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Table 1 Factors for acceptance and non-acceptance of HIT for older people

From: Perceptions on use of home telemonitoring in patients with long term conditions – concordance with the Health Information Technology Acceptance Model: a qualitative collective case study

Factors for HIT acceptance Factors for non-acceptance of HIT
Health zone • Health status - acute health issues i.e. feeling very ill.
• Acceptance of chronic nature of illness.
• Being chronically ill, but not seriously acutely ill at the time HIT was being introduced.
• Non-acceptance of illness or increased anxiety caused by dwelling on it.
• Reinforcement of ‘sick-role’.
• Fear of losing health professional input into on-going health care.
Information zone
• Positive affirmation from both health professionals and close relatives. • Perceived ambivalence particularly by health professionals.
Technology zone
• Use of Wi-fi or good internet SIM card connectivity.
• Prompt replacement of faulty equipment.
• Installation and follow-up support processes that create patient self-efficacy.
• HIT equipment design features suitable for older people which include interactive/feedback features so that patients have the option to use the data to self-manage.
• Support (practical/emotional) from patient’s partner/family.
• Perception that the data will useful for clinicians and in terms of outcomes (for example picking up on infections early).
• Personalised clinical alerts triggers and appropriate handling of clinical alerts.
• Lack of data transfer due to inadequate internet connectivity.
• Wide variations between HIT and health professionals’ own clinical devices.
• Unreliable equipment and lengthy delays in fixing faults.
• Design of HIT equipment not suitable for older people for example font colour and size, equipment and button size.
• Perceiving that health professionals were not utilising the data or that it was not useful in early detection of acute illness.
• Lack of HIT interactivity/feedback on results limiting ability to increase knowledge of own results and ability to self-manage condition.
• Inappropriate handling of clinical alerts in terms of lack of timeliness or relevancy in health terms.
• Lack of willingness to undertake daily monitoring.