Internet use intention and adoption among Chinese older adults: From the expanded technology acceptance model perspective

Information Support or Emotional Support? Social Support in Online Health Information Seeking among Chinese Older Adults

Online Health Information Seeking (OHIS) serves as an alternative form of social capital that can help older adults alleviate offline medical-related stress. This study collected and analyzed user interaction data from Patient-to-Doctor and Patient-to-Peer platforms and compared the roles of social support between them. Significant differences were identified in the dimensions of social support (information, emotional, and companion) on the Patient-to-Peer platforms compared with Patient-to-Doctor platforms (p < 0.05). The overall and core-core network density values for social support on Patient-to-Peer platforms were higher than those on Patient-to-Doctor platforms. Patient-to-Doctor interactions focused on information support, displaying a more centralized and efficient network with structural holes pertaining to treatment effects. By contrast, Patient-to-Peer interactions provided more emotional support, with a dispersed and redundant network containing structural holes related to individual information. Companion support was found to be weaker on both platforms. Additionally, digital literacy, surrogate seeking, and altruistic information significantly explained the variances between the two platforms (p < 0.01), with surrogate seeking playing a crucial role. These findings enhance our understanding of OHIS disparities among older adults and their surrogates, offering valuable insights for developing effective support systems and regulatory frameworks for health information platforms.

Monitoring reaction time to digital device in the very-old to detect early cognitive decline

Early detection of cognitive decline is essential for timely intervention and effective management of age-related impairments. We monitored repetitive reaction times to a simple task on senior-friendly tablet computers among 72 functionally independent older adults, with a mean age of 82, ranging up to 100 years, within natural settings over two years. Functional principal component analyses revealed a consistent decrease in reaction time in line with their task experience among those without subjective cognitive decline. Conversely, individuals reporting subjective cognitive decline showed no consistent trend and exhibited wide variability over time. These distinctive reaction time trajectories in very old adults suggest the potential for monitoring as a non-invasive, convenient method for early detection of cognitive impairment.

The mediating role of ICT learning confidence and technostress between executive functions and digital skills

Having good digital skills is essential today, yet little is known about the cognitive factors that influence the development of these skills. Given the importance of executive functions (EFs) in adapting to environmental changes and acquiring skills, EFs might contribute to acquiring digital skills too. EFs might also influence people's approach toward ICTs and affect digital skills through emotional variables. Therefore, here, we tested whether cognitive control and flexibility are connected to computer and smartphone skills through emotional factors (learning confidence, stress, and attitude). A total of 269 participants (56 males, M = 30 years) filled out our survey which included questionnaires on demographic variables (age, education, and socioeconomic status), ICT motivation, digital skills, EFs, and technology-related emotional factors. EFs were also investigated through two performance-based measures. We used generalized linear models and structural equation modeling to test the associations between these variables. The results showed that smartphone skills were positively associated with self-reported cognitive flexibility through ICT learning confidence and technology-induced stress. Self-reported cognitive control and age were connected to smartphone skills directly. Self-reported cognitive flexibility was also associated with computer skills through ICT learning confidence. In addition, performance-based cognitive control and the level of education were directly linked to computer skills. These results may provide guidance to support digital skills and create digital skill training.

Chinese Immigrant Caregivers: Understanding Their Unmet Needs and the Co-Design of an mHealth App

BACKGROUND

Immigrant caregivers support the aging population, yet their own needs are often neglected. Mobile technology-facilitated interventions can promote caregiver health by providing easy access to self-care materials.

OBJECTIVE

This study employed a design thinking framework to examine Chinese immigrant caregivers' (CICs) unmet self-care needs and co-design an app for promoting self-care with CICs.

METHODS

Nineteen semi-structured interviews were conducted in conceptual design and prototype co-design phases.

FINDINGS

Participants reported unmet self-care needs influenced by psychological and social barriers, immigrant status, and caregiving tasks. They expressed the need to learn to keep healthy boundaries with the care recipient and respond to emergencies. Gaining knowledge was the main benefit that drew CICs' interest in using the self-care app. However, potential barriers to use included issues of curriculum design, technology anxiety, limited free time, and caregiving burdens.

DISCUSSION

The co-design process appears to be beneficial in having participants voice both barriers and preferences.

Information and Communication Technology Adoption Strategies Among Iranian Older Adults: A Qualitative Evaluation

In today's world, it is unavoidable for older adults to use technology, which causes some challenges for them. In this qualitative study, we used grounded theory to evaluate information and communication technology (ICT) adoption strategies among Iranian older adults. The participants included 18 older adults, five experts, and five family members of older adults. The data collection method included conducting semi-structured interviews, taking field notes, and observation. The data were analyzed using the Corbin and Strauss approach. Three main themes were extracted as follows: support from others, effort for learning, and smart choice. The subthemes of support from others included creativity in educating older adults; having access to an educational supporter; and receiving informational, emotional, and financial support. The subthemes of effort for learning included utilizing aids, adaptive measures, shortcut techniques, and self-learning. The subthemes of smart choice included physical characteristics, technical features, price sensitivity, and availability of an active sales representative. Accordingly, it is essential to teach older adults to increase their ICT adoption rate and continued use of technology. In this respect, developing a standard ICT manual for older adults can be beneficial.

Analyzing ChatGPT adoption drivers with the TOEK framework

With the rapid advancements in AI technology and its growing impact on various aspects of daily life, understanding the factors that influence users' adoption intention becomes essential. This study focuses on the determinants affecting the adoption intention of ChatGPT, an AI-driven language model, among university students. The research extends the Technology-Organization-Environment (TOE) framework by integrating the concept of knowledge application. A cross-sectional research design was employed, gathering data through a survey conducted to university students. Structural equation modeling was used to analyze the data, aimed at examining the relationships between key determinants influencing adoption intention. The findings of this research indicate that factors such as network quality, accessibility, and system responsiveness contribute to satisfaction. Furthermore, satisfaction, organizational culture, social influence, and knowledge application significantly affect adoption intention. These findings offer both theoretical and practical implications.

Older adults' intention to use voice assistants: Usability and emotional needs

Population aging is a global problem, and improving the well-being of older adults is an urgent issue. Voice assistants (VAs) offer hands-free voice control and friendly human-computer interaction, making them a significant solution to address the aging problem. Most extant research on VAs is fragmented, and there are relatively few studies conducted from the perspective of emotional needs. This work proposes a comprehensive research model extending the technology acceptance model (TAM) by incorporating the influencing factors subordinate to two research directions: usability and emotional needs. Usability needs include three factors: perceived convenience, security/privacy, and Internet self-efficacy. Emotional needs include humanized interaction, perceived enjoyment, and perceived companionship. A structural equation model (SEM) was used to validate the model empirically with a sample of 425 older users of VAs. The analysis results are quite consistent with the research assumptions, and the findings illustrate that companionship is the most critical factor affecting older adults' intention to adopt VA use, which demonstrates the pivotal role of VAs in meeting the emotional needs of the elderly. The most unexpected observation was seen for the relationship between perceived ease of use and behavioral intention, which was non-significant. This result confirms that when a technology is perceived as very easy to use, perceived ease of use has little to no impact on individuals' intention to use that technology. The novelty of this study lies in the investigation of older adults' behavioral intentions toward using VAs, providing valuable insights for the design and development of VAs tailored for the elderly population. Beyond the academic realm, this research serves as direct inspiration for designers, developers, and policymakers in the fields of assistive technologies and geriatric care. It offers practical insights into creating VAs that effectively address the emotional needs of older adults and enhance their quality of life. Furthermore, elderly individuals are poised to experience significant benefits from the outcomes of this study，the insights garnered from this study empower the elderly to embrace technological advancements that align with their preferences and comfort levels. This study contributes to a more comprehensive understanding of VAs and their potential to enhance the well-being of older adults, while also paving the way for future investigations in this domain. As underscored by this study's emphasis on the significance of emotional needs in technology acceptance, it encourages the adoption of more user-centered design strategies in the development of future VAs.

The willingness to continue using wearable devices among the elderly: SEM and FsQCA analysis

BACKGROUND

With population aging and the scarcity of resources for elderly individuals, wearable devices pose opportunities and challenges for elderly care institutions. However, few studies have examined the effects of technical characteristics, personal characteristics, and health promotion on the willingness of elderly individuals to continue using wearable devices.

OBJECTIVE

This study explored the effects of technical characteristics and personal characteristics on the willingness of elderly individuals to continue using wearable devices through health promotion, drawing on the technology acceptance model and the value attitude behaviour model.

METHODS

We obtained 265 valid samples through questionnaire surveys and used structural equation modelling (SEM) and fuzzy set qualitative comparative analysis (FsQCA) to clarify the complex causal patterns of elderly people's willingness to continue using wearable devices.

RESULTS

The SEM results showed that perceived usefulness, perceived reliability, self-perceived ageing, and health promotion affected willingness to continue using wearable devices. However, perceived ease of use had no effect. FsQCA showed that elderly individuals are highly willing to continue using wearable devices, yielding five solutions. Perceived ageing was essential in four of these solutions. The impact of perceived ease of use on continued use intention was dynamic and complex.

CONCLUSIONS

This study used two methods to provide insight into the willingness of elderly individuals to continue using wearable devices. In addition, this study discussed associated implications, limitations, and future research directions.

Understanding the influencing factors and mechanism of social compensation for Chinese older adults using social media in the context of smart home: a qualitative analysis

As a new generation of necessary terminals for future homes, smart homes have become one of the essential mediums for smart aging at home. This paper aims to explore how older adults who age at home can overcome the digital divide of the new medium and achieve social participation in the home context to realize active aging. Based on the theory of social compensation, we select the smart-home smart screen, a representative new medium product in China, and carry out open coding, spindle coding, selective coding, and theoretical construction of the original interview data through the grounded theory research method. The results show that the main factors affecting the social compensation of older adults to smart home social media include user interface quality, interaction quality, content quality, and service quality, and these four factors are used as external variables to compensate older adults socially, thereby stimulating the emotional experience and perception changes at the cognitive level of older adults and then affecting the adoption and acceptance of smart home social media by older adults. This study refines the factors influencing the older adults' use of smart home social media from the perspective of social compensation. It explains the mechanism of acceptable behavior of older adults, bridging the gap in previous literature on the influencing factors and behavioral mechanisms of older adults of smart home social media. This paper provides a theoretical basis and guidance for the subsequent academic research and software development practice of social media under new technological devices to further help older adults in China achieve active and healthy aging.

Online grocery shopping intention: Elderly's perspective in Malaysia

Purpose

This study investigates the factors associated with the elderly's intention to use OGS. Building on the Technology Acceptance Model, we propose several elderly-specific and functional-ageing constructs related to the perceived ease of use and usefulness of OGS.

Methods

The questionnaire was distributed physically and digitally to non-OGS users aged above 60, living in the Klang Valley, Malaysia, using a non-probability sampling approach. A total of 302 data were analysed using PLS structural equation modelling.

Results

The findings indicate that perceived ease of use, functional ability, life-course events, and digital literacy are associated with the elderly's perception of OGS's usefulness, while life-course events, digital literacy, technology anxiety, and facilitating conditions are associated with the perceived ease of use.

Conclusion

This study contributes to the OGS literature by addressing ageing complexities with OGS adoption among the elderly population, thereby offering insights for marketers and the government to tailor services and provide relevant support.

An Exploratory Study of the Use of the Internet and E-Government by Older Adults in the Countryside of Brazil

The ubiquity of the Internet and its technology and the increasing aging of the world’s population are ever more evident. Older users have different demands and capabilities when using the services offered in the digital environment. As a service provider to its population, the government has sought to optimize the provision of services and access to information through information and communication technology. Older adults are a relevant group of users of public services and have significant demands in some specific public services. To identify questions about the factors that promote the use, perception and barriers to the older population regarding the use of the Internet and government websites, this study was inspired by a study carried out in the United Kingdom to identify these factors. The study reports on a survey with 143 participants recruited from different geographical regions of the countryside of Brazil. The research showed that although government websites are strongly inclined to offer quality content and maintain the satisfaction of older adult users, there is still a more significant number of users who, due to low technology skills, do not use these sites or the Internet. Older citizens also had high Internet penetration and mobile device use. Lower computer literacy in the countryside of Brazil was related to factors such as gender, education level, race and sociocultural factors. A partial comparison with a study in the United Kingdom showed a lag in the use of e-government services by older adults in the countryside of Brazil.

Investigating smart city adoption from the citizen's insights: empirical evidence from the Jordan context

This study aims to investigate the factors that perceive citizens' intention to adopt smart city technologies in the Arab world. A self-administered questionnaire that included 312 end users as citizens in Amman, Jordan's capital city, was used in this study. This study uses advanced statistical techniques to test an expanded technology acceptance model (TAM) that incorporates the determinants of perceived usefulness, perceived ease of use, security and privacy, ICT infrastructure and inadequate Internet connectivity, social influence, and demographic profiles. Based on the results, perceived ease of use and ICT infrastructure and Internet connectivity showed positive association with the intention of citizens to adopt smart city services in Jordan. By recognizing the factors that predict citizens' adoption of smart city services, this study presents some theoretical implications and practical consequences related to smart city service adoption.

A Study on Technology Acceptance of Digital Healthcare among Older Korean Adults Using Extended Tam (Extended Technology Acceptance Model)

The use of digital health and wrist-worn wearable technologies have been increasingly utilized, especially during COVID-19 surge, to help monitor patients and vulnerable groups such as elderly people. As one of the countries with highest aging population, South Korean older adults are expected to be familiarized with these healthcare technologies. However, there have been a few studies on the investigation of Korean older adults’ attitude towards the acceptance of wearable technologies, such as a smart health watch after the COVID-19 curve flattened in South Korea. Thus, the purpose of this study is to investigate the acceptability of digital health wearable technology in healthcare by the Korean older adults and their attitude towards the use of smart health watches by using an extended Technology Acceptance Model while considering the context of the COVID-19 pandemic. We performed a cross-sectional survey of Korean adults aged 56 years and older who are living in Busan, and a total of 170 respondents were received. Results reveal that perceived usefulness, perceived ease of use, and facilitating conditions have a significant impact on older Korean’s attitudes towards the use of a smart health watch, while the relationship between social influence and attitude towards its use was found to not be statistically significant. The attitude towards the use of smart health watches had an effect on their intention to use the smartwatch. By using the findings from the study, the digital wearables providers, manufacturers, and promotors can enhance their strategy to elevate the use of digital healthcare wearables among Korean elderly people while ensuring these products are of good quality and affordable, as well as ensuring necessary assistance is provided to the elderly people when utilizing and adopting these wearables in their everyday lives. Moreover, the results of this study can be utilized to accommodate the needs of Korean elderly people regarding their use of smart health watches and help promote the benefits of healthcare wearable technologies after the pandemic subsides.

The association between internet use and depression among older adults in China: The mediating role of social networks

Objective

In the aging world, the depression of older adults has aroused great concern. It brings detrimental side effects to old adults and the sustainability of society. The information and communication technologies have reshaped how people live among which the Internet has gained much popularity in the senior community. This study aims to explore the association between Internet use and depression in older adults.

Methods

This study applied a representative national dataset (China Longitudinal Aging Social Survey, CLASS 2018) to examine by conducting regression analysis. Inspired by the social capital theory, we further examined the mediating role of general social networks (as a general concept) and specific networks (family and friend networks) in reducing depression. All calculations and analyses were conducted by STATA.

Results

(a) Internet use significantly reduces depressive symptoms among Chinese older adults; (b) internet use enhances social network support for Chinese older adults; and (c) social networks in general and family networks and friend networks in specific all play a mediating role between internet use and depression symptoms.

Conclusion

This work proved that internet use could reduce depression levels in older adults in China, and social networks, including family networks and friend networks, have a mediation role in the relationship between internet use and depression in older adults in China. Combined with the Chinese social context, we explained that the existence of an empty-nest elderly community in Chinese society and the emphasis on kinship in Chinese tradition may be the reasons. Based on the main findings, tailor-made suggestions for addressing depression issues among older adults were discussed.

Quality Characteristics and Acceptance Intention for Healthcare Kiosks: Perception of Elders from South Korea Based on the Extended Technology Acceptance Model

This study aimed to perform a path analysis to understand the effects of quality characteristics on perceived usefulness, perceived ease to use, involvement, and acceptance intention of healthcare kiosks in elderly using the extended technology acceptance model. We performed structural equation modeling (SEM) with data from 300 elderly. The following results were obtained. Firstly, elderly's perceived quality characteristics of healthcare kiosks had a partial positive effect on perceived usefulness. Secondly, elderly's perceived quality characteristics of healthcare kiosks had a partial positive effect on perceived ease to use. Thirdly, elderly's perceived ease to use healthcare kiosks had a partial positive effect on perceived usefulness. In addition, elderly's perceived usefulness of healthcare kiosks had a positive effect on acceptance intention. Lastly, elderly's perceived ease to use healthcare kiosks had a positive effect on acceptance intention.

Determining the readiness of patients with renal failure to use health information technology

INTRODUCTION

Using information technology (IT) for purposes such as patient education and disease prevention and management is effective when patients are ready to use it. The objective of this study was to determine the readiness of patients with renal failure to use health IT.

METHODS

This study was performed on all dialysis patients in South Khorasan province (n = 263) using a 28-item questionnaire. The questionnaire consisted of (1) demographic information of participants and (2) questions concerning eight main factors including the need for information, desire to receive information, ability to use computers and the Internet, computers and the Internet anxiety, communication with physicians, using mobile phones and concerns about security and confidentiality of information. Descriptive statistics and Mann-Whitney and Kruskal-Wallis statistical tests were used to analyze the data.

RESULTS

About 15% of the participants stated that they do not want to receive information from the Internet. Anxiety and concern about Internet security and confidentiality were higher in women, married people, people over 60, villagers, and illiterate people (p < 0.05). Married people and people over 60 years had a higher desire to get information (p < 0.05). The rate of computer anxiety and Internet privacy concern was higher than average (p < 0.001). Most patients (34.2%) could only send text messages using mobile phones.

CONCLUSION

Despite the need of most patients to online health information, they do not use this information due to a lack of skills and experience to use IT. Therefore, the ability of users should be considered when developing IT-based interventions. Due to patients' concerns about Internet privacy, it is required to teach patients how to protect their privacy while using the Internet.

What Determines the Acceptance and Use of eHealth by Older Adults in Poland?

An aging population is considered a major challenge for governments and healthcare planners. eHealth is perceived as a tool with the potential to ensure efficient healthcare. Moreover, eHealth services may help older adults to maintain longer life in good health. However, there are still several challenges to the large-scale implementation of these solutions among older adults. Therefore, the aim of this study was to explore determinants of the acceptance and use of eHealth by older adults in Poland. Data was collected by the questionnaire, and the UTAUT model was employed. This research covered older adults aged 60 to 69. The analysis of the results using nested regression analysis showed that performance expectancy has a strong significance on the older adults' acceptance and use of eHealth, followed by effort expectancy and social influence. In contrast, facilitating conditions do not have a significant influence on the acceptance and use of eHealth. These findings may also be beneficial for the government to provide relative policies to support the development and usage of eHealth services as well as for the healthcare devices industry to design more older adult-oriented products.

A conversational analysis of aging in China from a cross-section of the labour market: a corpus-based study

Modern society is undergoing rapid technological growth and urbanisation. Despite the positive changes, there are still vulnerable categories of the population that cannot adapt so quickly to the new realities. The ageing process in the developed countries of Europe, America and Southeast Asia raises the issue of further labour market development. In this regard, it is vital to understand the linguistic picture of a quickly ageing labour market, such as China. Drawing on Conversation Analysis, this study aims to investigate the impact of the ageing process on the labour market and identify age-related trends in communication, behaviour and attitude. The focus is on the socio-economic context. The most important finding is that in most contexts, the language behaviour of ageing labour market participants leaned on three underpinning factors: age, social status and exposure to emotional pressure. Older adults in the Chinese labour market value their informal status, accept social hierarchy, follow strict etiquette rules, tend to self-victimise, and complain about feeling vulnerable. The present findings can help social workers in China improve care for ageing adults and allow other researchers to investigate older people's participation in the labour market.

Staying connected: smartphone acceptance and use level differences of older adults in China

In recent years, an increasing number of studies have addressed the older adults' Information and Communication Technology acceptance, the majority of which concentrate on the use of computers and the internet. As smartphone use becomes further integrated into older adults' daily lives, it is important to investigate how perceptions about and use of smartphones intersect. This study (1) proposes an extended Technology Acceptance Model and tests the relationships between Perceived Usefulness, Perceived Ease of Use, Attitude, Behavioural Intention, Self-efficacy, Technology Anxiety, and Social Support in older adults' smartphone use by confirmatory factor analysis (CFA); and (2) analyses the specific differences between primary, medium, and advanced use level groups in each construct by Q-cluster and ANOVAs. We conduct a community-based survey with a sample of 1,006 older adults in East China. The data demonstrate that the extended model offered a good explanation of smartphone acceptance among the older adults, and the groups belong to different use levels show significant difference in all constructs. The findings indicate that digital divide is objectively inevitable in smartphone use, but the older adults are extremely diverse groups that do not uniformly conform to technology averse stereotypes.

What insisted baby boomers adopt unified payment interface as a payment mechanism?: an exploration of drivers of behavioral intention

Purpose

The unified payment interface (UPI) is in its early stages of adoption for baby boomers. This study explores the factors affecting the behavioral intention of baby boomers to adopt UPI. UTAUT was adopted as theoretical lens of the study and extended with ubiquity, privacy risk and perceived security. The impact of an external factor – effect of COVID-19 was also examined in this study.

Design/methodology/approach

A consumer intercept survey was used to collect data from baby boomers via a self-administered structured questionnaire. Structural equation modeling was used to establish the relationships among latent variables. Further, using bootstrap re-sampling technique, the role of perceived security as a mediator between risk, ubiquity and behavioral intention was examined.

Findings

The study confirmed that COVID-19 was the most influential external factor for baby boomers to adopt UPI, followed by performance expectancy, social influence, ubiquity, effort expectancy and perceived security. Apropos of UPI adoption by baby boomers, privacy risk negatively influenced perceived security, whereas perceived security fully mediated the relationship between risk, ubiquity and behavioral intention.

Research limitations/implications

The study focused only on baby boomers and their intention to adopt UPI. Hence the results cannot be generalized to all age groups and are specific to the cohort.

Originality/value

The present study aims to establish research findings on predicting antecedents of adopting a newly introduced payment mechanism and an exemplary Indian digital innovation, UPI, by baby boomers. This study is first to empirically explore intention of baby boomers toward adoption of UPI.

A study of Indian Gen X and Millennials consumers’ intention to use FinTech payment services during COVID-19 pandemic

Purpose

Amid the COVID-19 contamination, people are bound to use contactless FinTech payment services. Because of restrictions on physical movement and avoidance of touching physical money, people willingly choose mobile payment, resulting in enormous growth in FinTech payment service industries. Because of this, this study aims to examine the effect of factors affecting Gen X and Millennials users to use FinTech payment services.

Design/methodology/approach

The authors used 328 responses collected through convenience sampling of Indian users aged between 26 and 57 years in the Delhi-NCR region who are users of FinTech payment services.

Findings

The authors’ findings verified that in India, perceived COVID-19 risk, perceived severity for COVID, individual mobility, subjective norms, perceived ease of use and perceived usefulness have statistically significant impacts on FinTech payment services during the COVID-19 pandemic. Structural equation modelling was used to study the proposed research model. Overall, the model predicted 76.9 % of the variation in intention to use FinTech payment services by the abovesaid variables by Indian users during a pandemic.

Practical implications

This study will provide valuable insight to all FinTech service providers and stakeholders in planning and designing the concerned policy. It will be able to draw the attention of users more.

Originality/value

This research added a valuable theory to the existing technology adoption model (TAM) theory. It demonstrated the utility of the above variables in adopting and using FinTech payment services, which will help service providers to develop future strategies because of the COVID-19 pandemic.

Design a technology acceptance model by applying system dynamics: an analysis based on key dimensions of employee behavior

Purpose

This study aims to investigate the impact of new technologies on parameters of organizational behavior and evaluate their determining role of technology maturity and readiness of staff in the digital readiness.

Design/methodology/approach

This study has obtained an integrated model of technology’s effect on staff’s organizational behavior considering digital readiness level by using system dynamics is developed. In this model, the effects of new technologies entry on organizational behavior variables are analyzed in different layers, and the result of this impact on the consequent of a bank organizational behavior and each indicator is examined separately in different scenarios. In determining the indicators and their significant coefficients, the viewpoints of banking experts and professionals in organizational behavior have been considered.

Findings

As a result of our surveys, five technology effects, without intermediaries, were obtained, which are automation, learning, streamlining repetitive jobs, addiction to technology and reducing face-to-face contact. Each of these factors would make a chain of side effects. In a way that, ultimately, their positive or negative effects on productivity and consequently on organization profits appear. The result indicates technology has effects on important behavioral factors such as stress, motivation, organization values and personal satisfaction. Indicators, which are formed by positive or negative factors, are being upgraded or downgraded. Therefore, managing negative cycles and developing positive cycles can be considered as one of the major banking concerns for controlling IT effects on its organizational behavior of human resources.

Originality/value

There is little academic remarkable literature on clarifying the effects of digitalization on employee's behavior in an organization, this research offers managers and organizations a model of influential factors that need to be taken into account by managers when they encounter new technologies. This study’s proposed analysis is useful to improve the efficiency and productivity of the organization, and alongside this, it is effective for the digital transformation process. This study fills previous research gaps in the academic context related to the practical studies that relied on digital maturity.

Factors influencing the intention to use assistive technologies by older adults

Society is ageing at an unprecedented pace worldwide creating implications for the health and social care. Gerontechnology has been recognized as a solution that increases and supports the independency and well-being of older adults at home. This article aims to identify the most critical success factors effecting the adoption of an assistive gerontechnology by older adults in Poland. The object of the authors' interest was Rudy robot, an AI-enabled mobile solution helping users remain physically healthy, mentally sharp, and socially connected. The data was collected among Polish citizens using the CATI technique between November and December 2020. The number of returned questionnaires amounted to 824. The authors used Generalized Least Squares (GLS) of Structural Equation Modelling (GLS-SEM) to verify the hypotheses. The obtained results confirmed statistically significant relationships between the variables of perceived usefulness of Rudy robot and attitude reflecting the willingness to use this technology, as well as between perceived ease of use and perceived usefulness of robot. However, relationship between perceived ease of use and inclination to use this technology in the future was not statistically significant. The conducted research confirmed that the functionality of the analysed Rudy robot for older-adult care positively influences their intension to use it in the future for their own needs or family members. The obtained results confirmed usefulness of robots as assistive technology helping older adults.

Gender differences regarding intention to use mHealth applications in the Dutch elderly population: a cross-sectional study

BACKGROUND

In light of the increasing demands in health care, a call has been made for the development of new strategies. One of these strategies is placing a higher emphasis on individuals, who are expected to better manage their own health and illness. mHealth applications could increase this self-management behaviour among older adults. However, it is crucial to know the intention to use mHealth of older adults before implementing these services. Even less is known regarding differences between genders on factors influencing this intention to use mHealth applications.

OBJECTIVE

The aim of this study was to study the gender differences regarding the relationship between technology acceptance factors and the intention to use mHealth applications in the Dutch elderly population.

METHODS

We conducted a quantitative cross-sectional study using questionnaires. The participants were 65 years or older, lived independently or in a senior living facility, without cognitive impairment. Logistic regression with interaction terms was done to determine gender differences in the relationship between the intention to use mHealth applications and technology acceptance factors.

RESULTS

While we found that half of the studied population had intention to use medical applications (50.3%) a notable difference was observed within gender groups which showed more men had intention to use medical applications rather than women (59.4% vs. 43.4% respectively). Adjusted logistic regression analysis per factor on the male and female part of the study population respectively showed that the factors Perceived usefulness (OR 21,69 and 2,39, resp.), Perceived ease of use (OR 7,21 and 2,74), Attitude toward use (OR 24,61 and 4,94), Sense of control (OR 4,12 and 2,67), Personal innovativeness (OR 2,54 and 1,58), Self-perceived effectiveness (OR 3,21 and 2,34), Service availability (OR 4,38 and 2,51) and Facilitating circumstances (OR 3,04 and 2,18) had a statistically significant influence on intention to use in both models. Logistic regression with interaction terms showed that two of the technology acceptance factors differed statistically significant in their relationship with intention to use when comparing females to males, namely Perceived usefulness (OR 0,11) and Attitude toward use (OR 0.24). Both factors were more strongly associated with intention to use for men compared to women.

CONCLUSION

Policymakers and interventions aiming to stimulate the uptake of mHealth applications should acknowledge gender differences. Interventions based on improving the Perceived usefulness and Attitude toward use among female users could be a means to stimulate the full potential of medical applications and improve the uptake.

The effect of smartphones on the self-rated health levels of the elderly

Background

Due to the penetration of Internet use and the popularity of “Internet + elderly care” among seniors in recent years, the elderly are gradually integrating into the information society. This study examined the impact of smartphones on the self-rated health levels of the elderly.

Methods

We studied 3042 elderly people over 55 years of age in Jiangxi, China in 2018. The effect of smartphones was measured from three aspects: smartphone usage, smartphone usage ability, and smartphone usage purpose, and the multivariate ordered logistic model was applied. Furthermore, considering the potential endogeneity of the smartphone usage of elderly people, the propensity score matching (PSM) method was used to analyze the net effect of smartphones on the health levels of the elderly.

Results

(1) The use of smartphones had a significant positive impact on the self-rated health levels of the elderly, with its significance being at the level of 1%. Smartphone usage ability, and using smartphone to learn or search for health information, had significant positive impacts (at the level of 5%) on the self-rated health levels of the elderly. (2) The k-nearest neighbor matching, kernel matching and radius matching methods were used to calculate the net effect of smartphone usage on the self-rated health levels of the elderly. The results were 13.26, 15.33 and 14.80%, respectively. (3) The age of the participants significantly (at the level of 1%) negatively affected their self-rated health levels. Other characteristics of the elderly, including income, education level, living with children or spouse and children’s living conditions, significantly (all at the level of 1%) positively affected their self-rated health levels.

Conclusions

Smartphone usage, smartphone usage ability, and smartphone usage purposes all improved the self-rated health of the elderly. The Internet factor should be focused on in the process of active aging. We should improve the Internet use ability of the elderly through voluntary training or public lectures.

The Investigation of Adoption of Voice-User Interface (VUI) in Smart Home Systems among Chinese Older Adults

Driven by advanced voice interaction technology, the voice-user interface (VUI) has gained popularity in recent years. VUI has been integrated into various devices in the context of the smart home system. In comparison with traditional interaction methods, VUI provides multiple benefits. VUI allows for hands-free and eyes-free interaction. It also enables users to perform multiple tasks while interacting. Moreover, as VUI is highly similar to a natural conversation in daily lives, it is intuitive to learn. The advantages provided by VUI are particularly beneficial to older adults, who suffer from decreases in physical and cognitive abilities, which hinder their interaction with electronic devices through traditional methods. However, the factors that influence older adults' adoption of VUI remain unknown. This study addresses this research gap by proposing a conceptual model. On the basis of the technology adoption model (TAM) and the senior technology adoption model (STAM), this study considers the characteristic of VUI and the characteristic of older adults through incorporating the construct of trust and aging-related characteristics (i.e., perceived physical conditions, mobile self-efficacy, technology anxiety, self-actualization). A survey was designed and conducted. A total of 420 Chinese older adults participated in this survey, and they were current or potential users of VUI. Through structural equation modeling, data were analyzed. Results showed a good fit with the proposed conceptual model. Path analysis revealed that three factors determine Chinese older adults' adoption of VUI: perceived usefulness, perceived ease of use, and trust. Aging-related characteristics also influence older adults' adoption of VUI, but they are mediated by perceived usefulness, perceived ease of use, and trust. Specifically, mobile self-efficacy is demonstrated to positively influence trust and perceived ease of use but negatively influence perceived usefulness. Self-actualization exhibits positive influences on perceived usefulness and perceived ease of use. Technology anxiety only exerts influence on perceived ease of use in a marginal way. No significant influences of perceived physical conditions were found. This study extends the TAM and STAM by incorporating additional variables to explain Chinese older adults' adoption of VUI. These results also provide valuable implications for developing suitable VUI for older adults as well as planning actionable communication strategies for promoting VUI among Chinese older adults.

Impact of Actual Use Behavior of Healthcare Wearable Devices on Quality of Life: A Cross-Sectional Survey of People with Dementia and Their Caregivers in Ghana

The increasing prevalence of dementia has necessitated the introduction and use of healthcare wearable devices to augment the healthcare services delivered to people with dementia (PWDs). Unfortunately, evidence on user feedback and the real impact of the actual use of these devices on the quality of life of PWDs has not been fully explored, especially in the context of developing countries. This study, therefore, seeks to evaluate the impact of actual use behavior (AUB) of healthcare wearable devices on the quality of life (QoL) of PWDs in Ghana by using constructs from the extended Unified Theory of Acceptance and Use of Technology (UTAUT2) model and the SF-36 quality of life instrument. Data were collected from people with dementia and, in some cases, caregivers (acting as proxies) in three administrative regions of Ghana using structured questionnaires. Of the 420 questionnaires distributed, 356 were returned, giving a response rate of (356/420, 84.8%). Three hundred and twenty (320) responses were used for further analysis, employing the Partial Least Squares based on Structural Equation Modeling. The results showed a significant positive relationship between AUB and QoL (p < 0.001). Other predictors such as behavioral intention, facilitating conditions, effort expectancy and social influence were also found to significantly impact the actual use behavior of healthcare wearable devices among PWDs. The study also revealed that 4% (14) of patients rated their reported health transition associated with the use of healthcare wearable devices as excellent, 42.5% (136) as very good, and 39.4% (126) as good, respectively at the time of the study compared to a year ago. This study provided empirical evidence of the positive impact of the actual use of healthcare wearable devices on the quality of life of PWDs and further highlighted the factors that drive actual use behavior among PWDs in Ghana. Based on the findings of this study, stakeholders need to create the necessary conditions that will facilitate the adoption and use of healthcare wearable devices, as this will help improve the quality of life, reduce the burden of the disease on caregivers, and enable independent living of PWDs.

Elderly's intention to use technologies: A systematic literature review

The population aging and an increased life expectancy are widely recognized social changes. Technologies are believed to improve the elderly's daily lives and maintain their health efficiently. Despite the advantage of adopting technologies, the elderly are slower to adopt new technologies compared to younger adults. This paper presents a Systematic Literature Review (SLR) to identify the different antecedents prevailing in the literature on elderly technology adoption. The SLR classifies and analyzes 26 relevant articles on elderly's technology adoption. Our findings revealed that quantitative approach and cross-sectional studies predominate in this field, building fundamentally upon the technology-driven theories. We identify seven categories of antecedents influencing elderly's use of technology, namely, technology, psychological, social, personal, cost, behavior, and environment antecedents. A conceptual framework for elderly's technology adoption and recommendations were presented. Particular attention is given to the need for in depth study for the antecedents, development of new measurement scales and investigation on the effectiveness of the proposed benefits after technology adoption.

Factors Influencing Intention to Technological Use in Older Adults. The TAM Model Aplication

The use of digital technology by older adults has improved in recent years in response to the need for their functional adaptation to an increasingly technological social context. Understanding this type of technological adaptation has recently become an important field of inquiry in both social and gerontological studies. Working within this framework, the aim of this study is to identify the main determinants that influence the intention of older people to use digital technology in their daily lives, using the Technological Acceptance Model. A study was carried out with the participation of 1155 people over 65 years of age in Spain. Confirmatory Factor Analysis and structural equation models (SEM) were performed. The results show that the TAM is a useful model to explain the intention of older adults to use Digital Technology, showing a high predictive power, highlighting Perceived Usefulness and Perceived Ease of Use as the main predictor variables.

The Framing Effect of Intergenerational Comparison of Technologies on Technophobia Among Older Adults

OBJECTIVES

Sharing similar negative age-stereotypes (e.g., outdated, unfashionable), older adults and older technologies are stereotypically associated with each other. This also was found to be internalized by older adults. Recent research has suggested that internalized negative age-stereotypes may be one of the reasons for technophobia among older adults. Therefore, considering the pervasiveness of intergenerational comparison of technologies (e.g., computer vs. tablet) in which older-generation technologies are negatively portrayed, we aim to investigate whether a mere intergenerational comparison of technologies would affect technophobia via negative self-stereotypes activation among older adults. Specifically, two commonly-seen framings of intergenerational comparison of technologies are examined: contrast framing, which describes opposing intergenerational relationship of technologies; and connect framing, which describes continuous intergenerational relationship of technologies.

METHOD

We designed three advertisements for a made-up new technological product using contrast framing, connect framing, and neutral framing (where intergenerational comparison was absent). A sample of 284 participants (age 27-83) was gathered online and randomly assigned into the three experimental conditions. Self-perception of aging (SPA), technophobia, and potential covariates were measured.

RESULTS

The results showed a significant framing×age×gender effect on psychosocial loss dimension of SPA and technophobia. Men were significantly affected by the framing effect as they age, but women were not affected. Contrast framing (vs. connect vs. neutral framing) led to significantly higher technophobia via psychosocial loss dimension of SPA among older men aged 49 and over.

DISCUSSION

The findings have important implications for how to better convey persuasive information to promote new technology adoption among older adults.

Exploring older adults' adoption and use of a tablet computer during COVID-19: Longitudinal qualitative study (Preprint)

Background

As mobile computing technology evolves, such as smartphones and tablet computers, it increasingly offers features that may be particularly beneficial to older adults. However, the digital divide exists, and many older adults have been shown to have difficulty using these devices. The COVID-19 pandemic has magnified how much older adults need but are excluded from having access to technologies to meet essential daily needs and overcome physical distancing restrictions.

Objective

This study sought to understand how older adults who had never used a tablet computer learn to use it, what they want to use it for, and what barriers they experience as they continue to use it during social isolation caused by the COVID-19 pandemic.

Methods

We conducted a series of semistructured interviews with eight people aged 65 years and older for 16 weeks, investigating older novice users’ adoption and use of a tablet computer during the nationwide lockdown due to COVID-19.

Results

Participants were gradually yet successfully accustomed to using a tablet computer to serve various daily needs, including entertainment, social connectedness, and information-seeking. However, this success was not achieved through developing sufficient digital skills but rather by applying the methods they were already familiar with in its operation, such as taking and referring to instruction notes.

Conclusions

Our findings imply that older adults without digital literacy can still benefit from a digital device for quality of later life if proper traditional methods they are already familiar with are offered in its use.

Contrasting Internet Adoption in Early and Advanced Old Age: Does Internet Self-Efficacy Matter?

OBJECTIVES

Understanding why older adults (including those in very old age) use or do not use the Internet can build on the technology acceptance model (TAM). In this cross-sectional study, we translate the TAM to the Internet and assume that perceived usefulness of the Internet (PUI) and perceived ease of use of the Internet (PEUI) will be revealed as major predictors of behavioural intention to use the Internet (BII). Additionally, we consider the role of Internet self-efficacy (ISE) as another major factor for older adults' Internet use. We also argue that life phase, particularly early as opposed to advanced old age, may moderate how PUI, PEUI and ISE relate to BII.

METHOD

A sample of 1,200 older adults aged 60 years and older (60-74 years, n = 658; 75-99 years, n = 542) was randomly drawn from the city of Stuttgart, Germany. Sociodemographic variables and major indicators of TAM and ISE were assessed based on a computer-assisted telephone interviewing procedure.

RESULTS

Latent structural equation modelling revealed that PUI is the more important predictor of BII in older adults. Furthermore, ISE revealed statistically meaningful positive links with PUI, PEUI and BII. Multi-group comparison revealed that PUI had a stronger linkage with BII in early old age, whereas ISE was more important for BII in advanced old age.

DISCUSSION

The results suggest that ISE may enrich the network of TAM constructs among older adults in general but specifically in advanced old age.

Elderly and middle-aged intention to use m-health services: an empirical evidence from a developing country

Purpose

m-health services for different age groups are becoming an emerging field in the health-care industry, especially in low-resource environments such as developing countries such as Bangladesh. Hence, this study’s primary aim is to identify the factors that influence the middle-aged and elderly’s intention to use m-health services.

Design/methodology/approach

This study applied the extended version of the unified theory of acceptance and use of technology to explore middle-aged and elderly’s intention to use m-health services. There were 235 respondents, of which 123 (52.34%) were in the middle-aged group, whereas 112 (47.66%) were in the older group. Both groups were found to have more male participants than female participants. The partial least square (PLS) method was used to analyze data.

Findings

The study found that performance expectancy, effort expectancy, facilitating condition, technological anxiety and resistance to change (p < 0.05) had a significant influence on middle-aged intention to use m-health services. Social influence and perceived physical condition (p > 0.05) had no significant effect on middle-aged intention to use m-health services. On the other hand, performance expectancy, effort expectancy, facilitating condition and resistance to change (p <* 0.05) significantly influenced the elderly’s intention to use m-health services. However, the social impact of perceived physical condition and technological anxiety (p > 0.05) had no significant effect on the elderly’s intention to use m-health services.

Originality/value

A good number of studies are available in the current literature, examining the factors adoption of m-health services in both developed and developing economy context. However, very few studies examine the factors that influence behavioral intention to use m-health services concerning the two different age groups, such as middle-aged and elderly. Moreover, to the best of the authors’ knowledge, there is a shortage of literature on this topic built on the comparative analysis between the two age groups.

Gamified money: exploring the effectiveness of gamification in mobile payment adoption among the silver generation in China

Purpose

This study investigates the use of gamification in promoting the silver generation's adoption of mobile payment technology through the gamified cultural practice of gifting red packets. It considers the effectiveness of using gamification in a cultural context to promote technology acceptance among older adults. This crossover between digital technology and cultural traditions brings unique gaming elements to the adoption of technology.

Design/methodology/approach

Drawing upon technology acceptance Model (TAM) and prospect theory, a research model is evaluated using structural equation modeling. Data were collected via survey from elderly consumers who are current users of WeChat but are yet to use its mobile payment functions.

Findings

The results reveal the perceived effectiveness of gamification is determined by the perceived enjoyment of the game and contributes to users' attitude development, directly and through its perceived usefulness. Perceived risks were identified as a barrier to converting positive attitude into adoption intention.

Research limitations/implications

The findings contribute to the conceptualization and understanding of the effectiveness of gamification in technology adoption, specifically among the silver generation.

Originality/value

In contrast with previous gamification studies on gamified experience, this study introduces a new conceptualization of the perceived effectiveness of gamification and its measurement. This study validates game engagement as being effective in encouraging seniors to adopt a technology. In an era of an aging population where digitization is a norm, improving the digital literacy and digital inclusion of elders by encouraging them to adopt technology is essential to developing a more accessible and inclusive social environment.

Internet Adoption in Older Adults: Findings from the Health and Retirement Study

Being able to use the Internet is becoming increasingly important in today's digitized society. Evidence suggests that older adults are at risk of being left behind by technological developments. We examined Internet adoption in older adults in relation to sociodemographic, health, cognitive, social, and personality factors. We used data from the Health and Retirement Study (n = 5,949; 61 percent women; age: M = 72 years, standard deviation [SD] = 7; range = 50-105). Internet use was examined over an 8-year period. Predictors were assessed at baseline. We used a Cox proportional hazards model to examine how predictors were related to Internet adoption during the study period. Overall, 1,296 out of 5,949 participants (22 percent) reported starting to use the Internet during the study period. Our findings revealed that younger age, higher education, higher income, living with a partner, and better cognitive performance were associated with a higher likelihood of Internet adoption, whereas being Black was associated with a lower likelihood. Openness was associated with a higher likelihood of Internet adoption over the study period. Our findings add to the literature on the role of sociodemographic, cognitive, and health factors in older adults' Internet use. In addition, we show that personality also predicts older adults' Internet use.

Comparison of Older and Younger Adults' Attitudes Toward the Adoption and Use of Activity Trackers

Background

Activity tracking devices have significant potential in assisting older adults’ health care and quality of life, but this population lags behind in the adoption of these devices. While theoretical frameworks have been introduced to explain and increase the adoption of this technology by older adults, little effort has been made to validate the frameworks with people in other age groups.

Objective

The goal of this study was to validate the theoretical framework of technology acceptance by older adults that we previously proposed through a direct comparison of the attitudes to and experiences of activity trackers in older and younger users.

Methods

Semistructured interviews were conducted with 2 groups of 15 participants to investigate their experiences of using activity trackers. The recruitment criteria included age (between 18 years and 24 years for the younger participant group or 65 years and older for the older participant group) and prior experiences of using mobile devices or apps for activity tracking for 2 months and longer.

Results

Our findings showed that the phase of perceived ease of learning as a significant influencer of the acceptance of activity trackers existed only in the older participant group, but this phase never emerged in the younger participant group. In addition, this study confirmed that other phases exist in both age groups, but 2 distinct patterns emerged according to age groups: (1) the social influence construct influenced the older participants positively but the younger participants negatively and (2) older participants’ exploration in the system experiment phase was purpose-driven by particular needs or benefits but for younger participants, it was a phase to explore a new technology.

Conclusions

This study confirms the validity of the proposed theoretical framework to account for the unique aspect of older adults’ technology adoption. This framework can provide theoretical guidelines when designing technology for older adults as well as when generating new investigations and experiments for older adults and technology use.

An empirical examination of the moderating role of age and gender in consumer mobile banking use: a cross-national, quantitative study

Purpose

Despite the benefits of mobile banking services in an increasingly digitised world, adoption rates remain unsatisfactory. The present cross-national study examines age- and gender-dependent variations of consumer intentions and use of mobile banking services.

Design/methodology/approach

The study analyses consumer mobile banking use by integrating factors such as with trust, security and privacy and it examines the effects of these factors among two demographic factors including age and gender. 897 Lebanese and British mobile banking users completed a survey. Data was analysed by partial least squares-structural equations modelling.

Findings

Consumer behavioural intention was significantly moderated by age through its relationship with facilitating conditions and trust among Lebanese respondents, and performance expectancy, effort expectancy, hedonic motivation, price value and habit among their British counterparts. As for gender, a significant moderating effect was evidenced in the Lebanese, but not the British sample, on the level of performance expectancy, effort expectancy, facilitating conditions, price value and perceived security.

Originality/value

The findings provide evidence of the applicability of the new factors proposed in this research. The reflection of the influence of these demographic factors in a cross-national context provides insights into mobile banking adoption variation between different countries.

Intergenerational differences in the intention to use psychological cybercounseling: A Chinese case study

OBJECTIVE

This study applied an extended theory of planned behavior (E-TPB) model to investigate factors that contribute to the intention to use psychological cybercounseling in a Chinese sample. The moderating effects of intergenerational differences on relationships of E-TPB variables were also tested.

METHODS

A total of 1494 Chinese participants M_age = 18.95 years, SD = 10.19; 49.9 % male) completed a self-report questionnaire measuring seven constructs: intention (INT), attitude (ATT), subjective norms (SN), perceived behavioral control (PBC), attitude toward the Internet (ATI), social stigma of seeking psychological help (SSSPH), and computer self-efficacy (CSE).

RESULTS

Structural equation modeling showed that the E-TPB model accounted for 32.5 % of variance in INT. SN was the strongest determinant of INT, followed by PBC and ATT. Multi-group analysis revealed that intergenerational differences significantly moderated three paths: CSE → PBC, ATT → INT, and SN → INT.

CONCLUSION

The results demonstrated the efficacy of E-TPB in explaining the intention to use psychological cybercounseling in a Chinese sample. Several factors related to the intention to use psychological cybercounseling were identified in this sample.

PRACTICE IMPLICATIONS

The results can help promote psychological cybercounseling use in this population.

Problematic Internet Use and Perceived Quality of Life: Findings from a Cross-Sectional Study Investigating Work-Time and Leisure-Time Internet Use

Avoiding the potential negative impact brought by problematic internet use is becoming more important. To better understand public health and addiction, this study investigated to what extent work-time and leisure-time internet use relate to problematic internet use and perceived quality of life among college students and highly educated adults. An online cross-sectional survey with 446 individuals was assessed in Germany. Linear regression analyses were used to predict problematic internet use. Ordinal regression analyses were applied to predict perceived quality of life. Results showed that leisure-time internet use, but not work-time internet use, was positively associated with problematic internet use. Participants whose work-time internet use could be considered balanced (5–28 h/week in this study) indicated a higher perceived quality of life compared to individuals with little or large amount of internet use for work. The findings still emerged when taking negative feelings, perceived stress, smoking status and alcohol consumption into account. As both work-time and leisure-time internet use can be risk factors for mental health in terms of problematic internet use and perceived quality of life, well-controlled internet use rather than excessive use is recommended. This should be kept in mind when dealing with the Coronavirus pandemic and its aftermath.

Health Information Seeking Behaviors and Source Preferences between Chinese and U.S. Populations

This study examined similarities and differences in health information-seeking behaviors between American and Chinese people using data from the 2017 U.S. Health Information National Trends Survey (HINTS) and the 2017 China HINTS. It is one of the first studies that use comparable samples and survey instruments to make direct comparisons of the two populations' health information-seeking behaviors. Results showed that Americans (including different racial/ethnic groups in the U.S.) were more likely to actively seek health information than Chinese people. Americans were also more likely to use mediated communication as their primary sources of health information while Chinese people favored interpersonal sources. Chinese people reported lower quality of doctor-patient communication than their American counterparts. These differences between the two countries highlight the importance of using different information sources to reach specific populations, and the need to develop tailored public health intervention programs in different cultures.

The Role of Psychological Factors in Older Adults' Readiness to Use eHealth Technology: Cross-Sectional Questionnaire Study

BACKGROUND

Information and communication technology (ICT) use among older adults has been on the rise in recent years. However, the predictors and mechanisms behind older adults' acceptance and use of ICT are not clear.

OBJECTIVE

This study aimed to systematically describe ICT usage among Czech older adults and to evaluate the factors influencing their ICT use and readiness to use digital technology to promote health (eHealth readiness). The primary focus was on psychological factors and the role of persons close to older adults.

METHODS

The research utilized cross-sectional survey data from a quota-based sample of Czech older adults (>50 years) and persons close to them further referred to as close persons (N=250 dyads). A structural equation modeling framework was used to evaluate relationships between psychological factors, ICT use, and eHealth readiness.

RESULTS

Czech older adults' use of ICT is low with the exception of cell phone usage (cell phone usage by 173/250, 69.2%; other devices used by 50/250, 20.0% of older adults or less). Apart from age (β=-.21; P<.001), eHealth readiness was predicted by ICT use (β=.65; P<.001). eHealth readiness was also indirectly affected by the need for cognitive closure (NFCC): individuals with a high need for closure perceived more barriers to ICT (β=.23; P=.01) and more reported barriers were linked to lower ICT usage (β=-.21; P=.001). The expected positive relationships between eHealth readiness of persons close to older adults and ICT use and eHealth readiness of older adults were not significant, but the total effect of eHealth readiness of persons close to older adults on eHealth readiness of older adults was positive and significant (β=.18; P=.01), indicating some level of influence of persons close to them on older adults' attitudes and behaviors.

CONCLUSIONS

This study provided the first systematic examination of Czech older adults' ICT usage and eHealth readiness. Novel predictors (NFCC and close persons' variables) were evaluated and yielded actionable results. More research is needed to clarify the role of persons close to older adults.

Gender, capital endowment and digital exclusion of older people in China

Amid rapid population ageing and the high-speed progress of information and communications technology, use of smart electronics can improve older people's quality of life by helping them to stay connected, active and independent, which may, in turn, increase their overall happiness and sense of social belonging. Taking a gender perspective, this paper aims to understand variations in digital exclusion among older people. Using data from the 2016 China Longitudinal Ageing Social Survey, it finds that digital exclusion seems to vary by gender, with rural female older people being most excluded, possibly because they have the lowest capital endowment. The gender difference in the digital divide is even more salient with all other things being equal. Digital exclusion in the information era may further exacerbate gender inequality, particularly for those who are already most vulnerable. Since digital inclusion is somewhat inherent in the concept of intelligent old-age support, it should be considered an urgent necessity to help older people, especially rural women, become familiar with smart electronic products.

Exploring the Systematic Attributes Influencing Gerontechnology Adoption for Elderly Users Using a Meta-Analysis

This study aims to explore the key systematic attributes influencing the acceptance of gerontechnology by seniors in response to global aging and rapid technological progress. A meta-analysis was carried out to quantitatively synthesize the results of 25 empirical studies published from 2010 to 2020. After standardized coding and descriptive statistics, as well as tests and analysis of main effects and heterogeneity, publication bias. The following results were obtained: Perceived usefulness and perceived ease of use have a significant positive impact on the user’s attitude and behavioral intention; performance expectancy, effort expectancy, trust, technical performance and subjective norm have a significant positive correlation with the user’s behavioral intention; social influence, facilitating conditions have a positive correlation with the user’s behavioral intention; anxiety has a significant negative correlation to the user’s behavioral intention. The key systematic influencing attributes are classified into three categories: (1) User individual characteristics; (2) product and technical characteristics; and (3) environmental characteristics. This study provides researchers and practitioners with a systematic evidence-based basis to reduce the gap in decision-making for gerontechnology practices.

Technology Adoption in Emerging Regions: Case of the Smartphone in Saudi Arabia

This paper examines the adoption of Smartphones in Saudi Arabia. A theoretical research model is developed based on the unified theory of acceptance and use of technology. A web-based survey has been used to gather data from randomly selected Smartphone users in Saudi Arabia. For data analysis, SEM approach was followed, SPSS and AMOS were utilized for analyzing data. The results indicate that performance expectancy, effort expectancy, brand influence, perceived enjoyment, and design constructs have a positive and significant relationship with users’ behavioral intention to adopt and use Smartphones in Saudi Arabia.