The Use of Tablet Technology by Older Adults in Health Care Settings—Is It Effective and Satisfying? A Systematic Review and Meta Analysis

Ramprasad, Chethan; Tamariz, Leonardo; Garcia-Barcena, Jenny; Németh, Zsuzsanna; Palacio, Ana

doi:10.1080/07317115.2017.1322162

Cited by 33 publications

(29 citation statements)

References 25 publications

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“…One area that has attracted interest is the use of technology by older adults in various health settings, both in formal health care [11,12] and from salutogenic perspectives [13,14] targeting social isolation and participation. However, there is a strong need to find evidence of the effectiveness and efficiency of health technology interventions, which is becoming increasingly important as the number of available health technology solutions grows [15].…”

Section: Introductionmentioning

confidence: 99%

A Novel Instrument for Measuring Older People’s Attitudes Toward Technology (TechPH): Development and Validation

Anderberg¹,

Eivazzadeh²,

Berglund³

2019

J Med Internet Res

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Background The use of health technology by older people is coming increasingly in focus with the demographic changes. Health information technology is generally perceived as an important factor in enabling increased quality of life and reducing the cost of care for this group. Age-appropriate design and facilitation of technology adoption are important to ensure functionality and removal of various barriers to usage. Development of assessment tools and instruments for evaluating older persons’ technology adoption and usage as well as measuring the effects of the interventions are of high priority. Both usability and acceptance of a specific technology or service are important factors in evaluating the impact of a health information technology intervention. Psychometric measures are seldom included in evaluations of health technology. However, basic attitudes and sentiments toward technology (eg, technophilia) could be argued to influence both the level of satisfaction with the technology itself as well as the perception of the health intervention outcome. Objective The purpose of this study is to develop a reduced and refined instrument for measuring older people's attitudes and enthusiasm for technology based on relevant existing instruments for measuring technophilia. A requirement of the new instrument is that it should be short and simple to make it usable for evaluation of health technology for older people. Methods Initial items for the TechPH questionnaire were drawn from a content analysis of relevant existing technophilia measure instruments. An exploratory factor analysis was conducted in a random selection of persons aged 65 years or older (N=374) on eight initial items. The scale was reduced to six items, and the internal consistency and reliability of the scale were examined. Further validation was made by a confirmatory factor analysis (CFA). Results The exploratory factor analysis resulted in two factors. These factors were analyzed and labeled techEnthusiasm and techAnxiety. They demonstrated relatively good internal consistency (Cronbach alpha=.72 and .68, respectively). The factors were confirmed in the CFA and showed good model fit (χ 2 8 =21.2, χ 2 / df =2.65, comparative fit index=0.97, adjusted goodness-of-fit index=0.95, root mean square error of approximation=0.067, standardized root mean square residual=0.036). Conclusions The construed TechPH score showed expected relations to external real-world criteria, and the two factors showed interesting internal relations. Different technophilia personality traits distinguish clusters with different behaviors of adaptation as well as usage of new technology. Whether there is an independent association with the TechPH score against outcomes in health technology projects needs to be shown in further studies. The instrument ...

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Section: Introductionmentioning

confidence: 99%

A Novel Instrument for Measuring Older People’s Attitudes Toward Technology (TechPH): Development and Validation

Anderberg¹,

Eivazzadeh²,

Berglund³

2019

J Med Internet Res

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“…The usefulness of information technology electronic devices, such as tablets, in the context of primary care consultations for older adults is not yet well understood [11]. A systematic review and meta-analysis suggested older adults have the potential to benefit from the use of tablet technology, especially in health care settings [12]. Information technology can be used in different ways to promote health literacy among people with low literacy.…”

Section: Introductionmentioning

confidence: 99%

“…Despite the wide range of studies available, there is a visible lack of research, especially randomized controlled trials with study interventions, to test the effectiveness of the photo story for increasing health-related understanding and the usefulness of electronic devices, such as tablets [12]. A systematic review assessing the evidence for the effectiveness of such interventions concluded that there is a lack of consistent evidence for effective interventions [16].…”

Section: Introductionmentioning

confidence: 99%

Testing a Photo Story Intervention in Paper Versus Electronic Tablet Format Compared to a Traditional Brochure Among Older Adults in Germany: Randomized Controlled Trial

Tan¹,

Whittal²,

Lippke³

2018

JMIR Aging

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Background To increase effective communication in primary care consultations among older adults in Germany, the photo story is considered to be a useful tool based on Bandura’s social cognitive theory. With information technology helping to increase effective communication, the use of tablets is gaining attention in health care settings, especially with older adults. However, the effectiveness of tablet technology and photo stories has rarely been tested. Objective The aim is to compare the effectiveness of a photo story intervention to a traditional brochure. Both were delivered either in paper or tablet format. Methods A trial was conducted with 126 older adults, aged 50 years and older, who were approached and recruited by researchers and administrative staff from senior day care, doctors in rehabilitation centers, and trainers in sports clubs in Germany. Open and face-to-face assessment methodologies were used. Participants were randomly assigned to one of four intervention conditions: traditional brochure in paper format (condition 1) and tablet format (condition 2), and photo story in paper format (condition 3) and tablet format (condition 4). Each participant received a questionnaire and either the traditional brochure or photo story in a paper or tablet version. To evaluate the effectiveness of each intervention, participants completed evaluation questionnaires before and after each intervention. The second part of the questionnaire measured different indicators of health literacy, communication skills, health measurements, and possible underlying mechanisms. Results Compared to the traditional brochure, participants considered the photo story easier to understand ( t 124 =2.62, P =.01) and more informative ( t 124 =–2.17, P =.03). Participants preferred the paper format because they found it less monotonous ( t 124 =–3.05, P =.003), less boring ( t 124 =–2.65, P =.009), and not too long ( t 124 =–2.26, P =.03) compared to the tablet format. Among all conditions, the traditional brochure with a tablet (condition 2) was also perceived as more monotonous (mean 3.07, SD 1.08), boring (mean 2.77, SD 1.19), and too long to read (mean 2.50, SD 1.33) in comparison to the traditional brochure in paper format (condition 1). Moreover, the participants scored significantly higher on self-referencing on the traditional brochure in paper format (condition 1) than tablet format for both types of the brochure (conditions 2 and 4). Conclusions Traditional brochures on a tablet seem to be the least effective communication option in primary care consulta...

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“…The suggestion from one study participant for a government algorithm [27], presumably available online, that could be used to calculate the duration of needed sun-exposure after the entry of variables such as gender and age, deserves consideration. There is research that suggests older adults will consider using technology to improve communication and health [44,45], and thus whether technological tools could improve vitamin D nutritional education and interventions to improve status in older adults warrants exploration.…”

Section: Discussionmentioning

confidence: 99%

Older Adults’ Beliefs, Knowledge and Preferences for Achieving Healthy Vitamin D Status: A Narrative Review

Christides

2018

Geriatrics

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Autonomy and mobility are, in many cases, key elements underlying positive ageing. Vitamin D (vitD) is essential to maintaining musculoskeletal health and hence mobility; ensuring adequate vitD status is important in positive ageing. However, vitD deficiency persists in~10-30% of older adults in the Western world. The aim of this review was to explore older adult vitD beliefs, knowledge and preferences, in order to identify means to prevent vitD deficiency respectful of older peoples' autonomy. Academic search-engines were used to explore the research literature with the keywords: vitamin D; older adults; preferences; knowledge; practices; beliefs. 22 recent studies were identified; although the majority of older people knew of vitD, knowledge about increased fall risk secondary to deficiency was limited and knowledge did not always correlate with adequate intake or status. There was evidence of confusion regarding vitD food sources, sun-exposure and health benefits, and although General Practitioners were trusted information sources they often did not discuss vitD with patients. Preferences varied significantly depending on geographic location, ethnicity, socioeconomic status, education and cultural factors; overall, older people wanted more clear information about vitD. In conclusion, older people have a relatively high awareness of vitD, however, knowledge may be inaccurate and low in those most at risk, and knowledge of deficiency-associated fall risk is under-recognised. Furthermore, studies specifically addressing older adult preferences are lacking; an understanding of preferences, integrated into public health guidelines and implementation strategies, is key not only to decreasing the risk of vitamin D deficiency but also to enabling autonomy in older adults.

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The Use of Tablet Technology by Older Adults in Health Care Settings—Is It Effective and Satisfying? A Systematic Review and Meta Analysis

Abstract: Clinicians should be encouraged to utilize tablet technology in the care of older patients.

Cited by 33 publications

References 25 publications

A Novel Instrument for Measuring Older People’s Attitudes Toward Technology (TechPH): Development and Validation

A Novel Instrument for Measuring Older People’s Attitudes Toward Technology (TechPH): Development and Validation

Testing a Photo Story Intervention in Paper Versus Electronic Tablet Format Compared to a Traditional Brochure Among Older Adults in Germany: Randomized Controlled Trial

Older Adults’ Beliefs, Knowledge and Preferences for Achieving Healthy Vitamin D Status: A Narrative Review

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