New media use by patients who are homeless: The potential of mHealth to build connectivity

Lori Ann Post, Federico E. Vaca, Kelly Doran, Cali Luco, Matthew Naftilan, James Dziura, Cynthia Brandt, Steven Bernstein, Liudvikas Jagminas, Gail D'Onofrio

Research output: Contribution to journalArticle

Abstract

Background: Patients experiencing homelessness represent a disproportionate share of emergency department (ED) visits due to poor access to primary care and high levels of unmet health care needs. This is in part due to the difficulty of communicating and following up with patients who are experiencing homelessness. Objective: To determine the prevalence and types of "new media" use among ED patients who experience homelessness. Methods: This was a cross-sectional observational study with sequential enrolling of patients from three emergency departments 24/7 for 6 weeks. In total, 5788 ED patients were enrolled, of whom 249 experienced homelessness. Analyses included descriptive statistics, and unadjusted and adjusted odds ratios. Results: 70.7% (176/249) of patients experiencing homelessness own cell phones compared to 85.90% (4758/5539) of patients in stable housing (P=.001) with the former more likely to own Androids, 70% (53/76) versus 43.89% (1064/2424), and the latter more likely to have iPhones, 44.55% (1080/2424) versus 17% (13/76) (P=.001). There is no significant difference in new media use, modality, or frequency for both groups; however, there is a difference in contract plan with 50.02% (2380/4758) of stably housed patients having unlimited minutes versus 37.5% (66/176) of homeless patients. 19.78% (941/4758) of patients in stable housing have pay-as-you-go plans versus 33.0% (58/176) of homeless patients (P=.001). Patients experiencing homelessness are more likely to want health information on alcohol/substance abuse, mental health, domestic violence, pregnancy and smoking cessation. Conclusions: This study is unique in its characterization of new media ownership and use among ED patients experiencing homelessness. New media is a powerful tool to connect patients experiencing homelessness to health care.

Original languageEnglish (US)
Article numbere195
JournalJournal of Medical Internet Research
Volume15
Issue number9
DOIs
StatePublished - Sep 2013

Fingerprint

Telemedicine
Homeless Persons
Hospital Emergency Service
Delivery of Health Care
Cell Phones
Domestic Violence
Ownership
Smoking Cessation
Contracts
Alcoholism
Health Status
Substance-Related Disorders
Observational Studies
Primary Health Care
Mental Health

Keywords

  • Connectivity
  • Emergency department
  • Homelessness
  • MHealth

ASJC Scopus subject areas

  • Health Informatics

Cite this

New media use by patients who are homeless : The potential of mHealth to build connectivity. / Post, Lori Ann; Vaca, Federico E.; Doran, Kelly; Luco, Cali; Naftilan, Matthew; Dziura, James; Brandt, Cynthia; Bernstein, Steven; Jagminas, Liudvikas; D'Onofrio, Gail.

In: Journal of Medical Internet Research, Vol. 15, No. 9, e195, 09.2013.

Research output: Contribution to journalArticle

Post, LA, Vaca, FE, Doran, K, Luco, C, Naftilan, M, Dziura, J, Brandt, C, Bernstein, S, Jagminas, L & D'Onofrio, G 2013, 'New media use by patients who are homeless: The potential of mHealth to build connectivity', Journal of Medical Internet Research, vol. 15, no. 9, e195. https://doi.org/10.2196/jmir.2724
Post, Lori Ann ; Vaca, Federico E. ; Doran, Kelly ; Luco, Cali ; Naftilan, Matthew ; Dziura, James ; Brandt, Cynthia ; Bernstein, Steven ; Jagminas, Liudvikas ; D'Onofrio, Gail. / New media use by patients who are homeless : The potential of mHealth to build connectivity. In: Journal of Medical Internet Research. 2013 ; Vol. 15, No. 9.
@article{6662f2ec77b64183aa80e64b71edc39f,
title = "New media use by patients who are homeless: The potential of mHealth to build connectivity",
abstract = "Background: Patients experiencing homelessness represent a disproportionate share of emergency department (ED) visits due to poor access to primary care and high levels of unmet health care needs. This is in part due to the difficulty of communicating and following up with patients who are experiencing homelessness. Objective: To determine the prevalence and types of {"}new media{"} use among ED patients who experience homelessness. Methods: This was a cross-sectional observational study with sequential enrolling of patients from three emergency departments 24/7 for 6 weeks. In total, 5788 ED patients were enrolled, of whom 249 experienced homelessness. Analyses included descriptive statistics, and unadjusted and adjusted odds ratios. Results: 70.7{\%} (176/249) of patients experiencing homelessness own cell phones compared to 85.90{\%} (4758/5539) of patients in stable housing (P=.001) with the former more likely to own Androids, 70{\%} (53/76) versus 43.89{\%} (1064/2424), and the latter more likely to have iPhones, 44.55{\%} (1080/2424) versus 17{\%} (13/76) (P=.001). There is no significant difference in new media use, modality, or frequency for both groups; however, there is a difference in contract plan with 50.02{\%} (2380/4758) of stably housed patients having unlimited minutes versus 37.5{\%} (66/176) of homeless patients. 19.78{\%} (941/4758) of patients in stable housing have pay-as-you-go plans versus 33.0{\%} (58/176) of homeless patients (P=.001). Patients experiencing homelessness are more likely to want health information on alcohol/substance abuse, mental health, domestic violence, pregnancy and smoking cessation. Conclusions: This study is unique in its characterization of new media ownership and use among ED patients experiencing homelessness. New media is a powerful tool to connect patients experiencing homelessness to health care.",
keywords = "Connectivity, Emergency department, Homelessness, MHealth",
author = "Post, {Lori Ann} and Vaca, {Federico E.} and Kelly Doran and Cali Luco and Matthew Naftilan and James Dziura and Cynthia Brandt and Steven Bernstein and Liudvikas Jagminas and Gail D'Onofrio",
year = "2013",
month = "9",
doi = "10.2196/jmir.2724",
language = "English (US)",
volume = "15",
journal = "Journal of Medical Internet Research",
issn = "1439-4456",
publisher = "Journal of medical Internet Research",
number = "9",

}

TY - JOUR

T1 - New media use by patients who are homeless

T2 - The potential of mHealth to build connectivity

AU - Post, Lori Ann

AU - Vaca, Federico E.

AU - Doran, Kelly

AU - Luco, Cali

AU - Naftilan, Matthew

AU - Dziura, James

AU - Brandt, Cynthia

AU - Bernstein, Steven

AU - Jagminas, Liudvikas

AU - D'Onofrio, Gail

PY - 2013/9

Y1 - 2013/9

N2 - Background: Patients experiencing homelessness represent a disproportionate share of emergency department (ED) visits due to poor access to primary care and high levels of unmet health care needs. This is in part due to the difficulty of communicating and following up with patients who are experiencing homelessness. Objective: To determine the prevalence and types of "new media" use among ED patients who experience homelessness. Methods: This was a cross-sectional observational study with sequential enrolling of patients from three emergency departments 24/7 for 6 weeks. In total, 5788 ED patients were enrolled, of whom 249 experienced homelessness. Analyses included descriptive statistics, and unadjusted and adjusted odds ratios. Results: 70.7% (176/249) of patients experiencing homelessness own cell phones compared to 85.90% (4758/5539) of patients in stable housing (P=.001) with the former more likely to own Androids, 70% (53/76) versus 43.89% (1064/2424), and the latter more likely to have iPhones, 44.55% (1080/2424) versus 17% (13/76) (P=.001). There is no significant difference in new media use, modality, or frequency for both groups; however, there is a difference in contract plan with 50.02% (2380/4758) of stably housed patients having unlimited minutes versus 37.5% (66/176) of homeless patients. 19.78% (941/4758) of patients in stable housing have pay-as-you-go plans versus 33.0% (58/176) of homeless patients (P=.001). Patients experiencing homelessness are more likely to want health information on alcohol/substance abuse, mental health, domestic violence, pregnancy and smoking cessation. Conclusions: This study is unique in its characterization of new media ownership and use among ED patients experiencing homelessness. New media is a powerful tool to connect patients experiencing homelessness to health care.

AB - Background: Patients experiencing homelessness represent a disproportionate share of emergency department (ED) visits due to poor access to primary care and high levels of unmet health care needs. This is in part due to the difficulty of communicating and following up with patients who are experiencing homelessness. Objective: To determine the prevalence and types of "new media" use among ED patients who experience homelessness. Methods: This was a cross-sectional observational study with sequential enrolling of patients from three emergency departments 24/7 for 6 weeks. In total, 5788 ED patients were enrolled, of whom 249 experienced homelessness. Analyses included descriptive statistics, and unadjusted and adjusted odds ratios. Results: 70.7% (176/249) of patients experiencing homelessness own cell phones compared to 85.90% (4758/5539) of patients in stable housing (P=.001) with the former more likely to own Androids, 70% (53/76) versus 43.89% (1064/2424), and the latter more likely to have iPhones, 44.55% (1080/2424) versus 17% (13/76) (P=.001). There is no significant difference in new media use, modality, or frequency for both groups; however, there is a difference in contract plan with 50.02% (2380/4758) of stably housed patients having unlimited minutes versus 37.5% (66/176) of homeless patients. 19.78% (941/4758) of patients in stable housing have pay-as-you-go plans versus 33.0% (58/176) of homeless patients (P=.001). Patients experiencing homelessness are more likely to want health information on alcohol/substance abuse, mental health, domestic violence, pregnancy and smoking cessation. Conclusions: This study is unique in its characterization of new media ownership and use among ED patients experiencing homelessness. New media is a powerful tool to connect patients experiencing homelessness to health care.

KW - Connectivity

KW - Emergency department

KW - Homelessness

KW - MHealth

UR - http://www.scopus.com/inward/record.url?scp=84887703623&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84887703623&partnerID=8YFLogxK

U2 - 10.2196/jmir.2724

DO - 10.2196/jmir.2724

M3 - Article

C2 - 24001876

AN - SCOPUS:84887703623

VL - 15

JO - Journal of Medical Internet Research

JF - Journal of Medical Internet Research

SN - 1439-4456

IS - 9

M1 - e195

ER -