ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2025
"Everything cannot be handled virtually": Understanding intention and use of digital health technologies among rural adults and rural cancer survivors.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Use and Influencing Factors of mHealth Services Among Adult Survivors of Cancer: Cross-Sectional Survey Study.Journal of medical Internet research · 2026Article
- Factors Influencing Continuance Intention for Online Consultations Among Survivors of Cancer: Grounded Theory Study.Journal of medical Internet research · 2026Article
- Article
- A person-centered approach to digital health technologies for cancer prevention: Qualitative findings on use of technology-based interventions in Houston, Texas.Preventive medicine reports · 2025Article
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Authors and funding
7 authors.
Funding
Abstract
purposeThis qualitative study assessed internet access and use, barriers and facilitators to participating in digital health interventions or programs, and the engagement experience in virtual versus in-person health interventions among rural adults and rural cancer survivors.
methodsRural adults (n = 10) and rural cancer survivors (n = 10) were recruited from previous studies to participate in an in-depth interview. The interview guide contained eight open-ended questions related to participation in technology-based programs. Interviews were recorded and transcribed, and transcripts were analyzed for emergent themes using a thematic content analysis approach.
findingsRural adults were younger (M age = 37.9 ± 11.8 years), more likely to be non-Hispanic Black (90.0%), and reported higher educational attainment (50.0% earned a master's or doctoral degree) compared with rural cancer survivors (M age = 63.0 ± 9.1 years, 70.0% non-Hispanic White, and 20.0% earned a master's or doctoral degree). Participants discussed performance and effort expectancies related to using digital health technologies or participating in virtual programs and cited positive and negative aspects of in-person and virtual platforms. Participants emphasized the need for social connections and missed opportunities in current virtual offerings along with factors that influence their use of technologies (e.g., prior experience, tech anxiety).
conclusionsFindings from this qualitative study provide an in-depth understanding of the intricate experiences of rural adults and rural cancer survivors when engaging with digital health technologies. Integrating the experiences of rural adults and rural cancer survivors may aid in developing clinical and community-based interventions and policies that support increasing access to digital health services and programs for rural communities.
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