Acceptability of Computer Assessments among Ethnically Diverse, Low-Income Smokers

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Abstract
Purpose.: To examine the acceptability of computer-based assessments among an ethnically diverse, low-income population of primary care patients. Although computers have been used to provide assessments and interventions in health care settings, members of ethnic minority and low-income households have less access to computers than other groups, and therefore the acceptability of computers as a health care assessment and delivery tool needs to be examined. Design.: We examined the acceptability of computers for providing assessments of smoking history, nicotine dependence, and other related variables among an ethnically diverse, low-income primary care population. No intervention was used in this study. Setting.: Three inner-city primary care clinics located in hospitals were used as sites for this study. These hospitals were located in areas of the city where low-income and ethnic minority households are overrepresented relative to the total population. Subjects.: Adult male and female smokers (n = 522) were recruited while awaiting appointments in each primary care clinic. Measures.: A questionnaire assessing smoking rate, patterns, history, motivation to quit smoking and other smoking-related variables was administered using either a paper-and-pencil format or a laptop computer. Results.: Frequency counts, analysis of variance, and χ2 tests were used where appropriate. Most subjects (78.5 %) used the computer to complete the baseline survey. Almost all subjects (92%) rated the computer “very easy” or “easy” to use. Subjects who were Spanish-speaking, were born outside the United States, or were Hispanic tended to rate the program as slightly less easy to use than other subjects. Conclusions.: Computer-based assessments appear highly acceptable to individuals in low-income populations.