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Overcoming the Digital Divide for Older Patients With Respiratory Disease: Focus Group Study
Esther Metting1,2,3, Sanne van Luenen4, Anna-Jetske Baron5,6
1Data Science Center in Health, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
JMIR Formative Research
|October 3, 2023
Summary
Elderly patients with respiratory conditions found a web portal helpful for information and medication overviews. Improving website navigation and design is key to enhancing accessibility and patient engagement in eHealth.
Area of Science:
- Digital health interventions
- eHealth accessibility for seniors
- Health informatics
Background:
- eHealth adoption is increasing globally, but a digital divide limits access for socioeconomically disadvantaged populations.
- This disparity can hinder the success of eHealth implementations, impacting healthcare delivery.
Purpose of the Study:
- To evaluate elderly patients' opinions on a pharmacy-based personalized web portal for managing asthma and COPD.
- To identify barriers elderly individuals face when using health-related websites to improve eHealth accessibility.
Main Methods:
- A qualitative, cross-sectional study involving 11 patients over 55 with chronic respiratory illnesses.
- Two focus groups conducted website testing and semistructured interviews, with sessions recorded and analyzed via content analysis.
Main Results:
- Patients generally responded positively to the website, particularly appreciating disease information and medication overview features.
- Reported difficulties included website navigation, layout issues due to visual impairments, and a need for professional healthcare integration for monitoring relevance.
- Few privacy or safety concerns were noted.
Conclusions:
- Developing accessible websites for elderly patients requires consideration of their specific needs, such as navigation and visual impairments.
- Prioritizing basic, accessible layout and navigation is crucial for the information-provision aspect of eHealth tools.
- Integrating patient self-management applications into treatment plans and involving older adults in the development process can enhance usability and motivation.
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