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. 2023 Sep 13;9(9):e20111. doi: 10.1016/j.heliyon.2023.e20111

Table A.1.

Empirical studies on factors influencing technology use among low-income older adults (n= 17)

Reference Technology & purpose Country Sample size Study design/Analysis Theory/Model Factors/Themes Behavior
Raven et al., 2018 The Internet and mobile technology
- communication, search for information, health and non-health related task
USA n = 277
Note: total 300 sample, but analysis is done with 277 who are users
Researcher administered survey/Multivariate regression analysis None Housed/homeless; health condition/history; ethnicity Use (Internet and mobile technology)
Arcury et al., 2017 Patient portal
- to improve communication with providers; access health information that improves decision making
USA n = 200 Researcher administered survey/Multivariate logistic regression analysis TAM and Person-Environ-mental Interaction Model Ethnicity; education; social support; urban/rural clinic; experience; health condition/history; insurance status Use (Patient portal)
Choi & DiNitto, 2013b Internet and computer
- communication, search for information, health and non-health related task
USA n = 756 Researcher administered survey (Face-to-face or telephone)/multinomial logistic regression None Age; ethnicity; language; income; health condition/history; social support/social capital Never used as opposed to use (Internet and computer)
Choi & DiNitto, 2013a Internet and computer
- communication, search for information, health and non-health related task
USA n = 6680 Researcher administered survey (Secondary data)/Binary logistic regression analysis None Age; gender; ethnicity; education; income; health condition/history; social support/social capital Use (Internet and computer)
Arcury et al., 2020 The Internet (via mobile technology or computer)
- to improve access to health information and improve health self-management
USA n = 200 Researcher administered survey/Chi square test/two-sample t-test TAM Age; gender; ethnicity; employment; education; income; health knowledge and attitudes; health condition/history; computer anxiety; social support/social capital; accessibility to technology Use (Internet via mobile technology or computer)
Kim et al., 2021 Internet and computer
- communication and social networking, reducing social isolation
USA n = 77 Self- administered survey/Fisher's exact test & one-sided Sign test None Accessibility to technology Use (Internet and computer)
Jung et al., 2010 The Internet and computer
- increased autonomy, connectivity, self-efficacy, and search for information about health and hobbies
USA n = 91 Researcher administered survey/Logistic regression analysis, Wald tests Diffusion of innovation Education; gender; income; experience; self-efficacy; computer anxiety; aging anxiety; belonging Enrollment and use (computer and Internet)
Bertera et al., 2007 Telecare
- allows home monitoring
USA n = 85 Self-administered survey/Descriptive analysis None Perceived benefits (health) Intention to use (Telecare)
Kim and Gray, 2016 Internet
- to enhance social, psychological, and physical well-being
USA n = 11 Semi-structured interviews (8–16 months after training program and actual use)/Coding and thematic analysis None Perceived benefits (Social participation; self- actualization; monetary); distrust; perceived cost; computer anxiety; self-efficacy; accessibility to technology Use (Internet)
Berridge et al. , 2019 Sensor-based passive remote monitoring system - solution to the issue of insufficient numbers of elder care workers and family caregivers, to support aging in place and independent living USA n = 20
Note: total sample = 41, only themes from older adults were included)
Semi-structured interviews/Multi-step coding process of grounded theory - open coding and axial coding None Cultural background Use (sensor-based remote monitoring system)
Berridge, 2017 Sensor-based passive remote monitoring system - solution to the issue of insufficient numbers of elder care workers and family caregivers, to support aging in place and independent living USA n = 20

Note: total sample = 41, only themes from older adults were included)
Semi-structured interviews/Multi-step coding process of grounded theory - open coding and axial coding None Perceived benefits (Social participation; self-actualization); perceived ease of use; perceived threat to autonomy; computer anxiety Use sensor-based remote monitoring system)
Gallo et al., 2021 Electronic devices, e.g., cell phones, computer - facilitate in-person and virtual social participation to help reduce social isolation USA n = 48 Focus groups/Thematic analysis None Perceived benefits (Mobility; social participation); perceived risks; perceived cost; social support Use (Electronic devices, e.g., cell phones, computer)
Nallam et al., 2020 Intelligent Voice Assistants (IVAs), e.g., Amazon Echo and Google Home - to support older adults at home for health-related and non-health-related tasks USA n = 10 Semi-structured interview/open coding and affinity diagramming None Perceived benefits (health); perceived risks; distrust; accessibility to technology Intention to use (IVA)
Andonian, 2018 Computer
- social participation with family and friends; leisure, financial management, and health care management and maintenance; banking access and bill payment; and health-related information
USA n = 9 Survey and participatory action research (photovoice): focus groups, photo narratives/Thematic analysis
Note: only qualitative data is relevant to RQ and included
None Perceived benefits (self-actualization); freedom Use (computer)
Latulipe et al., 2015 Patient portal - to access personal health records for economic and health care benefits USA n = 36

Note: Total sample = 52. Only themes from older adults were included
Interview/thematic analysis None Perceived benefits (health); perceived ease of use; perceived risks; perceived cost; interest; accessibility to technology Use (Patient portal)
Seo et al., 2017 Internet and computer
- communication, search for information, health and non-health related task
USA n = 33 Focus groups/open coding TAM Perceived usefulness; perceived ease of use; perceived risks Use (Internet and computer)
Choi et al., 2021 Tele-delivered behavioral activation (Tele-BA) via the Internet and laptop
- improve both physical functioning and mood of patients
USA n = 90 Randomized controlled trial, survey, interview/thematic analysis
Note: only qualitative data is relevant to RQ and included
None Perceived benefits (health); feeling productive and useful; hope; pride Adoption (Tele-BA)