Parents’ Use of Technologies for Health Management

A Health Literacy Perspective

Nicole Meyers, Alexander F. Glick, Alan L. Mendelsohn, Ruth M. Parker, Lee M. Sanders, Michael Wolf, Stacy Cooper Bailey, Benard P. Dreyer, Jessica J. Velazquez, H. Shonna Yin*

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

Objective: Parent use of technology to manage child health issues has the potential to improve access and health outcomes. Few studies have examined how parent health literacy affects usage of Internet and cell phone technologies for health management. Methods: Cross-sectional analysis of data collected as part of a randomized controlled experiment in 3 urban pediatric clinics. English- and Spanish-speaking parents (n = 858) of children ≤8 years answered questions regarding use of and preferences related to Internet and cell phone technologies. Parent health literacy was measured using the Newest Vital Sign. Results: The majority of parents were high Internet (70.2%) and cell phone (85.1%) users (multiple times a day). A total of 75.1% had limited health literacy (32.1% low, 43.0% marginal). Parents with higher health literacy levels had greater Internet and cell phone use (adequate vs low: adjusted odds ratio [AOR], 1.7 [confidence interval, 1.2–2.5]) and were more likely to use them for health management (AOR, 1.5 [confidence interval, 1.2–1.8]); those with higher health literacy levels were more likely to use the Internet for provider communication (adequate vs marginal vs low: 25.0% vs 18.0% vs 12.0%, P =.001) and health-related cell phone apps (40.6% vs 29.7% vs 16.4%, P <.001). Overall preference for using technology for provider communication was high (∼70%) and did not differ by health literacy, although Internet and cell phone apps were preferred by higher literacy parents; no differences were seen for texting. Conclusions: Health literacy–associated disparities in parent use of Internet and cell phone technologies exist, but parents’ desire for use of these technologies for provider communication was overall high and did not differ by health literacy.

Original languageEnglish (US)
JournalAcademic Pediatrics
DOIs
StatePublished - Jan 1 2019

Fingerprint

Health Literacy
Biomedical Technology
Cell Phones
Internet
Parents
Technology
Communication
Health
Odds Ratio
Text Messaging
Confidence Intervals
Vital Signs
Cross-Sectional Studies
Pediatrics

Keywords

  • health literacy
  • parents
  • technology

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Meyers, N., Glick, A. F., Mendelsohn, A. L., Parker, R. M., Sanders, L. M., Wolf, M., ... Yin, H. S. (2019). Parents’ Use of Technologies for Health Management: A Health Literacy Perspective. Academic Pediatrics. https://doi.org/10.1016/j.acap.2019.01.008
Meyers, Nicole ; Glick, Alexander F. ; Mendelsohn, Alan L. ; Parker, Ruth M. ; Sanders, Lee M. ; Wolf, Michael ; Bailey, Stacy Cooper ; Dreyer, Benard P. ; Velazquez, Jessica J. ; Yin, H. Shonna. / Parents’ Use of Technologies for Health Management : A Health Literacy Perspective. In: Academic Pediatrics. 2019.
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title = "Parents’ Use of Technologies for Health Management: A Health Literacy Perspective",
abstract = "Objective: Parent use of technology to manage child health issues has the potential to improve access and health outcomes. Few studies have examined how parent health literacy affects usage of Internet and cell phone technologies for health management. Methods: Cross-sectional analysis of data collected as part of a randomized controlled experiment in 3 urban pediatric clinics. English- and Spanish-speaking parents (n = 858) of children ≤8 years answered questions regarding use of and preferences related to Internet and cell phone technologies. Parent health literacy was measured using the Newest Vital Sign. Results: The majority of parents were high Internet (70.2{\%}) and cell phone (85.1{\%}) users (multiple times a day). A total of 75.1{\%} had limited health literacy (32.1{\%} low, 43.0{\%} marginal). Parents with higher health literacy levels had greater Internet and cell phone use (adequate vs low: adjusted odds ratio [AOR], 1.7 [confidence interval, 1.2–2.5]) and were more likely to use them for health management (AOR, 1.5 [confidence interval, 1.2–1.8]); those with higher health literacy levels were more likely to use the Internet for provider communication (adequate vs marginal vs low: 25.0{\%} vs 18.0{\%} vs 12.0{\%}, P =.001) and health-related cell phone apps (40.6{\%} vs 29.7{\%} vs 16.4{\%}, P <.001). Overall preference for using technology for provider communication was high (∼70{\%}) and did not differ by health literacy, although Internet and cell phone apps were preferred by higher literacy parents; no differences were seen for texting. Conclusions: Health literacy–associated disparities in parent use of Internet and cell phone technologies exist, but parents’ desire for use of these technologies for provider communication was overall high and did not differ by health literacy.",
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Meyers, N, Glick, AF, Mendelsohn, AL, Parker, RM, Sanders, LM, Wolf, M, Bailey, SC, Dreyer, BP, Velazquez, JJ & Yin, HS 2019, 'Parents’ Use of Technologies for Health Management: A Health Literacy Perspective', Academic Pediatrics. https://doi.org/10.1016/j.acap.2019.01.008

Parents’ Use of Technologies for Health Management : A Health Literacy Perspective. / Meyers, Nicole; Glick, Alexander F.; Mendelsohn, Alan L.; Parker, Ruth M.; Sanders, Lee M.; Wolf, Michael; Bailey, Stacy Cooper; Dreyer, Benard P.; Velazquez, Jessica J.; Yin, H. Shonna.

In: Academic Pediatrics, 01.01.2019.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Parents’ Use of Technologies for Health Management

T2 - A Health Literacy Perspective

AU - Meyers, Nicole

AU - Glick, Alexander F.

AU - Mendelsohn, Alan L.

AU - Parker, Ruth M.

AU - Sanders, Lee M.

AU - Wolf, Michael

AU - Bailey, Stacy Cooper

AU - Dreyer, Benard P.

AU - Velazquez, Jessica J.

AU - Yin, H. Shonna

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Y1 - 2019/1/1

N2 - Objective: Parent use of technology to manage child health issues has the potential to improve access and health outcomes. Few studies have examined how parent health literacy affects usage of Internet and cell phone technologies for health management. Methods: Cross-sectional analysis of data collected as part of a randomized controlled experiment in 3 urban pediatric clinics. English- and Spanish-speaking parents (n = 858) of children ≤8 years answered questions regarding use of and preferences related to Internet and cell phone technologies. Parent health literacy was measured using the Newest Vital Sign. Results: The majority of parents were high Internet (70.2%) and cell phone (85.1%) users (multiple times a day). A total of 75.1% had limited health literacy (32.1% low, 43.0% marginal). Parents with higher health literacy levels had greater Internet and cell phone use (adequate vs low: adjusted odds ratio [AOR], 1.7 [confidence interval, 1.2–2.5]) and were more likely to use them for health management (AOR, 1.5 [confidence interval, 1.2–1.8]); those with higher health literacy levels were more likely to use the Internet for provider communication (adequate vs marginal vs low: 25.0% vs 18.0% vs 12.0%, P =.001) and health-related cell phone apps (40.6% vs 29.7% vs 16.4%, P <.001). Overall preference for using technology for provider communication was high (∼70%) and did not differ by health literacy, although Internet and cell phone apps were preferred by higher literacy parents; no differences were seen for texting. Conclusions: Health literacy–associated disparities in parent use of Internet and cell phone technologies exist, but parents’ desire for use of these technologies for provider communication was overall high and did not differ by health literacy.

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