Mediating Effects of Smartphone Utilization between Attitude and Willingness to Use Home-Based Healthcare ICT among Older Adults
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Objectives: This study explored the direct and indirect effects of knowledge of new technology (e.g., artificial intelligence,the Internet of Things, and the Fourth Industrial Revolution), attitudes towards technology use, and smartphone utilizationskills on older adults’ willingness to use home-based information and communication technology (ICT) for self-health management. Methods: A phone survey was conducted among 300 older adults aged 65 or older in Gangwon Province, Republicof Korea. A path analysis was performed to identify the direct and indirect effects of knowledge of new technology, attitudestowards technology use, and smartphone utilization skills on willingness to use home-based healthcare ICT. Socioeconomicvariables were used as control variables. Results: Knowledge of new technology, but not attitudes towards technology use, had adirect impact on smartphone utilization skills. Attitude towards technology use and smartphone utilization skills showedsignificant effects on willingness to use home-based healthcare ICT. One standard unit change in attitudes towards technologyuse contributed to a 0.172 unit change in willingness (p = 0.001), and one standard unit change in smartphone utilizationskills changed willingness by 0.246 units (p < 0.001). In addition, older adults with a higher education level and economicstatus, and lower self-related health status, were more willing to use home-based healthcare ICT. Conclusions: These findingsunderscore the necessity of enhancing the smartphone utilization skills of older adults and attitudes towards technology use. Providing more user-friendly services and increasing smartphone utilization skills among older adults would contribute towillingness to use home-based ICT for healthcare management.
Abstract
Objectives: This study explored the direct and indirect effects of knowledge of new technology (e.g., artificial intelligence,the Internet of Things, and the Fourth Industrial Revolution), attitudes towards technology use, and smartphone utilizationskills on older adults’ willingness to use home-based information and communication technology (ICT) for self-health management. Methods: A phone survey was conducted among 300 older adults aged 65 or older in Gangwon Province, Republicof Korea. A path analysis was performed to identify the direct and indirect effects of knowledge of new technology, attitudestowards technology use, and smartphone utilization skills on willingness to use home-based healthcare ICT. Socioeconomicvariables were used as control variables. Results: Knowledge of new technology, but not attitudes towards technology use, had adirect impact on smartphone utilization skills. Attitude towards technology use and smartphone utilization skills showedsignificant effects on willingness to use home-based healthcare ICT. One standard unit change in attitudes towards technologyuse contributed to a 0.172 unit change in willingness (p = 0.001), and one standard unit change in smartphone utilizationskills changed willingness by 0.246 units (p < 0.001). In addition, older adults with a higher education level and economicstatus, and lower self-related health status, were more willing to use home-based healthcare ICT. Conclusions: These findingsunderscore the necessity of enhancing the smartphone utilization skills of older adults and attitudes towards technology use. Providing more user-friendly services and increasing smartphone utilization skills among older adults would contribute towillingness to use home-based ICT for healthcare management.
참고문헌 (30)
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