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Table 2 Selected themes reported by participants *

From: Older adults are mobile too!Identifying the barriers and facilitators to older adults’ use of mHealth for pain management

 

N (%) reporting each theme

Concerns about mHealth use

  Reluctance to rely on a machine

8 (19.5)

  Feel like they “don’t need it”

7 (17.3)

  Concerned about whether healthcare provider will receive information generated by device

6 (14.6)

Ways mHealth devices might be used

  Help reach healthcare provider more expeditiously

11 (26.8)

  Monitor over 24-hour period

10 (24.4)

  Monitor for falls and other adverse events in the home

6 (14.6)

  Provide 2 way communication channel between physician and patient

6 (14.6)

  Facilitate sharing of information (with physician/family members)

3 (7.3)

  Provide supervision and sense of security

4 (9.8)

  Facilitate evaluation of treatment outcomes

1 (2.4)

Barriers to mHealth use

  Concern about battery dying

20 (48.8)

  Cost

17 (41.5)

  Lack of familiarity with technology

13 (31.7)

  Forgetfulness/memory problems

12 (29.3)

  Concerns about privacy

8 (19.5)

  Unwilling to wear monitor

4 (9.8)

  Concern about functional limitations

4 (9.8)

  Concern about learning to use technology

3 (7.3)

  Concern about device malfunction/incorrect use by patient

3 (7.3)

  Health problems too complex

1 (2.4)

  Concern about lack of human interaction

1 (2.4)

  No primary care physician

1 (2.4)

  Technology connection problems in apartment building

1 (2.4)

Facilitators to mHealth use

  Provide training on device use

25 (61.1)

  Tailor equipment to older adults’ functional abilities

14 (34.1)

  Employ information technology support staff

10 (24.4)

  Evidence that mHealth device use leads to improved pain outcomes

2 (4.9)

  Wearable mHealth monitors (as opposed to use of wall/home mounted monitors)

2 (4.9)

  1. *A total of 38 themes were identified. Other themes included 1) time frame for response to health crises, 2) suggestion that the device should also function as a phone (be multi-functional), and 3) concern about the expertise of the provider monitoring the device.