Older Adults' Perceptions of Home Telehealth Services

Overview

Journal Telemed J E Health

Specialties Health Services
Medical Informatics

Date 2013 Aug 13

PMID 23931702

Citations 65

Authors

Miha Cimperman

Maja Makovec Brencic

Peter Trkman

Mateja de Leonni Stanonik

Affiliations

Soon will be listed here.

Abstract

The success of home telemedicine depends on end-user adoption, which has been slow despite rapid advances in technological development. This study focuses on an examination of significant factors that may predict the successful adoption of home telemedicine services (HTS) among older adults. Based on previous studies in the fields of remote patient monitoring, assisted living technologies, and consumer health information technology acceptance, eight factors were identified as a framework for qualitative testing. Twelve focus groups were conducted with an older population living in both urban and rural environments. The results reveal seven predictors that play an important role in perceptions of HTS: perceived usefulness, effort expectancy, social influence, perceived security, computer anxiety, facilitating conditions, and physicians' opinion. The results provide important insights in the field of older adults' acceptance of HTS, with guidelines for the strategic planning, developing, and marketing of HTS for the graying market.

Citing Articles

Perceptions of Clients on a University-based Drug Information Service affecting Medication Safety.

Ngo F, Garcia K, Loquias M, Robles Y, Capule F Acta Med Philipp. 2024; 58(19):29-36.

PMID: 39600657 PMC: 11586293. DOI: 10.47895/amp.vi0.7672.

Emotional and Psychological Safety in Healthcare Digitalization: A Design Ethnographic Study.

Vocking M, Karrenbrock A, Beckmann A, Vondeberg C, Obert L, Hemming B Int J Public Health. 2024; 69:1607575.

PMID: 39310719 PMC: 11414544. DOI: 10.3389/ijph.2024.1607575.

Optimizing Telepractice Selection and Implementation for Persons with Aphasia.

Tibus E, Weatherill M, Rodriguez A Int J Telerehabil. 2024; 16(1):e6604.

PMID: 39022439 PMC: 11249833. DOI: 10.5195/ijt.2024.6604.

Needs for Successful Engagement in Telemedicine Among Rural Older US Veterans and Their Caregivers: Qualitative Study.

Boudreau J, Moo L, Kennedy M, Conti J, Anwar C, Pimentel C JMIR Form Res. 2024; 8:e50507.

PMID: 38713503 PMC: 11109863. DOI: 10.2196/50507.

Adoption and Use of Telemedicine and Digital Health Services Among Older Adults in Light of the COVID-19 Pandemic: Repeated Cross-Sectional Analysis.

Haimi M, Sergienko R JMIR Aging. 2024; 7:e52317.

PMID: 38656768 PMC: 11079757. DOI: 10.2196/52317.

References

Liu C . Key factors influencing the intention of telecare adoption: an institutional perspective. Telemed J E Health. 2011; 17(4):288-93. DOI: 10.1089/tmj.2010.0184. View

Or C, Karsh B . A systematic review of patient acceptance of consumer health information technology. J Am Med Inform Assoc. 2009; 16(4):550-60. PMC: 2705259. DOI: 10.1197/jamia.M2888. View

Bandura A . Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977; 84(2):191-215. DOI: 10.1037//0033-295x.84.2.191. View

Rahimpour M, Lovell N, Celler B, McCormick J . Patients' perceptions of a home telecare system. Int J Med Inform. 2007; 77(7):486-98. DOI: 10.1016/j.ijmedinf.2007.10.006. View

Onor M, Trevisiol M, Urciuoli O, Misan S, Bertossi F, Tirone G . Effectiveness of telecare in elderly populations-a comparison of three settings. Telemed J E Health. 2008; 14(2):164-9. DOI: 10.1089/tmj.2007.0028. View

Koch S . Meeting the challenges--the role of medical informatics in an ageing society. Stud Health Technol Inform. 2006; 124:25-31. View

Or C, Karsh B, Severtson D, Burke L, Brown R, Brennan P . Factors affecting home care patients' acceptance of a web-based interactive self-management technology. J Am Med Inform Assoc. 2010; 18(1):51-9. PMC: 3005875. DOI: 10.1136/jamia.2010.007336. View

Botsis T, Hartvigsen G . Current status and future perspectives in telecare for elderly people suffering from chronic diseases. J Telemed Telecare. 2008; 14(4):195-203. DOI: 10.1258/jtt.2008.070905. View

Chiu K, Yang Y . Remote monitoring of health status of the elderly at home in Taiwan. Telemed J E Health. 2010; 16(6):717-26. DOI: 10.1089/tmj.2010.0006. View

10.

Steele R, Lo A, Secombe C, Wong Y . Elderly persons' perception and acceptance of using wireless sensor networks to assist healthcare. Int J Med Inform. 2009; 78(12):788-801. DOI: 10.1016/j.ijmedinf.2009.08.001. View

11.

Welsh S, Hassiotis A, OMahoney G, Deahl M . Big brother is watching you--the ethical implications of electronic surveillance measures in the elderly with dementia and in adults with learning difficulties. Aging Ment Health. 2003; 7(5):372-5. DOI: 10.1080/1360786031000150658. View

12.

Shea S, Weinstock R, Starren J, Teresi J, Palmas W, Field L . A randomized trial comparing telemedicine case management with usual care in older, ethnically diverse, medically underserved patients with diabetes mellitus. J Am Med Inform Assoc. 2005; 13(1):40-51. PMC: 1380195. DOI: 10.1197/jamia.M1917. View

13.

Jen W, Hung M . An empirical study of adopting mobile healthcare service: the family's perspective on the healthcare needs of their elderly members. Telemed J E Health. 2010; 16(1):41-8. DOI: 10.1089/tmj.2009.0093. View

14.

Abramson Z . Factors associated with performance of influenza immunization among the elderly. Isr Med Assoc J. 2001; 2(12):902-7. View

15.

Finkelstein S, Speedie S, Potthoff S . Home telehealth improves clinical outcomes at lower cost for home healthcare. Telemed J E Health. 2006; 12(2):128-36. DOI: 10.1089/tmj.2006.12.128. View

16.

Ellis D, Allaire J . Modeling computer interest in older adults: the role of age, education, computer knowledge, and computer anxiety. Hum Factors. 2000; 41(3):345-55. DOI: 10.1518/001872099779610996. View

17.

Agarwal S, Lau C . Remote health monitoring using mobile phones and Web services. Telemed J E Health. 2010; 16(5):603-7. DOI: 10.1089/tmj.2009.0165. View