Technology Access and Perceptions of Telehealth Services Among Young Adults Involved in the Court System.

Autor: Ertl MM; Department of Psychology, University of Minnesota, Minneapolis, Minnesota., Jones A; Department of Special Education, Rehabilitation, and Counseling, Auburn University, Haley Center, Auburn, Alabama., Hickson R; Department of Clinical Psychology, Palo Alto University, Palo Alto, California., Achebe I; Division of Child and Adolescent Psychiatry, Columbia University and the New York State Psychiatric Institute, New York, New York., Gyamfi Ertl SL; Department of Pediatrics, University of Virginia School of Medicine, Charlottesville, Virginia., Sichel CE; Division of Child and Adolescent Psychiatry, Columbia University and the New York State Psychiatric Institute, New York, New York., Campos S; Division of Child and Adolescent Psychiatry, Columbia University and the New York State Psychiatric Institute, New York, New York., O'Grady MA; Department of Public Health Sciences, University of Connecticut School of Medicine, Farmington, Connecticut., Tross S; HIV Center for Clinical and Behavioral Studies at the New York State Psychiatric Institute and Columbia University, New York, New York; Division on Substance Use Disorders, New York State Psychiatric Institute, New York, New York., Wilson P; Department of Psychology, University of California-Los Angeles, Los Angeles, California., Cohall RM; Mailman School of Public Health, Columbia University, New York, New York., Cohall AT; Mailman School of Public Health, Columbia University, New York, New York., Elkington KS; Division of Child and Adolescent Psychiatry, Columbia University and the New York State Psychiatric Institute, New York, New York; HIV Center for Clinical and Behavioral Studies at the New York State Psychiatric Institute and Columbia University, New York, New York. Electronic address: ke2143@cumc.columbia.edu.
Jazyk: angličtina
Zdroj: The Journal of adolescent health : official publication of the Society for Adolescent Medicine [J Adolesc Health] 2024 Mar; Vol. 74 (3), pp. 582-590. Date of Electronic Publication: 2023 Dec 08.
DOI: 10.1016/j.jadohealth.2023.09.019
Abstrakt: Purpose: This study examined access to technology and telehealth among young adults (ages 18-24) who were court-involved and were recruited from an alternative sentencing program in New York City.
Methods: Using sequential mixed methods design, we examined demographic factors linked with access to technology and perceived usefulness of the Internet among n = 321 young adults who were court-involved (75% male, 65% African American, 35% Latinx). We then conducted in-depth interviews with 27 young adults to elicit first-person account of their access to, interest in, and experience with technology and telehealth.
Results: Although most participants had access to a phone with a data plan, a substantial proportion reported inconsistent access to the technology critical to telehealth. Certain young adults were more likely to lack consistent access to the technology needed for telehealth, including Black young adults, males, those with less than a high school diploma, those with a history of homelessness, and those who had difficulties paying for basic necessities. Qualitative interviews revealed that most had a strong self-efficacy using technology, while distrust of technology, inexperience with and skepticism of telehealth, low perceived need for care, and medical mistrust were common significant barriers in this underserved population.
Discussion: Findings underscored the critical need to address medical mistrust and increase access to and utilization of care among young adults who are court-involved. Results can inform the development and implementation of interventions designed to improve accessibility and acceptability of telehealth.
(Copyright © 2023 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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