Association of Technology-Related Skills and Self-Efficacy With Willingness to Participate in Heart Failure Telemonitoring: Cross-Sectional Observational Study.

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Titel: Association of Technology-Related Skills and Self-Efficacy With Willingness to Participate in Heart Failure Telemonitoring: Cross-Sectional Observational Study.
Autoren: Cuppen S; Department of Medical Psychology, Máxima Medisch Centrum, Veldhoven, The Netherlands.; Department of Medical and Clinical Psychology, Tilburg University, Tilburg, The Netherlands., van Leunen M; Department of Industrial Design, Eindhoven University of Technology, Eindhoven, The Netherlands.; Department of Cardiology, Máxima Medisch Centrum, De Run 4600, Veldhoven, 5504 DB, The Netherlands, 31 40 - 888 - 8000., Henken T; Department of Medical Psychology, Máxima Medisch Centrum, Veldhoven, The Netherlands., Goevaerts M; Department of Industrial Design, Eindhoven University of Technology, Eindhoven, The Netherlands.; Department of Cardiology, Máxima Medisch Centrum, De Run 4600, Veldhoven, 5504 DB, The Netherlands, 31 40 - 888 - 8000., Scherrenberg M; Faculty of Medicine and Life Sciences, Hasselt University, Hasselt, Belgium.; Department of Cardiology, Jessa Hospital, Hasselt, Belgium., Falter M; Faculty of Medicine and Life Sciences, Hasselt University, Hasselt, Belgium.; Department of Cardiology, Jessa Hospital, Hasselt, Belgium., Dendale P; Faculty of Medicine and Life Sciences, Hasselt University, Hasselt, Belgium.; Department of Cardiology, Jessa Hospital, Hasselt, Belgium., Kemps H; Department of Industrial Design, Eindhoven University of Technology, Eindhoven, The Netherlands.; Department of Cardiology, Máxima Medisch Centrum, De Run 4600, Veldhoven, 5504 DB, The Netherlands, 31 40 - 888 - 8000., Kop WJ; Department of Medical and Clinical Psychology, Tilburg University, Tilburg, The Netherlands.
Quelle: JMIR formative research [JMIR Form Res] 2025 Jun 12; Vol. 9, pp. e68992. Date of Electronic Publication: 2025 Jun 12.
Publikationsart: Journal Article; Observational Study
Sprache: English
Info zur Zeitschrift: Publisher: JMIR Publications Country of Publication: Canada NLM ID: 101726394 Publication Model: Electronic Cited Medium: Internet ISSN: 2561-326X (Electronic) Linking ISSN: 2561326X NLM ISO Abbreviation: JMIR Form Res Subsets: MEDLINE
Imprint Name(s): Original Publication: Toronto, ON, Canada : JMIR Publications, [2017]-
MeSH-Schlagworte: Heart Failure*/diagnosis , Heart Failure*/psychology , Heart Failure*/therapy , Self Efficacy* , Remote Patient Monitoring*, Aged ; Aged, 80 and over ; Female ; Humans ; Male ; Middle Aged ; Cross-Sectional Studies ; Surveys and Questionnaires
Abstract: Background: The adoption of telemonitoring in patients with heart failure (HF) is influenced by technology-related skills and self-efficacy, as well as psychological, clinical, and demographic factors. However, the relative importance of these factors with regard to willingness to use telemonitoring is insufficiently understood.
Objectives: This cross-sectional observational study examines the extent to which technology-related skills and self-efficacy are related to willingness to participate in telemonitoring in patients with HF.
Methods: Patients completed questionnaires during hospitalization. Associations of technological skills and self-efficacy with willingness to participate in telemonitoring (dichotomous and continuous scale) were examined using regression models. Mediation-moderation analyses were used to investigate the role of self-efficacy in the association of technological skills with willingness to participate.
Results: This study recruited 61 patients admitted for decompensated HF (mean age 79.9, SD 9.5 years; 24 women). Higher levels of technological skills were associated with higher willingness to participate in telemonitoring (odds ratio [OR] 1.073 per scale unit, 95% CI 1.031-1.117). Technological self-efficacy and learnability were also related to willingness to participate (OR 1.141, 95% CI 1.039-1.252; OR 1.029, 95% CI 1.006-1.052) but did not mediate the association of technological skills with willingness to participate in telemonitoring. Psychological factors (anxiety, depressive symptoms, and perceived social support), age, and cognitive and physical functioning did not moderate the association of technological skills with willingness to participate in telemonitoring.
Conclusions: Technological skills, self-efficacy, and learnability are interrelated factors that need to be considered in patients with HF who are eligible for telemonitoring. Future intervention studies that target these factors could increase patients' willingness and competence in using telemonitoring after admission for HF.
(© Sharon Cuppen, Mayke van Leunen, Tamara Henken, Mayra Goevaerts, Martijn Scherrenberg, Maarten Falter, Paul Dendale, Hareld Kemps, Willem J Kop. Originally published in JMIR Formative Research (https://formative.jmir.org).)
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Contributed Indexing: Keywords: heart failure; participating in telemonitoring; technological learnability; technological self-efficacy; technological skills; telemonitoring
Entry Date(s): Date Created: 20250612 Date Completed: 20250612 Latest Revision: 20250702
Update Code: 20250702
PubMed Central ID: PMC12178583
DOI: 10.2196/68992
PMID: 40505140
Datenbank: MEDLINE
Beschreibung
Abstract:Background: The adoption of telemonitoring in patients with heart failure (HF) is influenced by technology-related skills and self-efficacy, as well as psychological, clinical, and demographic factors. However, the relative importance of these factors with regard to willingness to use telemonitoring is insufficiently understood.<br />Objectives: This cross-sectional observational study examines the extent to which technology-related skills and self-efficacy are related to willingness to participate in telemonitoring in patients with HF.<br />Methods: Patients completed questionnaires during hospitalization. Associations of technological skills and self-efficacy with willingness to participate in telemonitoring (dichotomous and continuous scale) were examined using regression models. Mediation-moderation analyses were used to investigate the role of self-efficacy in the association of technological skills with willingness to participate.<br />Results: This study recruited 61 patients admitted for decompensated HF (mean age 79.9, SD 9.5 years; 24 women). Higher levels of technological skills were associated with higher willingness to participate in telemonitoring (odds ratio [OR] 1.073 per scale unit, 95% CI 1.031-1.117). Technological self-efficacy and learnability were also related to willingness to participate (OR 1.141, 95% CI 1.039-1.252; OR 1.029, 95% CI 1.006-1.052) but did not mediate the association of technological skills with willingness to participate in telemonitoring. Psychological factors (anxiety, depressive symptoms, and perceived social support), age, and cognitive and physical functioning did not moderate the association of technological skills with willingness to participate in telemonitoring.<br />Conclusions: Technological skills, self-efficacy, and learnability are interrelated factors that need to be considered in patients with HF who are eligible for telemonitoring. Future intervention studies that target these factors could increase patients' willingness and competence in using telemonitoring after admission for HF.<br /> (© Sharon Cuppen, Mayke van Leunen, Tamara Henken, Mayra Goevaerts, Martijn Scherrenberg, Maarten Falter, Paul Dendale, Hareld Kemps, Willem J Kop. Originally published in JMIR Formative Research (https://formative.jmir.org).)
ISSN:2561-326X
DOI:10.2196/68992