Patient Portal Acceptance by the Elderly

2020 ◽  
pp. 67-90
Author(s):  
Karoly Bozan ◽  
Kevin R. Parker ◽  
Bill Davey
Keyword(s):  
Older People ◽  
Technology Acceptance ◽  
Social Power ◽  
Least Squares Method ◽  
The Elderly ◽  
Cognitive Effort ◽  
Patient Portal ◽  
Patient Portals ◽  
Use Of Technology ◽  
Likelihood Model

The motivating factors that influence patient portal acceptance among the elderly are not well understood. Using the social heuristic theory, the elaboration likelihood model, and the unified theory of acceptance and use of technology, this study proposes a model that examines the persuasive mechanisms for the elderly to use patient portals. An empirical study involving 117 subjects in the United States was used to test the proposed model. Using the partial least squares method, social power, and imitate-the-successful social heuristics were found to significantly influence patient portal acceptance among the elderly. These findings indicate that older people invest less effort cognitively elaborating when presented with technology acceptance decisions and accept influence from their higher status peers from their network. Imitate-the-majority heuristics and central route processing were not found to be significant, implying that older people are more inclined to take advice from sources, which they find credible and invest less cognitive effort in evaluating the complex phenomena.

Social Forces that Influence Health IT Use Behavior of the Elderly

2017 ◽  
pp. 369-383 ◽  
Author(s):  
Karoly Bozan ◽  
Bill Davey ◽  
Kevin R. Parker
Keyword(s):  
Older People ◽  
The Elderly ◽  
Patient Portal ◽  
Social Forces ◽  
It Use ◽  
Normative Pressure ◽  
Use Of Technology ◽  
Proposed Model ◽  
Social Environmental ◽  
Use Behavior

The social forces that influence patient portal use behavior among the elderly are not well understood. Using both institutional theory and the Unified Theory of Acceptance and Use of Technology, the proposed model examines three social environmental factors ? normative, mimetic, and coercive forces ? within a Health Information Technology (HIT) context. An empirical study involving 117 subjects in the United States was used to test the proposed model. Using the partial least squares method, mimetic and coercive pressures were found to significantly influence patient portal use behavior. These findings indicate that older people follow not only their providers' advice, but also follow the behavior of respected, higher-status peers from their network. Normative pressure was not found to be significant, implying that older people do not follow the bandwagon effect.

scholarly journals Using the Technology Acceptance Model to Explore User Experience, Intent to Use, and Use Behavior of a Patient Portal Among Older Adults With Multiple Chronic Conditions: Descriptive Qualitative Study (Preprint)

2018 ◽  
Author(s):  
Jennifer Dickman Portz ◽  
Elizabeth A Bayliss ◽  
Sheana Bull ◽  
Rebecca S Boxer ◽  
David B Bekelman ◽  
...  
Keyword(s):  
Older Adults ◽  
Technology Acceptance ◽  
Health Management ◽  
Ease Of Use ◽  
Multiple Chronic Conditions ◽  
Patient Portal ◽  
Patient Portals ◽  
Intent To Use ◽  
Acceptance Model ◽  
Use Behavior

BACKGROUND Patient portals offer modern digital tools for older adults with multiple chronic conditions (MCC) to engage in their health management. However, there are barriers to portal adoption among older adults. Understanding portal user interface and user experience (UI and UX) preferences of older adults with MCC may improve the accessibility, acceptability, and adoption of patient portals. OBJECTIVE The aim of this study was to use the Technology Acceptance Model (TAM) as a framework for qualitatively describing the UI and UX, intent to use, and use behaviors among older patients with MCC. METHODS We carried out a qualitative descriptive study of Kaiser Permanente Colorado’s established patient portal, My Health Manager. Older patients (N=24; mean 78.41 (SD 5.4) years) with MCC participated in focus groups. Stratified random sampling was used to maximize age and experience with the portal among participants. The semistructured focus groups used a combination of discussion and think-aloud strategies. A total of 2 coders led the theoretically driven analysis based on the TAM to determine themes related to use behavior, portal usefulness and ease of use, and intent to use. RESULTS Portal users commonly used email, pharmacy, and lab results sections of the portal. Although, generally, the portal was seen to be easy to use, simple, and quick, challenges related to log-ins, UI design (color and font), and specific features were identified. Such challenges inhibited participants’ intent to use the portal entirely or specific features. Participants indicated that the portal improved patient-provider communication, saved time and money, and provided relevant health information. Participants intended to use features that were beneficial to their health management and easy to use. CONCLUSIONS Older adults are interested in using patient portals and are already taking advantage of the features available to them. We have the opportunity to better engage older adults in portal use but need to pay close attention to key considerations promoting usefulness and ease of use.

scholarly journals Design simplicity influences patient portal use: the role of aesthetic evaluations for technology acceptance

2015 ◽  
Vol 23 (e1) ◽  
pp. e157-e161 ◽  
Author(s):  
Allison J Lazard ◽  
Ivan Watkins ◽  
Michael S Mackert ◽  
Bo Xie ◽  
Keri K Stephens ◽  
...  
Keyword(s):  
Technology Acceptance ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Patient Portal ◽  
Perceived Ease Of Use ◽  
Design Strategies ◽  
Patient Portals ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Aesthetic

Abstract Objective This study focused on patient portal use and investigated whether aesthetic evaluations of patient portals function are antecedent variables to variables in the Technology Acceptance Model. Methods A cross-sectional survey of current patient portals users ( N  = 333) was conducted online. Participants completed the Visual Aesthetics of Website Inventory, along with items measuring perceived ease of use (PEU), perceived usefulness (PU), and behavioral intentions (BIs) to use the patient portal. Results The hypothesized model accounted for 29% of the variance in BIs to use the portal, 46% of the variance in the PU of the portal, and 29% of the variance in the portal’s PEU. Additionally, one dimension of the aesthetic evaluations functions as a predictor in the model – simplicity evaluations had a significant positive effect on PEU. Conclusion This study provides evidence that aesthetic evaluations – specifically regarding simplicity – function as a significant antecedent variable to patients’ use of patient portals and should influence patient portal design strategies.

Perceptions of older people in Ireland and Australia about the use of technology to address falls prevention

2018 ◽  
Vol 40 (2) ◽  
pp. 369-388
Author(s):  
Lynette Mackenzie ◽  
Amanda Clifford
Keyword(s):  
Health Care ◽  
Older People ◽  
Technology Acceptance ◽  
Information And Communication Technologies ◽  
Community Dwelling ◽  
Falls Prevention ◽  
Ageing Population ◽  
Future Health ◽  
Exercise Interventions ◽  
Use Of Technology

AbstractFalls are common events with serious consequences for older people. With an ageing population and increasing health-care costs, information and communication technologies (ICT) will have a potential role in future health-care delivery. However, research on technology acceptance in health care for older people is limited and its application to falls prevention is unknown. The aims of this study were to explore and describe the perceptions of community-dwelling Australian and Irish older people about their current use of technology, and the potential use of technology for falls prevention. Qualitative data were collected from three focus groups conducted in and around Limerick in Ireland, and three in the Sydney area, Australia. A total of 35 older people participated. Data were analysed using thematic analysis. Four themes emerged from the data: (a) perceptions of vulnerability to falls, (b) preferences for exercise interventions, (c) participation in and ownership of technology, and (d) perceptions about applications of technology for falls prevention. As the use of technology is an instrumental activity of daily living, health professionals need to assess the capacity of older people to adopt these technologies, and provide falls prevention interventions to accommodate the technology skills of older people. Some participants were reluctant to embrace technology and barriers to the effective use of technology to assist in preventing falls may conflict with future health service trends.

Analysing the Engagement and Attitude of Elderly Towards Digital Platforms in India

2019 ◽  
Vol 14 (3) ◽  
pp. 214-234
Author(s):  
Munmun Ghosh
Keyword(s):  
Older People ◽  
The Elderly ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Study Phase ◽  
Digital Inclusion ◽  
Digital Platforms ◽  
Use Of Technology ◽  
Proposed Model ◽  
Depth Interviews

In present-day technology is governing the way we live and lead our life. It primarily governs our day-to-day work, quality of life, health, environment and surroundings. The use of technology has made our lives easier as almost everything around us is accessible with the use of some innovative technologies. But at the same point in time, it has made the experience little complex for the older people living in our society. As per the Ministry of Statistics, Government of India 2017, the numbers of Indians over the age of 60 years constitute almost 36 per cent of the country’s population. Considering this fact, it is imperative to be acquainted with the full picture of digital involvement of older people in the country. The research is focussed primarily on the people aged between 58 and 70 years residing in the urban locality of India. The study will use a mixed-method framework to conclude its findings. Data are collected first through a survey of 388 respondents and then interviewing some of the participants (20 participants who were also part of the survey) from different states of India. Sequential explanatory research design is used to conduct the study. Phase one is a quantitative analysis where statistical tools like Cronbach’s alpha, factor analysis and regression is used to validate the proposed model. In phase two, the validated constructs of the proposed model are used to frame the discussion guide and in-depth interviews were conducted. The depth interviews further clarified and explained in more details the results derived from the quantitative study in the first stage. The purpose of this research is to identify the level of digital exclusion and also to ascertain the reasons behind the marginalization. Further, the research is also focussing on understanding the noteworthy perceptions that will be effective in creating and implementing strategies for digital inclusion and engagement of the elderly in India. The results (both quantitative and qualitative study) established the influence of perceived usefulness, ease of use, risk and anxiety on the engagement and hence generating an attitude towards adoption.

scholarly journals Defining Empowerment and Supporting Engagement Using Patient Views From the Citizen Health Information Portal: Qualitative Study (Preprint)

2017 ◽  
Author(s):  
Tracie Risling ◽  
Juan Martinez ◽  
Jeremy Young ◽  
Nancy Thorp-Froslie
Keyword(s):  
Qualitative Methodology ◽  
Digital Health ◽  
Patient Empowerment ◽  
Primary Objective ◽  
Patient Portal ◽  
Interpretive Description ◽  
Patient Portals ◽  
Information Portal ◽  
Use Of Technology ◽  
Self Reported Health Status

BACKGROUND The increasing presence of technology in health care has created new opportunities for patient engagement and with this, an intensified exploration of patient empowerment within the digital health context. While the use of technology, such as patient portals, has been positively received, a clear linkage between digital health solutions, patient empowerment, and health outcomes remains elusive. OBJECTIVE The primary objective of this research was to explore the views of participants enrolled in an electronic health record portal access trial regarding the resultant influence of this technology on their feelings of patient empowerment. METHODS The exploration of patient empowerment within a digital health context was done with participants in a tethered patient portal trial using interpretive description. Interpretive description is a qualitative methodology developed to pragmatically address clinical health questions. Patient demographics, self-reported health status, and self-identified technology adaptation contributed to the assessment of empowerment in this qualitative approach. RESULTS This research produced a view of patient empowerment within the digital health context summarized in two overarching categories: (1) Being Heard and (2) Moving Forward. In each of these, two subcategories further delineate the aspects of empowerment, as viewed by these participants: Knowing More and Seeing What They See under Being Heard, and Owning Future Steps and Promoting Future Care under Moving Forward. This work also highlighted an ongoing interconnectedness between the concepts of patient empowerment, engagement, and activation and the need to further articulate the unique aspects of each of these. CONCLUSIONS The results of this study contribute needed patient voice to the ongoing evolution of the concept of patient empowerment. In order to move toward more concrete and accurate measure of patient empowerment and engagement in digital health, there must be further consideration of what patients themselves identify as essential aspects of these complex concepts. This research has revealed relational and informational elements as two key areas of focus in the ongoing evolution of patient empowerment operationalization and measure.

scholarly journals Critical Factors Influencing the Intention to Adopt m-Government Services by the Elderly

2020 ◽  
Vol 28 (4) ◽  
pp. 74-94
Author(s):  
Md. Shamim Talukder ◽  
Raymond Chiong ◽  
Brian Corbitt ◽  
Yukun Bao
Keyword(s):  
Social Influence ◽  
Technology Acceptance ◽  
Information Technologies ◽  
Factor Model ◽  
Resistance To Change ◽  
The Elderly ◽  
Integrative Model ◽  
Government Services ◽  
Use Of Technology ◽  
Self Actualization

While the elderly population is growing rapidly, acceptance and use of m-government services by them are far below expectation. Previous studies on acceptance and use of m-government services have predominantly focused on younger citizens with skills and experience of information technologies. Drawing upon the dual factor model, this study investigates the enablers and inhibitors of the elderly's m-government service adoption behavior. Four constructs from the unified theory of acceptance and use of technology (UTAUT), namely, performance expectancy, effort expectancy, facilitating conditions, social influence; and self-actualization are treated as enablers, while user resistance to change, technology anxiety, and declining physiological conditions are regarded as inhibitors. Results show that adoption of m-government by the elderly is significantly influenced by all tested enablers and inhibitors, except for social influence. This study contributes by providing an integrative model of technology acceptance for the elderly along with practical implications for policy makers.

scholarly journals Factors That Influence Use of a Patient Portal by Health Professionals

2021 ◽  
Vol 18 (4) ◽  
pp. 1877
Author(s):  
Anna Janssen ◽  
Melanie Keep ◽  
Hiran Selvadurai ◽  
Andrea Kench ◽  
Sharon Hunt ◽  
...  
Keyword(s):  
Health Professionals ◽  
Healthcare Team ◽  
Patient Portal ◽  
Structured Interviews ◽  
Patient Portals ◽  
Implementation Support ◽  
Healthcare Teams ◽  
Barriers And Enablers ◽  
Paediatric Care ◽  
Use Of Technology

Patient portals are websites or apps that provide patients with tools to manage healthcare appointments, access their health records, and communicate with clinicians. Patient portals have been demonstrated to be beneficial for improving communication between patients/carers and their healthcare team in a range of health settings. However, there is limited research on the barriers and enablers for implementing patient portals from the perspective of health professionals and healthcare teams, particularly in a paediatric setting. This study aimed to understand healthcare teams’ experiences of using a patient portal and, using the Unified Theory of Acceptance and Use of Technology (UTAUT) framework, explore the barriers and enablers to ongoing use. Participants were 11 health professionals participating in the pilot of a patient portal for patients/carers in paediatric care. Data were collected using semi-structured interviews. Analysis of the interview data identified nine themes about implementing a patient portal in paediatric care, all of which aligned with the four constructs of the UTAUT. This study identified that barriers and enablers of the uptake of a patient portal by health professionals in a paediatric context aligned with the UTAUT framework. Value for the patient, improved workflow, and adequate technical and implementation support were highlighted by participants.

Analisis Perbandingan Metode TAM dan UTAUT dalam Mengukur Kesuksesan Penggunaan Aplikasi Ojek Online

2020 ◽  
Vol 14 (4) ◽  
Author(s):  
Indriyanti, Tri Wahyuni, Erni Ermawati, Nurul Ichsan , Haerul Fatah
Keyword(s):  
Technology Acceptance ◽  
Technology Acceptance Model ◽  
Unified Theory ◽  
Use Of Technology ◽  
Acceptance Model

AbstrakBerkembangnya teknologi informasi memberikan pengaruh yang cukup bagi masyarakat, tetapi terkadang ada beberapa teknologi yang kurang diterima oleh masyarakat karena beberapa faktor. Penelitian ini bertujuan untuk menganalisis rasio metode TAM dan UTAUT dalam mengukur keberhasilan penggunaan aplikasi Ojek Online di Sleman, Yogyakarta. Metode yang paling banyak digunakan untuk menganalisis keberhasilan penggunaan teknologi adalah metode TAM dan UTAUT. Metode TAM dan UTAUT juga merupakan metode terbaik karena mampu menjelaskan perilaku pengguna terhadap penggunaan teknologi. Responden dalam penelitian ini adalah pengguna aplikasi Ojek Online di Kabupaten Sleman di Yogyakarta yang terdiri dari siswa dan masyarakat umum. Responden dalam penelitian ini diambil secara acak dari seluruh populasi. Data yang dikumpulkan diolah menggunakan SPSS agar mudah dianalisis lebih lanjut. Metode yang digunakan adalah metode korelasional. Hasil dari penelitian ini adalah bahwa metode TAM dan UTAUT mampu menganalisis penerimaan aplikasi Ojek Online meskipun nilai beberapa konstruk yang digunakan dalam penelitian ini hanya mempengaruhi penggunaan aktual sebesar 8% dan 5,2%. Kata kunci: Analisa Model, Technology Acceptance Model (TAM), Unified Theory of Acceptance and Use of Technology (UTAUT), Aplikasi Ojek Online, Uji Determinasi

Use of Technology Acceptance Model for Turnitin®

2015 ◽  
Vol 1 (2) ◽  
Author(s):  
Dr. Abu Turab Alam
Keyword(s):  
Information System ◽  
Software Engineering ◽  
Technology Acceptance ◽  
Technology Acceptance Model ◽  
Implementation Research ◽  
Functional Requirements ◽  
End User ◽  
Research Activity ◽  
Use Of Technology ◽  
Acceptance Model

A useful Information System is difficult to conceive and develop. Research on technology has revealed that end-user likes or dislikes may matter towards the success or failure of information system (IS). A highly complicated system in which developers have put lots of development efforts may fail if the end-user dislikes it after its initial installation. In software engineering literature it is claimed that system rejection is mostly caused by not meeting the non-functional requirements. In this paper, a study is being done on ‘turnitin®’ as technology and its acceptance to a group of students in order to find out confirmation of result as claimed by TAM while it is a post implementation research activity for technology acceptance.

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