Colder Carras Michelle, Mojtabai Ramin, Furr-Holden C Debra, Eaton William, Cullen Bernadette A M
CARRAS, FURR-HOLDEN, and EATON: Johns Hopkins Bloomberg School of Public Health, Baltimore, MD; MOJTABAI and CULLEN: Johns Hopkins Bloomberg School of Public Health and the Johns Hopkins University School of Medicine.
J Psychiatr Pract. 2014 Mar;20(2):94-103. doi: 10.1097/01.pra.0000445244.08307.84.
Recent years have witnessed an expansion of Internet- and mobile-phone-based interventions for health promotion, yet few studies have focused on the use of technology by individuals with mental illness. This study examined the extent to which patients at an inner-city community psychiatry clinic had access to information and communications technology (ICT) and how they used those resources.
Patients of an outpatient, inner-city community psychiatry program (N=189) completed a survey that included questions about demographics and ICT use which were adapted from an existing local population-based health survey (community sample, N=968). Frequencies of ICT use were assessed for the clinic sample and questions common to both the surveys completed by the clinic and community samples were compared using logistic regression.
Among clinic cases, 105 (55.6%) reported owning or using a computer, 162 (85.7%) reported owning or using a mobile phone, and 112 (59.3%) reportedf using the Internet. Among those who used mobile phones, the majority reported using them daily; 42% of those who used the Internet reported using it several times per day. Differences in frequency of Internet use between samples were not significant, but clinic participants used the Internet more intensively to email, instant message, access health information, and use social media sites.
A majority of patients in this community psychiatry clinic sample use ICT. Greater access to and use of the Internet by those with mental illness has important implications for the feasibility and impact of technology-based interventions.
近年来，基于互联网和手机的健康促进干预措施不断扩展，但很少有研究关注患有精神疾病的个体对技术的使用情况。本研究调查了市中心社区精神病诊所的患者获取信息和通信技术（ICT）的程度以及他们如何使用这些资源。
一个市中心社区精神病门诊项目的患者（N = 189）完成了一项调查，其中包括有关人口统计学和ICT使用的问题，这些问题改编自现有的基于当地人群的健康调查（社区样本，N = 968）。评估了诊所样本中ICT的使用频率，并使用逻辑回归比较了诊所样本和社区样本完成的两项调查中共同的问题。
在诊所病例中，105人（55.6%）报告拥有或使用过计算机，162人（85.7%）报告拥有或使用过手机，112人（59.3%）报告使用过互联网。在使用手机的人群中，大多数人报告每天都使用；在使用互联网的人群中，42%的人报告每天使用几次。样本之间互联网使用频率的差异不显著，但诊所参与者更频繁地使用互联网来发送电子邮件、即时通讯、获取健康信息和使用社交媒体网站。
这个社区精神病诊所样本中的大多数患者使用ICT。患有精神疾病的人更多地获取和使用互联网，这对基于技术的干预措施的可行性和影响具有重要意义。
