Exploring the factors that influence the decision to adopt and engage with an integrated assistive telehealth and telecare service in Cambridgeshire, UK: A nested qualitative study of patient 'users' and 'non-users'

BMC Health Services Research

Volumn 16, Issue 1, 2016, Pages

  Cook, Erica J ^a   Randhawa, Gurch ^a   Sharp, Chloe ^a   Ali, Nasreen ^a   Guppy, Andy ^a   Barton, Garry ^b   Bateman, Andrew ^c   Crawford White, Jane ^c  

^a UNIVERSITY OF BEDFORDSHIRE   (United Kingdom)

^b UNIVERSITY OF EAST ANGLIA   (United Kingdom)

^c CAMBRIDGESHIRE COMMUNITY SERVICES NHS TRUST   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

CLINICAL ARTICLE; CONTROLLED STUDY; DRUG WITHDRAWAL; HUMAN; IDENTITY; MODEL; QUALITATIVE RESEARCH; SEMI STRUCTURED INTERVIEW; SOCIAL WELFARE; TELEHEALTH; ADULT; AGED; ATTITUDE TO HEALTH; COMMUNITY CARE; DECISION MAKING; ENGLAND; FEMALE; HEALTH CARE DELIVERY; MALE; MIDDLE AGED; PATIENT ATTITUDE; PATIENT REFERRAL; PATIENT SATISFACTION; PROCEDURES; QUESTIONNAIRE; SELF HELP DEVICE; TELEMEDICINE; UTILIZATION; VERY ELDERLY;

ADULT; AGED; AGED, 80 AND OVER; COMMUNITY HEALTH SERVICES; DECISION MAKING; DELIVERY OF HEALTH CARE; ENGLAND; FEMALE; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; MALE; MIDDLE AGED; PATIENT ACCEPTANCE OF HEALTH CARE; PATIENT SATISFACTION; QUALITATIVE RESEARCH; REFERRAL AND CONSULTATION; SELF-HELP DEVICES; SURVEYS AND QUESTIONNAIRES; TELEMEDICINE;

EID: 85008419379     PISSN: None     EISSN: 14726963     Source Type: Journal    
DOI: 10.1186/s12913-016-1379-5     Document Type: Article

References (61)

1. Age UK. Later life in the United Kingdom. London: Age UK; 2015.
2. UK life expectancy still rising [http://www.nhs.uk/news/2011/03March/Pages/uk-life-expectancy-still-rising.aspx]. Accessed 16th Nov 2015.
3. Clark M, Goodwin N. Sustaining innovation in telehealth and telecare: WSDAN briefing paper. London: WSD Action Network; 2010.
4. UK population projected to hit 70 m by 2027 [http://www.ons.gov.uk/ons/dcp29904-240697.pdf]. Accessed 16th Nov 2015.
5. ESHCRU. Projections of demand for social care and disability benefits for younger adults in England. London: Economic of Social and Health Care Research Unit; 2011.
6. Wittenberg R, Hu B, Comas-Herrera A, Fernandez J-L. Care for older people: projected expenditure to 2022 on social care and continuign health care for England's older population. London: Nuffield Trust; 2012.
7. Crawford R, Emmerson C. NHS and social care funding: The outlook to 2021/22. London: Nuffield Trust; 2012.
8. Department of Health. An overview of Telecare and Telehealth. In. London: HMSO; 2009.
9. Department of Health. Whole system demonstrator programme, headline findings. In. London: HMSO; 2011.
10. Department of Health. A concordat between the Department of Health and the telehealth and telecare industry. In. London: HMSO; 2012.
11. Azari R, Pick JB. Understanding global digital inequality: The impact of government, investment in business and technology, and socioeconomic factors on technology utilisation. In: Proceedings of the 42nd Hawaii International Conference on Systems Sciences. Hawaii; 2009.
12. Barrett D, Thorpe J, Goodwin N, Barrett D, Thorpe J, Goodwin N. Examining perspectives on telecare: factors influencing adoption, implementation, and usage. Med Device Evid Res. 2015;8:11-9.
13. Medical Subject Headings (MeSH) [http://www.nlm.nih.gov/mesh/]. Accessed 16th Nov 2015.
14. Botsis T, Demiris G, Pedersen S, Hartvigsen G. Home telecare technologies for the elderly. J Telemed Telecare. 2008;14(7):333-7.
15. Turner KJ, McGee-Lennon MR. Advances in telecare over the past 10 years. Smart Homecare Technol Telehealth. 2013;1:21-4.
16. Korupp SE, Szdlik M. Causes and trends of the digital divide. Eur Sociol Rev. 2005;21(4):409-22.
17. Millward, P. The 'grey digital divide': Perception, exclusion and barriers of access to the Internet for older people. First Monday. 2003;8(7).
18. Sugarhood P, Wherton J, Procter R, Hinder S, Greenhalgh T. Technology as system innovation: A key informant interview study of the application of the diffusion of innovation model to telecare. Disabil Rehabil Assist Technol. 2014;9(1):79-87.
19. Clark J, McGee-Lennon M. A stakeholder-centred exploration of the current barriers to the uptake of home care technology in the UK. J Assist Technol. 2011;5(1):12-25.
20. Sanders C, Rogers A, Bowen R, Bower P, Hirani S, Cartwright M, Fitzpatrick R, Knapp M, Barlow J, Hendy J, et al. Exploring barriers to participation and adoption of telehealth and telecare within the whole system demonstrator trial: A qualitative study. BMC Health Serv Res. 2012;12(1):220.
21. Telemedicine Defined [http://www.amdtelemedicine.com/telemedicineresources/telemedicine-defined.html]. Accessed 16th Nov 2015.
22. Carretero S, Centeno C, Stewart J. Telecare and telehealth for informal carers: A research in 12 member states on their benefits and policy role for the success. In: International congress on telehealth and telecare: 2013. London: International Journal of Integrated Care; 2013.
23. Zabada C, Singh S, Munchus G. The role of information technology in enhancing patient satisfaction. Br J Clin Govern. 2001;6(1):9-16.
24. Taylor J, Oguntuase O, Gorst S, Coates E, Armitage CJ. Does telehealth promote self-care? A qualitative study examining the experience of older people using telehealth for long-Term condition management. Int J Integr Care. 2014; 14(8).
25. Gorst SL, Armitage C, Hawley M, Coates E. Explpring patients beliefs and perceptions about sustained use of telehealth. In: International Journal of Integrated Care. 2013.
26. Polisena J, Tran K, Cimon K, Hutton B, McGill S, Palmer K, Scott RE. Home telehealth for chronic obstructive pulmonary disease: A systematic review and meta-Analysis. J Telemed Telecare. 2010;16(3):120-7.
27. Davis FD. Perceived usefulness, perceived ease of use, and user acceptance of information technologies. MIS Quart. 1989;13(3):319-40.
28. Azjen I. From intentions to action: A theory of planned behaviour. In: Kuhl J, Beckham J, editors. Action control: from cognitions to behaviors. New York: Springer; 1985. p. 11-39.
29. Mackert M. Expanding the theoretical foundations of telemedicine. J Telemed Telecare. 2006;12:49-52.
30. Werner P, Karnieli E. A model of the willingness to use telemedicine for routine and specialised care. J Telemed Telecare. 2003;9:264-72.
31. Werner P. Willingness to use telemedicine for psychiatric care. Telemed e-Health. 2004;10(3):284-93.
32. Topacan U, Basoglu N, Daim T. Health information service adoption: case of telemedicine. In: 42nd Hawaii International Conference on System Sciences: 2009; Hawaii, USA. 2009.
33. Rawstorne P, Jayasuriya R, Caputi P. Issues in predicting and explaining usage behaviors with the technology acceptance model and the theory of planned behavior when usage is mandatory. In: Proceedings of the Twenty First International Conference on Information Systems. Brisbane: Association for Information Systems; 2000.
34. Taylor S, Todd P. Assessing IT usage: The role of prior experience. MIS Quart. 1995;19(4):561-70.
35. Venkatesh V, Morris MG, Davis GB, Davis FD. User acceptance of information technology: Toward a unified view. MIS Quart. 2003;27(3):425-78.
36. Kijsanayotin B, Pannarunothai S, Speedie SM. Factors influencing health information technology adoptoin in Thailand's community health centres: Applying the UTAUT model. Int J Med Inform. 2009;78(6):404-14.
37. Carlsson C, Carlsson J. Adoption of mobile devices/services-searching for the answers with the UTAUT. In: Proceedings of the 39th Annual Hawaii International Conference: 2006. Hawaii: IEEE; 2006.
38. Rosenstock IM. Historical origins of the health belief model. In: Becker MH, editor. The health belief model and personal health behavior. Thorofare: Charles B Slack, INC; 1974.
39. Kirscht JP. The health belief model and illness behavior. In: Becker MH, editor. The health belief model and personal health behavior. Thorofare: Charles B Slack INC; 1974.
40. Rosenstock IM. Why people use health services. Milbank Q. 2005;83(4):1-32.
41. Hseih HL, Tsai CH. An empiral study to explore the adotion of telehealth; Helath Belief Model perspective. J Eng Sci Technol Rev. 2013;6(2):1-5.
42. May C, Finch T, Cornford J, Exley C, Gately C, Kirk S, Jenkings K, Osbourne J, Robinson A, Rogers A. Integrating telecare for chronic disease management in the community: What needs to be done? BMC Heal Serv Res. 2011; 11(131).
43. Goodwin N. The state of telehealth and telecare in the UK: prospects for integrated care. J Integr Care. 2010;18(6):3-10.
44. Cambridgeshire County Council. Cambridgeshire population estimates: Mid-2013. In. Cambridegshire: Cambridegshire County Council; 2014.
45. 2011 Census, Population Estimates by five-year age bands, and Household Estimates, for Local Authorities in the United Kingdom [http://www.ons.gov.uk/ons/rel/census/2011-census/population-estimatesby-five-year-Age-bands-And-household-estimates-for-local-Authorities-inthe-united-kingdom/index.html]. Accessed 16th Nov 2015.
46. National Health Service Act c.49. In. London: The Stationery Office; 1977.
47. National Health Service and Community Care Act c.19. In. London: The Stationery Office; 1990.
48. Mandelstam M. Community care practice and the law. 3rd ed. Philadelphia: Jessica Kingsley Publishers; 2005.
49. Bower P, Cartwright M, Hirani S, Barlow J, Hendy J, Knapp M, Henderson C, Rogers A, Sanders C, Bardsley M. A comprehensive evaluation of the impact of telemonitoring in patients with long-Term conditions and social care needs: protocol for the Whole Systems Demonstrator cluster randomised trial. BMC Heal Serv Res. 2011; 11(184).
50. Ritchie J, Lewis J. Qualitative research practice: A guide for social science students and researchers. London: Sage Publications Ltd.; 2003.
51. McCaffery K, Forrest S, Waller J, Desai M, Szarewski A, Wardle J. Attitudes towards HPV testing: A qualitative study of beliefs among Indian, Pakistani, African-Caribbean and White British women in the UK. Br J Cancer. 2003;88:42-6.
52. Rabiee F. Focus-group interview and data analysis. Proc Nutr Soc. 2004;63:655-60.
53. Gale NK, Heath G, Cameron E, Rashid S, Redwood S. Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC Med Res Methodol. 2013;13(1):117.
54. Ritchie J, Spencer L. Qualitative data analysis for applied policy research. In: Bryman A, Burgess R, editors. Analysing qualitative data. London: Routledge; 1994. p. 173-94.
55. Smith J, Firth J. Qualitative data analysis: The framework approach. Nurse Res. 2011;18(2):52-62.
56. How does NVivo support the Framework method? [http://www. qsrinternational.com/Support/FAQs/How-does-NVivo-support-The-Framework-method]. Accessed 16th Nov 2015.
57. McCreadie C, Tinker A. The acceptability of assistive technology to older people. Ageing Soc. 2005;25(01):91-110.
58. Giordano R, Clark M, Goodwin N. Perspectives on telehealth and telecare learning from the 12 Whole System Demonstrator Action Network (WSDAN) sites. London: The King's Fund; 2011.
59. Cottrell E, McMillan K, Chambers R. A cross-sectional survey and service evaluation of simple telehealth in primary care: what do patients think? BMJ Open. 2012;2(6):e001392.
60. Gorst SL, Armitage CJ, Brownsell S, Hawley MS. Home telehealth uptake and continued use among heart failure and chronic obstructive pulmonary disease patients: A systematic review. Ann Behav Med. 2014;48(3):323-36.
61. Rixon L, Hirani SP, Cartwright M, Beynon M, Selva A, Sanders C, Newman S. What influences withdrawal because of rejection of telehealth-The whole systems demonstrator evaluation. J Assist Technol. 2013;7(4):1-6.