Department of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany
Psychiatrische Universitätsklinik der Charité im St Hedwig-Krankenhaus, Berlin, Germany.
BMJ Open. 2023 Mar 21;13(3):e067311. doi: 10.1136/bmjopen-2022-067311.
Few studies and almost exclusively from the USA have recently investigated mobile phone and computer use among users of psychiatric services, which is of high relevance regarding the increasing development of digital health applications and services.
OBJECTIVE, DESIGN AND SETTING: In a cross-sectional patient survey, we examined (a) rates and purposes of mobile phone, computer, internet and social media use, and (b) the role of social and clinical predictors on rates of utilisation among psychiatric inpatients in Berlin, Germany.
Descriptive analyses showed that among 496 participants, 84.9% owned a mobile phone and 59.3% a smartphone. Among 493 participants, 68.4% used a computer regularly. Multivariate logistic regression models revealed being homeless, diagnosis of a psychotic illness, being of older age and a lower level of education to be significant predictors for not owning a mobile phone, not using a computer regularly or having a social media account, respectively.
Users of psychiatric services may have access to mobile phones and computers, although rates are lower than in the general population. However, key barriers that need to be addressed regarding the development of and engagement with digital health interventions are factors of social exclusion like marginalised housing as well as clinical aspects like psychotic illness.
最近，很少有研究（几乎全部来自美国）调查过精神科服务使用者的手机和电脑使用情况，这对于日益发展的数字健康应用和服务具有重要意义。
目的、设计和设置： 在一项横断面患者调查中，我们调查了（a）德国柏林精神病住院患者中手机、电脑、互联网和社交媒体使用的频率和目的，以及（b）社会和临床预测因素对使用率的作用。
描述性分析显示，在 496 名参与者中，84.9%拥有手机，59.3%拥有智能手机。在 493 名参与者中，68.4%经常使用电脑。多变量逻辑回归模型显示，无家可归、精神疾病诊断、年龄较大和教育程度较低分别是不拥有手机、不经常使用电脑或没有社交媒体账户的显著预测因素。
尽管精神科服务使用者可能拥有手机和电脑，但使用率低于一般人群。然而，需要解决的数字健康干预措施的开发和参与方面的关键障碍包括边缘化住房等社会排斥因素以及精神病等临床方面的因素。
