Predicting technology usage by health information need of older adults: Implications for eHealth technology

Theis, Sabine; Schäfer, Dajana; Bröhl, Christina; Schäfer, Katharina; Rasche, Peter; Wille, Mattias; Brandl, Christopher; Jochems, Nicole; Nitsch, Verena; Mertens, Alexander

doi:10.3233/wor-192878

Cited by 16 publications

(19 citation statements)

References 36 publications

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“…This occurred six times in the literature [ 28 , 38 , 39 , 60 , 64 , 74 ]. Contrary to literature on the digital divide, eHealth and mHealth were only marginally associated with ownership of technology , which occurred four [ 5 , 28 , 34 , 58 ] and three times [ 19 , 28 , 38 ], respectively. Commensurate with literature on generational trends, both eHealth and mHealth were associated with privacy and security concerns , which occurred four [ 14 , 15 , 34 , 35 ] and two times [ 28 , 64 ], respectively.…”

Section: Resultscontrasting

confidence: 78%

“…Table 1 lists the ancillary data extracted from the studies analyzed in reverse chronological order as follows: 2020 [ 26 ], 2019 [ 5 , 26 - 34 ], 2018 [ 4 , 15 , 16 , 35 - 46 ], 2017 [ 14 , 47 - 56 ], 2016 [ 19 , 57 - 63 ], and 2015 [ 64 - 76 ].…”

Section: Resultsmentioning

confidence: 99%

“…The next observation was a surprise to our reviewing team; the theme was social implications of using a telemonitoring device (I do not want to bother a first responder, I do not want a stranger coming to my house, I do not want anyone coming to my house late at night, I had a bad experience the last time I used the telemonitoring device, I do not want my neighbor to overhear me using this thing, I do not have my own email, I do not understand social media, etc) [ 14 , 28 , 29 , 49 , 56 , 58 , 64 , 66 ]. The next theme was ownership of technology (no phone, no computer, no internet access, etc) [ 5 , 19 , 28 , 34 , 38 , 58 , 76 ]. The last set of themes and observations comprised less than 25% of the observations, and they were privacy and security concerns , medical literacy (I do not understand terminology, I do not understand test results, etc), trust of the internet , mental acuity (computers confuse me, the interface is too complex, I cannot focus for very long, how did I get to this page?…”

Section: Resultsmentioning

confidence: 99%

“…This demographic shift is an impending issue facing health care, as geriatric, long-term, and end-of-life care will experience a surge in demand. Health care organizations and their providers must find ways to effectively allocate resources and provide the right care at the right time and at the right place [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

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Utilization Barriers and Medical Outcomes Commensurate With the Use of Telehealth Among Older Adults: Systematic Review

et al. 2020

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Background Rising telehealth capabilities and improving access to older adults can aid in improving health outcomes and quality of life indicators. Telehealth is not being used ubiquitously at present. Objective This review aimed to identify the barriers that prevent ubiquitous use of telehealth and the ways in which telehealth improves health outcomes and quality of life indicators for older adults. Methods This systematic review was conducted and reported in accordance with the Kruse protocol and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Reviewers queried the following four research databases: Cumulative Index of Nursing and Allied Health Literature (CINAHL), PubMed (MEDLINE), Web of Science, and Embase (Science Direct). Reviewers analyzed 57 articles, performed a narrative analysis to identify themes, and identified barriers and reports of health outcomes and quality of life indicators found in the literature. Results Reviewers analyzed 57 studies across the following five interventions of telehealth: eHealth, mobile health (mHealth), telemonitoring, telecare (phone), and telehealth video calls, with a Cohen κ of 0.75. Reviewers identified 14 themes for barriers. The most common of which were technical literacy (25/144 occurrences, 17%), lack of desire (19/144 occurrences, 13%), and cost (11/144 occurrences, 8%). Reviewers identified 13 medical outcomes associated with telehealth interventions. The most common of which were decrease in psychological stress (21/118 occurrences, 18%), increase in autonomy (18/118 occurrences, 15%), and increase in cognitive ability (11/118 occurrences, 9%). Some articles did not report medical outcomes (18/57, 32%) and some did not report barriers (19/57, 33%). Conclusions The literature suggests that the elimination of barriers could increase the prevalence of telehealth use by older adults. By increasing use of telehealth, proximity to care is no longer an issue for access, and thereby care can reach populations with chronic conditions and mobility restrictions. Future research should be conducted on methods for personalizing telehealth in older adults before implementation. Trial Registration PROSPERO CRD42020182162; https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020182162. International Registered Report Identifier (IRRID) RR2-10.2196/15490

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Section: Resultscontrasting

confidence: 78%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Utilization Barriers and Medical Outcomes Commensurate With the Use of Telehealth Among Older Adults: Systematic Review

et al. 2020

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“…Further physical impairments like diminished eyesight related to diabetes or deteriorated motor skills have to be taken into account, since they occur more often with increasing age. Motivational and cognitive barriers of older adults are major challenges [ 40 , 41 ] and need to be investigated more in detail. In this study, we found that a reminder to perform walking training (SET) would be of special interest in the older population, but other differences between the younger and older patients were not seen.…”

Section: Discussionmentioning

confidence: 99%

Needs and Requirements in the Designing of Mobile Interventions for Patients With Peripheral Arterial Disease: Questionnaire Study

Lortz¹,

Simanovski²,

Kuether³

et al. 2020

JMIR Form Res

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Background The development of mobile interventions for noncommunicable diseases has increased in recent years. However, there is a dearth of apps for patients with peripheral arterial disease (PAD), who frequently have an impaired ability to walk. Objective Using a patient-centered approach for the development of mobile interventions, we aim to describe the needs and requirements of patients with PAD regarding the overall care situation and the use of mobile interventions to perform supervised exercise therapy (SET). Methods A questionnaire survey was conducted in addition to a clinical examination at the vascular outpatient clinic of the West-German Heart and Vascular Center of the University Clinic Essen in Germany. Patients with diagnosed PAD were asked to answer questions on sociodemographic characteristics, PAD-related need for support, satisfaction with their health care situation, smartphone and app use, and requirements for the design of mobile interventions to support SET. Results Overall, a need for better support of patients with diagnosed PAD was identified. In total, 59.2% (n=180) expressed their desire for more support for their disease. Patients (n=304) had a mean age of 67 years and half of them (n=157, 51.6%) were smartphone users. We noted an interest in smartphone-supported SET, even for people who did not currently use a smartphone. “Information,” “feedback,” “choosing goals,” and “interaction with physicians and therapists” were rated the most relevant components of a potential app. Conclusions A need for the support of patients with PAD was determined. This was particularly evident with regard to disease literacy and the performance of SET. Based on a detailed description of patient characteristics, proposals for the design of mobile interventions adapted to the needs and requirements of patients can be derived.

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Health Information Seeking Behaviours of the Elderly in a Technology-Amplified Social Environment

Ying

Chen

et al. 2019

Smart Health

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Predicting technology usage by health information need of older adults: Implications for eHealth technology

Cited by 16 publications

References 36 publications

Utilization Barriers and Medical Outcomes Commensurate With the Use of Telehealth Among Older Adults: Systematic Review

Utilization Barriers and Medical Outcomes Commensurate With the Use of Telehealth Among Older Adults: Systematic Review

Needs and Requirements in the Designing of Mobile Interventions for Patients With Peripheral Arterial Disease: Questionnaire Study

Health Information Seeking Behaviours of the Elderly in a Technology-Amplified Social Environment

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