The importance of circumstance: Digital access and affordability for people experiencing homelessness

Humphry, Justine

doi:10.7790/ajtde.v2n3.55

Cited by 29 publications

(27 citation statements)

References 10 publications

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“…Wider concerns around digital exclusion and broader ethical concerns have been emphasised elsewhere, 22 , 53 including in the Ada Lovelace Institute rapid review, 21 but are not currently well quantified. Some populations that are particularly vulnerable to the health impacts of COVID-19 (eg, older adults, people who are homeless, and socioeconomically deprived populations) are also less likely to own a smartphone, 17 , 22 , 54 , 55 potentially amplifying their risks because contact-tracing apps could—for similar reasons—be less likely to reduce transmission within their social circles. 33 Such challenges are more acute in low-income countries than in high-income countries.…”

Section: Discussionmentioning

confidence: 99%

Automated and partly automated contact tracing: a systematic review to inform the control of COVID-19

Braithwaite¹,

Callender²,

Bullock³

et al. 2020

The Lancet Digital Health

285

258

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Summary Evidence for the use of automated or partly automated contact-tracing tools to contain severe acute respiratory syndrome coronavirus 2 is scarce. We did a systematic review of automated or partly automated contact tracing. We searched PubMed, EMBASE, OVID Global Health, EBSCO Medical COVID Information Portal, Cochrane Library, medRxiv, bioRxiv, arXiv, and Google Advanced for articles relevant to COVID-19, severe acute respiratory syndrome, Middle East respiratory syndrome, influenza, or Ebola virus, published from Jan 1, 2000, to April 14, 2020. We also included studies identified through professional networks up to April 30, 2020. We reviewed all full-text manuscripts. Primary outcomes were the number or proportion of contacts (or subsequent cases) identified. Secondary outcomes were indicators of outbreak control, uptake, resource use, cost-effectiveness, and lessons learnt. This study is registered with PROSPERO (CRD42020179822). Of the 4036 studies identified, 110 full-text studies were reviewed and 15 studies were included in the final analysis and quality assessment. No empirical evidence of the effectiveness of automated contact tracing (regarding contacts identified or transmission reduction) was identified. Four of seven included modelling studies that suggested that controlling COVID-19 requires a high population uptake of automated contact-tracing apps (estimates from 56% to 95%), typically alongside other control measures. Studies of partly automated contact tracing generally reported more complete contact identification and follow-up compared with manual systems. Automated contact tracing could potentially reduce transmission with sufficient population uptake. However, concerns regarding privacy and equity should be considered. Well designed prospective studies are needed given gaps in evidence of effectiveness, and to investigate the integration and relative effects of manual and automated systems. Large-scale manual contact tracing is therefore still key in most contexts.

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Section: Discussionmentioning

confidence: 99%

Automated and partly automated contact tracing: a systematic review to inform the control of COVID-19

Braithwaite¹,

Callender²,

Bullock³

et al. 2020

The Lancet Digital Health

285

258

View full text Add to dashboard Cite

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“…For populations in state care, the contacts as currency theme indicates how broad social networks with shallow ties with peers beyond state care may be sought and orientated. Similarly, this theme converges and builds upon the trends emergent from previous research (Ellison et al, 2010;Guadagno et al, 2013;Humphry, 2014).…”

Section: Theme 1 -Contacts As Currencymentioning

confidence: 53%

Social Media, Social Capital and Adolescents Living in State Care: A Multi-Perspective and Multi-Method Qualitative Study

Hammond

Cooper

Jordan

2018

The British Journal of Social Work

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Social media are used daily by billions to communicate. Adolescents living in state care are no different, yet the potential implications of their social media use are. Despite the global use of social media and evidence highlighting their role in social capital cultivation, how adolescents living in state care make use of social media remains unknown with discussions tending to focus exclusively on risk. Using data from a four-year Digital Life Story work (DLSW) research programme, this paper explores adolescents' and social care professional's (n=45) perspectives on the everyday use of social media by adolescents living in state care. Using an ethnographic multimethod approach, extracts of conversations from the four English residential homes engaged in the DLSW programme were thematically analysed. Three major themes emerged; contacts as currency, promoting and protecting the self and transitions. Analysis illustrate how adolescents living in state care use social media as active digital agents and the need to reframe this usage to enable benefits to be enacted. The paper concludes that urgent research is needed to enable practitioners and policy makers to show a deeper appreciation of the potentials of social media enabling a more balanced approach to succeed in practice.

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“…Given that tailored cessation support offered through internet‐based resources has been found to improve the likelihood of successful quit attempts among the general population, 27 this option may represent an underused alternative that could be the focus of future interventions. Access to technology is not necessarily a major barrier, as Australians experiencing homelessness have high rates of mobile phone use and approximately three‐quarters have access to a smartphone; however, data charges may be a possible barrier to use if public Wi‐Fi hotspots are unavailable 28 . Given the lack of research on utilisation of online cessation resources by people experiencing disadvantage, future research could invite members of these groups to assist in the design of online resources to ensure they are acceptable and appropriate for addressing their specific needs.…”

Section: Discussionmentioning

confidence: 99%

“…Access to technology is not necessarily a major barrier, as Australians experiencing homelessness have high rates of mobile phone use and approximately three-quarters have access to a smartphone; however, data charges may be a possible barrier to use if public Wi-Fi hotspots are unavailable. 28 Given the lack of research on utilisation of online cessation resources by people experiencing disadvantage, future research could invite members of these groups to assist in the design of online resources to ensure they are acceptable and appropriate for addressing their specific needs. For example, in the present study, online resources were not identified by interviewees as providing emotional support during quit attempts, so future online interventions may include features to address this concern.…”

Section: Discussionmentioning

confidence: 99%

Potential sources of cessation support for high smoking prevalence groups: a qualitative study

Parnell

Box²,

Bonevski

et al. 2019

Australian and New Zealand Journal of Public Health

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Objective This study aimed to: i) explore potential sources of cessation support as nominated by disadvantaged smokers; and ii) identify factors influencing decisions to use these sources. Methods Semi‐structured interviews were conducted with 84 smokers accessing community service organisations from the alcohol and other drugs, homeless, and mental health sectors. Transcripts were coded and thematically analysed. Results Doctors emerged as the most commonly recognised source of cessation support, followed by Quitline, community service organisation staff; and online resources. The main factors contributing to the possible use of these sources of support were identified as awareness, perceived usefulness and anticipated emotional support. Conclusions The results suggest that doctors are an important group to consider when developing cessation interventions for disadvantaged smokers due to their recognised ability to provide practical and emotional support. However, efforts are needed to ensure doctors are aware of the benefits of cessation for these groups. Community service organisations appear to be another potentially effective source of cessation support for disadvantaged smokers. Implications for public health The results indicate that cessation interventions among high‐priority groups should endeavour to provide personalised emotional and practical support. Doctors and community service organisation staff appear to be well‐placed to deliver this support.

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The importance of circumstance: Digital access and affordability for people experiencing homelessness

Cited by 29 publications

References 10 publications

Automated and partly automated contact tracing: a systematic review to inform the control of COVID-19

Automated and partly automated contact tracing: a systematic review to inform the control of COVID-19

Social Media, Social Capital and Adolescents Living in State Care: A Multi-Perspective and Multi-Method Qualitative Study

Potential sources of cessation support for high smoking prevalence groups: a qualitative study

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