Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/46520
Title: Association of Technology-Related Skills and Self-Efficacy With Willingness to Participate in Heart Failure Telemonitoring: Cross-Sectional Observational Study
Authors: Cuppen, Sharon
van Leunen, Mayke
Henken, Tamara
Goevaerts, Mayra
SCHERRENBERG, Martijn 
FALTER, Maarten 
DENDALE, Paul 
Kemps , Hareld
Kop, Willem J.
Issue Date: 2025
Publisher: JMIR PUBLICATIONS, INC
Source: JMIR formative research, 9 (Art N° e68992)
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.
Notes: van Leunen, M (corresponding author), Maxima Med Ctr, Dept Cardiol, De Run 4600, NL-5504 DB Veldhoven, Netherlands.
mayke.van.leunen@mmc.nl
Keywords: heart failure;telemonitoring;participating in telemonitoring;technological skills;technological self-efficacy;technological learnability
Document URI: http://hdl.handle.net/1942/46520
e-ISSN: 2561-326X
DOI: 10.2196/68992
ISI #: 001534831800038
Rights: 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). This is an open-access article distributed under the terms of the Creative Commons Attribution License (https:// creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Formative Research, is properly cited. The complete bibliographic information, a link to the original publication on https://formative.jmir.org, as well as this copyright and license information must be included.
Category: A1
Type: Journal Contribution
Appears in Collections:Research publications

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