Influences of Satisfaction with Telecare and Family Trust in Older Taiwanese People

Abstract

The level of trust given towards telecare by the family members of older people using the service is extremely important. Family trust may be an influential factor in deciding whether to use such services. This study focuses on older people’s satisfaction with telecare and examines their family’s trust in telecare services. Influences on intention to continue using telecare services are also explored. A questionnaire-based survey on 60 communities dwelling older people who had been receiving telecare services in the past two years was employed. This study developed a satisfaction and trust scale based on previous studies. Our results show that older people’s satisfaction with telecare services and families’ trust were influential in decided whether to continue to use of telecare services. These findings can help medical institutions to better insight into the user experience of telecare to help them provide future services that better comply with clients’ desires and requirements.

Self-Management of Chronic Diseases Among Older Korean Adults: An mHealth Training, Protocol, and Feasibility Study (Preprint)

“…Strong interest and autonomy of selection based on individual needs are a driving force behind facilitating an mHealth intervention [20]. In our study, participants utilized physiological monitoring, informationbased education, and self-management, which was consistent with another study of Asian older adults in Taiwan [34]. Common features of the selected apps included recording individual information such as blood pressure and providing personal guidance and alerts based on inputted data.…”

“…When older adults require technical support or positive rewards during smart device use and an mHealth intervention, they are likely to receive instant help or feedback from a significant other, such as a family member [38]. New devices and tasks are frequently discussed with family members, who influence older adults' intent to use the intervention, which was shown in previous studies [34,38]. Family attitudes toward telecare are a critical factor that supports older adults to continue using the services [34].…”

“…New devices and tasks are frequently discussed with family members, who influence older adults' intent to use the intervention, which was shown in previous studies [34,38]. Family attitudes toward telecare are a critical factor that supports older adults to continue using the services [34]. For example, the low technical support group mentioned that their family felt pressured to learn new skills or perform additional tasks dealing with mHealth devices or interventions [40].…”

“…The most common difficulty among participants was technical challenges; they were not familiar with using highly sensitive touch screens, completion of technology training, or diverse mobile apps. Many older adults felt concerned about incorrect operation or misunderstanding due to their lack of knowledge and experience [10,20,34,38]. In this study, participants received multiple device training adjusted to their progresses and technical support on continuous use of mHealth, as suggested by a previous study [20].…”

“…Computer-related questions were asked such as whether the participants had used computers, smart devices, or the Internet. We developed a self-reporting user evaluation and a proxy-report checklist of essential tasks based on previous literature [11,34]. After completing Phase 1, participants reported their confidence and a research assistant observed their basic skills in using mobile devices based on a standardized checklist.…”