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) |