Access to and use of everyday technology among older people: An occupational justice issue – but for whom?

Kottorp, Anders; Nygård, Louise; Hedman, Annicka; Öhman, Annika; Malinowsky, Camilla; Rosenberg, Lena; Lindqvist, Eva; Ryd, Charlotta

doi:10.1080/14427591.2016.1151457

Cited by 37 publications

(34 citation statements)

References 22 publications

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“…The figures are similar in Germany [ 47 ]. Another reason for nonparticipation and dropout can be apprehension concerning cognitive accessibility or that the content is not user-friendly [ 22 , 48 , 49 ], but the patients in this study found the app to be user-friendly with relevant content, although it might not be so for all patients. Another strength of this study is the high adherence to daily reporting indicating that the use of mHealth is promising as an important tool in clinical care.…”

Section: Discussionmentioning

confidence: 99%

Adherence to Report and Patient Perception of an Interactive App for Managing Symptoms During Radiotherapy for Prostate Cancer: Descriptive Study of Logged and Interview Data

Langius‐Eklöf¹,

Christiansen²,

Lindström³

et al. 2017

JMIR Cancer

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BackgroundPatients undergoing radiotherapy for prostate cancer experience symptoms related to both the cancer itself and its treatment, and it is evident that patients with prostate cancer have unmet supportive care needs related to their disease. Over the past decade, there has been an increase in the amount of research within the field of mobile health and the use of apps as tools for managing illness. The main challenge is to develop a mobile technology to its full potential of being interactive in real time. The interactive app Interaktor, which aims to identify and manage symptoms in real time includes (1) a function for patients’ assessment of the occurrence, frequency, and distress of symptoms; (2) a connection to a monitoring Web interface; (3) a risk assessment model that sends alerts via text message to health care providers; (4) continuous access to evidence-based self-care advice and links to relevant websites for more information; and (5) graphs for the patients and health care providers to view the history of symptom reporting.ObjectiveThe aim of the study was to investigate user behavior, adherence to reporting, and the patients’ experiences of using Interaktor during radiotherapy for localized advanced prostate cancer.MethodsThe patients were instructed to report daily during the time of treatment and then for an additional 3 weeks. Logged data from patients’ use of the app were analyzed with descriptive statistics. Interview data about experiences of using the app were analyzed with content analysis.ResultsA total of 66 patients participated in the study. Logged data showed that adherence to daily reporting of symptoms was high (87%). The patients used all the symptoms included in the app. Of the reports, 15.6% generated alerts to the health care providers. Overall, the patients found that it was easy and not particularly time-consuming to send a daily report, and many described it as becoming a routine. Reporting symptoms facilitated reflection on their symptoms and gave them a sense of security. Few technological problems were reported.ConclusionsThe use of Interaktor increased patients’ sense of security and their reflections on their own well-being and thereby served as a supportive tool for the self-management of symptoms during treatment of prostate cancer. Some further development of the app’s content might be beneficial for future use.

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Section: Discussionmentioning

confidence: 99%

Adherence to Report and Patient Perception of an Interactive App for Managing Symptoms During Radiotherapy for Prostate Cancer: Descriptive Study of Logged and Interview Data

Langius‐Eklöf¹,

Christiansen²,

Lindström³

et al. 2017

JMIR Cancer

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“…Reasons for this include insufficient access, computer illiteracy, reduced functional capacity, lack of motivation or interest, and decreased financial capability (Kottorp et al, 2016;Leist, 2013;Olphert & Damodaran, 2013). Aside from age-related health and ability, other factors that influence seniors' adoption of technology in daily life are self-efficacy, social relationships, attitude to life and satisfaction, facilitating conditions, as well as, perceived usefulness and perceived ease of use (Chen & Chan, 2014;Davis, 1989).…”

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confidence: 99%

Exploring potential in participation mediated by digital technology among older adults

Fischl

Asaba

Nilsson

2017

Journal of Occupational Science

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“…Also, eHealth literacy may be negatively affected with higher age [48] and the anticipated psychosocial impact for web-based eHealth applications has been shown to negatively correlate with increasing age [49]. Regardless of the underlying reason(s) for not using EICTs, there is a risk of inequality between users and non-users [50] which often means that younger people benefit from using the EICTs whilst older adults do not. In Sweden, 18% of citizens 76 years of age or older experience public digital services available to all citizens (e.g., e-services in healthcare, public transport and the Swedish tax Agency) as making life more difficult whilst younger age groups consider digital services as simplifying life [32].…”

Section: Discussionmentioning

confidence: 99%

Does the purpose matter? A comparison of everyday information and communication technologies between eHealth use and general use as perceived by older adults with cognitive impairment

Jakobsson

Nygård

Kottorp

et al. 2020

Disability and Rehabilitation: Assistive Technology

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Access to and use of everyday technology among older people: An occupational justice issue – but for whom?

Cited by 37 publications

References 22 publications

Adherence to Report and Patient Perception of an Interactive App for Managing Symptoms During Radiotherapy for Prostate Cancer: Descriptive Study of Logged and Interview Data

Adherence to Report and Patient Perception of an Interactive App for Managing Symptoms During Radiotherapy for Prostate Cancer: Descriptive Study of Logged and Interview Data

Exploring potential in participation mediated by digital technology among older adults

Does the purpose matter? A comparison of everyday information and communication technologies between eHealth use and general use as perceived by older adults with cognitive impairment

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