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Digital health and patient adherence: a qualitative study in older adults

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dc.contributor.authorFerreira-Brito, Filipa
dc.contributor.authorAlves, Sérgio
dc.contributor.authorGuerreiro, Tiago
dc.contributor.authorSantos, Osvaldo
dc.contributor.authorCaneiras, Catia
dc.contributor.authorCarriço, Luis
dc.contributor.authorVerdelho, Ana
dc.date.accessioned2024-07-24T13:38:01Z
dc.date.available2024-07-24T13:38:01Z
dc.date.issued2024
dc.description© The Author(s) 2024. This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).pt_PT
dc.description.abstractIntroduction: Computer confidence and computer self-efficacy can impact an individual's perceived ease of use and usefulness of technology, ultimately determining adherence to digital healthcare services. However, few studies focus on assessing the impact of non-clinical factors on the efficacy and adherence to digital healthcare platforms. Objective: We aimed to analyse the role of non-clinical factors (i.e. computer confidence and computer self-efficacy) in the interaction experience (IX) and the feasibility of a digital neuropsychological platform called NeuroVRehab.PT in a group of older adults with varying levels of computer confidence. Methods: Eight older adults (70.63 ± 6.1 years) evaluated the platform, and data was collected using the Think-Aloud method and a semi-structured interview. Sessions were audio-recorded and analysed through an inductive-deductive informed Thematic Analysis protocol. This study was conducted according to the Consolidated Criteria for Reporting Qualitative Research guidelines. Results: Three main themes were identified (Interaction Experience, Digital Literacy, and Attitudes toward NeuroVRehab.PT). Computer anxiety and fear of making errors were not uncommon, even among older adults who perceive themselves as confident in technology use, and negatively impacted IX. Moreover, some game elements (e.g. three-star system, progression bar) were not intuitive to all participants, leading to misleading interpretations. On the other hand, human support and the platform's realism seemed to impact participants' IX positively. Conclusions: This study shed light on the barriers raised by non-clinical factors in adopting and using digital healthcare services by older adults. Furthermore, a critical analysis of the platform's features that promote user adoption is done, and suggestions for overcoming limitations are presented.pt_PT
dc.description.sponsorshipThe authors received the following financial support for research, authorship, and publication of this article: FFB received a scholarship from the following entities: Nippon Gases Portugal and Fundação para a Ciência e a Tecnologia through European Social Fund and Human Capital Operational Programme, co-financed by Portugal 2020 and European Union [Ref: PDE/BDE/127784/2016]. This work was also supported by Fundação para a Ciência e Tecnologia through the LASIGE Research Unit [Ref. UIDB/00408/2020, UIDP/00408/2020], and Project 41, HfPT: Health from Portugal, funded by the Portuguese Plano de Recuperação e Resiliência.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationDigit Health. 2024 Jan 12:10:20552076231223805pt_PT
dc.identifier.doi10.1177/20552076231223805pt_PT
dc.identifier.eissn2055-2076
dc.identifier.urihttp://hdl.handle.net/10451/65452
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSagept_PT
dc.relationPDE/BDE/127784/2016pt_PT
dc.relationUIDB/00408/2020pt_PT
dc.relationUIDP/00408/2020pt_PT
dc.relation.publisherversionhttps://journals.sagepub.com/home/DHJpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectDigital dividept_PT
dc.subjectComputer confidencept_PT
dc.subjectComputer self-efficacypt_PT
dc.subjectDigital healthpt_PT
dc.subjectTechnology adoptionpt_PT
dc.titleDigital health and patient adherence: a qualitative study in older adultspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleDIGITAL HEALTHpt_PT
oaire.citation.volume10pt_PT
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rcaap.rightsopenAccesspt_PT
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