Advertisement

Teaching Older Adults with Multiple Chronic Conditions to Use a Tablet and Patient Application for Health Management

  • Rony Oosterom-CaloEmail author
  • Benjamín López
Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 9755)

Abstract

Within home telehealth programs, patients often receive devices and applications which they may need to learn how to use. A user feedback study with training materials on a tablet PC and patient application, designed for older chronic patients, was conducted with fifteen USA patients from the Philips Intensive Ambulatory Care home telehealth program. Two themes emerged from the findings, in relation to the training program: (1) Relevance, appreciation and user experience, and (2) patient preferences, which had two sub-themes (a) Manner of communication and (b) designing the interaction. Participants found training materials relevant, preferred materials that allow practicing and provide feedback, especially when worded in a manner that is encouraging but not patronizing. They preferred information in audio as well as text formats due to their abilities. Training materials introducing technologies to patients, appropriate for their abilities and preferences, need to be devised and provided to promote telehealth patient engagement.

Keywords

Older adults Chronic disease Home telehealth Tablet computer Tutorial Training User feedback 

References

  1. 1.
    Paré, G., Mirou, J., Sicotte, C.: Systematic review of home telemonitoring for chronic diseases: the evidence base. J. Am. Med. Inform. Assoc. 14, 269–277 (2007)CrossRefGoogle Scholar
  2. 2.
    DelliFraine, J.L., Dansky, K.H.: Home-based telehealth: a review and meta-analysis. J. Telemed. Telecare 14, 62–66 (2008)CrossRefGoogle Scholar
  3. 3.
    Polisena, J., Tran, K., Cimon, K., Hutton, B., McGill, S., Palmer, K., Scott, R.E.: Home telehealth for chronic obstructive pulmonary disease: a systematic review and meta-analysis. J. Telemed. Telecare 16, 120–127 (2010)CrossRefGoogle Scholar
  4. 4.
    Radhakrishnan, K., Cynthia, J.: Impact of telehealth on patient self-management of heart failure: a review of literature. J. Cardiovasc. Nurs. 27, 33–43 (2012)CrossRefGoogle Scholar
  5. 5.
    Davis, R.M., et al.: TeleHealth improves diabetes self-management in an underserved community diabetes TeleCare. Diabetes Care 33, 1712–1717 (2010)CrossRefGoogle Scholar
  6. 6.
    Polisena, J., Coyle, D., Coyle, K., McGill, S.: Home telehealth for chronic disease management: a systematic review and an analysis of economic evaluations. Int. J. Technol. Assess. Health Care 25, 339–349 (2009)CrossRefGoogle Scholar
  7. 7.
    Czaja, S.J., Charness, N., Fisk, A.D., Hertzog, C., Nair, S.N., Rogers, W.A., Sharit, J.: Factors predicting the use of technology: findings from the Center for Research and Education on Aging and Technology Enhancement (CREATE). Psychol. Aging 21, 333–352 (2006)CrossRefGoogle Scholar
  8. 8.
    Eisma, R., Dickinson, A., Goodman, J., Syme, A., Tiwari, L., Newell, A.F.: Early user involvement in the development of information technology-related products for older people. Univ. Access Inf. Soc. 3, 131–140 (2004)CrossRefGoogle Scholar
  9. 9.
    Czaja, S.J., Lee, C.C.: The impact of aging on access to technology. Univ. Access Inf. Soc. 5, 341–349 (2007)CrossRefGoogle Scholar
  10. 10.
    Loos, E.F., Romano Bergstrom, J.: Older adults. In: Romano Bergstrom, J., Schall, A.J. (eds.) Eye Tracking in User Experience Design, pp. 313–329. Elsevier, Amsterdam (2014)CrossRefGoogle Scholar
  11. 11.
    Mitzner, T.L., Fausset, C.B., Boron, J.B., Adams, A.E., Dijkstra, K., Lee, C.C., Rogers, W.A., Fisk, A.D.: Older adults’ training preferences for learning to use technology. In: Proceedings of the Human Factors and Ergonomics Society Annual Meeting 52, pp. 2047–2051 (2008)Google Scholar
  12. 12.
    Mayhorn, C.B., Stronge, A.J., McLaughlin, A.C., Rogers, W.A.: Older adults, computer training, and the systems approach: a formula for success. Educ. Gerontol. 30, 185–203 (2004)CrossRefGoogle Scholar
  13. 13.
    Keates, S., Cherie L., Clarkson, P.J.: Investigating industry attitudes to universal design. In: Proceedings of the Rehabilitation Engineering Society of North America Annual Conference (RESNA 2000): Technology for the New Millennium, pp. 276–278. RESNA Press (2000)Google Scholar
  14. 14.
    Akrich, M.: User representations: practices, methods and sociology. Pinter, London (1996)Google Scholar
  15. 15.
    Oudshoorn, N., Rommes, E., Stienstra, M.: Configuring the user as everybody gender and design cultures in information and communication technologies. Sci. Tech. Hum. 29(1), 30–63 (2004)CrossRefGoogle Scholar
  16. 16.
    Or, C.K., Karsh, B.-T.: A systematic review of patient acceptance of consumer health information technology. J. Am. Med. Inform. Assoc. 16, 550–560 (2009)CrossRefGoogle Scholar
  17. 17.
    Charness, N., Boot, W.R.: Aging and information technology use potential and barriers. Curr. Dir. Psychol. Sci. 18, 253–258 (2009)CrossRefGoogle Scholar
  18. 18.
    Purdie, N., Boulton-Lewis, G.: The learning needs of older adults. Educ. Gerontol. 29, 129–149 (2003)CrossRefGoogle Scholar
  19. 19.
    Wagner, N., Hassanein, K., Head, M.: Computer use by older adults: a multi-disciplinary review. Compt. Hum. Behav. 26, 870–882 (2010)CrossRefGoogle Scholar
  20. 20.
    Kelley, C.L., Charness, N.: Issues in training older adults to use computers. Behav. Inf. Tech. 14, 107–120 (1995)CrossRefGoogle Scholar
  21. 21.
    Sanders, C., Rogers, A., Bowen, R., Bower, P., Hirani, S., Cartwright, M., Fitzpatrick, R., Knapp, M., Barlow, J., Hendy, J., Chrysanthaki, T., Bardsley, M., Newman, S.P.: Exploring barriers to participation and adoption of telehealth and telecare within the whole system demonstrator trial: a qualitative study. BMC Heal. Serv. Res. 12, 220 (2012)CrossRefGoogle Scholar
  22. 22.
    Heart, T., Kalderon, E.: Older adults: are they ready to adopt health-related ICT? Inter. J. Med. Infor. 82, e209–e231 (2013)CrossRefGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Philips ResearchCambridgeUSA
  2. 2.Philips DesignEindhovenThe Netherlands

Personalised recommendations