Back to Browse Journals » Risk Management and Healthcare Policy » Volume 5

Factors relating to home telehealth acceptance and usage compliance

Authors Wade R, Cartwright C, Shaw K

Received 25 January 2012

Accepted for publication 29 February 2012

Published 20 April 2012 Volume 2012:5 Pages 25—33


Review by Single-blind

Peer reviewer comments 2

Rachael Wade, Colleen Cartwright, Kelly Shaw
ASLaRC Aged Services Unit, Health and Wellbeing Research Cluster, Southern Cross University, Coffs Harbour, NSW, Australia

Aim: This paper investigates the acceptance of in-home telehealth by frail older adults and carers of the Transition Care Program (TCP), and evaluates telehealth acceptance as a predictor for usage compliance.
Method: A stratified random sample of participants was allocated to one of five groups: either a control group or to receive telehealth monitoring of their vital signs for a period of 12 or 24 weeks; with or without a medical alarm pendant.
Results: Before being trained in and using telehealth, the majority of participants and carers demonstrated acceptance of the technology by reporting that they perceived it would be “useful” and “easy to use.” This acceptance was also reported post-TCP (up to 12 weeks of usage). The “perceived ease of use” of the telehealth equipment increased significantly from pre-telehealth training and usage to post-TCP (up to 12 weeks of usage) (P = 0.001). There was no change, (pre-training and usage to post-TCP) in the “perceived usefulness” of the telehealth equipment. The telehealth acceptance constructs of “ease of use” and “usefulness,” at pre-telehealth training and usage, approached statistical significance as a predictor of future compliance (P = 0.06). “Perceived ease of use,” at pre-training and usage, had a positive relationship with future compliance (P = 0.02).
Conclusion: There is currently limited knowledge about the influences and determinants of home telehealth compliance in frail older people and their carers, potentially a significant user group for the technology into the future. This study’s finding that frail older people and their carers perceive that home telehealth is useful and easy to use demonstrates their acceptance of home telehealth as a therapeutic tool. Further, perceived ease of use of home telehealth is a significant predictor of compliance with frail older people and their carers’ use of home telehealth. Additional research is required in order to identify other influences and determinants of home telehealth compliance with this group. Knowledge about the influences and determinants of home telehealth compliance may assist the development of targeted interventions aimed at encouraging high compliance with users who are recording lower reading rates.

Keywords: safety, older people, technology acceptance model, quasi-randomized controlled trial

Download Article [PDF] View Full Text [HTML] 

Creative Commons License This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution - Non Commercial (unported, v3.0) License. The full terms of the License are available at Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Permissions beyond the scope of the License are administered by Dove Medical Press Limited. Information on how to request permission may be found at:

Readers of this article also read:

Synthesis and anti-fungal effect of silver nanoparticles–chitosan composite particles

Wang LS, Wang CY, Yang CH, Hsieh CL, Chen SY, Shen CY, Wang JJ, Huang KS

International Journal of Nanomedicine 2015, 10:2685-2696

Published Date: 1 April 2015

"It is the left eye, right?"

Pikkel D, Sharabi-Nov A, Pikkel J

Risk Management and Healthcare Policy 2014, 7:77-80

Published Date: 8 April 2014

The use of nanoencapsulation to decrease human skin irritation caused by capsaicinoids

Contri RV, Frank LA, Kaiser M, Pohlmann AR, Guterres SS

International Journal of Nanomedicine 2014, 9:951-962

Published Date: 12 February 2014

Biologic targeting in the treatment of inflammatory bowel diseases [Retraction]

Bosani M, Ardizzone S, Porro GB

Biologics: Targets and Therapy 2014, 8:39-40

Published Date: 31 January 2014

Simple room-temperature preparation of high-yield large-area graphene oxide

Huang NM, Lim HN, Chia CH, Yarmo MA, Muhamad MR

International Journal of Nanomedicine 2011, 6:3443-3448

Published Date: 19 December 2011

Association of patient-rated severity with other outcomes in patients with painful diabetic peripheral neuropathy

Taylor-Stokes G, Pike J, Sadosky A, Chandran A, Toelle T

Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy 2011, 4:401-408

Published Date: 5 December 2011

Protecting children: a survey of caregivers’ knowledge of Georgia’s child restraint laws

Sheryl Strasser, Laurie Whorton, Amanda J Walpole, et al

Risk Management and Healthcare Policy 2010, 3:73-79

Published Date: 18 November 2010

CoQ10 conveys protection from oxidative stress in plasma but not skeletal muscle

Annateresa Papazzo, Louise Lexis, Paul Lewandowski

Nutrition and Dietary Supplements 2010, 2:51-58

Published Date: 20 July 2010