Evidence map›Paper›PMID 39444731›Full record

ArticleDigital health

Affordance trajectories and the usefulness of online records access among older adults in Sweden.

Isto Huvila, Hanife Rexhepi, Jonas Moll, Maedeh Ghorbanian Zolbin, Charlotte Blease, Annika Bärkås, Rose-Mharie Åhlfeldt, Josefin Hagström, Bridget Kane, Isabella Scandurra and 4 more

Abstract read
In one paragraph

Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

14 authors.

Isto HuvilaDepartment of ALM, Uppsala University, Uppsala, Sweden.ORCID https://orcid.org/0000-0001-9196-2106
Hanife RexhepiSchool of Informatics, University of Skövde, Skövde, Sweden.
Jonas MollCentre for Empirical Research on Information Systems, School of Business Örebro, University Örebro, Sweden.
Maedeh Ghorbanian ZolbinDepartment of Computer Science, Aalto University, Espoo, Finland.
Charlotte BleaseParticipatory eHealth and Health Data Research Group, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Annika BärkåsParticipatory eHealth and Health Data Research Group, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Rose-Mharie ÅhlfeldtSchool of Informatics, University of Skövde, Skövde, Sweden.
Josefin HagströmParticipatory eHealth and Health Data Research Group, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Bridget KaneParticipatory eHealth and Health Data Research Group, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Isabella ScandurraCentre for Empirical Research on Information Systems, School of Business Örebro, University Örebro, Sweden.
Maria HägglundParticipatory eHealth and Health Data Research Group, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Gunnar O KleinCentre for Empirical Research on Information Systems, School of Business Örebro, University Örebro, Sweden.
Bo WangNorwegian Centre for E-Health Research, University Hospital of North Norway, Tromsø, Norway.
Anna KharkoParticipatory eHealth and Health Data Research Group, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.ORCID https://orcid.org/0000-0003-0908-6173

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The current understanding of the breadth of individual differences in how eHealth technologies are perceived as useful for different purposes is incomprehensive. The aim/purpose of the study is to improve the understanding of diverse perceptions of the usefulness of technologies by exploring older adults' use of their patient-accessible electronic health records (PAEHRs). Methods: The study applies and extends Affordance Theory based on an empirical analysis of data from the NORDeHEALTH 2022 Patient Survey on attitudes toward PAEHR in Norway, Sweden, Finland, and Estonia. Responses from 3964 participants in Sweden, aged 65 + years were analysed. Data included demographics and agreement ratings to reasons for using PAEHR. To analyse variation in the reasons for using PAEHR, group comparisons were conducted based on gender (male/female), age group (65-74, 75-84 and 85+) and earlier encouragement to use PAEHR. Results: Overall, the findings suggest that PAEHRs have multiple parallel affordance trajectories and affordance potencies that actualise differently depending on needs. The top reasons, pointing to both orientational and goal-oriented affordances for using PAEHR, were improving understanding of health issues, getting an overview of medical history/treatment and ensuring understanding of what the doctor said. Men reported more often sharing information with relatives or friends as a reason to access PAEHR. Women were more inclined, albeit similarly to men less frequently, to read their PAEHR for detecting errors. Age had little influence on reasons for using PAEHR. Conclusions: The study applies and extends Affordance Theory in the context of older adults' PAEHR use based on findings from the largest national investigation of reasons for older users to access PAEHR in Sweden demonstrating the applicability of the theory in improving the understanding of the diversity of individual perceptions on eHealth technologies.

Indexed as

human–computer interactionnational surveyolder adultsonline record accessPatient-accessible electronic health recordusability

Identifiers

PMID39444731
PMCPMC11497507

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.