Determinants of Telehealth Adoption Among Older Adults: Cross-Sectional Survey Study.

IF 5 Q1 GERIATRICS & GERONTOLOGY
JMIR Aging Pub Date : 2025-03-24 DOI:10.2196/60936
Siow-Hooi Tan, Yee-Yann Yap, Siow-Kian Tan, Chee-Kuan Wong
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引用次数: 0

Abstract

Background: The aging population and the accompanying rise in chronic diseases have intensified the need to study the adoption of telehealth services. However, the success of telehealth services depends not only on their ease and usefulness but also on addressing broader concerns. Despite being a substantial user group in traditional health services, older adults may encounter barriers to adopting telehealth services. Increasing the adoption of telehealth among the older adult population is crucial for enhancing their access to care and managing the challenges of aging effectively.

Objective: We aimed to explore factors influencing the adoption of telehealth services among older adults in Malaysia, going beyond the conventional framework by incorporating transition cost and subjective well-being as additional constructs.

Methods: A cross-sectional survey was conducted among 119 adults aged ≥60 years in Malaysia, using 39 survey items adapted from existing studies. Data analysis was performed using partial least squares structural equation modeling, with both the measurement model and structural model being evaluated. To determine the predictive relevance of the model, PLSpredict was applied. In addition, importance-performance map analysis was conducted to further expand on the structural model results by assessing the performance of each variable.

Results: Of the 119 participants, 52 (43.7%) were women and 67 (56.3%) were men. The study found that subjective well-being (β=0.448; P<.001) was the most significant factor, followed by attitude (β=0.242; P<.001), transition cost (β=-0.163; P<.001), and perceived usefulness (β=0.100, P=.02) in influencing telehealth service intention. Furthermore, perceived ease of use (β=0.271; P<.001), availability (β=0.323; P<.001), subjective well-being (β=0.261; P<.001), and trust (β=0.156, P=.004) positively influenced perceived usefulness, while inertia (β=0.024, P=.22) did not. In addition, availability (β=0.420; P<.001) and subjective well-being (β=0.260; P<.001) were positively related to perceived ease of use, with inertia (β=-0.246; P<.001) having a negative impact. The importance-performance map analysis results showed that subjective well-being (importance=0.532) was the most crucial factor for older adult users, while availability (importance=70.735) had the highest performance in telehealth services.

Conclusions: This research underscores the importance of catering to the subjective well-being of older adults and optimizing the availability of telehealth services to encourage adoption, ultimately advancing health care accessibility and quality for this vulnerable demographic.

老年人采用远程医疗的决定因素:横断面调查研究。
背景:人口老龄化和伴随而来的慢性病的增加,加强了对采用远程医疗服务进行研究的必要性。然而,远程保健服务的成功不仅取决于其便利性和实用性,而且取决于解决更广泛的关切。尽管老年人是传统保健服务的重要用户群体,但在采用远程保健服务方面可能遇到障碍。在老年人口中更多地采用远程保健,对于提高他们获得护理的机会和有效应对老龄化挑战至关重要。目的:我们旨在探索影响马来西亚老年人采用远程医疗服务的因素,超越传统框架,将过渡成本和主观幸福感作为附加结构。方法:对马来西亚119名年龄≥60岁的成年人进行横断面调查,采用39项调查项目改编自现有研究。采用偏最小二乘结构方程模型对数据进行分析,对测量模型和结构模型进行评价。为了确定模型的预测相关性,应用plpredict。此外,我们还进行了重要性-绩效图分析,通过评估每个变量的绩效来进一步扩展结构模型的结果。结果:119名参与者中,女性52人(43.7%),男性67人(56.3%)。研究发现,主观幸福感(β=0.448;结论:本研究强调了迎合老年人主观幸福感和优化远程医疗服务的可用性以鼓励采用的重要性,最终提高了这一弱势群体的医疗保健可及性和质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
JMIR Aging
JMIR Aging Social Sciences-Health (social science)
CiteScore
6.50
自引率
4.10%
发文量
71
审稿时长
12 weeks
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