The digital divide in adoption and use of mobile health technology among caregivers of pediatric surgery patients |
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| Authors: | Emma C. Hamilton Faiez Saiyed Charles C. Miller Arturo Eguia Alexandra C. Fonseca George P. Baum KuoJen Tsao Mary T. Austin |
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| Affiliation: | 1. Department of Pediatric Surgery, The McGovern Medical School at the University of Texas Health Science Center at Houston, 6431 Fannin Street, Suite 5.258, Houston, TX 77030, United States;2. Center for Surgical Trials and Evidence-Based Practice, McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, TX, United States;3. Department of Cardiothoracic and Vascular Surgery, McGovern Medical School at The University of Texas Health Science Center at Houston, 6400 Fannin Street, Suite 2850, Houston, TX 77030, United States;4. Patient-reported Outcomes, Survey and Population Research Shared Resource, The University of Texas M.D. Anderson Cancer Center, Houston, TX, United States;5. Department of Pediatric Patient Care, Children''s Cancer Hospital, The University of Texas MD Anderson Cancer Center, Houston, TX, United States;6. Department of Surgical Oncology, The University of Texas M.D. Anderson Cancer Center, 1400 Pressler St., Unit 1406, Houston, TX 77030, United States |
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| Abstract: | PurposeThe purpose of this study was to identify mobile Health (mHealth) technology utilization among caregivers of pediatric surgery patients.MethodsWe provided a modified version of the 2012 mobile health survey from the Pew Research Center to English and Spanish-speaking caregivers of children aged < 18 years presenting to pediatric surgical outpatient clinics from June to July of 2016.ResultsA total of 171 caregivers completed the survey and included 57 (34%) whites, 30 (18%) blacks, 75 (44%) Hispanics, and 6 (4%) other races. Among these, 160 (94%) were smartphone owners. mHealth users were identified as individuals who used their phone to look up health information online, receive text updates from healthcare providers or pharmacists, or use any health-related smartphone applications. On univariate ordered logistic regression, race/ethnicity, primary language, education level, and income quartile were associated with level of mHealth technology use. The majority of responders (n = 126, 76%) said that they would be very or moderately interested in trying a new smartphone app related to management of their child's health.ConclusionWhile the majority of pediatric caregivers are smartphone owners, there are significant racial and socioeconomic differences in mHealth usage. Understanding these differences may be important in identifying barriers to adoption of mHealth technology.Level of EvidenceLevel IV case series with no comparison group. |
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| Keywords: | eHealth electronic health mHealth mobile health SES socioeconomic status Mobile health Digital technology Race Disparities Surgery Smartphones |
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