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The Use of Mobile Health to Assist Self-management and Access to Services in a Rural Community

Serafica, Reimund, PhD, MSN, RN; Inouye, Jillian, PhD, MSN, FAAN; Lukkahatai, Nada, PhD, MSN, RN; Braginsky, Nafanua, PhD, DNP, APRN; Pacheco, Misty, DrPH, MHA; Daub, Katharyn F., EdD, MNed, CTN-A, RN

CIN: Computers, Informatics, Nursing: February 2019 - Volume 37 - Issue 2 - p 62–72
doi: 10.1097/CIN.0000000000000494

The purpose of this study was to explore the barriers to and needs for using mobile health technology to assist low-income Asian American and Pacific Islander participants living in rural Hawaii in their healthcare. Three focus groups consisting of patients, family support/significant others, and providers (N = 19) were conducted to assess the unique needs of low-income Asian American and Pacific Islander patients in rural Hawaii. The electronic health literacy scale was also used among participants in the patients and family support/significant other groups. The total electronic health literacy means were 23.57 (SD = 9.71) among participants in the patient group, 34.50 (SD = 7.78) in the family support/significant others group, and 35.67 (SD = 4.56) in the providers group. The qualitative analysis yielded categories with three main themes: value of mobile health, stumbling blocks to mobile health, and mobile health wish list and subthemes. Practice implications include uses of these findings to integrate future versions of mobile health that will promote effective communication and information specifically to diverse low-income populations.

Author Affiliations: School of Nursing, University of Nevada, Las Vegas (Dr Serafica); John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu (Dr Inouye); School of Nursing, Johns Hopkins University, Baltimore, MD (Dr Lukkahatai); School of Nursing & Dental Hygiene, University of Hawaii at Manoa, Honolulu, (Dr Braginsky); and Department of Kinesiology and Exercise Science (Dr Pacheco) and School of Nursing (Dr Daub), University of Hawaii at Hilo.

This research was funded by the Tony & Renee Marlon Angel Professorship.

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Corresponding author: Reimund Serafica, PhD, MSN, RN, School of Nursing, University of Nevada, Las Vegas, 4505 S Maryland Pkwy, Box 453018, Las Vegas, NV 89154 (

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