Patients’ and healthcare providers’ perceptions and experiences of telehealth use and online health information use in chronic disease management for older patients with chronic obstructive pulmonary disease: a qualitative study

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Abstract

Background

Telehealth and online health information provide patients with increased access to healthcare services and health information in chronic disease management of older patients with chronic diseases, addressing the challenge of inadequate health resources and promoting active and informed participation of older patients in chronic disease management. There are few qualitative studies on the application of telehealth and online health information to chronic disease management in older patients. Chronic obstructive pulmonary disease is one of the most common chronic diseases in older adults. Telehealth is widely used in the management of chronic obstructive pulmonary disease. The purpose of this study was to explore the perceptions and experiences of older patients and healthcare providers in the application of telehealth and online health information to chronic disease management of chronic obstructive pulmonary disease.

Methods

A qualitative descriptive study with data generated from 52 individual semi-structured interviews with 29 patients [Law of the People’s Republic of China on the protection of the rights and interests of older people (2018 Revised Version) = >60 years old] with chronic obstructive pulmonary disease and 23 healthcare providers. The inductive thematic analysis method was used for data analysis.

Results

Four themes and 16 sub-themes were identified in this study. Four themes included: faced with a vast amount of online health information, essential competencies and personality traits ensuring older patients’ participation and sustained use, user experience with the use of technology, being in a complex social context.

Conclusion

The ability of patients to understand health information should be fully considered while facilitating access to online health information for older patients. The role of health responsibility and user experience in older patients’ participation and sustained use of telehealth and online health information needs to be emphasised. In addition, the complex social context is a determining factor to be considered, particularly the complex impact of a reliance on offspring and social prejudice on the behaviour of older adults using telehealth and online health information.

Supplementary Information

The online version contains supplementary material available at 10.1186/s12877-021-02702-z.

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Most cited references 68

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User Acceptance of Information Technology: Toward a Unified View

Davis, Venkatesh, Morris (2003)

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Evaluating barriers to adopting telemedicine worldwide: A systematic review

Clemens Scott Kruse, Priyanka Karem, Kelli Shifflett … (2016)

Introduction and objective Studies on telemedicine have shown success in reducing the geographical and time obstacles incurred in the receipt of care in traditional modalities with the same or greater effectiveness; however, there are several barriers that need to be addressed in order for telemedicine technology to spread. The aim of this review is to evaluate barriers to adopting telemedicine worldwide through the analysis of published work. Methods The authors conducted a systematic literature review by extracting the data from the Cumulative Index of Nursing and Allied Health Literature (CINAHL) and PubMed (MEDLINE) research databases. The reviewers in this study analysed 30 articles (nine from CINAHL and 21 from Medline) and identified barriers found in the literature. This review followed the checklist from Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2009. The reviewers organized the results into one table and five figures that depict the data in different ways, organized by: barrier, country-specific barriers, organization-specific barriers, patient-specific barriers, and medical-staff and programmer-specific barriers. Results The reviewers identified 33 barriers with a frequency of 100 occurrences through the 30 articles. The study identified the issues with technically challenged staff (11%), followed by resistance to change (8%), cost (8%), reimbursement (5%), age of patient (5%), and level of education of patient (5%). All other barriers occurred at or less than 4% of the time. Discussion and conclusions Telemedicine is not yet ubiquitous, and barriers vary widely. The top barriers are technology-specific and could be overcome through training, change-management techniques, and alternating delivery by telemedicine and personal patient-to-provider interaction. The results of this study identify several barriers that could be eliminated by focused policy. Future work should evaluate policy to identify which one to lever to maximize the results.

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eHealth Literacy: Essential Skills for Consumer Health in a Networked World

Cameron Norman, Harvey A Skinner (2006)

Electronic health tools provide little value if the intended users lack the skills to effectively engage them. With nearly half the adult population in the United States and Canada having literacy levels below what is needed to fully engage in an information-rich society, the implications for using information technology to promote health and aid in health care, or for eHealth, are considerable. Engaging with eHealth requires a skill set, or literacy, of its own. The concept of eHealth literacy is introduced and defined as the ability to seek, find, understand, and appraise health information from electronic sources and apply the knowledge gained to addressing or solving a health problem. In this paper, a model of eHealth literacy is introduced, comprised of multiple literacy types, including an outline of a set of fundamental skills consumers require to derive direct benefits from eHealth. A profile of each literacy type with examples of the problems patient-clients might present is provided along with a resource list to aid health practitioners in supporting literacy improvement with their patient-clients across each domain. Facets of the model are illustrated through a set of clinical cases to demonstrate how health practitioners can address eHealth literacy issues in clinical or public health practice. Potential future applications of the model are discussed.

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Author and article information

Contributors

Yuyu Jiang: doctoryuyu@jiangnan.edu.cn

Journal

Journal ID (nlm-ta): BMC Geriatr

Journal ID (iso-abbrev): BMC Geriatr

Title: BMC Geriatrics

Publisher: BioMed Central (London )

ISSN (Electronic): 1471-2318

Publication date (Electronic): 3 January 2022

Publication date PMC-release: 3 January 2022

Publication date Collection: 2022

Volume: 22

Electronic Location Identifier: 9

Affiliations

[1 ]GRID grid.258151.a, ISNI 0000 0001 0708 1323, Research office of chronic disease management and rehabilitation, , Wuxi School of Medicine, Jiangnan University, ; No. 1800 Lihu Avenue, Wuxi, 214122 Jiangsu Province China

[2 ]GRID grid.258151.a, ISNI 0000 0001 0708 1323, Department of Nursing, , Wuxi School of Medicine, Jiangnan University, ; Wuxi, 214122 Jiangsu Province China

[3 ]GRID grid.411351.3, ISNI 0000 0001 1119 5892, School of Medicine, , Liaocheng University, ; Liaocheng, 252000 Shandong Province China

[4 ]GRID grid.258151.a, ISNI 0000 0001 0708 1323, Department of Public Health, , Wuxi School of Medicine, Jiangnan University, ; Wuxi, 214122 Jiangsu Province China

Article

Publisher ID: 2702

DOI: 10.1186/s12877-021-02702-z

PMC ID: 8721473

PubMed ID: 34979967

SO-VID: b750eb7d-9168-4311-a4a9-255c3bd6203c

License:

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

History

Date received : 9 June 2021

Date accepted : 3 December 2021

Custom metadata

ScienceOpen disciplines: Geriatric medicine

Keywords: older people,telehealth,ehealth literacy,chronic disease management,online health information,qualitative study,chronic obstructive pulmonary disease,healthcare providers

Data availability:

ScienceOpen disciplines: Geriatric medicine

Keywords: older people, telehealth, ehealth literacy, chronic disease management, online health information, qualitative study, chronic obstructive pulmonary disease, healthcare providers

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Patients’ and healthcare providers’ perceptions and experiences of telehealth use and online health information use in chronic disease management for older patients with chronic obstructive pulmonary disease: a qualitative study

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Abstract

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Conclusion

Supplementary Information

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