Bridging the Digital Divide: Factors Influencing eHealth Use Among Homebound Older Adults During the COVID-19 Pandemic.
This study examined how access to Information and Communication Technology (ICT) devices, prior online experience, and ICT training (with or without assistance) influenced eHealth use among homebound Medicare beneficiaries in the U.S. during COVID-19. Data were obtained from the National Health and...
| Publicado en: | Journal of Applied Gerontology Vol. 45; no. 3; pp. 550 - 559 |
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| Autores principales: | , , , |
| Formato: | Artículo |
| Publicado: |
Sage Publications Inc.
Mar2026
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=191375764&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 191375764 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 07334648 JGR jtl: Journal of Applied Gerontology issn: 07334648 maglogo: Y pubinfo: dt: Mar2026 vid: 45 iid: 3 pid: 344 pub: Sage Publications Inc. artinfo: ui: 191375764 10.1177/07334648251343407 ppf: 550 ppct: 9 formats: tig: atl: Bridging the Digital Divide: Factors Influencing eHealth Use Among Homebound Older Adults During the COVID-19 Pandemic. aug: au: Park, Joonhyeog Kim, BoRin Cho, Joonyoung Park, Sojung affil: School of Social Policy & Practice, University of Pennsylvania, Philadelphia, PA, USA College of Health and Human Services, University of New Hampshire, Durham, NH, USA Thompson School of Social Work and Public Health, University of Hawai'i at Mānoa, Honolulu, HI, USA Brown School, Washington University in St. Louis, St. Louis, MO, USA su: Health services accessibility Health literacy Internet access Medicare Evaluation of human services programs Cell phones Chronic diseases Computer literacy Communication COVID-19 pandemic Psychosocial factors Activities of daily living Old age Multiple regression analysis Pocket computers Descriptive statistics Chi-squared test Telemedicine Homebound persons Surveys Videoconferencing One-way analysis of variance Data analysis software Regression analysis sug: subj: Health services accessibility Health literacy Internet access Medicare Evaluation of human services programs Cell phones Chronic diseases Computer literacy Communication COVID-19 pandemic Psychosocial factors Activities of daily living Old age Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs) All Other Business Support Services Wireless Telecommunications Carriers (except Satellite) Electronics Stores Radio and Television Broadcasting and Wireless Communications Equipment Manufacturing Electronic components, navigational and communications equipment and supplies merchant wholesalers Multiple regression analysis Pocket computers Descriptive statistics Chi-squared test Telemedicine Homebound persons Surveys Videoconferencing One-way analysis of variance Data analysis software Regression analysis keyword: COVID-19 digital divide health services homebound older adults information technology COVID-19 digital divide health services homebound older adults information technology ab: This study examined how access to Information and Communication Technology (ICT) devices, prior online experience, and ICT training (with or without assistance) influenced eHealth use among homebound Medicare beneficiaries in the U.S. during COVID-19. Data were obtained from the National Health and Aging Trends Study, and participants (N = 653) were categorized as non-users, patient portal users, video telehealth users, or dual users. Multinomial logistic regression models showed that access to ICT devices was initially associated with eHealth engagement. However, this association became non-significant after accounting for prior online experience and ICT training. Prior online experience significantly predicted patient portal use, while ICT training, particularly when provided with assistance, significantly predicted video telehealth use and dual usage. The study highlights that providing ICT devices alone may be insufficient to reduce eHealth disparities among homebound older adults. Educational programs promoting digital engagement and targeted training are essential to ensure equitable healthcare access. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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