Can't surf, won't surf: the digital divide in mental health

J Ment Health. 2012 Aug;21(4):395-403. doi: 10.3109/09638237.2012.689437. Epub 2012 Jun 19.

Abstract

Background: New health information technology (HIT) increasingly plays a role in health care as technology becomes cheaper and more widespread. However, there is a danger that those who do not use or have access to technology will not benefit from HIT innovations, thus creating a "digital divide".

Aims: To assess the extent to which mental health service users have access to, skills in using and appetite for various technologies.

Methods: A cross-sectional survey was used to assess technology use and access patterns of 121 people from community mental health services. Data were analysed using logistic regression.

Results: Technology use and access were very similar to that of the general population with older individuals reporting less familiarity, access and confidence across a range of technologies. Black, minority and ethnic (BME) groups were more likely to access computers outside of their own homes than white individuals. Older participants experiencing psychosis indicated a desire to increase their computer use.

Conclusions: The findings reported here contrast with recent evidence suggesting that those who do not engage with technology are "self-excluders". Furthermore, BME groups may need extra support regarding provision of technology in order to engage with HIT.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Attitude to Computers*
  • Community Mental Health Services
  • Cross-Sectional Studies
  • Female
  • Health Services Accessibility*
  • Humans
  • Logistic Models
  • Male
  • Mental Disorders / rehabilitation*
  • Middle Aged
  • Patient Acceptance of Health Care*
  • Socioeconomic Factors
  • Telemedicine*
  • United Kingdom