PDF(Pubmed)
Abstract：
Although digital health technologies (DHTs) help many people maintain a healthy life, including those of advanced age, these technologies are of little use to older adult populations if they are not being adopted in daily life. Thus, it is critical to identify ways to help older adults recognize and try new technologies and maintain their use of them to maximize the benefits of these technologies in a digital-based society.
Our study aimed (1) to assess the current usage of DHT among older adults in Hong Kong and (2) to examine how high and low levels of eHealth literacy in this group affects the relationship between the Technology Readiness and Acceptance Model (TRAM) and attitudes and intention toward DHT.
A total of 306 adults over 60 years of age in Hong Kong participated in this study. After conducting confirmatory factor analysis to validate the measurement model, the hypothesized model was tested using structural equation modeling.
Optimism was significantly related to perceived usefulness, while optimism, innovativeness, and discomfort were significantly associated with perceived ease of use. Both perceived usefulness and perceived ease of use were significantly linked to attitude toward the use of DHTs. Meanwhile, attitude significantly predicted usage intention. Additionally, the results revealed the differences in the relationships of the TRAM between participants with high and low levels of eHealth literacy. The influence of optimism and innovativeness on perceived ease of use was stronger for the higher-level group than for the lower-level group, and the influence of discomfort for the higher-level group was much weaker.
The findings provided partial support for the impact of eHealth literacy on encouraging older adults to use DHT and obtain health benefits from it. This study also suggests providing assistance and guidelines for older adults to narrow the aging-related technology gap and to further explore the associations of eHealth literacy, the TRAM, and actual behaviors.
Our study aimed (1) to assess the current usage of DHT among older adults in Hong Kong and (2) to examine how high and low levels of eHealth literacy in this group affects the relationship between the Technology Readiness and Acceptance Model (TRAM) and attitudes and intention toward DHT.
A total of 306 adults over 60 years of age in Hong Kong participated in this study. After conducting confirmatory factor analysis to validate the measurement model, the hypothesized model was tested using structural equation modeling.
Optimism was significantly related to perceived usefulness, while optimism, innovativeness, and discomfort were significantly associated with perceived ease of use. Both perceived usefulness and perceived ease of use were significantly linked to attitude toward the use of DHTs. Meanwhile, attitude significantly predicted usage intention. Additionally, the results revealed the differences in the relationships of the TRAM between participants with high and low levels of eHealth literacy. The influence of optimism and innovativeness on perceived ease of use was stronger for the higher-level group than for the lower-level group, and the influence of discomfort for the higher-level group was much weaker.
The findings provided partial support for the impact of eHealth literacy on encouraging older adults to use DHT and obtain health benefits from it. This study also suggests providing assistance and guidelines for older adults to narrow the aging-related technology gap and to further explore the associations of eHealth literacy, the TRAM, and actual behaviors.
摘要：
背景：尽管数字健康技术（DHT）帮助许多人保持健康的生活，包括那些高龄的人，如果不在日常生活中被采用，这些技术对老年人群用处不大。因此，至关重要的是，要找到方法来帮助老年人识别和尝试新技术，并保持他们对新技术的使用，以最大限度地发挥这些技术在数字社会中的优势。
目的：我们的研究旨在（1）评估香港老年人目前使用DHT的情况，以及（2）研究该组中电子健康素养的高低如何影响技术准备和接受模型（TRAM）与对DHT的态度和意图之间的关系。
方法：共有306名60岁以上的香港成年人参加了这项研究。在进行验证性因子分析以验证测量模型后，使用结构方程模型对假设模型进行了检验。
结果：乐观与感知有用性显着相关，虽然乐观，创新,和不适与感觉到的易用性显着相关。感知的有用性和感知的易用性都与使用DHT的态度显着相关。同时,态度显著预测使用意向。此外,结果揭示了电子健康素养水平高和低的参与者之间TRAM关系的差异.乐观和创新对感知易用性的影响对于高级组的影响强于低级组，不适对高级组的影响要弱得多。
结论：研究结果为电子健康素养对鼓励老年人使用DHT并从中获得健康益处的影响提供了部分支持。这项研究还建议为老年人提供帮助和指南，以缩小与衰老相关的技术差距，并进一步探索电子健康素养的关联。TRAM,和实际行为。
目的：我们的研究旨在（1）评估香港老年人目前使用DHT的情况，以及（2）研究该组中电子健康素养的高低如何影响技术准备和接受模型（TRAM）与对DHT的态度和意图之间的关系。
方法：共有306名60岁以上的香港成年人参加了这项研究。在进行验证性因子分析以验证测量模型后，使用结构方程模型对假设模型进行了检验。
结果：乐观与感知有用性显着相关，虽然乐观，创新,和不适与感觉到的易用性显着相关。感知的有用性和感知的易用性都与使用DHT的态度显着相关。同时,态度显著预测使用意向。此外,结果揭示了电子健康素养水平高和低的参与者之间TRAM关系的差异.乐观和创新对感知易用性的影响对于高级组的影响强于低级组，不适对高级组的影响要弱得多。
结论：研究结果为电子健康素养对鼓励老年人使用DHT并从中获得健康益处的影响提供了部分支持。这项研究还建议为老年人提供帮助和指南，以缩小与衰老相关的技术差距，并进一步探索电子健康素养的关联。TRAM,和实际行为。
