Are people with diabetes mHealth-ready? Smartphone utilisation in a socioeconomically marginalised urban Australian general practitioner-led diabetes clinic.
Objective: Mobile Health (mHealth), a subset of digital health, requires people to own smartphones, but ownership barriers overlap with social factors linked to type 2 diabetes (T2D) burden. We describe the prevalence of smartphone ownership, app use and mobile internet access and factors around upt...
| Publicado en: | Australian Health Review Vol. 49; no. 3; pp. 1 - 11 |
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| Autores principales: | , , , , , , , , |
| Formato: | corrected article research tables/charts Journal Article |
| Publicado: |
CSIRO Publishing
2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=185743600&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 185743600 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01565788 HDW jtl: Australian Health Review issn: 01565788 maglogo: N pubinfo: dt: 2025 vid: 49 iid: 3 pid: 1568 pub: CSIRO Publishing place: Canberra ACT, <Blank> artinfo: ui: 185743600 185743600 185743600 10.1071/AH24289 185743600 ppf: 1 ppct: 10 formats: tig: atl: Are people with diabetes mHealth-ready? Smartphone utilisation in a socioeconomically marginalised urban Australian general practitioner-led diabetes clinic. aug: au: Chua, David Vasconcelos Silve, Carina Hedfi, Souhayel Pointon, Keren Comans, Tracy A. Mayr, Hannah L. Janda, Monika Russell, Anthony W. Menon, Anish affil: Centre for Health Services Research, The University of Queensland, Princess Alexandra Hospital, L2, Building 33, 199 Ipswich Road, Woolloongabba, Qld 4077, Australia. sug: subj: Diabetes Mellitus, Type 2 Therapy Smartphone Utilization Mobile Applications Telemedicine Socioeconomic Factors Physicians, Family Internet Access Community Health Services Health Services Accessibility Human Male Female Adult Middle Age Aged Cross Sectional Studies Surveys Diabetic Patients Psychosocial Factors Queensland Digital Health Outpatient Service Confidence Primary Health Care Convenience Sample Quantitative Studies Descriptive Statistics Data Analysis Software Logistic Regression Chi Square Test Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Objective: Mobile Health (mHealth), a subset of digital health, requires people to own smartphones, but ownership barriers overlap with social factors linked to type 2 diabetes (T2D) burden. We describe the prevalence of smartphone ownership, app use and mobile internet access and factors around uptake and utilisation among people with T2D accessing care in a community setting. Methods: A cross-sectional survey was performed with people with diabetes attending a community-based general practitioner-led diabetes clinic located in Inala, a multiculturally diverse but socioeconomically marginalised suburban region of Brisbane, Queensland. The survey was read aloud to participants, with interpreters if required. Results: There were 104 participants, the median age was 63 years, 47.1% were female and 44.2% spoke language(s) other than English (LOTE) at home. Smartphone ownership was high (85.6%), and average self-rated confidence with advanced feature use was between 'somewhat confident' and 'confident'. Older adults were significantly less likely to own smartphones, less confident with advanced features and less likely to use apps regularly, but many knew someone who could support uptake. LOTE spoken at home was not associated with ownership, mobile internet access, app use or self-rated confidence with advanced feature use, suggesting smartphone technology is already part of daily life. Conclusions: Smartphone ownership and utilisation does not appear to be a major barrier to mHealth uptake in our context. Older adults need tailored supports and education to encourage mHealth uptake. What is known about the topic? Healthcare gaps mean people with type 2 diabetes struggle to attain management goals. Smartphone-based digital health interventions can improve diabetes outcomes, but rely on smartphone ownership and confidence with use. Populations experiencing increased burdens of diabetes overlap with those experiencing barriers to smartphone uptake, potentially contributing to health inequity. What does this paper add? In a socioeconomically marginalised, multiculturally diverse community healthcare setting, we describe the prevalence of smartphone ownership, app use and internet access and factors around uptake and utilisation. What are the implications for practitioners? Smartphone ownership and utilisation are unlikely to be barriers to future uptake of smartphone-based digital health interventions. Focus on tailored supports is needed for older adults and females. pubtype: Academic Journal doctype: corrected article research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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