Build a better mouse: directly-observed issues in computer use for adults with SMI.
Integrating information technology into healthcare has the potential to bring treatment to hard-to-reach people. Individuals with serious mental illness (SMI), however, may derive limited benefit from these advances in care because of lack of computer ownership and experience. To date, conclusions about the computer skills and attitudes of adults with SMI have been based primarily on self-report. In the current study, 28 psychiatric outpatients with co-occurring cocaine use were interviewed about their computer use and opinions, and 25 were then directly observed using task analysis and think aloud methods as they navigated a multi-component health informational website. Participants reported low rates of computer ownership and use, and negative attitudes towards computers. Self-reported computer skills were higher than demonstrated in the task analysis. However, some participants spontaneously expressed more positive attitudes and greater computer self-efficacy after navigating the website. Implications for increasing access to computer-based health information are discussed.
Yale University School of Medicine, New Haven, CT, USA. anne.black@yale.edu
Anne C
AC
Black
Kristin L
KL
Serowik
Jean J
JJ
Schensul
Anne M
AM
Bowen
Marc I
MI
Rosen
D000328:Adult; D000553:Ambulatory Care; D001292:Attitude to Computers; D019970:Cocaine-Related Disorders / Q000523:psychology*; D003197:Computer Literacy; D016287:Computer Peripherals; D003201:Computers / Q000706:statistics & numerical data; D054626:Consumer Health Information / Q000379:methods* / Q000706:statistics & numerical data; D017831:Diagnosis, Dual (Psychiatry); D004522:Educational Status; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D020407:Internet / Q000706:statistics & numerical data; D008297:Male; D001523:Mental Disorders / Q000523:psychology*; D008875:Middle Aged; D010358:Patient Participation / Q000379:methods; D036301:Qualitative Research; D057566:Self Report; D013647:Task Performance and Analysis; D013850:Thinking; D055815:Young Adult