Harris Maurita T, Rogers Wendy A
University of Illinois Urbana-Champaign, USA.
Ageing Soc. 2023 Apr;43(4):814-834. doi: 10.1017/s0144686x21001069. Epub 2021 Aug 2.
Older adults with a chronic health condition (e.g., hypertension) use various self-management methods. Healthcare technologies have the potential to support health self-management. However, it is necessary to understand the acceptance of these technologies as a precursor to older adults' adoption and integration into their health plan. Our focus was on the factors older adults with hypertension initially consider when introduced to three new healthcare technologies that might support their health self-management. We compared their considerations for a blood pressure monitor, an electronic pillbox, and a multifunction robot to simulate incrementally more complex technologies. Twenty-three participants (aged 65-84) completed four questionnaires and a semi-structured interview. The interview transcripts were analyzed using a thematic analysis approach. We identified the factors that were frequently mentioned among the participants for each of the three healthcare technologies. The factors that older adults initially considered were familiarity, perceived benefits, perceived ease of use, perceived need for oneself, relative advantage, complexity, and perceived need for others. Upon further reflection, participants considered advice acceptance, compatibility, convenience, facilitating conditions, perceived usefulness, privacy, subjective norm, and trust. We integrated the factors that older adults considered into the Healthcare Technology Acceptance Model (H-TAM), which elucidates the complexity of healthcare technology acceptance and provides guidance for future explorations.
患有慢性健康状况（如高血压）的老年人会使用各种自我管理方法。医疗技术有潜力支持健康自我管理。然而，有必要了解这些技术的可接受性，这是老年人采用并将其纳入健康计划的前提。我们关注的是患有高血压的老年人在初次接触三种可能支持其健康自我管理的新医疗技术时最初考虑的因素。我们比较了他们对血压监测仪、电子药盒和多功能机器人的考量，以模拟逐渐更复杂的技术。23名参与者（年龄在65 - 84岁之间）完成了四份问卷和一次半结构化访谈。使用主题分析方法对访谈记录进行了分析。我们确定了三种医疗技术中每种技术在参与者中经常被提及的因素。老年人最初考虑的因素有熟悉度、感知到的益处、感知易用性、自身感知需求、相对优势、复杂性以及他人感知需求。经过进一步思考，参与者考虑了建议接受度、兼容性、便利性、促进条件、感知有用性、隐私、主观规范和信任。我们将老年人考虑的因素整合到医疗技术接受模型（H - TAM）中，该模型阐明了医疗技术接受的复杂性，并为未来的探索提供指导。
