Factors affecting home care patients' acceptance of a web-based interactive self-management technology

Or, Calvin; Karsh, Ben Tzion; Severtson, Dolores J.; Burke, Laura J.; Brown, Roger; Brennan, Patrícia Flatley

doi:10.1136/jamia.2010.007336

Cited by 268 publications

(210 citation statements)

References 86 publications

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“…As introductorily outlined, research on older adults' health IT behavior is scarce [14,15,16,17,18] and is either descriptive in nature [e.g., 11,12,13] or targeted at predicting intentions to use specific health-related systems [19,20,21,22,23]. This study, thus, makes the following important contributions to research.…”

Section: Theoretical Contributionsmentioning

confidence: 99%

“…Without adequate health knowledge, lay individuals are confronted with a large search space making it difficult to them separating the relevant from the irrelevant information [2], given that not all online health information is of high quality [48]. Thus, those who have higher knowledge about their health and how to care for themselves may benefit more from using online health information, as they more readily understand the information searched for and retrieved [23]. Similarly, interest in health information is one of the forces leading online users to obtain health information from the web [4].…”

Section: H2b: 'Perceived Usefulness' Has Less Influence As Age Increamentioning

confidence: 99%

“…Health domain knowledge or health literacy is a major precursor of online health information use [2] and of effectively using consumer health IT [23]. Without adequate health knowledge, lay individuals are confronted with a large search space making it difficult to them separating the relevant from the irrelevant information [2], given that not all online health information is of high quality [48].…”

Section: H2b: 'Perceived Usefulness' Has Less Influence As Age Increamentioning

confidence: 99%

“…Second, although studies indicate their importance, the role of health literacy and healthcare needs in health IT use have not been examined in great detail yet [18] leading to inconclusive results [22,23]. By drawing on recent advancements in IS research, we employed a post-adoptive perspective focusing on the notion of enhanced IT use [26,28,29].…”

Section: Theoretical Contributionsmentioning

confidence: 99%

“…Most of todays' available studies are directed towards predicting seniors' intentions to use specific health-related systems, such as telehealth and remote patient monitoring systems [19,20], mobile health services [21], or other specific patient systems [22,23]. The important roles health condition and health literacy might play in seniors' health IT use have been either largely ignored [18] or remained inconclusive [22,23].…”

Section: Introductionmentioning

confidence: 99%

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Older Adults Use of Online Health Information - Do They Even Try?

Rockmann

Gewald

2017

Proceedings of the 50th Hawaii International Conference on System Sciences (2017)

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Section: Theoretical Contributionsmentioning

confidence: 99%

Section: H2b: 'Perceived Usefulness' Has Less Influence As Age Increamentioning

confidence: 99%

Section: H2b: 'Perceived Usefulness' Has Less Influence As Age Increamentioning

confidence: 99%

Section: Theoretical Contributionsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Older Adults Use of Online Health Information - Do They Even Try?

Rockmann

Gewald

2017

Proceedings of the 50th Hawaii International Conference on System Sciences (2017)

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Vaart

Drossaert²,

Taal³

et al. 2014

Arthritis Care & Research

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We read with interest the article by van der Vaart et al published recently in Arthritis Care & Research (1) describing the information needs and support of patients with systemic sclerosis. This article partially recapitulated the results and conclusion made by us in a related study (2).Our study included 184 patients from different Spanish regions and with different autoimmune diseases, including systemic sclerosis (17.1%). Internet use for healthrelated purposes was similar among all studied patients, regardless of the pathology. The mean Ϯ SD age was 47.5 Ϯ 15.04 years, from which 72.8% were women. In total, 84% of subjects had searched the internet for information relating to their condition, a percentage similar to that reported by van der Vaart et al (1). The variables associated with internet use to find health information were age Ͻ56 years (odds ratio [OR] 5 [95% confidence interval (95% CI) 2.5-9.9], P ϭ 0.000), being a regular internet user .2], P ϭ 0.000), having a college education (OR 5.5 [95% CI 2.9 -13.8], P ϭ 0.000), dissatisfaction with the information received by the regular doctor (OR 3.4 [95% CI 1.5-7.5], P ϭ 0.003), and belonging to a patient's association (OR 1.9 [95% CI 1-3.6], P ϭ 0.05). In our study, 20.7% of the patients thought information found on the internet was of limited use or of no use at all, and 31% did not know of any website with quality or accurate information about their disease. Van der Vaart et al did not evaluate the usefulness of the information found on the internet.It is well-known that the validity of some health-related websites is questionable, and there are no laws or regulations governing the accuracy of the information on the internet (3). Quality varies widely in the field of rheumatic diseases, and URLs with the .gov and .edu suffixes are generally better (4). Furthermore, many patients experience difficulties when interpreting the information and distinguishing between good and bad information (5). More than half of the patients (66.8%) wanted their physicians to inform them on quality websites.Similarly to van der Vaart et al (1), we consider it essential that physicians participate actively in the development of quality websites to ensure that patients have accurate information as well as to promote the development of interactive health communication applications as a tool for a better followup of our patients. Better-informed patients will be more adherent to the treatments prescribed by their physicians (6,7 Reply To the Editor:We were pleased to read the reaction of Ortego-Centeno et al on our article; it is interesting to see that their results on patients' online information use (1) agreed to such a large extent with our results. In one of our previous studies, among a broader sample of patients with differing rheumatic diseases, we also found similar results (2). In that study, 82% of our respondents indicated that they had searched for health-related information on the internet. These studies all suggest that the internet is an increasingly imp...

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“To protect my health or to protect my health privacy?” A mixed‐methods investigation of the privacy paradox

Fox

2020

Asso for Info Science & Tech

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This paper examines the role of privacy in the health context by investigating the influence of privacy concerns and perceived benefits on individuals' acceptance of health technologies used by healthcare providers and their own adoption of mobile health technologies. The study adopts a two‐stage sequential mixed‐methods design. The first stage is a quantitative survey of 447 citizens from two countries. The second stage involves 50 qualitative interviews which further untangle the roles of privacy concern and benefits. The integrated findings provide evidence that a privacy paradox exists. While individuals continue to express a high desire for privacy, their consideration of the benefits and privacy concerns prior to adoption is largely skewed toward the benefits, due to a lack of privacy knowledge, emphasis on immediate gratification, overestimation of the benefits, and underestimation of the risks. The study further extends the privacy calculus theory to the health context and acknowledges the factors impacting this comparison of benefits and privacy concerns prior to and postadoption of a new technology. The study provides actionable insights for practice, highlighting the importance of privacy education to foster awareness and control mechanisms to negate the potential negative effects of privacy concern.

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Factors affecting home care patients' acceptance of a web-based interactive self-management technology

Abstract: The study demonstrates that perceived usefulness, perceived ease of use, subjective norm, and healthcare knowledge together predict most of the variance in patients' acceptance and self-reported use of the web-based self-management technology.

Cited by 268 publications

References 86 publications

Older Adults Use of Online Health Information - Do They Even Try?

Older Adults Use of Online Health Information - Do They Even Try?

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“To protect my health or to protect my health privacy?” A mixed‐methods investigation of the privacy paradox

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Factors affecting home care patients' acceptance of a web-based interactive self-management technology

Abstract: The study demonstrates that perceived usefulness, perceived ease of use, subjective norm, and healthcare knowledge together predict most of the variance in patients' acceptance and self-reported use of the web-based self-management technology.

Cited by 268 publications

References 86 publications

Older Adults Use of Online Health Information - Do They Even Try?

Older Adults Use of Online Health Information - Do They Even Try?

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“To protect my health or to protect my health privacy?” A mixed‐methods investigation of the privacy paradox

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Older Adults Use of Online Health Information - Do They Even Try?

Older Adults Use of Online Health Information - Do They Even Try?