This study investigates the anticipated psychosocial impact of present web-based e-health services and future mobile health applications among older Swedes. Random sample's of Swedish citizens aged 55 years old and older were given a survey containing two different e-health scenarios which respondents rated according to their anticipated psychosocial impact by means of the PIADS instrument. Results consistently demonstrated the positive anticipation of psychosocial impacts for both scenarios. The future mobile health applications scored more positively than the present web-based e-health services. An increase in age correlated positively to lower impact scores. These findings indicate that from a psychosocial perspective, web-based e-health services and mobile health applications are likely to positively impact quality of life. This knowledge can be helpful when tailoring and implementing e-health services that are directed to older people.

The demands on health care systems related to the global trend of aging populations, together with the recent development of information and communication technology (ICT) and e-health solutions aimed at improving the accessibility of health services, are placing older people´s ICT usage and ICT readiness in focus.There is an on-going investment in ICT in health services world-wide, and the European Union (EU) has since 2008 invested €335 million in healthcare research related to ICT 1,2 . The European strategy in ICT for Ageing Well 3 concerns improved quality of life: a high degree of independence and autonomy, enhanced mobility, improved access to age-friendly ICT and personalised integrated social and health care services. ICT systems can be helpful in improving relations between patients and health services by the transmission of health data and peer-to-peer communication between patients and health professionals 2 . Since 2010 it has been possible in Sweden for citizens nationwide to obtain certified health-related information on the Web 4 and to communicate with health services using e-services named 'My Contacts in Healthcare' 4,5 .Andreassen et al. 6 found in a European study of people aged 15 to 80 that two Scandinavian countries were most effective in health-related use of the Internet. In Denmark, 62% of the respondents used the Internet for health purposes and 59% of the respondents in Norway. Andreassen et al. 6 further stated that the most common way to use the Internet for such purposes was to read information, and the second most common way was to use the Internet as support for decisions on whether to see a doctor and to prepare for and follow up on doctors' appointments.The perception exists that ICT usage is an age-related phenomenon, and reports confirm that ICT usage decreases with advancing age 7 . Moreover, usage rates for health information technology were shown to decrease in the older age groups in an American study 8 . However, older people in Sweden are experienced users in a European perspective 9 . Of Swedes aged 65-79, 66% have access to the Internet and a computer, and 81% have access to a mobile phone 7 . The usage of mobile phones among older people in Europe is at present approaching the usage in younger generations, in contrast to the final decades of the

Introduction: Relevant determinants of adoption of eHealth are needed in order to understand future usage. Aim: To investigate the anticipated psychosocial impact of present and future eHealth services and discuss how psychosocial factors can impact the readiness for eHealth services among older Swedes and reflect upon instruments for measuring eHealth acceptance. Method: The Psychosocial Impact of Assistive Device Scale (PIADS) measured the psychosocial impact of eHealth services as illustrated in pictures of a set of events of eHealth services that may reasonably occur in the present and the future. The PIADS scale and the scenarios were administered via a randomly selected sample from the Swedish population aged 55-105. Results and Discussion: Older Swedes have, from a psychosocial perspective, positive expectations regarding eHealth services. The PIADS scale could be a useful supplement to acceptance measurements in the context of eHealth. Using animated illustrations to depict eHealth services, together with the PIADS scale, can generate findings that are generalizable across technologies. The dimensions adaptability, competence and self-esteem could be relevant determinants of adoption of eHealth.

Sustainable lifestyle changes due to obesity are difficult to achieve regardless methods used. We need to know more about the lived experience of obesity and older persons’ needs for support to make a sustainable change. This paper focuses on the need-finding process in designing support for a sustainable lifestyle change. Multistage focus group interviews were conducted with persons aged 61–72 living in Northern Sweden. A participatory and appreciative reflection and action (PAAR) approach was used in the group-sessions. Probes were used to increase reflections and achieve a deeper knowledge about the participants’ needs of support. Data were analysed using qualitative thematic content analysis. Our findings revealed that to be able to succeed with a lifestyle change a focus has to be on a converted way of thinking, managing vulnerability, and achieving an emotional balance. To achieve a sustainable lifestyle change due to obesity in the third age the focus has to be on a health identity instead of a weight identity. Personalised support with enjoyable physical activities should be designed and developed. Strategies for emotional balance based on autonomy and self-empowerment must be included. This knowledge is important when designing support for sustainable change.