Human-Computer Interaction for Older Adults - a Literature Review on Technology Acceptance of eHealth Systems
by Awais Ahmad 1 * 
and Peter Mozelius 2
1 Uppsala University, Department of Information Technology, Uppsala, 751 05, Sweden
2 Mid Sweden University, Department of Computer and System Science, Östersund, 831 25, Sweden
* Author to whom correspondence should be addressed.
Journal of Engineering Research and Sciences, Volume 1, Issue 4, Page # 119-126, 2022; DOI: 10.55708/js0104014
Keywords: eHealth, Human-Computer Interaction, HCI, Older adults, Ageing well, Independent living
Received: 19 January 2022, Revised: 18 February 2022, Accepted: 26 February 2022, Published Online: 12 April 2022
APA Style
Ahmad, A., & Mozelius, P. (2022, April). Human-Computer Interaction for Older Adults – a Literature Review on Technology Acceptance of eHealth Systems. Journal of Engineering Research and Sciences, 1(4), 119–126. https://doi.org/10.55708/js0104014
Chicago/Turabian Style
Ahmad, Awais, and Peter Mozelius. “Human-Computer Interaction for Older Adults – a Literature Review on Technology Acceptance of eHealth Systems.” Journal of Engineering Research and Sciences 1, no. 4 (April 2022): 119–26. https://doi.org/10.55708/js0104014.
IEEE Style
A. Ahmad and P. Mozelius, “Human-Computer Interaction for Older Adults – a Literature Review on Technology Acceptance of eHealth Systems,” Journal of Engineering Research and Sciences, vol. 1, no. 4, pp. 119–126, Apr. 2022, doi: 10.55708/js0104014.
The population of older adults globally increased during the last couple of decades. Due to these demographic changes, the need for medical care has also significantly increased. Despite the age-related disabilities and chronic diseases, most older adults prefer independent living in their home environment. Technology-enhanced systems and eHealth applications seem to provide some promising solutions for older adults’ well-being and independent living. However, the adoption and acceptance of these applications for older adults are unclear and further research is needed in this area. This study was carried out as a literature review, to meet the aim of identifying and discussing important factors in the Human-computer interaction of eHealth for older adults. The overall research question for this study was: What are the critical factors to consider for an improved human-computer interaction in technology-enhanced health care systems for older adults? Findings indicate some important factors to address: personal integrity, trust, technology acceptance, accessibility of ICT and eHealth literacy. If the presented factors are considered and addressed, it would be easier to achieve the desired aim of independent living. The authors recommend a human-computer interaction that is older adults centred, with the involvement of older adults users in the design process. Proper education and training on the use of eHealth services are also of great importance. Finally, the technology-enhanced system should also provide good social and technological support to the users.
- M. Tonelli and M. Riella, “Chronic kidney disease and the aging population,” Brazilian Journal of Nephrology, vol.36, pp.1–5, 2014.
- F. P. Tajudeen, N. Bahar, T. Maw Pin, and N. I. Saedon, “Mobile technologies and healthy ageing: A bibliometric analysis on publication trends and knowledge structure of mHealth research for older adults,” International Journal of Human–Computer Interaction, vol.38, no. 2, pp.118–130, 2022.
- K. A. Kline and D. M. Bowdish, “Infection in an aging population,” Current opinion in microbiology, vol.29, pp.63–67, 2016.
- N. Stroetmann, T. Hüsing, L. Kubitschke, and K. A. Stroetmann, “The attitudes, expectations and needs of elderly people in relation to e-health applications: results from a European survey,” Journal of Telemedicine and Telecare, vol.8, no. 2_suppl, pp.82–84, 2002.
- L. Foster and A. Walker, “Active and successful aging: A European policy perspective,” The gerontologist, vol.55, no. 1, pp.83–90, 2015.
- C. Botella, E. Etchemendy, D. Castilla, R. M. Baños, A. García-Palacios, S. Quero, M. Alcaniz, and J. A. Lozano, “An e-health system for the elderly (Butler Project): A pilot study on acceptance and satisfaction,” CyberPsychology & Behavior, vol.12, no. 3, pp.255–262, 2009.
- A. Ahmad and P. Mozelius, “Critical factors for human computer interaction of ehealth for older adults,” Proceedings of the 2019 the 5th International Conference on e-Society, e-Learning and e-Technologies, pp.58–62, 2019.
- E. A. Phelan, L. A. Anderson, A. Z. Lacroix, and E. B. Larson, “Older adults’ views of ‘successful aging’—how do they compare with researchers’ definitions?,” Journal of the American Geriatrics Society, vol.52, no. 2, pp.211–216, 2004.
- A. Fiske, J. L. Wetherell, and M. Gatz, “Depression in older adults,” Annual review of clinical psychology, vol.5, pp.363–389, 2009.
- E. Y. Cornwell and L. J. Waite, “Social disconnectedness, perceived isolation, and health among older adults,” Journal of health and social behavior, vol.50, no. 1, pp.31–48, 2009.
- C. Christophorou, S. Kleanthous, D. Georgiadis, D. M. Cereghetti, P. Andreou, C. Wings, E. Christodoulou, and G. Samaras, “ICT services for active ageing and independent living: identification and assessment,” Healthcare technology letters, vol.3, no. 3, pp.159–164, 2016.
- S. T. Peek, K. G. Luijkx, M. D. Rijnaard, M. E. Nieboer, C. S. van der Voort, S. Aarts, J. van Hoof, H. J. Vrijhoef, and E. J. Wouters, “Older adults’ reasons for using technology while aging in place,” Gerontology, vol.62, no. 2, pp.226–237, 2016.
- S. Wiklund Axelsson and A. Melander Wikman, “Ready for eHealth. Older Swedes’ perceptions of eHealth Services: Using the PIADS scale as a predictor for readiness,” Technologies, vol.4, no. 3, p.29, 2016.
- C. Robert, M. Erdt, J. Lee, Y. Cao, N. B. Naharudin, and Y.-L. Theng, “Effectiveness of eHealth nutritional interventions for middle-aged and older adults: Systematic review and meta-analysis,” Journal of medical Internet research, vol.23, no. 5, p.e15649, 2021.
- L. A. Machi and B. T. McEvoy, “The literature review: Six steps to success (Third),” SAGE Publications, Inc, 2016.
- J. vom Brocke, A. Simons, B. Niehaves, B. Niehaves, K. Reimer, R. Plattfaut, and A. Cleven, “Reconstructing the giant: On the importance of rigour in documenting the literature search process,” 2009.
- V. Braun and V. Clarke, “Using thematic analysis in psychology,” Qualitative research in psychology, vol.3, no. 2, pp.77–101, 2006.
- V. Braun and V. Clarke, “Thematic analysis.,” 2012.
- O. B. Henkemans, K. E. Caine, W. A. Rogers, A. D. Fisk, M. A. Neerincx, and B. D. Ruyter, “Medical monitoring for independent living: user-centered design of smart home technologies for older adults,” Proc. Med-e-Tel Conf. eHealth, Telemedicine and Health Information and Communication Technologies, pp.18–20, 2007.
- M.L. Jung and K. Loria, “Acceptance of Swedish e-health services,” Journal of multidisciplinary healthcare, vol.3, p.55, 2010.
- W. A. Rogers and A. D. Fisk, “Toward a psychological science of advanced technology design for older adults,” Journals of Gerontology Series B: Psychological Sciences and Social Sciences, vol.65, no. 6, pp.645–653, 2010.
- E. Stojmenova, B. Imperl, T. Zohar, and D. Dinevski, “User-Centred E-Health: Engaging Users into the e-Health Design Process.,” Bled eConference, p.38, 2012.
- C. Lee and J. F. Coughlin, “PERSPECTIVE: Older adults’ adoption of technology: an integrated approach to identifying determinants and barriers,” Journal of Product Innovation Management, vol.32, no. 5, pp.747–759, 2015.
- S. H. Fischer, D. David, B. H. Crotty, M. Dierks, and C. Safran, “Acceptance and use of health information technology by community-dwelling elders,” International journal of medical informatics, vol.83, no. 9, pp.624–635, 2014.
- J. Vines, G. Pritchard, P. Wright, P. Olivier, and K. Brittain, “An age-old problem: Examining the discourses of ageing in HCI and strategies for future research,” ACM Transactions on Computer-Human Interaction (TOCHI), vol.22, no. 1, pp.1–27, 2015.
- A. J. De Veer, J. M. Peeters, A. E. Brabers, F. G. Schellevis, J. J. J. Rademakers, and A. L. Francke, “Determinants of the intention to use e-Health by community dwelling older people,” BMC health services research, vol.15, no. 1, pp.1–9, 2015.
- A. Ahmad, K. Ahlin, and P. Mozelius, “Technology Acceptance of an Online Speech and Language Assessment Application for Stroke Patients-the Medical Caregivers’ Viewpoints,” Tenth International Conference on Global Health Challenges (GLOBAL HEALTH 2021), Barcelona, Spain, October 3-7, 2021., 2021.
- Q. Ma, A. H. Chan, and P.-L. Teh, “Insights into older adults’ technology acceptance through meta-analysis,” International Journal of Human–Computer Interaction, vol.37, no. 11, pp.1049–1062, 2021.
- W. K. Bong and I. Bronshtein, “Designing Digital Games with & for Home-dwelling Older Adults’ Social Interaction under Sheltering Measures,” 2021.
- C. for D. Control and Prevention, “Improving health literacy for older adults: Expert panel report 2009,” Atlanta, GA: US Department of Health and Human Services, 2009.
- K. L. Courtney, G. Demeris, M. Rantz, and M. Skubic, “Needing smart home technologies: the perspectives of older adults in continuing care retirement communities.,” 2008.
- N. Charness and W. R. Boot, “Aging and information technology use: Potential and barriers,” Current Directions in Psychological Science, vol.18, no. 5, pp.253–258, 2009.
- N. Wagner, K. Hassanein, and M. Head, “Computer use by older adults: A multi-disciplinary review,” Computers in human behavior, vol.26, no. 5, pp.870–882, 2010.
- T. Heart and E. Kalderon, “Older adults: are they ready to adopt health-related ICT?,” International journal of medical informatics, vol.82, no. 11, pp.e209–e231, 2013.
- B. Xie, T. Yeh, G. Walsh, I. Watkins, and M. Huang, “Co-designing an e-health tutorial for older adults,” in Proceedings of the 2012 iConference, 2012, pp.240–247.
- R. Young, E. Willis, G. Cameron, and M. Geana, “‘Willing but unwilling’: attitudinal barriers to adoption of home-based health information technology among older adults,” Health informatics journal, vol.20, no. 2, pp.127–135, 2014.
- C. Latulipe, A. Gatto, H. T. Nguyen, D. P. Miller, S. A. Quandt, A. G. Bertoni, A. Smith, and T. A. Arcury, “Design considerations for patient portal adoption by low-income, older adults,” Proceedings of the 33rd annual ACM conference on human factors in computing systems, pp.3859–3868, 2015.
- A. Bowes and G. McColgan, “Telecare for older people: promoting independence, participation, and identity,” Research on Aging, vol.35, no. 1, pp.32–49, 2013.
- A. Melander-Wikman, Y. Fältholm, and G. Gard, “Safety vs. privacy: elderly persons’ experiences of a mobile safety alarm,” Health & social care in the community, vol.16, no. 4, pp.337–346, 2008.
- Y. van Hierden, T. Dietrich, and S. Rundle-Thiele, “Designing an eHealth Well-Being Program: A Participatory Design Approach,” International Journal of Environmental Research and Public Health, vol.18, no. 14, p.7250, 2021.
- M. Jovanović, A. De Angeli, A. McNeill, and L. Coventry, “User requirements for inclusive technology for older adults,” International Journal of Human–Computer Interaction, vol.37, no. 20, pp.1947–1965, 2021.
- T. Wang, S. R. Mazanec, and J. G. Voss, “Needs of Informal Caregivers of Patients With Head and Neck Cancer: A Systematic Review,” Oncology Nursing Forum, vol.48, no. 1, pp.11–29, 2021.
- Z. Zhou, J. Zhou, and F. Liu, “Fewer Steps the Better? Instructing Older Adults’ Learning and Searching in Smartphone Apps,” International Journal of Human–Computer Interaction, pp.1–12, 2021.
- M. N. Hossain, H. Okajima, H. Kitaoka, and A. Ahmed, “Consumer acceptance of eHealth among rural inhabitants in developing countries (A Study on Portable Health Clinic in Bangladesh),” Procedia computer science, vol.111, pp.471–478, 2017.
- L. T. Vassli and B. A. Farshchian, “Acceptance of health-related ICT among elderly people living in the community: A systematic review of qualitative evidence,” International Journal of Human–Computer Interaction, vol.34, no. 2, pp.99–116, 2018.
- N. Bhatnagar, H. Madden, and Y. Levy, “Initial empirical testing of potential factors contributing to patient use of secure medical teleconferencing,” Journal of Computer Information Systems, vol.57, no. 1, pp.89–95, 2017.
- N. Davis, K. Shiroma, B. Xie, T. Yeh, X. Han, and A. De Main, “Designing eHealth tutorials with and for older adults,” Proceedings of the Association for Information Science and Technology, vol.58, no. 1, pp.92–103, 2021.
- R. Verma, C. Saldanha, U. Ellis, S. Sattar, and K. R. Haase, “eHealth literacy among older adults living with cancer and their caregivers: A scoping review,” Journal of Geriatric Oncology, 2021.
- K. Oberschmidt, C. Grünloh, F. Nijboer, and L. van Velsen, “Best Practices and Lessons Learned for Action Research in eHealth Design and Implementation: Literature Review,” Journal of Medical Internet Research, vol.24, no. 1, p.e31795, 2022.
- M. Thapliyal, N. J. Ahuja, A. Shankar, X. Cheng, and M. Kumar, “A differentiated learning environment in domain model for learning disabled learners,” Journal of Computing in Higher Education, pp.1–23, 2021.
- M. S. Wolf, J. A. Gazmararian, and D. W. Baker, “Health literacy and functional health status among older adults,” Archives of internal medicine, vol.165, no. 17, pp.1946–1952, 2005.
- C. Scheerens, J. Gilissen, A. M. Volow, J. L. Powell, C. M. Ferguson, D. Farrell, B. Li, C. Berry, and R. L. Sudore, “Developing eHealth tools for diverse older adults: Lessons learned from the PREPARE for Your Care Program,” Journal of the American Geriatrics Society, vol.69, no. 10, pp.2939–2949, 2021.
