{"doi":"10.15761/hec.1000190","title":"Barriers and attitudes toward tele-healthcare delivery with African Americans in the Mississippi delta region participating in a cardiovascular disease risk reduction education","abstract":"Introduction:As part of a larger study that sought to determine difference in cardiovascular disease (CVD) clinical outcomes among adult African American patients in federally qualified health centers in the Mississippi Delta who received (CVD) risk management education and monitoring from community health workers (CHWs), a Telehealth Needs and Satisfaction Survey (adapted) was administered when a shift to telehealth delivery of education and monitoring was made during the COVID-19 pandemic. Methods:The adapted survey was administered to participants at baseline.Data was collected and managed through REDCap with questions analyzed and reported by frequency and percentage.Results: Participants described difficulties with health care access related to being present at clinic appointments due to physical, psychological, or emotional difficulties, and issues associated with transportation and costs.They reported access to and were comfortable with technology-related factors, and most agreed with advantages associated with telehealth utilization.Notably, most participants were not interested in utilization of online based technologies (i.e.chat rooms, social media, live chats), but instead preferred cell phones (receiving and sending text messages and phone calls, and computers (for email) for health care support. Conclusion:Rural regions have individual-level barriers to telehealth participation that include concerns associated with access like costs, infrastructure, and equipment.In addition, older populations of African Americans in the Mississippi Delta lack of confidence with some online based technologies.Technical support should be offered so patients can manage their chronic diseases more comfortably through telehealth.","journal":"Health Education and Care","year":2022,"id":314600,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9576,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2022-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1013503,"name":"Danielle Fastring","orcid":"0000-0003-3485-7187","position":1,"is_corresponding":false},{"id":1013524,"name":"Mattie Clark","orcid":null,"position":2,"is_corresponding":false},{"id":1013525,"name":"Joyee L. E. Washington","orcid":null,"position":3,"is_corresponding":false},{"id":1013526,"name":"Cody Cissom","orcid":null,"position":4,"is_corresponding":false},{"id":1013527,"name":"Darrius Skinner","orcid":null,"position":5,"is_corresponding":false},{"id":1013523,"name":"Susan Mayfield-Johnson","orcid":null,"position":0,"is_corresponding":true}],"reference_count":0,"raw_metadata":null,"created_at":"2026-07-19T00:33:53.735527Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}