Exploratory study of drug user health-related internet and mobile technology use

描述（由申请方提供）：本探索性研究的目的是检查与非法药物使用者使用互联网和移动的技术的频率和类型相关的因素，特别是使用互联网和短信获取医疗保健信息和参与医疗保健利用。基于网络和移动的技术的健康干预措施已被证明在提供健康教育、改变健康行为和增加护理中的药物依从性/保留方面是有效的。然而，对这些干预措施在吸毒人群中的潜在影响的探讨严重不足。针对吸毒者的基于互联网或移动的技术的健康促进干预措施因缺乏以下方面的数据而受到阻碍：吸毒者在何处、多久使用一次以及出于何种目的使用互联网和移动的技术，特别是出于与健康有关的原因;使用互联网和移动的技术的障碍;以及这些技术的使用如何因社会人口统计学、性和毒品风险行为、医疗保健状况和医疗保健利用而有所不同。在此，本研究的目的1是检查人口统计学、健康状况、行为、技术自我效能和以下障碍的相关性：1a）吸毒者使用互联网和移动的技术的地点、频率和目的; 1b）出于健康相关目的使用互联网或移动的技术的意愿;以及1c）出于获取健康信息和/或吸引健康护理系统/提供者的目的的实际互联网或手机应用程序/文本消息使用。目标2，在报告互联网使用> 1次/月的人中（由目的1）指引他们浏览研究为药物使用者而设的互动健康信息网站，我们会进行先导试验：2a）网站使用; 2b）网站功能使用（例如观看与健康有关的录影带、使用可搜寻的医护服务地图）;以及2c）接收有关健康信息的自动文本消息更新。为了实现这些目标，我们将瞄准纽约市毒品活动频繁的社区，并招募由药房工作人员招募的参与者（即通过纽约州扩大注射器获取计划购买注射器的注射吸毒者）或通过拨打免费电话筛选合格的参与者药房张贴的研究传单上的号码。所有受试者（n=336）将接受ACASI，评估社会人口统计学、医疗保健获取和利用、性/药物使用行为、健康状况以及一般和健康相关互联网/移动的技术使用特征，包括促进或阻碍使用的因素。被确定为使用互联网的参与者e1/月（n=151）将返回进行为期2周的ACASI，以报告试点网站的使用情况（该网站将主要以印刷品/小册子/视频形式显示社区目前可用的信息）。将使用描述性统计和回归技术分析数据，并使用多级模型解释聚类数据。我们的研究结果有可能为基于网络或基于移动的干预措施的未来发展提供信息，以改善非法药物使用者的健康状况。

DESCRIPTION (provided by applicant): The purpose of this exploratory study is to examine factors associated with frequency and type of internet and mobile technology use among illegal drug users, specifically use of internet and text-messaging to obtain health care information and engage in health care utilization. Web-based and mobile technology-based health interventions have been shown to be effective in providing health education, changing health behavior, and increasing medication adherence/retention in care. However, the potential impact of these interventions among drug-using populations has been grossly underexplored. Internet or mobile technology-based health promotion interventions for drug users has been hampered by the scarcity of data on: where, how often, and for what purpose drug users use internet and mobile technologies, especially for health-related reasons; barriers to internet and mobile use; and how use of these technologies vary by socio-demographics, sexual and drug risk behavior, health care status, and health care utilization. Herein, Aim 1 of the study is to examine demographic, health status, behavioral, technology self-efficacy and barrier correlates of: 1a) where, how often, and for what purpose drug users use internet and mobile technologies; 1b) willingness to use internet or mobile technology for health-related purposes; and 1c) actual internet or cell phone app/text message use for the purposes of acquiring health information and/or engaging the health care system/providers. Aim 2, among those who report internet use > 1x/month (from Aim 1) who will be directed to visit a study-developed interactive health information website for drug users, we will pilot test: 2a) website use; 2b) use of website functions (e.g. viewing health-related videos, use of searchable map of health care services); and 2c) uptake in receipt of automatic text message updates on relevant health information. To achieve these aims, we will target high drug activity neighborhoods in New York City and enroll participants recruited by pharmacy staff (i.e. injection drug users purchasing syringes through New York State Expanded Syringe Access Program) or screened eligible by calling a toll-free number on the study flyer posted in the pharmacy. All participants (n=336) will undergo an ACASI that will assess socio-demographics, health care access and utilization, sex/drug use behavior, health status, and characteristics of general and health-related internet/mobile technology use including factors that promote or hinder use. Participants identified as using the internet e 1/month (n=151) will return for a 2-week ACASI to report on use of the pilot website (which will largely display information currently available in the community in print/ pamphlet/ video form). Data will be analyzed using descriptive statistics and regression techniques for both aims, and multilevel modeling to account for clustered data. Our study results have the potential to inform the future development of web-based or mobile-based interventions to improve the health status of illegal drug users.