Provider perceptions of mHealth engagement for low-resourced, safety-net communities

Public Health Nurs. 2021 Jan;38(1):13-21. doi: 10.1111/phn.12811. Epub 2020 Sep 20.

Abstract

Objective: Evaluate nurses' and other health care professionals' (HCPs) perceptions about implementing mobile health technology (mHealth) in clinical practice to support health care delivery for low-resourced, safety-net communities.

Design: Qualitative exploratory study using data collected from focus group sessions. Respondents addressed four topics: (1) technology's role in health care delivery; (2) barriers to incorporating mHealth data in clinical practice; (3) need for mHealth Clinical Practice Guide (CPG); and (4) mHealth's potential to improve health care access for marginalized communities.

Sample: Thirty HCPs providing services to community health center patients in Washington State and Washington, DC.

Measurements: Thematic analysis of qualitative data.

Results: Themes included:(1) mHealth's ability to provide customized reminders and data accuracy; (2) patients' mistrust of technology; (3) the possibility of linking community resources to address the social determinants of health;(4) mHealth's potential to improve patient-provider communication.

Conclusion: Health care professionals support incorporating mHealth inpatient care but suggest that an mHealth CPG would improve its potential for facilitating health care delivery in low-resourced communities.

Keywords: community health nursing; focus groups; health behaviors; telehealth; vulnerable populations.

MeSH terms

  • Attitude of Health Personnel*
  • Community Health Services* / organization & administration
  • District of Columbia
  • Health Personnel* / psychology
  • Health Resources / supply & distribution
  • Humans
  • Nurses / psychology
  • Qualitative Research
  • Safety-net Providers / statistics & numerical data
  • Telemedicine* / organization & administration
  • Washington