Factors influencing use of an e-health website in a community sample of older adults

Czaja, Sara J.; Sharit, Joseph; Lee, Chin Chin; Nair, Sankaran N.; Hernández, Mario Alberto; Arana, Neysarí; Fu, Shih Hua

doi:10.1136/amiajnl-2012-000876

Cited by 116 publications

(92 citation statements)

References 21 publications

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“…These findings also to some extent support other studies of e-health services among the elderly (Czaja et al, 2012;Pak, Price & Thatcher, 2009). But the findings here also reveal new information of clinical importance for healthcare.…”

Section: Discussionsupporting

confidence: 80%

“…In order to make the benefits of e-health services available and used by all clients, it is of importance to consider and support the clients' access and abilities to understand and use the technologies required in e-health services (Manafo & Wong, 2012; US Department of Health and Human Services, 2006). Interventions that could compensate for cognitive declines such as making websites easier to comprehend and providing tools to support internet use, have already been suggested to enable people with cognitive impairments to successfully use e-health technologies in relation to healthcare services (Czaja et al (2012). Such interventions are empirically supported by the findings in this study specifically, as, many persons with AD were demonstrating difficulties in the use of several e-health technologies.…”

Section: Discussionsupporting

confidence: 68%

“…However, to possess or to have access to the technology does not automatically mean that the technology is used competently. The benefits of e-health services will only be attained if the abilities and needs of the users are accounted for in the design of the applications (Czaja et al, 2012). This is specifically important for older adults experiencing functional decline or disabilities (Atkinson et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

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Using a screening tool to evaluate potential use of e-health services for older people with and without cognitive impairment

Malinowsky

Nygård

Kottorp

2013

Aging & Mental Health

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Objectives: E-health services are increasingly offered to provide clients with information and a link to healthcare services. The aim of this study is to investigate the perceived access to and the potential to use technologies important for e-health services among older adults with MCI or mild AD and controls. Method: The perceived access to and perception of difficulty in the use of everyday technology (such as cell phones, coffee machines, computers) was investigated in a sample of older adults (n=118) comprising three subsamples: adults with mild cognitive impairment (MCI) (n=37), with mild Alzheimer's disease (AD) (n=37) and controls (n=44) using the Everyday Technology Use Questionnaire (ETUQ). The use of seven technologies important for e-health services was specifically examined for each subsample and compared between the subsamples. Results: The findings demonstrated that the older adults in all subsamples both perceive access to e-health technologies and potentially would use them competently in several e-health services. However, among persons with AD a lower proportion of perceived access to the technology was described, as well as for persons with MCI. Conclusion: To make the benefits of e-health services available and used by all clients, it is important to consider access to the technology required in e-health services and also to support the clients' capabilities to understand and use the technologies. Also, the potential use of the ETUQ to explore the perceived access to and competence in using e-health technologies is a vital issue in the use of e-health services.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionsupporting

confidence: 68%

Section: Introductionmentioning

confidence: 99%

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Using a screening tool to evaluate potential use of e-health services for older people with and without cognitive impairment

Malinowsky

Nygård

Kottorp

2013

Aging & Mental Health

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“…3,4 Individuals who are older and with less education, worse cognitive function, and more limited technology experience are less likely to use a patient portal, 5,6 and they are less able to perform health management tasks electronically. 7,8 People with some of the most complex and costly health needs navigate the fragmented health care and social services delivery environments alongside family members and close friends. These Bfamily caregivers( broadly defined as family members or friends who lie outside the formal health care system) schedule and attend medical appointments, coordinate care, manage medications, assist with self-care tasks, and facilitate transitions across settings of care, among other activities.…”

Section: Introductionmentioning

confidence: 99%

Family Caregivers and Consumer Health Information Technology

2015

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Health information technology has been embraced as a strategy to facilitate patients' access to their health information and engagement in care. However, not all patients are able to access, or are capable of using, a computer or mobile device. Although family caregivers assist individuals with some of the most challenging and costly health needs, their role in health information technology is largely undefined and poorly understood. This perspective discusses challenges and opportunities of engaging family caregivers through the use of consumer-oriented health information technology. We compile existing evidence to make the case that involving family caregivers in health information technology as desired by patients is technically feasible and consistent with the principles of patient-centered and family-centered care. We discuss how more explicit and purposeful engagement of family caregivers in health information technology could advance clinical quality and patient safety by increasing the transparency, accuracy, and comprehensiveness of patient health information across settings of care. Finally, we describe how clarifying and executing patients' desires to involve family members or friends through health information technology would provide family caregivers greater legitimacy, convenience, and timeliness in health system interactions, and facilitate stronger partnerships between patients, family caregivers, and health care professionals.KEY WORDS: health information technology; electronic health records; family caregivers.

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“…However, as shown in the Schulz study, it is necessary for tailored texts to be shortened or spread over a particular period of time to prevent dropouts due to information overload. This is particularly true in the case of older adults participants who might experience cognitive decline and only be able to process a few pieces of information at a time [29].…”

Section: Intervention Characteristicsmentioning

confidence: 99%

Web-Based Physical Activity Interventions for Older Adults: A Review

Mohadis

Ali

Shahar

et al. 2015

Advances in Visual Informatics

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Abstract. Most web-based physical activity interventions were built based on the principles of universal design but may have overlooked age-related impairments experienced by older adults. Thus, it is important to know how successful such web-based interventions are in enhancing older adults' physical activity levels despite these shortcomings. The objective of this study is to review published literature regarding interactive web-based interventions promoting physical activity among older adults. EBSCOhost, ISI Web of Science and ScienceDirect databases were searched to identify relevant peerreviewed papers. Results were summarized in a qualitative way. We included 15 papers reporting on web-based interventions with physical activity components. Ten and two studies respectively indicated positive and negative outcomes, while the outcomes of the remaining three studies are unclear. Despite the fact that computer illiteracy and age-related impairments can both be experienced, there is preliminary evidence that suggests that web-based interventions are effective in encouraging physical activity among older adults.

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Factors influencing use of an e-health website in a community sample of older adults

Abstract: The findings indicate that training, experience, and abilities are important when using complex health websites. However, training alone is not sufficient. The complexity of web content needs to be considered to ensure successful use of these websites by those with lower abilities.

Cited by 116 publications

References 21 publications

Using a screening tool to evaluate potential use of e-health services for older people with and without cognitive impairment

Using a screening tool to evaluate potential use of e-health services for older people with and without cognitive impairment

Family Caregivers and Consumer Health Information Technology

Web-Based Physical Activity Interventions for Older Adults: A Review

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