Papers by Shelia R Cotten
JMIR mHealth and uHealth, 2021
Background Type 1 diabetes (T1D) affects more than 165,000 individuals younger than 20 years in t... more Background Type 1 diabetes (T1D) affects more than 165,000 individuals younger than 20 years in the United States of America. The transition from parent management to parent-child team management, with the child taking on increased levels of self-care, can be stressful and is associated with a deterioration in self-management behaviors. Therefore, a mobile app intervention, MyT1DHero, was designed to facilitate diabetes-specific positive parent-adolescent communication and improve diabetes-related outcomes. The MyT1DHero intervention links an adolescent with T1D and their parent through 2 separate app interfaces and is designed to promote positive communication regarding T1D management. Objective The aim of this pilot study was to determine (1) the initial efficacy of the MyT1DHero intervention in improving diabetes outcomes in adolescents, specifically the hemoglobin A1c (HbA1c) levels, diabetes care adherence, and quality of life, and (2) the adolescents’ overall satisfaction with...
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The objective of this article is to explore how parental status, gender, and their interaction in... more The objective of this article is to explore how parental status, gender, and their interaction influence a variety of aspects of searching for online health information. Drawing on nationally representative survey data, the results show that in a number of ways parenting and gender have separate but sig-nificant influences on the following: online searching behavior, whether the information is used, and feelings about the information obtained. The authors found that although female parents are more likely than male parents to put the health information they have found online into use, parenting and sex have more independent than combined effects. This is particularly the case regarding whether respondents search for information for themselves or others, their feelings about the information found, and the process of finding online health information.
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Proceedings of the Annual Hawaii International Conference on System Sciences, 2021
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Current Opinion in Psychology, 2021
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Decision-Making in Public Policy & the Social Good eJournal, 2021
This policy brief reports findings from two nationally representative online surveys that were co... more This policy brief reports findings from two nationally representative online surveys that were conducted in the United States (N=2,280) and in the United Kingdom (N=2,000) in October and November 2020 to explore the factors that influence the willingness to be vaccinated against Covid-19. The study was conducted before vaccines were officially approved and on the market. However, it very closely tracks the actual developments in both countries through the summer of 2021. Findings suggest that socioeconomic factors, some very difficult to influence by policy in the short term, strongly shape the willingness to be vaccinated. In addition, the contested and divided political landscape and the highly competitive and fragmented media system in the United States help explain the findings. The surveys identify similarities but also major differences between the two countries. In the United States, 51% of the adult population said they were willing to be vaccinated against COVID-19, 28% wer...
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First Monday, 2020
2020 marks the 25th anniversary of the “digital divide.” Although a quarter century has passed, l... more 2020 marks the 25th anniversary of the “digital divide.” Although a quarter century has passed, legacy digital inequalities continue, and emergent digital inequalities are proliferating. Many of the initial schisms identified in 1995 are still relevant today. Twenty-five years later, foundational access inequalities continue to separate the digital haves and the digital have-nots within and across countries. In addition, even ubiquitous-access populations are riven with skill inequalities and differentiated usage. Indeed, legacy digital inequalities persist vis-à-vis economic class, gender, sexuality, race and ethnicity, aging, disability, healthcare, education, rural residency, networks, and global geographies. At the same time, emergent forms of inequality now appear alongside legacy inequalities such that notions of digital inequalities must be continually expanded to become more nuanced. We capture the increasingly complex and interrelated nature of digital inequalities by intro...
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Ageing and Digital Technology, 2019
In this chapter, we synthesize prior empirical research focused on digital inequalities among old... more In this chapter, we synthesize prior empirical research focused on digital inequalities among older adults. We highlight studies that detail both antecedents and consequences of the digital divide. We also discuss popular theories and models such as the theory of reasoned action, the technology adoption model, and the senior technology adoption model, which have served as the foundation for understanding technology adoption and use among older adults. Despite the prevalence of digital inequalities among older adults, our review points to findings that suggest that when older adults adopt and use information and communication technologies (ICTs) they can experience enhanced quality of life. We conclude this chapter by discussing directions for future research.
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Innovation in Aging, 2019
Older adults are increasingly using information and communication technologies (ICTs) to communic... more Older adults are increasingly using information and communication technologies (ICTs) to communicate with social ties, gather information to make decisions, and for entertainment purposes. Research is increasingly showing that using ICTs has a range of potential benefits for older adults. However, less research examines the potential negative outcomes of ICT use for older adults. Data from a nationally representative sample of older adults in the United States is used to examine positive and negative outcomes of ICT use. Traditional well-being and social connection outcomes are examined as well as new stressors associated with mobile phone use. Our findings suggest that ICT use has varying effects on older adults, depending upon the type, level, and purposes of use. Implications are discussed for entities seeking to encourage ICT use to enhance health and quality of life among older adults.
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BACKGROUND The use of Web- or mobile phone–based apps for tracking health indicators has increase... more BACKGROUND The use of Web- or mobile phone–based apps for tracking health indicators has increased greatly. However, provider perceptions of consumer-grade devices have not been widely explored. OBJECTIVE The purpose of this study was to determine primary care physicians’ and advanced practice registered nurses’ perceptions of consumer-grade sensor devices and Web- or mobile phone–based apps that allow patients to track physical activity, diet, and sleep. METHODS We conducted a cross-sectional mailed survey with a random sample of 300 primary care physicians and 300 advanced practice registered nurses from Michigan, USA. Providers’ use and recommendation of these types of technologies, and their perceptions of the benefits of and barriers to patients’ use of the technologies for physical activity, diet, and sleep tracking were key outcomes assessed. RESULTS Most of the respondents (189/562, 33.6% response rate) were advanced practice registered nurses (107/189, 56.6%). Almost half o...
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Gerontechnology, 2010
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Lecture Notes in Computer Science, 2016
Using information and communication technologies (ICTs) can improve older adults’ overall well-be... more Using information and communication technologies (ICTs) can improve older adults’ overall well-being and can be a catalyst for social integration and inclusion into society. While older adults are often compared to other age cohorts, based on previous digital divide research, there may be a significant amount of variation within older adult populations with regards to their ICT experiences, attitudes, and uses. Our study seeks to explore the potential gap by examining and comparing ICT uses, views, and experiences among older adults from diverse racial/ethnic and socioeconomic backgrounds. Four semi-structured focus groups (n = 40) were conducted with older adults from two separate cities in Mid-Michigan in the United States: Greater Lansing area and Detroit. Our findings reveal that older adults’ experiences, uses, and perceptions about ICTs differ down racial and socio-economic lines. Our study demonstrates that there are potential sub-divides within traditionally digitally divided populations.
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Journal of Urban Technology, 2016
Abstract For several decades, scholars have investigated technological inequality within American... more Abstract For several decades, scholars have investigated technological inequality within American society. These studies have focused on individual-level predictors of computer use such as income, education, and technological skills. Although these individual-level inequities are important contributors of technological inequalities, they neglect the importance of place, including neighborhood-level factors such as median income, racial composition, and educational attainment. The purpose of this study is to address this gap in the current literature by examining neighborhood-level effects of concentrated poverty on the trajectory of computer use (the change in computer use over a one-year period). Data were collected from fourth and fifth grade classrooms from two data points in a public school district in a mid-sized city in the southeastern United States. Results indicate that measures of concentrated poverty have an influence on the trajectory of computer use among elementary students. These findings suggest that social inequalities at the neighborhood level need to be addressed to further eliminate the digital divide in computer use among elementary students.
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PsycTESTS Dataset, 2015
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Applied Behavioral Science Review, 1993
Abstract Using panel data collected during a short term crisis period, the changes in household l... more Abstract Using panel data collected during a short term crisis period, the changes in household labor and finances of a random sample of North Carolina farm operations are examined. Most farms (63 percent) reported no changes in their labor allocation patterns or financial arrangements. Among farms that reported some type of change, postponing farm or household purchases, restructuring financial liabilities, and increasing family income were the most widely utilized adaptations. Variables measuring farm and household economic ...
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Computers in Human Behavior, 2015
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New Directions for Student Services, 2008
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International Journal of Learning and Media, 2011
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Papers by Shelia R Cotten