Aging population challenges: enhancing healthy aging practices through virtual coaching systems.

IF 3 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Marta Pinzone, Francesco Paolo Appio, Luca Gastaldi, Emanuele Lettieri
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Abstract

Background: As the global population ages, society faces complex challenges in healthcare provision and medical service delivery. This study focusses on the potential of supportive digital technologies, with a particular focus on Virtual Coaching Systems (VCSs), to offer innovative solutions for improving healthy aging practices. Our research extends the existing Technology Acceptance Model (TAM) by incorporating three novel external determinants: subjective norms, health literacy, and information technology literacy. These additional factors provide a more nuanced understanding of the drivers behind technology acceptance among older adults, highlighting the importance of addressing the unique needs and preferences of this population segment.

Methods: Drawing on empirical evidence from a sample of 436 Italian individuals aged 60 and above, we develop a comprehensive framework and test a structural equation model that unveils the crucial role of exploiting diverse knowledge sources through VCSs in promoting healthy aging, ultimately contributing to the sustainability of national healthcare systems.

Results: In line with the TAM, perceived usefulness and perceived ease of use have a positive and significant impact on the elderly people's intention to use a VCS. Subjective norms are not found to have a significant direct impact on the intention to use a VCS, while they have an indirect influence through perceived ease of use and perceived usefulness. Health literacy is found to have a significant but negative impact on the perceived usefulness of a VCS. On the other hand, it positively and significantly affects perceived ease of use. Finally, the results of the analysis provide support for the positive relationship between information technology literacy and perceived ease of use.

Conclusions: Our findings offer valuable insights for healthcare researchers, policymakers, professionals, and digital solution providers in developing targeted strategies and interventions to support the health and well-being of the aging population. This study emphasizes the need for a collaborative approach among stakeholders to harness the potential of VCSs in addressing the multifaceted challenges arising from population aging, ultimately enhancing the quality of life for older individuals and promoting the sustainability of healthcare systems worldwide.

人口老龄化的挑战:通过虚拟教练系统加强健康的老龄化实践。
背景:随着全球人口老龄化,社会在医疗保健和医疗服务提供方面面临着复杂的挑战。本研究重点关注支持性数字技术的潜力,特别是虚拟教练系统(vcs),为改善健康的老龄化实践提供创新的解决方案。我们的研究通过纳入三个新的外部决定因素:主观规范、健康素养和信息技术素养,扩展了现有的技术接受模型(TAM)。这些额外的因素使我们对老年人接受技术背后的驱动因素有了更细致的了解,突出了满足这一人群独特需求和偏好的重要性。方法:利用意大利436名60岁及以上老年人的经验证据,我们开发了一个综合框架,并测试了一个结构方程模型,该模型揭示了通过vcs利用各种知识来源在促进健康老龄化方面的关键作用,最终有助于国家医疗保健系统的可持续性。结果:与TAM一致,感知有用性和感知易用性对老年人使用VCS的意向有显著的正向影响。主观规范对使用VCS的意向没有显著的直接影响,而它们通过感知易用性和感知有用性产生间接影响。发现健康素养对感知到的VCS有用性有显著但消极的影响。另一方面,它积极而显著地影响感知易用性。最后,分析结果为信息技术素养与感知易用性之间的正相关关系提供支持。结论:我们的研究结果为医疗保健研究人员、政策制定者、专业人士和数字解决方案提供商制定有针对性的策略和干预措施以支持老龄化人口的健康和福祉提供了有价值的见解。本研究强调了利益相关者之间合作的必要性,以利用vc的潜力来解决人口老龄化带来的多方面挑战,最终提高老年人的生活质量,促进全球医疗保健系统的可持续性。
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
BMC Health Services Research
BMC Health Services Research 医学-卫生保健
CiteScore
4.40
自引率
7.10%
发文量
1372
审稿时长
6 months
期刊介绍: BMC Health Services Research is an open access, peer-reviewed journal that considers articles on all aspects of health services research, including delivery of care, management of health services, assessment of healthcare needs, measurement of outcomes, allocation of healthcare resources, evaluation of different health markets and health services organizations, international comparative analysis of health systems, health economics and the impact of health policies and regulations.
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