Glick Gretl, Druss Benjamin, Pina Jamie, Lally Cathy, Conde Mark
Center for Behavioral Health Policy Studies, Emory University, USA
Center for Behavioral Health Policy Studies, Emory University, USA.
J Telemed Telecare. 2016 Oct;22(7):430-5. doi: 10.1177/1357633X15613236. Epub 2015 Oct 29.
mHealth holds promise in transforming care for people with serious mental illness (SMI) and other disadvantaged populations. However, information about the rates of smartphone ownership and usage of mobile health apps among people with SMI is limited. The objective of this research is to examine the current ownership, usage patterns, and existing barriers to mobile health interventions for people with SMI treated in a public sector community mental health setting and to compare the findings with national usage patterns from the general population.
A survey was conducted to determine rates of ownership of smartphone devices among people with SMI. Surveys were administered to 100 patients with SMI at an outpatient psychiatric clinic. Results were compared with respondents to the 2012 Pew Survey of mobile phone usage.
A total of 85% of participants reported that they owned a cell phone; of those, 37% reported that they owned a smartphone, as compared with 53% of respondents to the Pew Survey and 44% of socioeconomically disadvantaged respondents to the Pew Survey.
While cell phone ownership is common among people with SMI, their adoption of smartphone technology lags behind that of the general population primarily due to cost barriers. Efforts to use mHealth in these populations need to recognize current mobile ownership patterns while planning for anticipated expansion of new technologies to poor populations as cost barriers are reduced in the coming years.
移动健康有望改变对严重精神疾病患者（SMI）及其他弱势群体的护理方式。然而，关于SMI患者中智能手机拥有率及移动健康应用使用情况的信息有限。本研究的目的是调查在公共部门社区心理健康机构接受治疗的SMI患者中移动健康干预措施的当前拥有情况、使用模式及现存障碍，并将研究结果与普通人群的全国使用模式进行比较。
开展一项调查以确定SMI患者中智能手机设备的拥有率。对一家门诊精神科诊所的100名SMI患者进行了调查。将结果与2012年皮尤手机使用调查的受访者进行比较。
共有85%的参与者报告称他们拥有一部手机；其中，37%的人报告称他们拥有一部智能手机，相比之下，皮尤调查的受访者中有53%拥有智能手机，皮尤调查中社会经济地位不利的受访者中有44%拥有智能手机。
虽然SMI患者中手机拥有情况很普遍，但他们对智能手机技术的采用落后于普通人群，主要原因是成本障碍。在这些人群中使用移动健康的努力需要在规划新技术向贫困人口的预期扩展时认识到当前的移动设备拥有模式，因为未来几年成本障碍会降低。
