Predicting technology usage by health information need of older adults: Implications for eHealth technology.

BACKGROUND Information and communication technology increasingly addresses the information needs patients have regarding their personal health. While an understanding of older adults' needs is crucial for developing successful eHealth technology, user research results hardly apply to different systems. OBJECTIVE The present study aims at: (1) describing and analysing the context of digital health systems in a general manner, (2) investigating if information need of older adults influences their technology usage to show the relevance of the concept for a general context analysis and (3) testing which demographic variables intervene with their health information need. METHODS Survey data from a longitudinal study with older adults (N = 551) were reported descriptively. After showing a significant relationship during chi-square tests, we quantified the ones between general health information need and technology usage, as well as between general health information need and the demographic variables age, education, chronic diseases and gender by means of (multiple) linear regression models. RESULTS We predicted older adults' technology usage based on their health information need. The results confirmed this relationship. Higher information need led to a more frequent usage of apps installed on the tablet personal computer (PC), to a frequent use of smartwatches and to the possession of a computer or laptop. Users' education has a higher impact on health information need than amount of chronic diseases, gender and age. CONCLUSIONS Information need emerged as a useful object for investigation of context and user requirement analysis across different systems: it predicted technology usage so that design recommendations derived from the descriptive gained in importance.

[1]  R. Sackmann,et al.  Technology generations revisited: The internet generation , 2013 .

[2]  Thomas D. Wilson,et al.  Human Information Behavior , 2000, Informing Sci. Int. J. an Emerg. Transdiscipl..

[3]  J F M Molenbroek,et al.  User-centered ecotourism development. , 2012, Work.

[4]  T. D. Wilson,et al.  A re-examination of information seeking behaviour in the context of activity theory , 2006, Inf. Res..

[5]  M. Coory,et al.  Information-seeking behaviour and sources of health information: associations with risk factor status in an analysis of three Queensland electorates. , 2010, Australian journal of public health.

[6]  J. A. Bennett,et al.  Differences Between Older and Younger Cancer Survivors in Seeking Cancer Information and Using Complementary/Alternative Medicine , 2009, Journal of General Internal Medicine.

[7]  David Bawden,et al.  The Information Seeking Behaviour of Distance Learners: A Case Study of the University of London International Programmes , 2015 .

[8]  B. Wallston,et al.  Age and health care beliefs: self-efficacy as a mediator of low desire for control. , 1987, Psychology and aging.

[9]  C. Connell,et al.  How people obtain their health information--a survey in two Pennsylvania counties. , 1988, Public health reports.

[10]  F. Azadeh,et al.  Investigating Information-Seeking Behavior of Faculty Members Based on Wilson’s Model: Case Study of PNU University, Mazandaran, Iran , 2015, Global journal of health science.

[11]  T. D. Wilson,et al.  On user studies and information needs , 2006, J. Documentation.

[12]  Leora I. Horwitz,et al.  Decade-long trends in mortality among patients with and without diabetes mellitus at a major academic medical center. , 2014, JAMA internal medicine.

[13]  A. Maslow A Theory of Human Motivation , 1943 .

[14]  Raffaela Leane Zenni Tanure,et al.  Similar methodological analysis involving the user experience. , 2012, Work.

[15]  J Harris You can't ask if you don't know what to ask: a survey of the information needs and resources of hospital outpatients. , 1992, The New Zealand medical journal.

[16]  Chun Wei Choo,et al.  A behavioral model of information seeking on the web: preliminary results of a study of how managers and IT specialists use the web , 1998 .

[17]  Christopher M. Schlick,et al.  Ergonomic Considerations for the Design and the Evaluation of Uncertain Data Visualizations , 2016, HCI.

[18]  David Ellis,et al.  A Comparison of the Information seeking Patterns of researchers in the Physical and Social Sciences , 1993, J. Documentation.

[19]  Carol Collier Kuhlthau Inside the Search Process: Information Seeking from the User's Perspective. , 1991 .

[20]  Alexander Mertens,et al.  An Age-Differentiated Perspective on Visualizations of Personal Health Data , 2017 .

[21]  D. Murphy,et al.  Patients’ perceptions of physicians’ recommendations for comfort care differ by patient age and gender , 2000, Journal of General Internal Medicine.

[22]  Kaibin Xu,et al.  Modeling Online Health Information-Seeking Behavior in China: The Roles of Source Characteristics, Reward Assessment, and Internet Self-Efficacy , 2016, Health communication.

[23]  A. Barry,et al.  Employee stress management: An examination of adaptive and maladaptive coping strategies on employee health. , 2015, Work.

[24]  G. Akner Analysis of multimorbidity in individual elderly nursing home residents. Development of a multimorbidity matrix. , 2009, Archives of gerontology and geriatrics.

[25]  P. Sandstrom An Optimal Foraging Approach to Information Seeking and Use , 1994, The Library Quarterly.

[26]  Jessica S. Ancker,et al.  Use of an Electronic Patient Portal Among Disadvantaged Populations , 2011, Journal of General Internal Medicine.

[27]  Kasper Edwards,et al.  User-driven innovation of an outpatient department. , 2012, Work.

[28]  J. Saul,et al.  Information needs of patients with cancer: results from a large study in UK cancer centres , 2001, British Journal of Cancer.

[29]  Rabea Morrison,et al.  Achieving impact in ergonomic research. , 2012, Work.

[30]  Bonnie Cheuk Wai‐yi An information seeking and using process model in the workplace: a constructivist approach , 1998 .

[31]  M. Gatz,et al.  Age Differences in Information-Seeking among Cancer Patients , 1997, International journal of aging & human development.

[32]  Brenda Dervin,et al.  Sense-making theory and practice: an overview of user interests in knowledge seeking and use , 1998, J. Knowl. Manag..

[33]  Martina Ziefle,et al.  Acceptance of pervasive healthcare systems: A comparison of different implementation concepts , 2010, 2010 4th International Conference on Pervasive Computing Technologies for Healthcare.

[34]  Christopher M. Schlick,et al.  Age-dependent health data visualizations: a research agenda , 2016, Mensch & Computer Workshopband.

[35]  George Demiris,et al.  Examining Health Information–Seeking Behaviors of Older Adults , 2013, Computers, informatics, nursing : CIN.

[36]  L. Festinger,et al.  A Theory of Cognitive Dissonance , 2017 .

[37]  Peter A Bath,et al.  Understanding the information behaviours of carers of people with dementia: A critical review of models from information science , 2008, Aging & mental health.

[38]  C. Moorman,et al.  A Model of Consumers' Preventive Health Behaviors: The Role of Health Motivation and Health Ability , 1993 .

[39]  Dana Yagil,et al.  Older Adults’ Coping With the Stress Involved in the Use of Everyday Technologies , 2016, Journal of applied gerontology : the official journal of the Southern Gerontological Society.

[40]  Alexander Mertens,et al.  Use of Information and Communication Technology in Healthcare Context by Older Adults in Germany: Initial Results of the Tech4Age Long-Term Study , 2017, i-com.

[41]  T. D. Wilson,et al.  Activity theory and information seeking , 2009, Annu. Rev. Inf. Sci. Technol..

[42]  Sozon Papavlasopoulos,et al.  Music, musicians and information seeking behaviour: A case study on a community concert band , 2015, J. Documentation.

[43]  J. Bettman,et al.  Effects of Prior Knowledge and Experience and Phase of the Choice Process on Consumer Decision Processes: A Protocol Analysis , 1980 .

[44]  S. Greysen,et al.  Functional impairment and Internet use among older adults: implications for meaningful use of patient portals. , 2014, JAMA internal medicine.