%0期刊文章%@ 1438- 8871% I JMIR出版物%V 20卡塔尔世界杯8强波胆分析% N 4% P e123% T了解老年人接受远程医疗的准备情况:van Houwelingen,Cornelis TM A Ettema,Roelof GA A Antonietti,Michelangelo GEF A Kort,Helianthe SM +医疗创新技术研究小组，乌得勒支应用科学大学健康与可持续生活研究中心，海德堡7，乌得勒支，荷兰，31 641097762，thijs.vanhouwelingen@hu.nl %K老年人%K视频会议%K技术%K路径分析%K观察%K社区居民%K UTAUT %K TAM %K自我效能%K数字素养%D 2018年%7 06.04.2018 %9原始论文%J J医学互联网Res %G英语%X背景:荷兰卫生部制定了关于使用远程保健的雄心勃勃的目标，与目前93%的护理是面对面提供的医疗保健状况相比，这导致了随后的变化。由于大多数护理是提供给老年人的，远程医疗的前景提出了一个问题，即这些人群是否已经准备好接受这种新的护理方式。为了研究这一点，我们创建了一个理论框架，包括与老年人使用技术意图相关的6个因素。目的:本研究的目的是通过研究社区居住老年人使用视频会议的意愿和在日常生活中使用数字技术的能力作为指标，了解他们接受远程医疗的准备情况。方法:采用混合方法三角测量设计。首先，通过多层路径分析(阶段1)测试我们的理论框架，进行了横断面调查研究，以调查老年人使用视频会议的意图。其次，为了更深入地了解老年人对数字技术的实际使用情况，对老年人在家中执行技术任务(例如，在电脑上，手机上)进行了定性观察(阶段2)。在第一阶段，共有256名65岁或以上的人参与了调查研究(50.0%为男性; median age, 70 years; Q1-Q3: 67-76). Using a significance level of .05, we found seven significant associations regarding older people’s perception of videoconferencing. Older people’s (1) intention to use videoconferencing was predicted by their performance expectancy (odds ratio [OR] 1.26, 95% CI 1.13-1.39), effort expectancy (OR 1.23, 95% CI 1.07-1.39), and perceived privacy and security (OR 1.30, 95% CI 1.17-1.43); (2) their performance expectancy was predicted by their effort expectancy (OR 1.38, 95% CI 1.24-1.52); and (3) their effort expectancy was predicted by their self-efficacy (OR 1.55, 95% CI 1.42-1.68). In phase 2, a total of 6 men and 9 women aged between 65 and 87 years participated in the qualitative observation study. Of the primary themes, 5 themes were identified that could provide greater understanding of older people’s capacities and incapacities in using digital technology: (1) “self-efficacy and digital literacy,” (2) “obstacles to using technology,” (3) “prior experience and frequency of use,” (4) “sources of support and facilitating conditions,” and (5) “performance expectancy.” These 5 themes recurred in all 15 observations. Conclusions: Performance expectancy, effort expectancy, and perceived privacy and security are direct predictors of older people’s intention to use videoconferencing. Self-efficacy appeared to play a role in both older people’s intention to use, as well as their actual use of technology. The path analysis revealed that self-efficacy was significantly associated with older people’s effort expectancy. Furthermore, self-efficacy and digital literacy appeared to play a major role in older people’s capacities to make use of digital technology. %M 29625950 %R 10.2196/jmir.8407 %U //www.mybigtv.com/2018/4/e123/ %U https://doi.org/10.2196/jmir.8407 %U http://www.ncbi.nlm.nih.gov/pubmed/29625950