Abstract
Objective: To explore the Chinese community-dwelling intention of older adults to adopt gerontechnology and its influencing factors.Design: A mixed-methods sequential explanatory design with an inductive approach was employed. In phase 1, a self-made questionnaire was administered from August 2018 to December 2019. Multifactor logistic regression was used to analyze the adoption intention and factors influencing the use of gerontechnology. In phase 2, participants completed a semistructured interview to explore the adoption intention of a specific form of gerontechnology, Smart Aged Care Platform, from May to July 2020.Setting: Twelve communities in three districts of Chongqing, China.Participants: Community-dwelling older adults were included.Results: A total of 1,180 older adults completed the quantitative study; two-thirds of them (68.7%) showed adoption intention toward gerontechnology. Nineteen participants (10 users and nine nonusers) completed the qualitative study and four themes were explored. Through a summarized understanding of the qualitative and quantitative data, a conceptual model of influencing factors, namely, predictive, enabling, and need factors, was constructed.Conclusions: This study reveals that most Chinese community-dwelling older adults welcome the emergence of new technologies. However, there was a significant difference in the adoption intention of gerontechnology in Chinese community-dwelling older adults based on their sociodemographic and psychographic characteristics. Our findings extend previous technology acceptance models and theories and contribute to the existing resource base.
Highlights
In 2019, the number of older people aged over 60 years in China reached 249 million, accounting for 17.9% of the total population [1]
The adoption of gerontechnology was set as a dependent variable, and the variables with statistical differences in univariate analysis were taken as independent variables
The results showed that the most significant factors for the community-dwelling older adults to adopt gerontechnology (P < 0.05) included above high school education (OR = 3.595, 95% CI = 1.707–7.571), monthly income between 1,000 and 2,999 yuan (OR=2.126, 95% CI=1.326–3.407), other type of health insurance (OR=3.336, 95% CI=1.573–7.072), poor self-health assessment (OR= 0.291, 95% CI= 1.061–1.376), hypertension (OR = 1.643, 95% CI = 1.216–2.221), diabetes (OR = 0.691, 95% CI = 0.497–0.96), dyslipidemia (OR = 0.567, 95% CI = 0.397– 0.809), and disability (OR = 2.515, 95% CI = 1.118–5.658)
Summary
In 2019, the number of older people aged over 60 years in China reached 249 million, accounting for 17.9% of the total population [1]. It is estimated that by 2050, the total number of older people will exceed 465 million, and 32.3% of them will be over 80 years old [2]. China is the country with the highest proportion of elderly people in the world and one of the countries with the fastest aging rate [3, 4]. There is a growing awareness of the importance of developing and implementing comprehensive health solutions that are affordable, efficient, and of superior quality for older individuals [11]
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