Van Baelen Freek, De Regge Melissa, Larivière Bart, Verleye Katrien, Eeckloo Kristof
School of Business and Management, University College Ghent, 1, Valentin Vaerwyckweg, 9000, Ghent, Belgium.
Strategic Policy Cell, Ghent University Hospital, 10, Corneel Heymanslaan, 9000, Ghent, Belgium.
Heliyon. 2025 Jan 24;11(3):e42252. doi: 10.1016/j.heliyon.2025.e42252. eCollection 2025 Feb 15.
Technology plays a growing role in allowing aging persons to live independently. However, it is often difficult to motivate aging persons to use these new technologies. Using 182 dyads of aging persons and their primary family caregiver, this study investigates how family members' beliefs about the capabilities of the aging person are associated with the aging person's engagement in using healthcare technology-a phenomenon known as the Pygmalion effect. A quantitative statistical method response-surface analysis (RSA) was performed. RSA is often employed to understand complex, nonlinear interactions within a data set. It was investigated how the level of fit (when both the aging person and his or her family caregiver hold similar beliefs about the technological capabilities of the aging person) and the direction of misfit (whether the abilities of the aging person are greater or worse than the family caregiver thinks) shape the aging person's intention to use healthcare technologies. The individual perception of capabilities is an important driver of the intention to use technology. In line with the Pygmalion effect, the effects of family members on aging persons drives their adoption of healthcare technology. The greatest intentions to use technology are observed when there is a fit in beliefs. In contrast, misfit leads to lower usage intentions. The direction of misfit further reveals that aging person's beliefs about their capabilities are more decisive than their family caregiver's beliefs in promoting their technology usage intentions. In addition, age, experience with technology, attitudes, social norms, and technological savviness in the family also have an impact on aging persons' intentions to use technology. This study extends the theoretical basis of the Pygmalion effect by including fit, misfit, and direction of (mis)fit.
技术在使老年人能够独立生活方面发挥着越来越重要的作用。然而,往往很难激励老年人使用这些新技术。本研究以182对老年人及其主要家庭照顾者为样本,调查家庭成员对老年人能力的信念如何与老年人使用医疗技术的参与度相关联——这一现象被称为皮格马利翁效应。研究采用了定量统计方法——响应面分析(RSA)。RSA常用于理解数据集中复杂的非线性相互作用。研究探讨了契合度水平(当老年人及其家庭照顾者对老年人的技术能力持有相似信念时)和不契合方向(老年人的能力是比家庭照顾者认为的更强还是更弱)如何塑造老年人使用医疗技术的意愿。个人对能力的认知是使用技术意愿的重要驱动因素。与皮格马利翁效应一致,家庭成员对老年人的影响推动了他们对医疗技术的采用。当信念契合时,观察到使用技术的意愿最强。相比之下,不契合会导致较低的使用意愿。不契合的方向进一步表明,在促进老年人的技术使用意愿方面,老年人对自身能力的信念比其家庭照顾者的信念更具决定性。此外,年龄、技术经验、态度、社会规范以及家庭中的技术悟性也会对老年人使用技术的意愿产生影响。本研究通过纳入契合度、不契合度以及(不)契合方向,扩展了皮格马利翁效应的理论基础。