Investigating the Role of Wearable Devices in Facilitating Telehealth Adoption Among the Aging Population: Mediation Analysis of US National Data
Abstract BackgroundTelehealth adoption has grown significantly, presenting valuable opportunities for the aging population to access health care remotely. Despite evidence of its benefits in managing chronic conditions and promoting independence, many older adults remain hesit...
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JMIR Publications
2025-08-01
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| Series: | JMIR Medical Informatics |
| Online Access: | https://medinform.jmir.org/2025/1/e68559 |
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| _version_ | 1849390509976453120 |
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| author | Ruijing Wang Onur Asan Ting Liao |
| author_facet | Ruijing Wang Onur Asan Ting Liao |
| author_sort | Ruijing Wang |
| collection | DOAJ |
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Abstract
BackgroundTelehealth adoption has grown significantly, presenting valuable opportunities for the aging population to access health care remotely. Despite evidence of its benefits in managing chronic conditions and promoting independence, many older adults remain hesitant to adopt telehealth, preferring traditional in-person visits even post pandemic. Current literature largely focuses on younger or general populations, overlooking the unique barriers faced by older adults, such as technology literacy and access disparities.
ObjectiveThis study investigates how telehealth adoption among the aging population is influenced and mediated by relevant factors, including the use of wearable devices, demographic factors, health conditions, and physical activity levels.
MethodsA secondary analysis was conducted on the Health Information National Trends Survey (HINTS 6) data collected from March to November 2022. Of the 6252 respondents, 1596 older adults (≥65 years) were included. Telehealth adoption was defined using 2 survey items on receiving or being offered telehealth services. We construct regression and mediation analyses to understand the relationships between telehealth adoption and influential factors, including demographics, physical activity levels, health conditions, and the use of wearable devices.
ResultsWe found that wearable device use, while not directly significant, plays a critical role in adoption when mediated by factors such as education, income, and general health. Specifically, higher levels of education and income increased the likelihood of telehealth adoption (PPPPPP
ConclusionsWhile wearable device use is associated with increased telehealth adoption among older adults, its effect operates primarily through mediating factors such as education, income, and health status. These findings suggest that addressing disparities in socioeconomic status and health literacy is critical to increasing telehealth engagement in aging populations. |
| format | Article |
| id | doaj-art-e416d347aef4458d85db73faa213169c |
| institution | Kabale University |
| issn | 2291-9694 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Medical Informatics |
| spelling | doaj-art-e416d347aef4458d85db73faa213169c2025-08-20T03:41:35ZengJMIR PublicationsJMIR Medical Informatics2291-96942025-08-0113e68559e6855910.2196/68559Investigating the Role of Wearable Devices in Facilitating Telehealth Adoption Among the Aging Population: Mediation Analysis of US National DataRuijing Wanghttp://orcid.org/0000-0003-2277-2653Onur Asanhttp://orcid.org/0000-0002-9239-3723Ting Liaohttp://orcid.org/0009-0006-0883-0051 Abstract BackgroundTelehealth adoption has grown significantly, presenting valuable opportunities for the aging population to access health care remotely. Despite evidence of its benefits in managing chronic conditions and promoting independence, many older adults remain hesitant to adopt telehealth, preferring traditional in-person visits even post pandemic. Current literature largely focuses on younger or general populations, overlooking the unique barriers faced by older adults, such as technology literacy and access disparities. ObjectiveThis study investigates how telehealth adoption among the aging population is influenced and mediated by relevant factors, including the use of wearable devices, demographic factors, health conditions, and physical activity levels. MethodsA secondary analysis was conducted on the Health Information National Trends Survey (HINTS 6) data collected from March to November 2022. Of the 6252 respondents, 1596 older adults (≥65 years) were included. Telehealth adoption was defined using 2 survey items on receiving or being offered telehealth services. We construct regression and mediation analyses to understand the relationships between telehealth adoption and influential factors, including demographics, physical activity levels, health conditions, and the use of wearable devices. ResultsWe found that wearable device use, while not directly significant, plays a critical role in adoption when mediated by factors such as education, income, and general health. Specifically, higher levels of education and income increased the likelihood of telehealth adoption (PPPPPP ConclusionsWhile wearable device use is associated with increased telehealth adoption among older adults, its effect operates primarily through mediating factors such as education, income, and health status. These findings suggest that addressing disparities in socioeconomic status and health literacy is critical to increasing telehealth engagement in aging populations.https://medinform.jmir.org/2025/1/e68559 |
| spellingShingle | Ruijing Wang Onur Asan Ting Liao Investigating the Role of Wearable Devices in Facilitating Telehealth Adoption Among the Aging Population: Mediation Analysis of US National Data JMIR Medical Informatics |
| title | Investigating the Role of Wearable Devices in Facilitating Telehealth Adoption Among the Aging Population: Mediation Analysis of US National Data |
| title_full | Investigating the Role of Wearable Devices in Facilitating Telehealth Adoption Among the Aging Population: Mediation Analysis of US National Data |
| title_fullStr | Investigating the Role of Wearable Devices in Facilitating Telehealth Adoption Among the Aging Population: Mediation Analysis of US National Data |
| title_full_unstemmed | Investigating the Role of Wearable Devices in Facilitating Telehealth Adoption Among the Aging Population: Mediation Analysis of US National Data |
| title_short | Investigating the Role of Wearable Devices in Facilitating Telehealth Adoption Among the Aging Population: Mediation Analysis of US National Data |
| title_sort | investigating the role of wearable devices in facilitating telehealth adoption among the aging population mediation analysis of us national data |
| url | https://medinform.jmir.org/2025/1/e68559 |
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