Evidence map›Paper›PMID 33263272›Full record

ArticlePrimary health care research & development2020

Needs, barriers and facilitators of older adults towards eHealth in general practice: a qualitative study.

Johannes William Vergouw, Hanneke Smits-Pelser, Marijke C Kars, Thijs van Houwelingen, Harmieke van Os-Medendorp, Helianthe Kort, Nienke Bleijenberg

Abstract read
In one paragraph

Article in Primary health care research & development, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  17. eHealth: A Survey of Architectures, Developments in mHealth, Security Concerns and Solutions.International journal of environmental research and public health · 2022
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  19. COVID-19 and Unmet Healthcare Needs of Older People: Did Inequity Arise in Europe?International journal of environmental research and public health · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Johannes William Vergouw1Student Nursing Science, Faculty of Medicine, University Medical Center Utrecht.
Hanneke Smits-Pelser2Julius Leidsche Rijn Primary Health Centres Utrecht.
Marijke C Kars3Department Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht.
Thijs van Houwelingen4Research group Technology for Healthcare Innovations, University of Applied Sciences Utrecht.
Harmieke van Os-Medendorp5Saxion, University of Applied Sciences, School of Health, Deventer/Enschede.
Helianthe Kort4Research group Technology for Healthcare Innovations, University of Applied Sciences Utrecht.
Nienke Bleijenberg6Research Group for the Chronically Ill and Elderly, Faculty of Health Care, University of Applied Sciences Utrecht.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe strain on health care services is increasing due to an ageing population and the increasing prevalence of chronic health conditions. eHealth could contribute to optimise effective and efficient care to older adults with one or more chronic health conditions in the general practice.

aimThe aim of this study was to identify the needs, barriers and facilitators amongst community-dwelling older adults (60+) suffering from one or more chronic health conditions, in using online eHealth applications to support general practice services.

methodsA qualitative study, using semi-structured followed by think-aloud interviews, was conducted in the Netherlands. The semi-structured interviews, supported by an interview guide were conducted and analysed thematically. The think-aloud method was used to collect data about the cognitive process while the participant was completing a task within online eHealth applications. Verbal analysis according to the Chi approach was conducted to analyse the think-aloud interviews.

findingsA total of n = 19 older adults with a mean age of 73 years participated. The ability to have immediate contact with the GP on important health issues was identified as an important need. Identified barriers were non-familiarity with the online eHealth applications and a mismatch of user health needs. The low computer experience resulted in non-familiarity with the online eHealth applications. Faltering applications resulted in participants refusing to participate in the use of online eHealth applications. Convenience, efficiency and the instant availability of eHealth via applications were identified as important facilitators.

conclusionTo improve the use and acceptability of eHealth applications amongst older adults in the general practice, the applications should be tailored to meet individual needs. More attention should be given to improving the user-friendliness of these applications and to the promotion of the benefits such as facilitating older adults independent living for longer.

Indexed as

General PracticeTelemedicineAgedFamily PracticeFemaleHumansMaleNetherlandsQualitative Researchcommunity-dwelling older adultseHealthonline applicationsprimary carequalitative study

Identifiers

PMID33263272
PMCPMC7737186

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.