ArticleJournal of medical Internet research2023
The Usage of Digital Health Technology Among Older Adults in Hong Kong and the Role of Technology Readiness and eHealth Literacy: Path Analysis.
Article in Journal of medical Internet research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Understanding Adherence to Digital Health Technologies: Systematic Review of Predictive Factors.Journal of medical Internet research · 2025Pooled it
- A study protocol evaluating the effectiveness of the older adult's digital health literacy (ODDHeaL) intervention.PloS one · 2026Trial
- Understanding Technology Anxiety Among Older Adults with Chronic Diseases: The Roles of Perceived Ease of Use and Perceived Usefulness.Healthcare (Basel, Switzerland) · 2026Article
- Associations of General Self-Efficacy and Digital Health Literacy with Self-Management and Intention to Use Digital Health Services Among Adults Aged 50 Years and Older with Chronic Disease: A Cross-Sectional Study.International journal of environmental research and public health · 2026Article
- Association of Electronic Health Literacy With Self-Care and Health Outcomes Among Patients With Type 2 Diabetes Mellitus: Cross-Sectional Study.Journal of medical Internet research · 2026Article
- Article
- The digital physician illusion: individual innovativeness, unlike artificial intelligence attitudes, drives rational drug use through health literacy.Frontiers in public health · 2026Article
- Bridging the digital divide in smart older adult care: how digital literacy shapes adoption through task-technology fit and aging attitudes.Innovation in aging · 2026Article
- Engaging Older Adults to Guide the Development of Passive Home Health Monitoring to Support Aging in Place.Sensors (Basel, Switzerland) · 2025Article
- Impact of digital literacy on aging attitudes of the elderly from the perspective of social cognitive theory.BMC public health · 2025Article
- Digital literacy impacts quality of life among older adults through hierarchical mediating mechanisms.Scientific reports · 2025Article
- Boosting Digital Health Engagement Among Older Adults in Hong Kong: Pilot Pre-Post Study of the Generations Connect Project.JMIR formative research · 2025Article
- Article
- Determinants of digital health literacy among older adult patients with chronic diseases: a qualitative study.Frontiers in public health · 2025Article
- Determinants of chronic disease patients' intention to use Internet diagnosis and treatment services: based on the UTAUT2 model.Frontiers in digital health · 2025Article
- Health literacy and guideline-adherent lifestyle in people with chronic kidney disease: exploring factors associated with usage intention of a structured m-health program and pilot data on actual behavior change.Frontiers in nephrology · 2025Article
- Effect of older adults willingness on telemedicine usage: an integrated approach based on technology acceptance and decomposed theory of planned behavior model.BMC geriatrics · 2024Article
- Article
- Profiles of health literacy and digital health literacy in clusters of hospitalised patients: a single-centre, cross-sectional study.BMJ open · 2024Article
- Serbian Version of the eHealth Literacy Questionnaire (eHLQ): Translation, Cultural Adaptation, and Validation Study Among Primary Health Care Users.Journal of medical Internet research · 2024Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough 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.
objectiveOur 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.
methodsA 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.
resultsOptimism 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.
conclusionsThe 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.
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