Readiness to accept health information and communication technologies: A population-based survey of community-dwelling older adults.

Details

Serval ID
serval:BIB_F084EDF61EF8
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Readiness to accept health information and communication technologies: A population-based survey of community-dwelling older adults.
Journal
International journal of medical informatics
Author(s)
Abolhassani N., Santos-Eggimann B., Chiolero A., Santschi V., Henchoz Y.
ISSN
1872-8243 (Electronic)
ISSN-L
1386-5056
Publication state
Published
Issued date
10/2019
Peer-reviewed
Oui
Volume
130
Pages
103950
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
The development of health information and communication technologies (HICTs) could modify the quality and cost of healthcare services delivered to an aging population. However, the acceptance of HICTs - a prerequisite for users to benefit from them - remains a challenge. This population-based study aimed to 1) explore the acceptance of HICTs by community-dwelling older adults as well as the factors associated to the overall acceptance/refusal of HICTs; 2) identify the factors associated with confidentiality (i.e., access to data allowed to physicians only versus to all caregivers) in the subgroup of older adults willing to accept HICTs.
A total of 3195 community-dwelling 69-83 year-old members of the Lausanne cohort 65+ were included. In 2017, participants filled out a 9-item questionnaire to assess their acceptance of HICTs ("yes without reluctance"; "yes but with reluctance"; "no"). A bivariate analysis was conducted to examine gender and age differences in the acceptance of HICTs. A multivariable logistic regression was performed to model 1) accepting all or rejecting all HICTs items; 2) willing to share HICTs items with physicians only versus all caregivers.
The answer "acceptance without reluctance" ranged from 26.4% to 70.4% across HICTs and was the most frequent answer to six out of nine HICT items. For every HICT item, the acceptance rate decreased across age categories in women. Overall, 20.2% accepted all the HICTs without reluctance and 9.9% rejected them all. Older age and a lower level of education were significantly associated with both accepting all HICTs without reluctance (OR = 0.78 and OR = 0.65, respectively) and rejecting all HICTs (OR = 1.54 and OR = 2.89, respectively). Women and participants with health vulnerability (depressive symptoms, difficulty in activities of daily living (ADLs)) were less likely to accept data accessibility to non-physicians.
Acceptance of HICTs was relatively high. To deploy HICTs in the older population, demographic, socioeconomic and health profiles, alongside confidentiality concerns, should be considered.
Keywords
Adult, Aged, Aged, 80 and over, Female, Humans, Independent Living/psychology, Information Technology/statistics & numerical data, Male, Medical Informatics/statistics & numerical data, Middle Aged, Patient Acceptance of Health Care/psychology, Patient Acceptance of Health Care/statistics & numerical data, Population Surveillance, Surveys and Questionnaires, Acceptance, Community-dwelling older adults, Health information and communication technologies
Pubmed
Web of science
Create date
17/09/2019 12:32
Last modification date
22/01/2020 6:19
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