference) and self-report questionnaires (e.g., behavioral health history, pandemic impacts, technology use). Qualitative and quantitative data were analyzed using thematic and descriptive analyses, respectively. Both quantitative and qualitative data indicated relevant behavioral health concerns for teens and their families, impacts from the pandemic, and frequent smartphone use. Primary teen and caregiver themes included (1) health and wellness concerns, (2) barriers, (3) use of smartphones, (4) impacts of smartphones, and (5) opinions/suggestions for mHealth. This multi-method and multi-informant study highlighted the lived experiences of teens from marginalized communities and offered key insights to increase the acceptability and real-world engagement of mHealth tools. To address barriers to care for this population beyond the pandemic, clear messaging must be used for mHealth tools (e.g., data privacy, expectations of use). These findings testify to the importance of collaboration with teens and caregivers from communities facing large health disparities in future mHealth design, development, and deployment.