Currently submitted to: JMIR Formative Research
Date Submitted: May 5, 2026
Open Peer Review Period: May 5, 2026 - Jun 30, 2026
(currently open for review)
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Understanding Challenges of Remote Health Technology Use: A Pre-implementation Assessment among Community Health Stakeholders
ABSTRACT
Background:
The COVID-19 pandemic accelerated telehealth adoption, particularly for older adults, yet end-user non-acceptance of digital health tools remains a persistent barrier. This evaluation engaged the Mobile Health and Wellness Program (MHWP), a nurse-led mobile clinic serving urban-dwelling older adults with chronic conditions, to implement Health Recovery Solutions (HRS) Remote Patient Monitoring (RPM) devices to extend its reach and boost health equity.
Objective:
This pre-implementation research project aimed to identify the strongest predictors of the intention to use technology among MHWP care delivery providers and participants. Using the constructs from the Technology Acceptance Model (TAM) to inform implementation of HRS RPM devices within MHWP.
Methods:
Two cross-sectional surveys were administered to MHWP providers (n = 31) and participants (n = 18). Reliability of the constructs was assessed via Cronbach’s α, and multiple linear and ridge regression models were fit to predict Behavioral Intention (IN). Analyses were exploratory given the small sample sizes and should be interpreted as hypothesis-generating.
Results:
For MHWP providers, the model explain 70% of variance in intention to use telemonitoring (R2 = .697, P < .001), with Perceived Usefulness (PU) and Perceived Ease of Use (PEU) as the strongest predictors of IN. For MHWP participants, the model was not statistically significant (R2 = .527, P = .24), with Availability emerging as the most influential construct in exploratory ridge regression.
Conclusions:
Provider-focused implementation should prioritize demonstrating practical benefits and ensuring user-friendly operation. For participants, unobstructed access to telehealth technology appears most critical for fostering adoption intent. These cross-stakeholder findings offer preliminary exploratory insights to guide equitable RPM implementation in community-based care. Clinical Trial: N/A
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