Difference between revisions of "A Systematic Review of Patient Acceptance of Consumer Health Information Technology"
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===Patient Factors=== | ===Patient Factors=== | ||
| − | + | Technology acceptance studies in the field of information systems have suggested that age, gender, education level, computing experience, and voluntariness of use moderate the effects of performance expectancy, effort expectancy, subjective norm, and computer anxiety on acceptance. | |
| + | *studies found that acceptance increased with higher education. | ||
| + | *Prior experience or exposure to computer/health technology appears to be associated with increased acceptance. | ||
| + | *Although not a consistent effect, generally, older adults are less likely to accept CHITs. This could possibly be due to less computer familiarity or literacy among older patients. | ||
==References== | ==References== | ||
<references/> | <references/> | ||
Revision as of 17:24, 13 November 2015
In this article a systematic literature review was performed to identify variables promoting consumer health information technology (CHIT) acceptance, or barriers in acceptance of CHIT among patients.[1]
Background
consumer health information technologies (CHITs) are defined as computer-based systems that are designed to facilitate information access and exchange, enhance decision making, provide social and emotional support, and help behavior changes that promote health and well-being. While the potential for using CHITs to improve health care has been acknowledged, these technologies are still not always accepted by patients for variety of reasons, including poor device usability, insufficient training on how to use the technology, lack of computer skills, and low self-efficacy. There is a considerable body of research testing the feasibility, acceptability, and effectiveness of various CHITs for primary health care service delivery, in general, or patient self-care at home, in particular.
Methods
“Acceptance” of technology has been defined in four primary ways: (1) satisfaction with the technology, (2) use or adoption of the technology, (3) efficient or effective use of the technology, and (4) intention or willingness to use the technology.Online database literature searches were performed in early Dec 2006, and again in Feb 2009 to obtain relevant research articles to review. The electronic bibliographic databases used for searching were Web of Science, Business Source Elite, CINAHL, Communication and Mass Media Complete, MEDLINE, PsycArticles, and PsycInfo. The search terms employed were patient*, senior*, elder*, old*, disabilit*, accept*, abandon*, intent*, intention to use, reject*, satisf*, use*, utiliz*, computer*, eHealth, e-health, e-mail, health* informat*, Internet, technolog*, web*, telemedicine, and combinations of them. The authors manually searched the following health informatics journals to reduce the likelihood of missing relevant articles: Journal of the American Medical Informatics Association, International Journal of Medical Informatics, Journal of Medical Internet Research, and Telemedicine and e-Health.[1]
Results
The search returned 1,871 articles and their titles and abstracts were read. Based on the selection criteria, 185 articles were retained for more detailed review. Fifty-two articles met the criteria and were included in this review study. 94 different predictors of acceptance were tested in the studies reviewed.[1]
Discussion
Organizational variables were tested, few human-technology interaction or environmental variables were examined, and social variables were studied:
Patient Factors
Technology acceptance studies in the field of information systems have suggested that age, gender, education level, computing experience, and voluntariness of use moderate the effects of performance expectancy, effort expectancy, subjective norm, and computer anxiety on acceptance.
- studies found that acceptance increased with higher education.
- Prior experience or exposure to computer/health technology appears to be associated with increased acceptance.
- Although not a consistent effect, generally, older adults are less likely to accept CHITs. This could possibly be due to less computer familiarity or literacy among older patients.
