Understanding older adults' attitudes toward mobile and wearable technologies to support health and cognition.

Understanding older adults' attitudes toward mobile and wearable technologies to support health and cognition.
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DOI:
10.3389/fpsyg.2022.1036092
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发表时间:
2022
影响因子:
3.8
通讯作者:
Boot, Walter R.
Boot, Walter R.
中科院分区:
心理学3区
文献类型:
--
作者:
Fowe, Ibukun E.;Boot, Walter R.

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由于在COVID-19大流行期间提供医疗保健的挑战以及需要更高效和有效的方法来照顾不断扩大的老年人口,因此使用技术来促进远程患者监测和虚拟护理是可取的。此外,通过这些技术收集和共享患者生成的健康数据(PGHD),通过促进认知和健康问题的早期检测和治疗,有望改善结果并降低护理成本。尽管这些技术有潜在的好处,但它们的前景可能会受到老年人接受和采用率低的阻碍。在一项在线调查中,我们评估了社区居住的老年人(N = 92)对使用可穿戴和移动的技术的态度,这些技术用于(1)预测认知衰退,(2)帮助坚持健康活动,(3)收集自我报告数据以了解当前和预测未来的健康状况。与会者普遍认为,假设的技术解决方案将是有益的(1-5一致性量表上,M = 4.20,SD = 0.70; 5 =“非常同意”),他们有兴趣更多地了解这些技术(M = 4.04,SD = 0.74),愿意采用这些技术(M = 3.83,SD = 0.93),但态度各不相同。虽然参与者对这些技术普遍持积极态度,但他们在同意生成数据的隐私性是一个问题方面相对中立(M = 2.92,SD = 1.02)。隐私问题与较低的兴趣和意愿有关。更积极的一般技术态度和更高的移动终端熟练程度与更大的接受和愿意采用这些技术。最后,较差的自评健康与对这些技术的负面态度有关。这些发现突出了障碍和潜在的干预目标,以增加老年人对这些技术和类似技术的吸收,这些老年人可能不愿意采用远程监测技术。
The use of technology to facilitate remote patient monitoring and virtual care is desirable due to the challenges of providing healthcare during the COVID-19 pandemic and the need for more efficient and effective methods to care for the expanding older adult population. Further, the collection and sharing of patient generated health data (PGHD) through these technologies holds promise with respect to improving outcomes and reducing the cost of care by facilitating the early detection and treatment of cognitive and health problems. Despite the potential benefits of these technologies, their promise might be hampered by low rates of acceptance and adoption among older adults. In an online survey, we assessed community-dwelling older adults’ (N = 92) attitudes towards the use of wearable and mobile technologies for (1) predicting cognitive decline, (2) assisting with adherence to healthy activities, and (3) collecting self-report data to understand current and predict future health states. Participants generally agreed hypothetical technology solutions would be useful (M = 4.20, SD = 0.70 on a 1–5 agreement scale; 5 = “strongly agree”), that they were interested in learning more about these technologies (M = 4.04, SD = 0.74), and that they would be willing to adopt these technologies (M = 3.83, SD = 0.93), though attitudes varied. Although participants were generally positive toward these technologies, they were relatively neutral in terms of their agreement that privacy of generated data was a concern (M = 2.92, SD = 1.02). Privacy concerns were associated with lower interest and willingness to adopt. More positive general technology attitudes and higher mobile device proficiency were associated with greater acceptance and willingness to adopt these technologies. Finally, poorer self-rated health was related to negative attitudes toward these technologies. These findings highlight barriers and potential targets for intervention to increase uptake of these and similar technologies among older adults who may be reluctant to adopt remote monitoring technologies.
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