Barriers and Benefits of Information Communication Technologies Used by Health Care Aides

Perez, Hector; Neubauer, Noelannah; Marshall, Samantha; Philip, Serrina; Miguel-Cruz, Antonio; Liu, Lili

doi:10.1055/s-0042-1743238

Cited by 14 publications

(10 citation statements)

References 116 publications

(323 reference statements)

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“…[29][30][31][32][33] Family caregivers of individuals living in LTC may be reluctant to contact staff to inquire about the status of their relatives because of the high workloads experienced by the LTC staff. 9,13,34 Mobile technologies, including smartphone applications, can facilitate communication with staff, 5,[35][36][37][38][39][40] by supporting care coordination and remote care. 6,[41][42][43][44] Mobile technologies can also enhance social interactions with the care recipient and increase the engagement of families in care activities.…”

Section: Background and Significancementioning

confidence: 99%

Technology Acceptance of a Mobile Application to Support Family Caregivers in a Long-Term Care Facility

et al. 2022

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Background: Family caregivers are unpaid individuals who provide care to people with chronic conditions or disabilities. Family caregivers generally do not have formal care-related training. However, they are an essential source of care. Mobile technologies can benefit family caregivers by strengthening communication with care staff and supporting the monitoring of care recipients. Objective: We conducted a mixed-method study to evaluate the acceptance and usability of mobile technology called the Smart Care System. Methods: Using convenience sampling, we recruited 27 family caregivers to evaluate the mobile Smart Care System. In the quantitative phase, we administered initial and exit questionnaires based on the Unified Theory of Acceptance and Use of Technology model. In the qualitative phase, we conducted focus groups to explore family caregivers’ perspectives and opinions on the usability of the mobile Smart Care System. With the quantitative data, we employed univariate, bivariate, and partial least squares analyses, and we used content analysis with the qualitative data. Results: We observed a high level of comfort using digital technologies among participants. On average, participants were caregivers for an average of 6.08 years (SD = 6.63), and their mean age was 56.65 years (SD = 11.62). We observed a high level of technology acceptance among family caregivers (7.69, SD = 2.11). Behavioral intention (β = 0.509, p-value = 0.004) and facilitating conditions (β = 0.310, p-value = 0.049) were statistically significant and related to usage behavior. In terms of qualitative results, participants reported that the mobile application supported care coordination and communication with staff and provided peace of mind to family caregivers. Conclusion: The technology showed a high technology acceptance and intention to use among family caregivers in a long-term care setting. Facilitating conditions influenced acceptance. Therefore, it would be important to identify and optimize these conditions to ensure technology uptake.

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Section: Background and Significancementioning

confidence: 99%

Technology Acceptance of a Mobile Application to Support Family Caregivers in a Long-Term Care Facility

et al. 2022

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“…Knowledge of the usability and acceptance ICTs in health care settings is imperative for the success of ICT deployment. Perez et al [ 10 ] recently identified the drawbacks and benefits of ICT adoption by health care aides. A major deterrent is the cumbersome and time-consuming nature of the adoption and implementation of ICTs.…”

Section: Introductionmentioning

confidence: 99%

“…In light of the COVID-19 pandemic, an understanding of user-technology interactions is fundamental to ICT design and deployment in care settings. Health care aides, nurse managers, and other health care providers benefit from ICT use through improved communication, workflow support, and information accessibility [ 10 , 14 ]. Furthermore, there is an opportunity to enhance communication between clients and their family members [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Technology Acceptance and Usability of a Mobile App to Support the Workflow of Health Care Aides Who Provide Services to Older Adults: Pilot Mixed Methods Study

Miguel-Cruz¹,

Perez²,

Daum³

et al. 2022

JMIR Aging

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Background Health care aides are unlicensed support personnel who provide direct care, personal assistance, and support to people with health conditions. The shortage of health care aides has been attributed to recruitment challenges, high turnover, an aging population, the COVID-19 pandemic, and low retention rates. Mobile apps are among the many information communication technologies that are paving the way for eHealth solutions to help address this workforce shortage by enhancing the workflow of health care aides. In collaboration with Clinisys EMR Inc, we developed a mobile app (Mobile Smart Care System [mSCS]) to support the workflow of health care aides who provide services to older adult residents of a long-term care facility. Objective The purpose of this study was to investigate the technology acceptance and usability of a mobile app in a real-world environment, while it is used by health care aides who provide services to older adults. Methods This pilot study used a mixed methods design: sequential mixed methods (QUANTITATIVE, qualitative). Our study included a pre– and post–paper-based questionnaire with no control group (QUAN). Toward the end of the study, 2 focus groups were conducted with a subsample of health care aides (qual, qualitative description design). Technology acceptance and usability questionnaires used a 5-point Likert scale ranging from disagree (1) to agree (5). The items included in the questionnaires were validated in earlier research as having high levels of internal consistency for the Unified Theory of Acceptance and Use of Technology constructs. A total of 60 health care aides who provided services to older adults as part of their routine caseloads used the mobile app for 1 month. Comparisons of the Unified Theory of Acceptance and Use of Technology constructs’ summative scores at pretest and posttest were calculated using a paired t test (2-tailed). We used the partial least squares structural regression model to determine the factors influencing mobile app acceptance and usability for health care aides. The α level of significance for all tests was set at P≤.05 (2-tailed). Results We found that acceptance of the mSCS was high among health care aides, performance expectancy construct was the strongest predictor of intention to use the mSCS, intention to use the mSCS predicted usage behavior. The qualitative data support the quantitative findings and showed health care aides’ strong belief that the mSCS was useful, portable, and reliable, although there were still opportunities for improvement, especially with regard to the mSCS user interface. Conclusions Overall, these results support the assertion that mSCS technology acceptance and usability are high among health care aides. In other words, health care aides perceived that the mSCS assisted them in addressing their workflow issues.

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“…A recent study using the Internet and a telehealth care system to strengthen interactions between the community, hospital staff, and family members through virtual video, telephone, and visitor management can effectively improve family members' satisfaction and reduce patient transfer costs and length of hospitalization. 11 Several medical institutions in Taiwan have implemented telehealth care systems, allowing older and chronic patients to monitor physiological information at home and within the community to understand their health status and prevent disease. In addition, such systems can aid caregivers or family members in improving the quality of care for older adults.…”

Section: Introductionmentioning

confidence: 99%

Telehealth care system for chronic disease management of middle-aged and older adults in remote areas

Lan

Chen

2022

Health Informatics J

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Background With the global spread of the coronavirus disease pandemic, governments have become more interested in applying telehealth technology in 2020. Objective This study integrates the technology acceptance model and information system success model to explore the influence of satisfaction, attitudes, and continued use of telehealth systems among middle-aged and older people in remote areas. Methods The study participants were patients over 40 years (inclusive) who lived in remote townships in eastern Taiwan, were diagnosed with diabetes or hypertension, and used the telehealth care system. In total, 545 questionnaires were returned, resulting in a recovery rate of 99%. Results Accepting the hypothesized structural equation model, this study found that information, system, and service quality were influenced by the mediating effect of perceived ease of use and the perceived usefulness of the technology acceptance model. The use of telehealth care systems among chronic patients increased significantly.

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Barriers and Benefits of Information Communication Technologies Used by Health Care Aides

Cited by 14 publications

References 116 publications

Technology Acceptance of a Mobile Application to Support Family Caregivers in a Long-Term Care Facility

Technology Acceptance of a Mobile Application to Support Family Caregivers in a Long-Term Care Facility

Technology Acceptance and Usability of a Mobile App to Support the Workflow of Health Care Aides Who Provide Services to Older Adults: Pilot Mixed Methods Study

Telehealth care system for chronic disease management of middle-aged and older adults in remote areas

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