Relationship Between Perceived Risks of Using mHealth Applications and the Intention to Use Them Among Older Adults in the Netherlands: Cross-sectional Study

Klaver, Nicky Sabine; Klundert, Joris van de; Broek, Roy Johannes Gerardus Maria van den; Askari, Marjan

doi:10.2196/26845

Cited by 44 publications

(35 citation statements)

References 55 publications

(102 reference statements)

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“…These findings were similar to a study [ 34 ], which identified the internet (44.5%), and family and friends (45.7%) as the major sources of health information for participants in Saudi Arabia. Other studies [ 11 , 15 , 16 ] identified the influence of culture and social norms on the behavioral attitudes of the health consumers toward eHealth, and in accordance with their findings, in this study, it was also observed that the internet, and family and friends, were considered to be more reliable sources of information than the information available on eHealth applications. Accordingly, analyzing the online behavior, the majority of the participants reflected activities such as information searching about the disease and consulting doctors as their major activities.…”

Section: Discussionsupporting

confidence: 88%

“…Focusing on the eHealth adoption in recent times, the majority of the participants stated that they adopted either out of necessity or because there was no other alternative, clearly reflecting the impact of the COVID-19 pandemic on the surge in eHealth adoption in Saudi Arabia. Accordingly, studies in different countries [ 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 ] reflected an increased adoption of eHealth technologies, especially mHealth applications, for consultation, appointment booking, medicine orders, remote monitoring of chronic conditions such as diabetes, etc. However, research identifying the intention to use eHealth technologies in post-COVID-19 times in various countries is lacking.…”

Section: Discussionmentioning

confidence: 99%

“…As further support for this statement, performance expectancy had no impact on the intention to use eHealth in a study conducted in Turkey [ 13 ]. Furthermore, all stakeholders, including physicians [ 14 , 15 ], patients, and especially older adults [ 16 , 17 , 18 ], reflected an increased use of eHealth applications in different countries.…”

Section: Introductionmentioning

confidence: 99%

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Attitudes of Patients with Chronic Diseases toward Management eHealth Applications Systems in Post-COVID-19 Times

ALsharif

2022

IJERPH

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Introduction: There has been an increase in the adoption of eHealth technologies and applications by health consumers globally because of the restrictions imposed due to the COVID-19 pandemic in the last two years. The sudden change in the users’ attitudes toward eHealth adoption needs to be critically evaluated and understood, as it can be the stepping stone toward rapid digitalization of healthcare operations in Saudi Arabia as a part of Vision 2030. Purpose: The purpose of this study was to evaluate the attitudes of the patients with chronic diseases toward eHealth applications in post-COVID times. Methods: A cross-sectional study design was adopted using the online questionnaire as a data collection instrument. All the health consumers using eHealth services aged above 18 years and living in Saudi Arabia were included in the survey. The survey was conducted for 3 weeks, resulting in a final sample of 234 participants. Results: Overall, 73.8% of the participants stated that they adopted eHealth only out of necessity, while 37.3% stated that they adopted it because no other services were available. Only 10.3% stated that they adopted eHealth out of interest. In relation to the future use of eHealth, 51.5% of the participants stated that they would definitely not use eHealth applications, and 33.6% stated that they would probably them once the pandemic ends. Only 4.4% of the participants stated that they would very much probably, and 10.5% stated they would probably not use eHealth applications once the pandemic ends. a significant difference in opinions in relation to the future adoption of eHealth applications was observed among the male and female participants, and also between the age groups of younger (age <35 years) and older (age ≥35 years) participants. Conclusions: For the change in attitudes (increased adoption of eHealth) to be sustained, policymakers need to develop relevant strategies promoting the use of eHealth in Saudi Arabia.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Attitudes of Patients with Chronic Diseases toward Management eHealth Applications Systems in Post-COVID-19 Times

ALsharif

2022

IJERPH

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“…mHealth apps generate new security and privacy concerns [ 51 ]. Evidence has shown that perceived risk , including performance risk, legal concern, and privacy risk, may significantly decrease older people’s intention to use mHealth apps [ 52 ]. In our study, the risk of using mHealth apps perceived by the participants was mostly due to privacy leakage (study 1) and unexpected money loss (study 2).…”

Section: Discussionmentioning

confidence: 99%

Perception and Initial Adoption of Mobile Health Services of Older Adults in London: Mixed Methods Investigation

Pan¹,

Dong²,

Bryan-Kinns³

2021

JMIR Aging

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Background Advances in mobile technology and public needs have resulted in the emergence of mobile health (mHealth) services. Despite the potential benefits of mHealth apps, older adults face challenges and barriers in adopting them. Objective The aims of this study are to understand older adults’ perception of mHealth services and to discover the barriers that older adults face in the initial adoption of mHealth apps. Methods This paper systematically analyzed main determinants related to mHealth services and investigated them through questionnaires, interviews, and a workshop. Two studies were carried out in London. In study 1, the questionnaires with follow-up interviews were conducted based on the literature review to uncover older adults’ perception (including perceived usefulness, perceived ease of use, and perceived behavioral control) of mHealth services. Study 2 was a workshop helping older adults to trial selected mHealth apps. The workshop was conducted by the first author (JP) with assistance from 5 research students. The barriers that older adults faced in the initial adoption period were observed. The interviews and workshop were audiotaped and transcribed. Descriptive statistics and the thematic analysis technique were used for data analysis. Results In total, 30 older adults in London completed the questionnaires and interviews in study 1. The results of study 1 show that the lack of obvious advantage, low reliability, scary information, and the risk of privacy leakage would decrease older adults’ perceived usefulness of mHealth services; the design of app interface would directly affect the perceived ease of use; and aging factors, especially the generation gap, would create barriers for older users. In total, 12 participants took part in the workshop of study 2, including 8 who took part in study 1. The results of study 2 identified that access to technology, the way of interaction, the risk of money loss, heavy workload of using an mHealth app, and different lifestyle are influential factors to older adults’ adoption of mHealth services. Conclusions The perceptions of mHealth services of older adults were investigated; the barriers that older adults may face in the initial adoption stage were identified. On the basis of the synthesis of these results, design suggestions were proposed, including technical improvement, free trial, information clarification, and participatory design. They will help inform the design of mHealth services to benefit older adults.

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“…Evidence has shown that perceived risk, including performance risk, legal concern, and privacy risk, may significantly decrease older people's intention to use mHealth apps [52]. In our study, the risk of using mHealth apps perceived by the participants was mostly due to privacy leakage (study 1) and unexpected money loss (study 2).…”

Section: Research Contributionsmentioning

confidence: 59%

Perception and Initial Adoption of Mobile Health Services of Older Adults in London: Mixed Methods Investigation (Preprint)

Pan¹,

Dong²,

Bryan-Kinns³

2021

Preprint

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BACKGROUND Advances in mobile technology and public needs have resulted in the emergence of mobile health (mHealth) services. Despite the potential benefits of mHealth apps, older adults face challenges and barriers in adopting them. OBJECTIVE The aims of this study are to understand older adults’ perception of mHealth services and to discover the barriers that older adults face in the initial adoption of mHealth apps. METHODS This paper systematically analyzed main determinants related to mHealth services and investigated them through questionnaires, interviews, and a workshop. Two studies were carried out in London. In study 1, the questionnaires with follow-up interviews were conducted based on the literature review to uncover older adults’ perception (including perceived usefulness, perceived ease of use, and perceived behavioral control) of mHealth services. Study 2 was a workshop helping older adults to trial selected mHealth apps. The workshop was conducted by the first author (JP) with assistance from 5 research students. The barriers that older adults faced in the initial adoption period were observed. The interviews and workshop were audiotaped and transcribed. Descriptive statistics and the thematic analysis technique were used for data analysis. RESULTS In total, 30 older adults in London completed the questionnaires and interviews in study 1. The results of study 1 show that the lack of obvious advantage, low reliability, scary information, and the risk of privacy leakage would decrease older adults’ perceived usefulness of mHealth services; the design of app interface would directly affect the perceived ease of use; and aging factors, especially the generation gap, would create barriers for older users. In total, 12 participants took part in the workshop of study 2, including 8 who took part in study 1. The results of study 2 identified that access to technology, the way of interaction, the risk of money loss, heavy workload of using an mHealth app, and different lifestyle are influential factors to older adults’ adoption of mHealth services. CONCLUSIONS The perceptions of mHealth services of older adults were investigated; the barriers that older adults may face in the initial adoption stage were identified. On the basis of the synthesis of these results, design suggestions were proposed, including technical improvement, free trial, information clarification, and participatory design. They will help inform the design of mHealth services to benefit older adults.

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Relationship Between Perceived Risks of Using mHealth Applications and the Intention to Use Them Among Older Adults in the Netherlands: Cross-sectional Study

Cited by 44 publications

References 55 publications

Attitudes of Patients with Chronic Diseases toward Management eHealth Applications Systems in Post-COVID-19 Times

Attitudes of Patients with Chronic Diseases toward Management eHealth Applications Systems in Post-COVID-19 Times

Perception and Initial Adoption of Mobile Health Services of Older Adults in London: Mixed Methods Investigation

Perception and Initial Adoption of Mobile Health Services of Older Adults in London: Mixed Methods Investigation (Preprint)

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