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

吸毒者健康相关互联网和移动技术使用的探索性研究

• 批准号: 8512442
• 负责人: CRYSTAL FULLER LEWIS
• 金额: $ 20万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-06-15 至 2015-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8512442
• 关键词: Accounting; Address; Age; Area; Behavior; Behavioral; Caring; Cellular Phone; Characteristics; Chronic Disease; Cocaine Users; Communication; Communities; Computers; Crack Cocaine; Cross-Sectional Studies; Data; Databases; Development; Drug abuse; Drug usage; Drug user; Enrollment; Evaluation; Excess Mortality; Foundations; Frequencies; Future; General Population; Health; Health Personnel; Health Promotion; Health Services; Health Services Accessibility; Health Status; Health Technology; Health behavior change; Health care facility; Health education; Healthcare; Healthcare Systems; Heroin; Home environment; Improve Access; Individual; Injecting drug user; Injection of therapeutic agent; Internet; Intervention; Interview; Libraries; Location; Logistic Regressions; Low Income Population; Maps; Morbidity - disease rate; Neighborhoods; New York; New York City; Online Systems; Outcome; Ownership; Pamphlets; Participant; Patient Self-Report; Pharmaceutical Preparations; Pharmacy facility; Population; Printing; Provider; Public Health; Recruitment Activity; Reporting; Research; Risk Behaviors; Self Efficacy; Services; Syringes; Target Populations; Techniques; Technology; Testing; Text; Update; Visit; Vulnerable Populations; Woman; Writing; base; cocaine use; cost; cost effective; demographics; design; disease diagnosis; experience; flyer; health application; health care quality; health care service utilization; high risk; improved; information display; medication compliance; men; multilevel analysis; post intervention; prevent; programs; public health relevance; sex; statistics; therapy development; uptake; web site; willingness

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.

描述（由申请人提供）：这项探索性研究的目的是检查非法吸毒者中与互联网和移动技术使用的频率和类型相关的因素，特别是使用互联网和文本处理来获取医疗保健信息并从事医疗保健利用。基于Web和基于移动技术的健康干预措施已被证明可以有效地提供健康教育，改变健康行为以及增加药物依从性/保留护理。但是，这些干预措施在毒品种群中的潜在影响已被严重忽视。对吸毒者的互联网或基于移动技术的健康促进干预措施受到数据稀缺的影响：何处，次，以及出于何种目的使用互联网和移动技术，尤其是出于健康相关的原因；互联网和移动使用的障碍；以及这些技术的使用如何因社会人口统计学，性和药物风险行为，医疗保健状况和医疗保健利用而有所不同。在此，该研究的目标1是检查人口统计，健康状况，行为，技术自我效能和障碍相关性：1a）在其中，频率和目的的吸毒者使用互联网和移动技术； 1B）愿意将互联网或移动技术用于与健康相关的目的；和1C）实际的Internet或手机应用程序/短信使用，以获取健康信息和/或参与医疗保健系统/提供者。 AIM 2，在报告Internet使用> 1倍/月（来自AIM 1）的人中，他们将被指示访问研究开发的互动式健康信息网站，我们将进行试验测试：2A）网站使用； 2B）使用网站功能（例如观看与健康相关的视频，使用可搜索的卫生保健服务地图）；和2C）接收有关相关健康信息的自动短信更新时的吸收。为了实现这些目标，我们将针对纽约市的较高药物活动社区，并招募由药房工作人员招募的参与者（即，通过纽约州通过纽约州购买注射器的注射注射器访问计划购买注射器的注射吸毒者或通过在药品中发布的研究传单上的无收费号来筛选资格。所有参与者（n = 336）将经历ACASI，该ACASI将评估社会人口统计学，医疗保健访问和利用，性/吸毒行为，健康状况以及一般和健康相关的互联网/移动技术使用的特征，包括促进或阻碍使用的因素。被确定为使用Internet E 1/月（n = 151）的参与者将返回2周的ACASI，以报告使用飞行员网站的使用（该网站将在很大程度上显示在社区中目前以PRINT/ PAMPHLET/ VIDEO表格提供的信息）。将使用两个目的的描述性统计和回归技术分析数据，以及用于考虑群集数据的多级建模。我们的研究结果有可能告知未来基于Web或基于移动的干预措施的发展，以改善非法吸毒者的健康状况。