Use of Technology to Promote Health and Wellbeing of People Who Are Homeless: A Systematic Review.
homeless
marginalised
mobile health
social exclusion
technology
vulnerable
Journal
International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455
Informations de publication
Date de publication:
25 06 2021
25 06 2021
Historique:
received:
26
05
2021
revised:
22
06
2021
accepted:
22
06
2021
entrez:
2
7
2021
pubmed:
3
7
2021
medline:
4
8
2021
Statut:
epublish
Résumé
People who are homeless experience poorer health outcomes and challenges accessing healthcare contribute to the experienced health inequality. There has been an expansion in using technology to promote health and wellbeing and technology has the potential to enable people who are socially excluded, including those who are homeless, to be able to access health services. However, little research has been undertaken to explore how technology is used to promote health and wellbeing for those who are homeless. This review aims to address the questions: 'what mobile health (mHealth) related technology is used by homeless populations' and 'what is the health impact of mobile technology for homeless populations'? An integrative review methodology was employed. A systematic search of electronic databases was carried out between 4 January 2021 and 30 April 2021, searching for papers published between 2015 and 2021, which yielded 2113 hits, relevant papers were selected using specified inclusion and exclusion criteria reported using the Preferred Reporting Items for Systematic reviews and Meta-Analysis. The quality assessment of each paper included in the review was undertaken using the Mixed Methods Appraisal Tool. Seventeen papers were selected for review and thematic analysis identified four themes: technology ownership, barriers to use, connectivity and health benefits. It is evident that technology has the potential to support the health and wellbeing of individuals who are homeless; however, there are challenges regarding connectivity to the internet, as well as issues of trust in who has access to personal data and how they are used. Further research is needed to explore the use of health technology with people who are homeless to address these challenges.
Sections du résumé
BACKGROUND
People who are homeless experience poorer health outcomes and challenges accessing healthcare contribute to the experienced health inequality. There has been an expansion in using technology to promote health and wellbeing and technology has the potential to enable people who are socially excluded, including those who are homeless, to be able to access health services. However, little research has been undertaken to explore how technology is used to promote health and wellbeing for those who are homeless. This review aims to address the questions: 'what mobile health (mHealth) related technology is used by homeless populations' and 'what is the health impact of mobile technology for homeless populations'?
METHODS
An integrative review methodology was employed. A systematic search of electronic databases was carried out between 4 January 2021 and 30 April 2021, searching for papers published between 2015 and 2021, which yielded 2113 hits, relevant papers were selected using specified inclusion and exclusion criteria reported using the Preferred Reporting Items for Systematic reviews and Meta-Analysis. The quality assessment of each paper included in the review was undertaken using the Mixed Methods Appraisal Tool.
RESULTS
Seventeen papers were selected for review and thematic analysis identified four themes: technology ownership, barriers to use, connectivity and health benefits.
CONCLUSION
It is evident that technology has the potential to support the health and wellbeing of individuals who are homeless; however, there are challenges regarding connectivity to the internet, as well as issues of trust in who has access to personal data and how they are used. Further research is needed to explore the use of health technology with people who are homeless to address these challenges.
Identifiants
pubmed: 34202242
pii: ijerph18136845
doi: 10.3390/ijerph18136845
pmc: PMC8296891
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Review
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Références
J Soc Distress Homeless. 2017;26(1):73-77
pubmed: 31097900
PLoS Med. 2009 Jul 21;6(7):e1000097
pubmed: 19621072
J Community Psychol. 2019 Jan;47(1):34-48
pubmed: 30506932
Int J Pharm Pract. 2017 Jun;25(3):220-230
pubmed: 27896909
Psychol Serv. 2017 May;14(2):238-245
pubmed: 28481610
J Health Soc Behav. 2010;51 Suppl:S54-66
pubmed: 20943583
J Health Commun. 2015;20(12):1473-80
pubmed: 26313765
JMIR Mhealth Uhealth. 2018 Dec 10;6(12):e10049
pubmed: 30530464
Lancet Digit Health. 2021 Feb;3(2):e124-e134
pubmed: 33509383
Health Policy. 2019 Nov;123(11):1125-1132
pubmed: 31522758
JMIR Ment Health. 2018 Oct 10;5(4):e59
pubmed: 30305262
J Health Commun. 2016 Jul;21(7):725-33
pubmed: 27232544
Int J Environ Res Public Health. 2017 Dec 08;14(12):
pubmed: 29292758
J Ment Health. 2019 Oct;28(5):505-519
pubmed: 31199172
Int J Pharm Pract. 2020 Aug;28(4):362-369
pubmed: 32100398
EClinicalMedicine. 2020 Aug;25:100464
pubmed: 32838237
Health Soc Care Community. 2019 May;27(3):531-545
pubmed: 30011102
JMIR Ment Health. 2019 Oct 11;6(10):e15144
pubmed: 31605516
J Public Health (Oxf). 2017 Mar 1;39(1):26-33
pubmed: 26896508
J Health Care Poor Underserved. 2014 Aug;25(3):1278-90
pubmed: 25130239
JMIR Mhealth Uhealth. 2019 Jul 02;7(7):e12347
pubmed: 31267980
PeerJ. 2015 Jul 30;3:e1096
pubmed: 26246964
J Adv Nurs. 2005 Dec;52(5):546-53
pubmed: 16268861
J Med Internet Res. 2018 May 22;20(5):e184
pubmed: 29789281
J Med Internet Res. 2019 Jan 09;21(1):e11696
pubmed: 30626564
Lancet. 2014 Oct 25;384(9953):1529-40
pubmed: 25390578
BMJ Health Care Inform. 2020 Jun;27(1):
pubmed: 32565418