Thijs van Houwelingen|Roelof Ettema|Michelangelo GEF Antonietti|H.S.M. Kort
Understanding Older People’s Readiness for Receiving Telehealth: Mixed-Method Study
University of Applied Sciences Utrecht|University of Applied Sciences Utrecht|University Medical Center Utrecht|University of Applied Sciences Utrecht|University of Applied Sciences Utrecht|Eindhoven University of Technology
backgroundthe dutch ministry health formulated ambitious goals concerning use telehealth leading subsequent changes compared current health care situation 93 care delivered facetofacesince care delivered older people prospect telehealth raises question whether population ready new way receiving careto study created theoretical framework consisting 6 factors associated older peoples intention use technology objectivethe objective study understand communitydwelling older peoples readiness receiving telehealth studying intention use videoconferencing capacities using digital technology daily life indicatorsmethods mixedmethod triangulation design usedfirst crosssectional survey study performed investigate older peoples intention use videoconferencing testing theoretical framework multilevel path analysis phase 1second deeper understanding older peoples actual use digital technology qualitative observations older people executing technological tasks eg computer cell phone conducted homes phase 2 resultsin phase 1 total 256 people aged 65 years older participated survey study 500male median age 70 years q1q3 6776using significance level 05we found seven significant associations regarding older peoples perception videoconferencingolder peoples 1 intention use videoconferencing predicted performance expectancy odds ratio 126 95 ci 113139effort expectancy 123 95 ci 107139and perceived privacy security 130 95 ci 1171432 performance expectancy predicted effort expectancy 138 95 ci 124152and 3 effort expectancy predicted selfefficacy 155 95 ci 142168in phase 2 total 6 men 9 women aged 65 87 years participated qualitative observation studyof primary themes 5 themes identified could provide greater understanding older peoples capacities incapacities using digital technology 1 selfefficacy digital literacy 2 obstacles using technology 3 prior experience frequency use 4 sources support facilitating conditions 5 performance expectancythese 5 themes recurred 15 observationsconclusions performance expectancy effort expectancy perceived privacy security direct predictors older peoples intention use videoconferencingselfefficacy appeared play role older peoples intention use well