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Cited by 84Technology Use by Older AdultsAging, Health, and DisabilityTelemedicine and Telehealth Implementation

The Psychosocial Impact of Interactive Computer Use Within a Vulnerable Elderly Population: A Report on a Randomized Prospective Trial in a Home Health Care Setting

Billipp, Susan Heyn·2001·Public Health Nursing
DOI 10.1046/j.1525-1446.2001.00138.x
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Abstract

Quality of care for vulnerable elderly clients makes it important to consider the psychosocial effects of interactive computer use as a means to communicate for social, functional, and/or health care purposes in a home health care setting. In a 3‐month randomized prospective trial, telecommunications terminals were installed in the private residences of computer‐illiterate persons, 65‐years‐of‐age and older, providing visiting nurses the opportunity to teach computer use with three different training methods. The control group had similar weekly nurse visits, but no computer terminal use. Pre‐posttests using the Rosenberg Self‐Esteem Scale and the Geriatric Depression Scale compared change in self‐esteem and depression scores of computer‐use clients with the scores of the control group clients. Interactive computer use, alone, did not significantly change scores. Compared to the control group, however, there was a significant change toward improved self‐esteem and depression when interactive computer use was accompanied with weekly nurse computer training. Weekly training with a significant other, as a substitute for the nurse trainer, significantly improved self‐esteem scores but not depression scores. Interactive computer use was not associated with decreased self‐esteem or increased depression. Attitude changes and responses to the particular telecommunication service used in this study were mixed, suggesting future research should be based on improved telecommunication systems with access to programs that have greater practical application to the needs of elderly clients.

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  • Some researchers have demonstrated that Internet interventions can be used by and can benefit severely disadvantaged groups, including homeless drug users, single teenage mothers, and vulnerable elderly people.

    “Some researchers have undertaken impressive work, demonstrating that Internet interventions can be used by and can benefit severely disadvantaged groups, including homeless drug users [25], single teenage mothers [26], and vulnerable elderly people [27].”

    From Web-Based Interventions for Behavior Change and Self-Management: Potential, Pitfalls, and Progress (2012) · cites this paper as [27]

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Authors
Billipp, S. H.
Affiliations
The University of Texas Health Science Center at Houston (US)
Corresponding author
Billipp, Susan Heyn
Venue
Public Health Nursing
Publisher
Wiley
Published
2001-01
Volume
18
Issue
2
Pages
138-145
ISSN
  • 0737-1209 (ISSN-L)
  • 1525-1446
DOI
10.1046/j.1525-1446.2001.00138.x
OpenAlex
W2002524701
Cited by
84
References
28
Citations by year
2025: 1 · 2023: 4 · 2022: 2 · 2021: 4 · 2020: 3 · 2019: 2 · 2018: 3 · 2017: 2 · 2016: 2 · 2015: 4 · 2014: 4 · 2013: 4 · 2012: 6
FWCI
5.64
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 356 d)
Locations
  • Public Health Nursing (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Demography › Technology Use by Older Adults
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
Keywords
vulnerable elderly, home health care, visiting nurses, computer literacy education, self-esteem, depression, psychosocial outcomes, social isolation, older adults
MeSH terms
Aged, Attitude to Computers, Depression, Female, Humans, Interpersonal Relations, Male, Prospective Studies, Psychology, Public Health Nursing, Quality of Health Care, Self Concept, Frail Elderly

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