College of Nursing, University of Colorado College of Nursing, Aurora, Colorado, USA.
Sinclair School of Nursing, MU Institute for Data Science and Informatics, University of Missouri, Columbia, Missouri, USA.
Inform Health Soc Care. 2023 Jul 3;48(3):239-251. doi: 10.1080/17538157.2023.2227704. Epub 2023 Jul 7.
Tailored physical activity (PA) programs using digital health technologies in the home can promote family caregivers' (FCGs) physical function and psychological wellbeing. However, there is a gap in research for digital health PA interventions targeting older FCGs of persons with HF (HF-FCGs). The burden of caregiving for persons with HF may displace the FCG's self-care, including PA. Therefore, we examined older HF-FCGs' perceptions and attitudes toward three technology components (video-conferencing, fitness tracker, text messaging) that would be most useful in delivering a digital health PA program. Interviews were conducted with 13 HF-FCGs (≥65 years old) between January and April 2021. Directed content analysis was used and the analysis was guided by the adapted unified theory of acceptance and use of technology (UTAUT) model. In addition to HF-FCGs' perceptions and attitudes toward each technology component in each construct of the adapted UTAUT model (ease of use, usefulness, facilitating conditions), three additional factors were associated with intention to use technology. These were: (1) HF patients' positive experience, (2) digital skills, and (3) quality of internet connectivity. The findings provide digital health requirements for design and modification of a technology-supported PA program that engages older FCGs who care for persons with HF.
定制的居家使用数字健康技术的体育活动 (PA) 方案可以促进家庭照顾者 (FCG) 的身体功能和心理健康。然而，针对 HF 患者的老年 FCG 的数字健康 PA 干预措施的研究还存在空白。照顾 HF 患者的负担可能会转移 FCG 的自我保健，包括 PA。因此，我们调查了老年 HF-FCG 对三种最有用的技术组件（视频会议、健身追踪器、短信）的看法和态度，这些组件将用于提供数字健康 PA 方案。2021 年 1 月至 4 月期间，对 13 名 HF-FCG 进行了访谈（年龄≥65 岁）。采用定向内容分析法，分析结果由经过改编的统一技术接受和使用理论（UTAUT）模型指导。除了 HF-FCG 对适应 UTAUT 模型的每个构建模块中每个技术组件的看法和态度（易用性、有用性、促成条件）之外，还有三个额外的因素与使用技术的意愿相关。这些因素是：(1) HF 患者的积极体验，(2) 数字技能，以及 (3) 互联网连接质量。研究结果为设计和修改技术支持的 PA 方案提供了数字健康要求，以吸引照顾 HF 患者的老年 FCG。
