Abstract:
BACKGROUND:The Dutch Ministry of Health has formulated ambitious goals concerning the use of telehealth, leading to subsequent changes compared with the current health care situation, in which 93% of care is delivered face-to-face. Since most care is delivered to older people, the prospect of telehealth raises the question of whether this population is ready for this new way of receiving care. To study this, we created a theoretical framework consisting of 6 factors associated with older people's intention to use technology. OBJECTIVE:The objective of this study was to understand community-dwelling older people's readiness for receiving telehealth by studying their intention to use videoconferencing and capacities for using digital technology in daily life as indicators. METHODS:A mixed-method triangulation design was used. First, a cross-sectional survey study was performed to investigate older people's intention to use videoconferencing, by testing our theoretical framework with a multilevel path analysis (phase 1). Second, for deeper understanding of older people's actual use of digital technology, qualitative observations of older people executing technological tasks (eg, on a computer, cell phone) were conducted at their homes (phase 2). RESULTS:In phase 1, a total of 256 people aged 65 years or older participated in the survey study (50.0% male; median age, 70 years; Q1-Q3: 67-76). Using a significance level of .05, we found seven significant associations regarding older people's perception of videoconferencing. Older people's (1) intention to use videoconferencing was predicted by their performance expectancy (odds ratio [OR] 1.26, 95% CI 1.13-1.39), effort expectancy (OR 1.23, 95% CI 1.07-1.39), and perceived privacy and security (OR 1.30, 95% CI 1.17-1.43); (2) their performance expectancy was predicted by their effort expectancy (OR 1.38, 95% CI 1.24-1.52); and (3) their effort expectancy was predicted by their self-efficacy (OR 1.55, 95% CI 1.42-1.68). In phase 2, a total of 6 men and 9 women aged between 65 and 87 years participated in the qualitative observation study. Of the primary themes, 5 themes were identified that could provide greater understanding of older people's capacities and incapacities in using digital technology: (1) "self-efficacy and digital literacy," (2) "obstacles to using technology," (3) "prior experience and frequency of use," (4) "sources of support and facilitating conditions," and (5) "performance expectancy." These 5 themes recurred in all 15 observations. CONCLUSIONS:Performance expectancy, effort expectancy, and perceived privacy and security are direct predictors of older people's intention to use videoconferencing. Self-efficacy appeared to play a role in both older people's intention to use, as well as their actual use of technology. The path analysis revealed that self-efficacy was significantly associated with older people's effort expectancy. Furthermore, self-efficacy and digital literacy appeared to play a major role in older people's capacities to make use of digital technology.
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
van Houwelingen CT,Ettema RG,Antonietti MG,Kort HSdoi
10.2196/jmir.8407subject
Has Abstractpub_date
2018-04-06 00:00:00pages
e123issue
4eissn
1439-4456issn
1438-8871pii
v20i4e123journal_volume
20pub_type
杂志文章abstract:BACKGROUND:Advance care planning (ACP) is a process with the overall aim to enhance care in concordance with patients' preferences. Key elements of ACP are to enable persons to define goals and preferences for future medical treatment and care, to discuss these with family and health care professionals, and to document...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/15578
更新日期:2020-03-17 00:00:00
abstract:BACKGROUND:Mental health conditions are prevalent among US veterans and pose a number of self-management and health care navigation challenges. Post-Traumatic Stress Disorder (PTSD) with comorbid chronic medical conditions (CMCs) is especially common, in both returning Iraq or Afghanistan and earlier war-era veterans. ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.5594
更新日期:2016-10-26 00:00:00
abstract:BACKGROUND:Connected health has created opportunities for leveraging health data to deliver preventive and personalized health care services. The increasing number of personal devices and advances in measurement technologies contribute to an exponential growth in digital health data. The practices for sharing data acro...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/14537
更新日期:2019-11-27 00:00:00
abstract:BACKGROUND:Unhealthy lifestyle behaviors often co-occur and are related to chronic diseases. One effective method to change multiple lifestyle behaviors is web-based computer tailoring. Dropout from Internet interventions, however, is rather high, and it is challenging to retain participants in web-based tailored progr...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.1968
更新日期:2012-03-08 00:00:00
abstract:BACKGROUND:Quality of life (QoL) questionnaires are desirable for clinical practice but can be time-consuming to administer and interpret, making their widespread adoption difficult. OBJECTIVE:Our aim was to assess the performance of the World Health Organization Quality of Life (WHOQOL)-100 questionnaire as four item...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.6053
更新日期:2016-09-30 00:00:00
abstract:BACKGROUND:Despite the significant effect of computerized physician order entry (CPOE) in reducing nonintercepted medication errors among neonatal inpatients, only a minority of hospitals have successfully implemented such systems. Physicians' resistance and users' frustration seem to be two of the most important barri...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1284
更新日期:2010-02-26 00:00:00
abstract:BACKGROUND:Obesity is a highly prevalent condition with important health implications. Face-to-face interventions to treat obesity demand a large number of human resources and time, generating a great burden to individuals and health system. In this context, the internet is an attractive tool for delivering weight loss...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,meta分析
doi:10.2196/jmir.9609
更新日期:2019-01-08 00:00:00
abstract::[This corrects the article DOI: 10.2196/13980.]. ...
journal_title:Journal of medical Internet research
pub_type: 已发布勘误
doi:10.2196/21381
更新日期:2020-07-30 00:00:00
abstract:BACKGROUND:The escalating cost of global health care is driving the development of new technologies to identify early indicators of an individual's risk of disease. Traditionally, epidemiologists have identified such risk factors using medical databases and lengthy clinical studies but these are often limited in size a...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.4082
更新日期:2015-01-27 00:00:00
abstract::In this viewpoint we describe the architecture of, and design rationale for, a new software platform designed to support the conduct of digital phenotyping research studies. These studies seek to collect passive and active sensor signals from participants' smartphones for the purposes of modelling and predicting healt...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/16399
更新日期:2019-11-06 00:00:00
abstract:BACKGROUND:Obtaining access to a demographically and geographically diverse sample for health-related research can be costly and time consuming. Previous studies have reported mixed results regarding the potential of using social media-based advertisements to overcome these challenges. OBJECTIVE:Our aim was to develop...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.3786
更新日期:2014-10-27 00:00:00
abstract:BACKGROUND:Scaling up improved management of severe acute malnutrition has been identified as the nutrition intervention with the largest potential to reduce child mortality, but lack of operational capacity at all levels of the health system constrains scale-up. We therefore developed an interactive malnutrition eLear...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,多中心研究
doi:10.2196/10396
更新日期:2018-10-03 00:00:00
abstract:BACKGROUND:Pollen allergies affect a significant proportion of the population globally. At present, Web-based tools such as pollen diaries and mobile apps allow for easy and fast documentation of allergic symptoms via the internet. OBJECTIVE:This study aimed to characterize the users of the Patient's Hayfever Diary (P...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/16767
更新日期:2020-02-21 00:00:00
abstract:BACKGROUND:An understanding of the factors that predict retention and website use are critical to the development of effective Web-based weight loss interventions. However, poor retention (dropout attrition) and website utilization (nonusage attrition) are major inhibitors to the effectiveness of Web-based programs. O...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1640
更新日期:2010-12-14 00:00:00
abstract:BACKGROUND:The prevalence of chronic diseases such as type 2 diabetes and chronic low back pain is rising. Patient empowerment is a key strategy in the management of chronic diseases. Patient empowerment can be fostered by Web-based interactive health communication applications (IHCAs) that combine health information w...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.3904
更新日期:2015-03-03 00:00:00
abstract:BACKGROUND:Blended group therapy (bGT) has been investigated a several times for anxiety and depression, but information on patients' adherence to and therapists' perception of the novel format is nonexistent. Furthermore, many studies investigated mainly female and highly educated populations, limiting the validity of...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/11860
更新日期:2019-04-28 00:00:00
abstract:BACKGROUND:There is a growing body of evidence regarding eHealth interventions that target substance use disorders. Development and funding decisions in this area have been challenging, due to a lack of understanding of what parts of an intervention work in which context. OBJECTIVE:We conducted a realist review of the...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/20557
更新日期:2021-01-21 00:00:00
abstract:BACKGROUND:Internet use for health information is important, given the rise of electronic health (eHealth) that integrates technology into health care. Despite the perceived widespread use of the internet, a persistent "digital divide" exists in which many individuals have ready access to the internet and others do not...
journal_title:Journal of medical Internet research
pub_type: 历史文章,杂志文章
doi:10.2196/11931
更新日期:2019-05-14 00:00:00
abstract:BACKGROUND:Coronavirus disease (COVID-19) has been an unprecedented challenge to the global health care system. Tools that can improve the focus of surveillance efforts and clinical decision support are of paramount importance. OBJECTIVE:The aim of this study was to illustrate how new medical informatics technologies ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/18948
更新日期:2020-04-22 00:00:00
abstract:BACKGROUND:Improvements in mobile telecommunication technologies have enabled clinicians to collect patient-reported outcome (PRO) data more frequently, but there is as yet limited evidence regarding the frequency with which PRO data can be collected via smartphone applications (apps) in breast cancer patients receivin...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.3421
更新日期:2014-05-23 00:00:00
abstract:BACKGROUND:At the onset of the coronavirus outbreak, the World Health Organization's (WHO) Health Emergencies Learning and Capacity Development Unit, together with the WHO's health technical lead on coronaviruses, developed a massive open online course within 3 weeks as part of the global response to the emergency. The...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/19076
更新日期:2020-04-27 00:00:00
abstract:BACKGROUND:Patient registries are commonly used to track survival and medical outcomes in large cohorts. However, large-scale collection of health-related quality of life (HRQOL) data is more challenging because such data must be collected directly from patients. Internet-based HRQOL questionnaires are a potential solu...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1214
更新日期:2010-08-19 00:00:00
abstract:BACKGROUND:Continuous patient monitoring has been described by the World Health Organization as extremely important and is widely used in anesthesia, intensive care medicine, and emergency medicine. However, current state-of-the-art number- and waveform-based monitoring does not ideally support human users in acquiring...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,多中心研究
doi:10.2196/13041
更新日期:2019-07-17 00:00:00
abstract:BACKGROUND:Local and organic foods have shown increased importance and market size in recent years. However, attitudes, sentiment, and habits related to such foods in the context of video social networks have not been thoroughly researched. Given that such media have become some of the most important venues of internet...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/16761
更新日期:2020-08-10 00:00:00
abstract:BACKGROUND:The potential for machine learning to disrupt the medical profession is the subject of ongoing debate within biomedical informatics and related fields. OBJECTIVE:This study aimed to explore general practitioners' (GPs') opinions about the potential impact of future technology on key tasks in primary care. ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/12802
更新日期:2019-03-20 00:00:00
abstract:BACKGROUND:Automated disease code classification using free-text medical information is important for public health surveillance. However, traditional natural language processing (NLP) pipelines are limited, so we propose a method combining word embedding with a convolutional neural network (CNN). OBJECTIVE:Our object...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.8344
更新日期:2017-11-06 00:00:00
abstract:BACKGROUND:The application of mobile health (mHealth) platforms to monitor recovery in the postdischarge period has increased in recent years. Despite widespread enthusiasm for mHealth, few studies have evaluated the usability and user experience of mHealth in patients with surgical drainage. OBJECTIVE:Our objectives ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/17686
更新日期:2020-08-28 00:00:00
abstract:BACKGROUND:Mental disorders are responsible for a high level of disability burden in students attending university. However, many universities have limited resources available to support student mental health. Technology-based interventions may be highly relevant to university populations. Previous reviews have targete...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.2639
更新日期:2013-05-27 00:00:00
abstract:BACKGROUND:Understanding public behavioral responses to the coronavirus disease (COVID-19) epidemic and the accompanying infodemic is crucial to controlling the epidemic. OBJECTIVE:The aim of this study was to assess real-time public awareness and behavioral responses to the COVID-19 epidemic across 12 selected countr...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/21143
更新日期:2020-08-03 00:00:00
abstract:BACKGROUND:Social networks are common in digital health. A new stream of research is beginning to investigate the mechanisms of digital health social networks (DHSNs), how they are structured, how they function, and how their growth can be nurtured and managed. DHSNs increase in value when additional content is added, ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.4297
更新日期:2015-06-25 00:00:00