JMIR Publications

ABSTRACT

Background:

The aging population presents challenges for healthcare systems, with assistive technologies (ATs) like telemonitoring, fall detection, and self-monitoring devices offering potential solutions. However, successful implementation relies on older adults’ acceptance, which remains poorly understood, particularly among non-users.

Objective:

This study explores older adults’ perceptions of ATs, including perceived benefits, adoption barriers, and factors influencing willingness to use these technologies.

Methods:

A qualitative study was conducted with 31 participants (aged 65+) residing in different environments and with varying levels of health and care needs. Data were collected through six focus groups and six in-depth interviews, then analyzed thematically using NVivo software.

Results:

Seven themes emerged: 1) Limited familiarity, with greater recognition of fall detection and self-monitoring devices compared to telemonitoring; 2) Perceived benefits, include safety, independence, and chronic disease management; 3) Key concerns include usability, cost, reliability, privacy, and psychological impacts; 4) Suggested improvements comprise user-friendly designs and training programs; 5) Contextual influences identified with independent older adults perceiving greater utility; 6) Strategies for promotion proposed such as media campaigns, government subsidies, and healthcare endorsements; and 7) Overall willingness to adopt ATs, driven by perceived need, social and healthcare influence, and ease of use.

Conclusions:

While ATs offer clear benefits, adoption remains limited due to usability, cost, and psychological concerns. Improving accessibility, training, and integration into healthcare services delivery may facilitate acceptance. Future research should focus on inclusive designs and policy interventions to maximize ATs' potential in aging populations.