Willingness of African American Women to Participate in e-Health/m-Health Research

Dc, James; Harville, Cedric; Whitehead, Nicole Ennis; Stellefson, Michael; Dodani, Sunita; Sears, Cynthia L.

doi:10.1089/tmj.2015.0071

Cited by 69 publications

(75 citation statements)

References 14 publications

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“…The rapid pace access to mobile technologies has resulted in innumerable opportunities for preventive care through mHealth interventions. A 2016 systematic review regarding the use of eHealth/mHealth found that minority groups, such as African Americans, are among the least underrepresented in research using such technologies for health interventions [75]. This is also observed in South American countries, considering that few studies have been conducted using eHealth/mHealth approaches to improve health outcomes associated with chronic diseases [76].…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Chronic Diseases and Multimorbidity in a Primary Care Context of Central Argentina: A Web-Based Interactive and Cross-Sectional Study

Olivares

Chambi

Chañi

et al. 2017

IJERPH

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Global health agencies estimate an increase of chronic diseases in South America. Nevertheless, few studies have investigated chronic diseases and their risk factors in the perspective of multimorbidity. This research aimed to identify these aspects in a primary health care setting of central Argentina. The Pan America version of the STEP wise approach surveillance (STEPS) instrument of the World Health Organization was applied to 1044 participants, 365 men and 679 women, with a mean age of 43 years. High prevalence of overweight (33.5%), obesity (35.2%), central obesity (54%), dyslipidemia (43.5%), metabolic syndrome (21.1%), low intake of fruit and vegetables (91.8%), low levels of physical activity (71.5%), risky alcohol consumption (28%), and smoking (22.5%) were detected. Hypertension and diabetes were the most prevalent chronic conditions and the total prevalence of multimorbidity was 33.1%, with 2, 3, 4, 5 and 6 chronic conditions found in 19.9%, 9.1%, 2.6%, 1.1% and 0.4% of the population, respectively. Multimorbidity affected 6.4% of the young, 31.7% of the adults, and 60.6% of the elderly, and was more prevalent among women, and in participants with lower levels of education. Having multimorbidity was significantly associated with obesity, central obesity, and higher concentrations of total blood cholesterol, low-density lipoprotein cholesterol, triglycerides, and glucose. A website was made available to the participants in order to share the experimental results and health-promoting information.

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Section: Discussionmentioning

confidence: 99%

Risk Factors for Chronic Diseases and Multimorbidity in a Primary Care Context of Central Argentina: A Web-Based Interactive and Cross-Sectional Study

Olivares

Chambi

Chañi

et al. 2017

IJERPH

View full text Add to dashboard Cite

show abstract

“…These findings are consistent with the findings of other studies that show African American women express greater interest in health issues than African American men (36). Thus, as gatekeepers to the home and a major source of informal health information for the men in their lives, African American women should be considered as primary and secondary targets for mHealth interventions for various health conditions (19). …”

Section: Discussionmentioning

confidence: 99%

“…The questionnaire is described elsewhere (19,20). Questions were asked about sociodemographic characteristics (sex, age, marital status [married or not married], birthplace [in United States or not], education, employment status [employed or not], and home ownership [yes or no]), ownership and use of digital devices, health information–seeking behavior, willingness to participate in mHealth research, weight, and health status.…”

Section: Methodsmentioning

confidence: 99%

eHealth Literacy, Online Help-Seeking Behavior, and Willingness to Participate in mHealth Chronic Disease Research Among African Americans, Florida, 2014–2015

James

2016

Prev. Chronic Dis.

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IntroductionThe high rate of ownership of smartphones among African Americans provides researchers with opportunities to use digital technologies to reduce the prevalence of chronic diseases in this population. This study aimed to assess the association between eHealth literacy (EHL) and access to technology, health information–seeking behavior, and willingness to participate in mHealth (mobile health) research among African Americans.MethodsA self-administered questionnaire was completed by 881 African American adults from April 2014 to January 2015 in north central Florida. EHL was assessed by using the eHealth Literacy Scale (eHEALS) with higher scores (range, 8–40) indicating greater perceived skills at using online health information to help solve health problems.ResultsOverall eHEALS scores ranged from 8 to 40, with a mean of 30.4 (standard deviation, 7.8). The highest score was for the item “I know how to find helpful health resources on the Internet,” and the lowest score was for “I can tell high quality from low quality health resources on the Internet.” Most respondents owned smartphones (71%) and searched online for health information (60%). Most were also willing to participate in health research that used text messages (67%), smartwatches/health tracking devices (62%), and health apps (57%). We found significantly higher eHEALS scores among women, smartphone owners, those who use the Internet to seek health information, and those willing to participate in mHealth research (P < .01 for all).ConclusionMost participants owned smartphones, used the Internet as a source of information, and were willing to participate in mHealth research. Opportunities exist for improving EHL and conducting mHealth research among African Americans to reduce the prevalence of chronic diseases.

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“…[20] Many sociocultural factors such as medical racism, low physician referral rates, minimum knowledge about the value of research, economic challenges, and ineffective recruitment strategies have influenced African American women's participation in health research. [21] With African Americans' increasing use of the internet through mobile technology and African American women's frequent use of the Internet to search for health information, there is an opportunity to engage African American women in research through an eHealth intervention for HIV prevention while minimizing some of the common barriers to community-based and clinical interventions. [14,21] To directly address the quandary of little to no awareness of biomedical prevention strategies for HIV prevention among African American women, our study sought to strengthen knowledge of post-exposure prophylaxis and preexposure prophylaxis using eHealth technology in an Internet-based research study.…”

Section: Introductionmentioning

confidence: 99%

“…[21] With African Americans' increasing use of the internet through mobile technology and African American women's frequent use of the Internet to search for health information, there is an opportunity to engage African American women in research through an eHealth intervention for HIV prevention while minimizing some of the common barriers to community-based and clinical interventions. [14,21] To directly address the quandary of little to no awareness of biomedical prevention strategies for HIV prevention among African American women, our study sought to strengthen knowledge of post-exposure prophylaxis and preexposure prophylaxis using eHealth technology in an Internet-based research study. Thus, the purpose of this study was to increase knowledge of the PEP and PrEP for Women eHealth video to increase knowledge of PEP and PrEP using an avatar-led, online, eHealth video in sample of African American women.…”

Section: Introductionmentioning

confidence: 99%

Utilization of an Animated Electronic Health Video to Increase Knowledge of Post- and Pre-Exposure Prophylaxis for HIV Among African American Women: Nationwide Cross-Sectional Survey (Preprint)

Bond¹,

Ramos²

2018

Preprint

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Background: EHealth technology has significantly impacted HIV prevention strategies, but reach to African American women has been scarce. Objectives:To explore the feasibility, acceptability, and preference of an avatar-led, eHealth video to increase awareness and knowledge of HIV post and pre-exposure prophylaxis (PEP and PrEP) in a sample of African American women. Methods:A cross-sectional, descriptive, online study was conducted with 116 African American women ages 18 to 61. We explored: 1) consumer-awareness, 2) intention to use, and 3) preference for post and pre-exposure prophylaxis after watching the eHealth video.Results: Eighty-nine percent rated the video as good or higher. A higher rating of the educational video was significantly predicted by: no current use of drugs/alcohol (β = -.814, p = .004); not having unprotected sex in the last 3 months (β =-.488, p = .025); higher income (β =.149, p = . 026); lower level of education (β =-.267, p = .005); and, a lower exposure to sexual assault since age 18 (β =-.313, p = .004). After watching the eHealth video, interest in both, PEP and PrEP was high, with intentions to use PEP and PrEP being 96.7% and 75.6% respectively. Ninety-three percent reported recommending PEP and 90.1% PrEP to other women. Conclusions:Utilization of an avatar-led, eHealth, online video fostered education about PEP and PrEP. We can leverage this approach to increase awareness and usage among African American women.

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Willingness of African American Women to Participate in e-Health/m-Health Research

Abstract: Culturally tailored e-health/m-health research using smartphones may be of interest to African American women who are interested in risk reduction and chronic disease self-management. Barriers such as smartphone data plans and privacy will need to be addressed.

Cited by 69 publications

References 14 publications

Risk Factors for Chronic Diseases and Multimorbidity in a Primary Care Context of Central Argentina: A Web-Based Interactive and Cross-Sectional Study

Risk Factors for Chronic Diseases and Multimorbidity in a Primary Care Context of Central Argentina: A Web-Based Interactive and Cross-Sectional Study

eHealth Literacy, Online Help-Seeking Behavior, and Willingness to Participate in mHealth Chronic Disease Research Among African Americans, Florida, 2014–2015

Utilization of an Animated Electronic Health Video to Increase Knowledge of Post- and Pre-Exposure Prophylaxis for HIV Among African American Women: Nationwide Cross-Sectional Survey (Preprint)

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