Trends and factors associated with use of digital health technology among adults with serious psychological distress in the United States: A secondary data analysis of the National Health Interview Survey

Abstract

Introduction This study sought to investigate the trend and factors associated with DHT (Digital Health Tools) utilization among individuals with SPD (serious psychological distress) in the US. Methods Data were drawn from the 2013 to 2017 National Health Interview Survey. Descriptive statistics and multivariable logistic regression were employed to assess the use of DHT among individuals aged ≥18 years with SPD. Results A total of 6110 adults reported SPD and of these, 15.6% reported at least one technology-based interaction with the health system. During the 5-year period, the proportion of individuals with SPD who utilized any DHT to interact with the healthcare system doubled from 10.0% in 2013 to 21.3% in 2017 (p<0.001). In multivariable models, several sociodemographic factors predicted DHT use. Conclusions The use of DHT among individuals with SPD in the US increased between 2013 and 2017. However, sociodemographic disparities in DHT use among this population exist.

Keywords

• serious psychological distress
• digital health
• technology
• disparities