Evidence map›Paper›PMID 40979701›Full record

ArticleDigital health

Exploring factors influencing the adoption and use of digital health technology for HIV management among older adults living with HIV: A qualitative study.

Kristina M Kokorelias, Erica Dove, Dean Valentine, Paige Brown, Stuart McKinlay, Andrew D Eaton, Esther Su, Christine L Sheppard, Hardeep Singh, Laura Jamieson and 7 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Kristina M KokoreliasSection of Geriatric Medicine, Department of Medicine, Sinai Health System and University Health Network, Toronto, Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-1277-472X
Erica DoveRehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Dean ValentineSection of Geriatric Medicine, Department of Medicine, Sinai Health System and University Health Network, Toronto, Toronto, ON, Canada.
Paige BrownDepartment of Medicine, Temerty Faculty of Medicine, The University of Toronto, Toronto, ON, Canada.
Stuart McKinlayDepartment of Medicine, Temerty Faculty of Medicine, The University of Toronto, Toronto, ON, Canada.ORCID https://orcid.org/0000-0001-6460-9307
Andrew D EatonFaculty of Social Work-Saskatoon Campus, University of Regina, Regina, SK, Canada.
Esther SuSection of Geriatric Medicine, Department of Medicine, Sinai Health System and University Health Network, Toronto, Toronto, ON, Canada.ORCID https://orcid.org/0009-0000-5854-5028
Christine L SheppardFactor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada.
Hardeep SinghDepartment of Occupational Science & Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Laura JamiesonSection of Geriatric Medicine, Department of Medicine, Sinai Health System and University Health Network, Toronto, Toronto, ON, Canada.
Marina B WasilewskiDepartment of Occupational Science & Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Alice ZhabokritskyInfectious Diseases, Department of Medicine, University Health Network, Toronto, ON, Canada.
Reham AbdelhalimBurlington OHT, Burlington, ON, Canada.
Rabea ParpiaRegent Park Community Health Centre, Toronto, ON, Canada.
Rahel ZewudeDivision of Infectious Diseases, Department of Medicine, University of Toronto, Toronto, ON, Canada.
Sharon WalmsleyInfectious Diseases, Department of Medicine, University Health Network, Toronto, ON, Canada.
Luxey SirisegaramSection of Geriatric Medicine, Department of Medicine, Sinai Health System and University Health Network, Toronto, Toronto, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The intersection of aging and HIV presents unique challenges in healthcare, with older adults living with HIV experiencing compounded health issues. Advances in technology, including digital health tools, offer opportunities to improve self-management and care delivery. However, older adults living with HIV face barriers in adopting these digital health tools due to socio-cultural factors and technological challenges. Objective: This study explores the factors influencing the adoption of digital health technologies for HIV management among older adults, aiming to identify strategies to improve accessibility and effectiveness of these tools. Methods: A qualitative descriptive study using interviews was conducted within a larger research program on virtual care for socio-culturally diverse older adults. Data were analyzed using the Theoretical Domains Framework (TDF) to identify barriers and facilitators to technology adoption. Results: Fourteen older adults living with HIV (mean age 58.7, SD 6.5) participated in the study. Key themes included self-management, perceived usefulness, and ease of use, with older adults living with HIV using technology for health tracking and symptom management. Barriers such as affordability, linguistic diversity, and complex user interfaces were identified, along with concerns about privacy and stigma. Facilitators included peer influence, perceived utility of tools, and ease of navigation. Participants emphasized the importance of transparency in consent processes and the need for technology to accommodate cognitive and sensory impairments. Conclusion: This study highlights the need for tailored digital health interventions that address the unique challenges of older adults living with HIV. Future technologies should prioritize user-friendly interfaces, accessibility, and clear consent processes to enhance adoption and engagement.

Indexed as

Agingdigital health toolsHIVolder adultsself-managementtechnology adoption

Identifiers

PMID40979701
PMCPMC12449646

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.