Lynn Jacobshagen, Lena Machetanz, Johannes Kirchebner
Differences between criminal offender versus non-offender female patients with schizophrenia spectrum disorder: a retrospective cohort study
Archives of women's mental health
covid19 remains ongoing public health crisis black americans remain underrepresented among vaccinated overrepresented covid19 morbidity mortality medical misinformation specifically related covid19 exacerbated impact disease black american communities communication tools strategies build relationships disseminate credible trustworthy diagnostic preventative health information necessary improve outcomes equity historically oppressed populations initial phase larger mixed methods project develop pilot evaluate mobile health mhealth intervention among population high risk covid19 cardiovascular comorbidities study sought explore covid19 information behavior among black americans specifically study examined 1 preferences covid19 education via mhealth 2 barriers facilitators covid19 education diagnostic testing routine care associated cardiovascular respiratory comorbidities local community 3 key content inclusion covid19 mhealth app qualitative study used principles communitybased participatory research information systems research conduct 7 focus groups across 3 sites focus groups audio recorded transcribed thematic analysis using abductive approach study sample included 54 individuals across sites mean age 5024 sd 1176 range 2071 years participants primarily female n42 78 black n54 100 varied education levels half n29 54 participants employed fulltime nearly threefourths n40 74 household incomes us 65000 participants used android n23 43 ios devices n29 54 comfortable n37 69 using mobile devices participants reported using variety sources health information contentrelated preferences reported focus visual presentation userfriendly design privacy highlighted importance community relevance access communityspecific content key barriers identified included health literacylimiting app use access technology information lack trust increasing community relevance communityspecific messaging inclusion black providers noted facilitators may increase credibility trust key content identified included userspecific information get vaccines tests updated local covid19 data travel protocols information long covid19 post covid19 condition comorbidities frequently asked questions testimonials personal stories increasing transparency building trust 2 key strategies may improve impact health information messaging black communities focusing content context fails provision critical health information perpetuates health inequities reinforcing systemic structural racism covid19 messaging must consider contextual information patient needs preferences patient informationseeking informationsearch behaviors establish trust credibility positively impact patient health outcomes improve health equity