Exploring online and in-person mental healthcare access and app use in a cohort of people living with disability: results from the 2019 and 2020 California Health Interview Survey

IF 4.1 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Pub Date : 2026-06-01 Epub Date: 2026-03-07 DOI:10.1016/j.invent.2026.100931

William Bevens , Jeongmi Kim , Biblia Cha , Nicole A. Stadnick , Elizabeth Eikey , Margaret Schneider , Stephen M. Schueller , Dana B. Mukamel , Dara H. Sorkin

{"title":"Exploring online and in-person mental healthcare access and app use in a cohort of people living with disability: results from the 2019 and 2020 California Health Interview Survey","authors":"William Bevens , Jeongmi Kim , Biblia Cha , Nicole A. Stadnick , Elizabeth Eikey , Margaret Schneider , Stephen M. Schueller , Dana B. Mukamel , Dara H. Sorkin","doi":"10.1016/j.invent.2026.100931","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Disability is an increasingly prevalent issue in the United States, which affects over 67 million people. Poor mental health in individuals with disabilities is common; however, access to traditional modes of mental healthcare remains a challenge.</div></div><div><h3>Objectives</h3><div>This study aims to compare use of traditional and online mental healthcare services between people with and without disabilities.</div></div><div><h3>Methods</h3><div>This study used a cross-sectional sample of adults aged 18 years and older (<em>n</em> = 44,096) from the 2019–2020 California Health Interview Survey. Mental healthcare access in-person and online, or use of digital technologies for mental healthcare were compared between several disability groups to individuals without disabilities.</div></div><div><h3>Results</h3><div>15.3% of those in this sample reported being in one of the five reported disability groups: cognition, independent-living, seeing/hearing, self-care or multiple. Individuals with disabilities were 2.80 times more likely to access mental healthcare in-person compared to those without disabilities. Several disability groups had increased odds of accessing mental healthcare online, using online technologies for referrals to mental health professionals and connecting to others with a similar condition online.</div></div><div><h3>Conclusions</h3><div>People with disabilities readily access mental healthcare, in-person and online, and use technologies for broader mental healthcare needs. This study highlights the importance of centering accessibility within health technologies.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"44 ","pages":"Article 100931"},"PeriodicalIF":4.1000,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2214782926000308","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/3/7 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Disability is an increasingly prevalent issue in the United States, which affects over 67 million people. Poor mental health in individuals with disabilities is common; however, access to traditional modes of mental healthcare remains a challenge.

Objectives

This study aims to compare use of traditional and online mental healthcare services between people with and without disabilities.

Methods

This study used a cross-sectional sample of adults aged 18 years and older (n = 44,096) from the 2019–2020 California Health Interview Survey. Mental healthcare access in-person and online, or use of digital technologies for mental healthcare were compared between several disability groups to individuals without disabilities.

Results

15.3% of those in this sample reported being in one of the five reported disability groups: cognition, independent-living, seeing/hearing, self-care or multiple. Individuals with disabilities were 2.80 times more likely to access mental healthcare in-person compared to those without disabilities. Several disability groups had increased odds of accessing mental healthcare online, using online technologies for referrals to mental health professionals and connecting to others with a similar condition online.

Conclusions

People with disabilities readily access mental healthcare, in-person and online, and use technologies for broader mental healthcare needs. This study highlights the importance of centering accessibility within health technologies.

查看原文本刊更多论文

在一群残疾人中探索在线和面对面的精神卫生保健获取和应用程序使用：2019年和2020年加州健康访谈调查的结果

在美国，残疾是一个日益普遍的问题，影响着6700多万人。残疾人的精神健康状况不佳很常见；然而，获得传统的精神保健模式仍然是一个挑战。目的本研究旨在比较残疾人和非残疾人使用传统和在线精神卫生保健服务的情况。方法本研究采用2019-2020年加州健康访谈调查中18岁及以上成年人的横断面样本（n = 44,096）。结果：15.3%的残疾人报告属于认知、独立生活、视觉/听觉、自我护理或多重残疾五种报告残疾群体之一。残疾人亲自获得精神保健的可能性是正常人的2.80倍。一些残疾人群体获得在线心理保健服务的几率增加了，他们利用在线技术转介给心理健康专家，并在网上与其他有类似情况的人联系。结论残疾人容易获得面对面和在线的精神卫生保健，并利用技术满足更广泛的精神卫生保健需求。这项研究强调了将可及性置于卫生技术中心的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Medicine-Health Informatics

CiteScore

6.50

自引率

9.30%

发文量

审稿时长

6 weeks

期刊介绍： Official Journal of the European Society for Research on Internet Interventions (ESRII) and the International Society for Research on Internet Interventions (ISRII). The aim of Internet Interventions is to publish scientific, peer-reviewed, high-impact research on Internet interventions and related areas. Internet Interventions welcomes papers on the following subjects: • Intervention studies targeting the promotion of mental health and featuring the Internet and/or technologies using the Internet as an underlying technology, e.g. computers, smartphone devices, tablets, sensors • Implementation and dissemination of Internet interventions • Integration of Internet interventions into existing systems of care • Descriptions of development and deployment infrastructures • Internet intervention methodology and theory papers • Internet-based epidemiology • Descriptions of new Internet-based technologies and experiments with clinical applications • Economics of internet interventions (cost-effectiveness) • Health care policy and Internet interventions • The role of culture in Internet intervention • Internet psychometrics • Ethical issues pertaining to Internet interventions and measurements • Human-computer interaction and usability research with clinical implications • Systematic reviews and meta-analysis on Internet interventions