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AAPI, Chronic diseases, eHealth literacy, mHealth, Rural users, Self-management



  1. Serafica, Reimund PhD, MSN, RN
  2. Inouye, Jillian PhD, MSN, FAAN
  3. Lukkahatai, Nada PhD, MSN, RN
  4. Braginsky, Nafanua PhD, DNP, APRN
  5. Pacheco, Misty DrPH, MHA
  6. Daub, Katharyn F. EdD, MNed, CTN-A, RN


The purpose of this study was to explore the barriers to and needs for using mobile health technology to assist low-income Asian American and Pacific Islander participants living in rural Hawaii in their healthcare. Three focus groups consisting of patients, family support/significant others, and providers (N = 19) were conducted to assess the unique needs of low-income Asian American and Pacific Islander patients in rural Hawaii. The electronic health literacy scale was also used among participants in the patients and family support/significant other groups. The total electronic health literacy means were 23.57 (SD = 9.71) among participants in the patient group, 34.50 (SD = 7.78) in the family support/significant others group, and 35.67 (SD = 4.56) in the providers group. The qualitative analysis yielded categories with three main themes: value of mobile health, stumbling blocks to mobile health, and mobile health wish list and subthemes. Practice implications include uses of these findings to integrate future versions of mobile health that will promote effective communication and information specifically to diverse low-income populations.