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More Than Smell-COVID-19 Is Associated With Severe Impairment of Smell, Taste, and Chemesthesis.
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In: Chemical senses, vol 45, iss 7 (2020)
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The Use of Technology for Communicating With Clinicians or Seeking Health Information in a Multilingual Urban Cohort: Cross-Sectional Survey.
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In: Journal of medical Internet research, vol 22, iss 4 (2020)
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The Use of Technology for Communicating With Clinicians or Seeking Health Information in a Multilingual Urban Cohort: Cross-Sectional Survey.
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In: Journal of medical Internet research, vol 22, iss 4 (2020)
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Abstract:
BACKGROUND:Technology is being increasingly used to communicate health information, but there is limited knowledge on whether these strategies are effective for vulnerable populations, including non-English speaking or low-income individuals. OBJECTIVE:This study assessed how language preferences (eg, English, Spanish, or Chinese), smartphone ownership, and the type of clinic for usual source of care (eg, no usual source of care, nonintegrated safety net, integrated safety net, private or community clinic, academic tertiary medical center, or integrated payer-provider) affect technology use for health-related communication. METHODS:From May to September 2017, we administered a nonrandom, targeted survey to 1027 English-, Spanish-, and Chinese-speaking San Francisco residents and used weighted multivariable logistic regression analyses to assess predictors of five technology use outcomes. The three primary predictors of interest-language preference, smartphone ownership, and type of clinic for usual care-were adjusted for age, gender, race or ethnicity, limited English proficiency, educational attainment, health literacy, and health status. Three outcomes focused on use of email, SMS text message, or phone apps to communicate with clinicians. The two other outcomes were use of Web-based health videos or online health support groups. RESULTS:Nearly one-third of participants watched Web-based health videos (367/1027, 35.74%) or used emails to communicate with their clinician (318/1027, 30.96%). In adjusted analyses, individuals without smartphones had significantly lower odds of texting their clinician (adjusted odds ratio [aOR] 0.27, 95% CI 0.13-0.56), using online health support groups (aOR 0.14, 95% CI 0.04-0.55), or watching Web-based health videos (aOR 0.31, 95% CI 0.15-0.64). Relative to English-speaking survey respondents, individuals who preferred Chinese had lower odds of texting their clinician (aOR 0.25, 95% CI 0.08-0.79), whereas Spanish-speaking survey respondents had lower odds of using apps to communicate with clinicians (aOR 0.34, 95% CI 0.16-0.75) or joining an online support group (aOR 0.30, 95% CI 0.10-0.92). Respondents who received care from a clinic affiliated with the integrated safety net, academic tertiary medical center, or integrated payer-provider systems had higher odds than individuals without a usual source of care at using emails, SMS text messages, or apps to communicate with clinicians. CONCLUSIONS:In vulnerable populations, smartphone ownership increases the use of many forms of technology for health purposes, but device ownership itself is not sufficient to increase the use of all technologies for communicating with clinicians. Language preference impacts the use of technology for health purposes even after considering English proficiency. Health system factors impact patients' use of technology-enabled approaches for communicating with clinicians. No single factor was associated with higher odds of using technology for all health purposes; therefore, existing disparities in the use of digital health tools among diverse and vulnerable populations can only be addressed using a multipronged approach.
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Keyword:
Adult; Aged; Clinical Research; Cohort Studies; Communication; consumer health information; Cross-Sectional Studies; digital divide; Female; health information technology; Health Literacy; Health Services; Humans; Information and Computing Sciences; Information Seeking Behavior; internet; Male; Medical and Health Sciences; Medical Informatics; Middle Aged; Multilingualism; physician patient relations; Psychology and Cognitive Sciences; social media; Surveys and Questionnaires; Urban Health; vulnerable populations
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URL: https://escholarship.org/uc/item/3g30n4ts
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Inter Organizational Practice Committee Recommendations/Guidance for Teleneuropsychology in Response to the COVID-19 Pandemic†.
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In: Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists, vol 35, iss 6 (2020)
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A Hierarchical Mentoring Program Increases Confidence and Effectiveness in Data Analysis and Interpretation for Undergraduate Biology Students.
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In: CBE life sciences education, vol 19, iss 3 (2020)
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Interventions to Increase the Reachability of Migrants in Germany With Health Interview Surveys: Mixed-Mode Feasibility Study ...
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Vocal Fatigue Index: Validation and Cut-off Values of the Brazilian Version
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In: ETSU Faculty Works (2020)
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Vocal Fatigue Index: Validation and Cut-off Values of the Brazilian Version
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In: ETSU Faculty Works (2020)
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Materials for Pan-Romance Field Research. Guide – Questionnaire – Worksheets ...
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Materials for Pan-Romance Field Research. Guide – Questionnaire – Worksheets ...
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Performance of the German version of the PARCA-R questionnaire as a developmental screening tool in two-year-old very preterm infants
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In: ISSN: 1932-6203 ; PLOS ONE, Vol. 15, No 9 (2020) P. e0236289 (2020)
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Prospective cohort study on the predictors of fall risk in 119 patients with bilateral vestibulopathy
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In: ISSN: 1932-6203 ; PLOS ONE, Vol. 15, No 3 (2020) P. e0228768 (2020)
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Early reading correlates in language impairment (Newbury et al., 2020)
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Acomparison and synthesis of rehabilitation definitions used by consumers (Google), major Stakeholders (survey) and researchers (Cochrane Systematic Reviews) : A terminological analysis
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Risk factors for communication disorders and complaints of preschoolers in a School Health Program
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In: Revista CEFAC, Vol 22, Iss 6 (2020) (2020)
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