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Emergency department patients' preferences for technology-based behavioral interventions.

Megan L Ranney1, Esther K Choo, Yvonne Wang

  • 1Injury Prevention Center of Rhode Island Hospital, Department of Emergency Medicine, Alpert Medical School of Brown University, Providence, RI, USA. mranney@lifespan.org

Annals of Emergency Medicine
|May 1, 2012
PubMed
Summary

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Emergency department patients show high interest in technology-based behavioral health interventions, with younger individuals preferring them for specific topics. Baseline technology use strongly influences intervention preference.

Area of Science:

  • Public Health
  • Health Informatics
  • Behavioral Science

Background:

  • Emergency department (ED) patients represent a diverse population with potential needs for behavioral health interventions.
  • Technology-based interventions offer scalable solutions, but patient preferences and influencing factors require investigation.

Purpose of the Study:

  • To evaluate emergency department (ED) patients' preferences for technology-based behavioral interventions.
  • To identify demographic factors associated with these technology preferences.

Main Methods:

  • A cross-sectional survey was administered to a random sample of urban ED patients (aged 13+).
  • The survey assessed baseline technology use, concerns regarding technology-based interventions, and preferred intervention formats for seven behavioral health topics.

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  • Multivariate logistic regression analyzed factors associated with technology preference, controlling for demographics and baseline technology use.

    • Main Results:

    • High baseline use of computers, internet, mobile phones, and text messaging was reported by 664 consenting participants.
    • Ninety percent of patients preferred at least one technology-based intervention, with greatest concerns about internet and social networking confidentiality.
    • Younger age correlated with a preference for technology-based interventions for unintentional injuries and peer violence, but only baseline technology usage remained significant after full adjustment.

    Conclusions:

    • ED patients exhibit high technology adoption and interest in behavioral health interventions.
    • Preferences for technology-based interventions vary, with younger demographics showing a slight preference for certain topics.
    • Future research should explore the feasibility and acceptability of these interventions in broader populations and address patient concerns.