Factors influencing use of an e-health website in a community sample of older adults.
Objective: The use of the internet as a source of health information and link to healthcare services has raised concerns about the ability of consumers, especially vulnerable populations such as older adults, to access these applications. This study examined the influence of training on the ability...
| Publicado en: | Journal of the American Medical Informatics Association Vol. 20; no. 2; pp. 277 - 285 |
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| Autores principales: | , , , , , , , , , , , , , |
| Formato: | research randomized controlled trial Journal Article |
| Publicado: |
Oxford University Press / USA
Mar2013
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104313000&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104313000 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10675027 FZ9 jtl: Journal of the American Medical Informatics Association issn: 10675027 maglogo: N pubinfo: dt: Mar2013 vid: 20 iid: 2 pid: 622 pub: Oxford University Press / USA artinfo: ui: 104313000 NLM22802269 2011933263 10.1136/amiajnl-2012-000876 NLM22802269 PMC3638176 104313000 ppf: 277 ppct: 8 formats: tig: atl: Factors influencing use of an e-health website in a community sample of older adults. aug: au: Czaja SJ Sharit J Lee CC Nair SN Hernández MA Arana N Fu SH Czaja, Sara J Sharit, Joseph Lee, Chin Chin Nair, Sankaran N Hernández, Mario A Arana, Neysarí Fu, Shih Hua affil: Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, USA sug: subj: Computer User Training Consumer Health Information Utilization Health Services Accessibility Internet Utilization Multimedia Aged Aged, 80 and Over Cognition Disorders Female Florida Human Male Medicare Middle Age Regression United States User-Computer Interface Aged: 65+ years Aged, 80 & over Middle Aged: 45-64 years Female Male ab: Objective: The use of the internet as a source of health information and link to healthcare services has raised concerns about the ability of consumers, especially vulnerable populations such as older adults, to access these applications. This study examined the influence of training on the ability of adults (aged 45+ years) to use the Medicare.gov website to solve problems related to health management. The influence of computer experience and cognitive abilities on performance was also examined.Design: Seventy-one participants, aged 47-92, were randomized into a Multimedia training, Unimodal training, or Cold Start condition and completed three healthcare management problems. MEASUREMENT AND ANALYSES: Computer/internet experience was measured via questionnaire, and cognitive abilities were assessed using standard neuropsychological tests. Performance metrics included measures of navigation, accuracy and efficiency. Data were analyzed using analysis of variance, χ(2) and regression techniques.Results: The data indicate that there was no difference among the three conditions on measures of accuracy, efficiency, or navigation. However, results of the regression analyses showed that, overall, people who received training performed better on the tasks, as evidenced by greater accuracy and efficiency. Performance was also significantly influenced by prior computer experience and cognitive abilities. Participants with more computer experience and higher cognitive abilities performed better.Conclusions: The findings indicate that training, experience, and abilities are important when using complex health websites. However, training alone is not sufficient. The complexity of web content needs to be considered to ensure successful use of these websites by those with lower abilities. pubtype: Academic Journal doctype: research randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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