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Cited by 21Technology Use by Older AdultsMobile Health and mHealth ApplicationsTelemedicine and Telehealth Implementation

Willingness of women with pelvic floor disorders to use mobile technology to communicate with their health care providers

Open access
Lee, Daniel D., Arya, Lily A., Andy, Uduak U., Sammel, Mary D., Harvie, Heidi S.·2019·Female Pelvic Medicine & Reconstructive Surgery
DOI 10.1097/spv.0000000000000668PMC PMC6392070
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Abstract

OBJECTIVES: The aim of this study was to assess willingness of women with pelvic floor disorders to adopt nontraditional mobile communication methods with health care providers. METHODS: This is a cross-sectional study of women with pelvic floor disorders. Women completed a survey regarding what technology they owned, how they utilized it, and their willingness to use technology to communicate with providers. RESULTS: Overall mobile technology ownership was high; however, older women were significantly less likely to own a smartphone (75%) compared with younger (100%) and middle-aged women (98%; P < 0.01). On univariable analysis, factors significantly associated with willingness to use mobile technology were age (P < 0.01) and education status (P < 0.01). A relationship between travel distance to the clinic and willingness to adopt various mobile technologies was not noted. On multivariable analysis, after controlling for education and travel distance to clinic, older women remained significantly less likely to express willingness to use various technologies: video-conference technology (odds ratio [OR], 0.97; 95% confidence interval [CI], 0.95-0.99), text messaging (OR, 0.94; 95% CI, 0.91-0.97), Internet-based patient portal (OR, 0.96; 95% CI, 0.94-0.98), and e-mail (OR, 0.94; 95% CI, 0.91-0.98). However, almost 50% of older women and greater than 65% of middle-aged women expressed willingness to adopt technologies for health care communication. CONCLUSIONS: Age-related differences exist in the ownership, utilization, and willingness to communicate with medical providers through mobile technology. However, the majority of women across all age-groups, irrespective of travel distance, are willing to adopt alternative mobile technologies to communicate with their health care providers.

Integrity signals

Registry

Crossref · 10.1097/spv.0000000000000668

Cites

22 of 22 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

0 of 31 cited sources checked · 0 supported · 0 flagged

  • Findingown data

    After controlling for education and travel distance, older age remained significantly associated with lower willingness to use an internet-based patient portal (OR 0.96, 95% CI 0.94, 0.98).

    “On multivariable analysis, after controlling for education and travel distance to clinic, older women remained significantly less likely to express willingness to use various technologies: video-conference technology (OR 0.97, 95% CI 0.95, 0.99), text messaging (OR 0.94, 95% CI 0.91, 0.97), internet-based patient portal (OR 0.96, 95% CI 0.94, 0.98) and e-mail (OR 0.94, 95% CI 0.91, 0.98).”
    • Also stated in: § Results · plain
      “Older women were significantly less likely to express willingness to use video-conference technology (OR 0.97, 95% CI 0.95, 0.99, p = 0.01), text messaging (OR 0.94, 95% CI 0.91, 0.97, p < 0.001), Internet-based patient portal (OR 0.96, 95% CI 0.94, 0.98, p = 0.001) and e-mail (OR 0.94, 95% CI 0.91, 0.98, p = 0.001).”
    Quote in the paperSubstantial claim
  • Findingown data

    After controlling for education and travel distance, older age remained significantly associated with lower willingness to use e-mail (OR 0.94, 95% CI 0.91, 0.98).

    “On multivariable analysis, after controlling for education and travel distance to clinic, older women remained significantly less likely to express willingness to use various technologies: video-conference technology (OR 0.97, 95% CI 0.95, 0.99), text messaging (OR 0.94, 95% CI 0.91, 0.97), internet-based patient portal (OR 0.96, 95% CI 0.94, 0.98) and e-mail (OR 0.94, 95% CI 0.91, 0.98).”
    • Also stated in: § Results · plain
      “Older women were significantly less likely to express willingness to use video-conference technology (OR 0.97, 95% CI 0.95, 0.99, p = 0.01), text messaging (OR 0.94, 95% CI 0.91, 0.97, p < 0.001), Internet-based patient portal (OR 0.96, 95% CI 0.94, 0.98, p = 0.001) and e-mail (OR 0.94, 95% CI 0.91, 0.98, p = 0.001).”
    Quote in the paperSubstantial claim
  • Findingown data

    After controlling for education and travel distance, older age remained significantly associated with lower willingness to use text messaging (OR 0.94, 95% CI 0.91, 0.97).

    “On multivariable analysis, after controlling for education and travel distance to clinic, older women remained significantly less likely to express willingness to use various technologies: video-conference technology (OR 0.97, 95% CI 0.95, 0.99), text messaging (OR 0.94, 95% CI 0.91, 0.97), internet-based patient portal (OR 0.96, 95% CI 0.94, 0.98) and e-mail (OR 0.94, 95% CI 0.91, 0.98).”
    • Also stated in: § Results · plain
      “Older women were significantly less likely to express willingness to use video-conference technology (OR 0.97, 95% CI 0.95, 0.99, p = 0.01), text messaging (OR 0.94, 95% CI 0.91, 0.97, p < 0.001), Internet-based patient portal (OR 0.96, 95% CI 0.94, 0.98, p = 0.001) and e-mail (OR 0.94, 95% CI 0.91, 0.98, p = 0.001).”
    Quote in the paperSubstantial claim
  • Findingown data

    Older women with pelvic floor disorders were significantly less likely to own a smartphone (75%) than younger (100%) and middle-aged (98%) women (p < .01).

    “Overall mobile technology ownership was high; however, older women were significantly less likely to own a smart phone (75%) compared to younger (100%) and middle-aged women (98%) (p < .01).”
    Quote in the paperNot a substantial claim
  • Findingown data

    On univariable analysis, education status was significantly associated with willingness to use mobile technology (p < .01).

    “On univariable analysis, factors significantly associated with willingness to use mobile technology were age (p < .01) and education status (p < .01).”
    Quote in the paperNot a substantial claim
  • May combine two claims. 14
  • The quote only partly states this claim. 4
  • Classified as probably not a substantial claim. 11

  • May combine two claims.

    Findingown data

    Utilization of mobile devices for text messaging and e-mail in daily life was high across all age groups, though younger women were more likely than older women to use technology for video-chats and tracking health-related information.

    “The utilization of mobile devices for text messaging and e-mail in daily life was high across all age groups, though younger women were more likely than older women to use technology for video-chats and tracking health-related information.”
    Quote in the paperNot a substantial claim

  • May combine two claims.

    Findingown data

    Among the 200 women with pelvic floor disorders, ownership rates were 92% for smartphones, 81% for computers, and 63% for tablets.

    “In our population of 200 women with pelvic floor disorders, the overall ownership of mobile technology was high, with smartphones (92%) being the most popular device followed by computers (81%) and tablet devices (63%).”
    Quote in the paperNot a substantial claim

  • May combine two claims.

    Findingown data

    Though 75% of older women owned some kind of mobile technology, they were significantly less likely than younger women to express willingness to use such technology to communicate with their health care providers.

    “Though 75% of older women owned some kind of mobile technology, they were significantly less likely than younger women to express willingness to use such technology to communicate with their health care providers.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingown data

    Almost 50% of older women and more than 65% of middle-aged women expressed willingness to adopt technologies for health care communication.

    “However, almost 50% of older women and greater than 65% of middle-aged women expressed willingness to adopt technologies for health care communication.”
    • Also stated in: § Results · plain
      “However, almost 50% of older women and greater than 65% of middle-aged women were willing to use alternative mobile communication technologies.”
    Quote in the paperSubstantial claim

  • May combine two claims. The quote only partly states this claim.

    Findingown data

    The majority of women were capable of sending text messages (93%), taking pictures (94%), taking videos (86%), and using video-conference technology such as FaceTime and Skype (71%).

    “The majority of women were capable of sending text messages (93%), taking pictures (94%) and videos (86%) with their mobile devices, and using video-conference technology such as FaceTime and Skype (71%).”
    Quote in the paperSubstantial claim

  • May combine two claims. The quote only partly states this claim.

    Findingown data

    More than 90% of older women reported owning a smartphone, but only 49% were willing to communicate using video-conferencing and only 20% reported using health care tracking devices, compared to 63% and 78% in middle-aged and younger age groups.

    “Even though more than 90% older women reported owning a smart phone, only 49% were willing to communicate using video-conferencing and only 20% reported using health care tracking devices as compared to 63% and 78% in middle-age and younger age groups.”
    Quote in the paperSubstantial claim

  • May combine two claims. The quote only partly states this claim.

    Findingown data

    More than 95% of all women and greater than 75% of older women reported experience in sending emails, text messages, or pictures.

    “Furthermore, women with pelvic floor disorders were highly familiar with using technology, with more than 95% of all women and greater than 75% of older women reporting experience in sending emails, text messages or pictures.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingown data

    Women who lived within 3 miles of the office expressed greater than 80% willingness to communicate via video-conference, e-mail, or text messaging; willingness was greater than 62% among women 3-10 miles away and greater than 59% among those more than 10 miles away.

    “Even women who lived within 3 miles of the office expressed a greater than 80% willingness to communicate with their health care provider via video-conference, e-mail or text messaging, while this willingness was greater than 62% among women who lived between 3 and 10 miles, and greater than 59% in those who lived more than 10 miles away from the office.”
    Quote in the paperNot a substantial claim

  • May combine two claims.

    Findingown data

    Willingness to use mobile technology to communicate with health care providers was significantly associated with age and education level but not with travel distance to the clinic.

    “Willingness to use mobile technology to communicate with health care providers was significantly associated with age and education level but not with travel distance to the clinic.”
    Quote in the paperSubstantial claim

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Telemedicine programs provide additional emotional and clinical support for patients with chronic medical conditions following hospital discharge.

    “Telemedicine programs have been shown to decrease patient and family anxiety, increase patient engagement in care, and provide additional emotional and clinical support for patients with chronic medical conditions following discharge from the hospital.1–5”
    Quote in the paperNot a substantial claim0 of 5 sources checked
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  • May combine two claims.

    Interpretationreasoning

    Age-related differences exist and older women with pelvic floor disorders may require training and use of technology adapted to their needs.

    “Age related differences do exist and older women with pelvic floor disorders may require training and use of technology that has been adapted to their needs.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: Older adults benefit from orientation to technology and hands-on training.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    A robust telemedicine program can increase efficiency of care, expand access to care, and increase patient satisfaction in the outpatient setting.

    “A robust telemedicine program has the ability to increase efficiency of care, expand access to care and increase patient satisfaction in the outpatient setting.6–10”
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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationcitation

    The ownership and utilization patterns of technology in this study are similar to national trends documented by the Pew Research Center.

    “However, the ownership and utilization patterns of technology seen in our study are similar to national trends documented by the Pew Research Center.15”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [15] source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductcitation

    The survey used in this study was modified from the Mobile Health and Cell Phone Activities surveys by the Pew Research Center.

    “This survey was modified from the Mobile Health and Cell Phone Activities surveys by the Pew Research Center.19,20”
    Quote in the paperNot a substantial claim0 of 2 sources checked
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  • Probably not a substantial claim: may not pass S4 (based). May combine two claims.

    Interpretationreasoning

    A telemedicine program that effectively allows women with pelvic floor disorders to communicate with their health care providers has the potential to increase patient satisfaction and reduce caregiver burden.

    “A telemedicine program that effectively allows women with pelvic floor disorders to communicate with their health care providers has the potential of increasing patient satisfaction and reducing caregiver burden.”
    Quote in the paperNot a substantial claim

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Telemedicine programs have been shown to decrease patient and family anxiety.

    “Telemedicine programs have been shown to decrease patient and family anxiety, increase patient engagement in care, and provide additional emotional and clinical support for patients with chronic medical conditions following discharge from the hospital.1–5”
    Quote in the paperNot a substantial claim0 of 5 sources checked
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  • The quote only partly states this claim.

    Interpretationown data

    The majority of women across all age groups, irrespective of travel distance, are willing to adopt alternative mobile technologies to communicate with their health care providers.

    “However, the majority of women across all age-groups, irrespective of travel distance, are willing to adopt alternative mobile technologies to communicate with their health care providers.”
    • Also stated in: § Discussion · hedged
      “Finally, women’s willingness to adopt such technology was independent of their distance from the clinic, suggesting that if telemedicine ports are established in FPMRS clinics, adoption of telemedicine among women with pelvic floor disorders is likely to be high.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Interpretationown data

    Women's willingness to adopt mobile technology was independent of distance from the clinic, suggesting that adoption of telemedicine among women with pelvic floor disorders is likely to be high if telemedicine ports are established in FPMRS clinics.

    “Finally, women’s willingness to adopt such technology was independent of their distance from the clinic, suggesting that if telemedicine ports are established in FPMRS clinics, adoption of telemedicine among women with pelvic floor disorders is likely to be high.”
    Quote in the paperSubstantial claim

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    The study had a missing data rate of 2% for 4 subjects who did not provide information on race and employment status.

    “Our missing data rate was 2% for 4 subjects who did not provide information on race and employment status.”
    Quote in the paperNot a substantial claim

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Telemedicine programs have been shown to increase patient engagement in care.

    “Telemedicine programs have been shown to decrease patient and family anxiety, increase patient engagement in care, and provide additional emotional and clinical support for patients with chronic medical conditions following discharge from the hospital.1–5”
    Quote in the paperNot a substantial claim0 of 5 sources checked
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  • Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).

    Premisecitation

    A judicious implementation of telemedicine modalities can enhance the patient experience by improving overall communication.

    “A judicious implementation of telemedicine modalities can enhance the patient experience by improving overall communication.10–12”
    Quote in the paperNot a substantial claim0 of 3 sources checked
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  • May combine two claims.

    Premisecitation

    Many older women with pelvic floor disorders, especially those with urinary and fecal incontinence, have limited mobility, which increases their dependence on caregivers to travel to providers' offices.

    “Many older women with pelvic floor disorders, especially those with urinary and fecal incontinence, also suffer from limited mobility, thus increasing their dependence on caregivers to travel to their providers’ office.13,14”
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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Design elements such as larger font size, increased color contrast, and minimal steps improve usability of technology in older individuals.

    “Design elements such as larger font size, increased color contrast and minimal steps to achieve tasks improve usability of technology in older individuals.24”
    Quote in the paperNot a substantial claim0 of 1 sources checked
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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Prior studies suggest that adults are willing to adopt mobile technology in their daily lives.

    “Though prior studies suggest that adults are willing to adopt the use of mobile technology in their daily lives, precise estimates of ownership and willingness to use mobile technology for health care in women with pelvic floor disorders are lacking.15”
    Quote in the paperNot a substantial claim0 of 1 sources checked
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24 of 24

  • The paper relies on this without support.

    Precise estimates of mobile technology ownership and willingness to use it for health care among women with pelvic floor disorders are lacking.

    “Though prior studies suggest that adults are willing to adopt the use of mobile technology in their daily lives, precise estimates of ownership and willingness to use mobile technology for health care in women with pelvic floor disorders are lacking.15”

  • The paper relies on this without support.

    Older adults benefit from orientation to technology and hands-on training.

    “Older adults also benefit from appropriate orientation to the technology and practical hands on training, steps that will be essential not only for”

  • The paper relies on this without support.

    This study is the first report on mobile technology use in an FPMRS population.

    “This study is also the first report on the use of mobile technology in an FPMRS population.”
3 of 3

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Older women's smartphone ownership is reported as both 75% and over 90%

    Major

    The abstract reports 75% smartphone ownership among older women, while the discussion says more than 90% of older women owned a smartphone.

  • The stated Type I error rate is ten times the described calculation

    Minor

    Dividing 0.05 by 4 gives 0.0125, not 0.125.

    Reported 0.125 · recomputed 0.0125

  • The conclusion overstates willingness in the older group

    Minor

    The abstract describes willingness among older women as almost 50%, but its conclusion says a majority in every age group are willing. Almost 50% does not establish a majority for the older group.

3 of 3

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Authors
Lee, D. D., Arya, L. A., Andy, U. U., Sammel, M. D., & Harvie, H. S.
Affiliations
  • Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, and
  • University of Pennsylvania (US)
Corresponding author
  • Lee, Daniel D.
  • Arya, Lily A.
  • Andy, Uduak U.
  • Harvie, Heidi S.
ORCID
Venue
Female Pelvic Medicine & Reconstructive Surgery
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2019-03
Volume
25
Issue
2
Pages
134-138
ISSN
2151-8378 (ISSN-L)
DOI
10.1097/spv.0000000000000668
PMC
PMC6392070
OpenAlex
W2917887308
Semantic Scholar
23b138c2ea7171ed3e4ee3a53964b2afd0a0d4a7
Cited by
21
References
22
Citations by year
2026: 2 · 2024: 4 · 2023: 1 · 2022: 4 · 2021: 5 · 2020: 5
FWCI
7.94
Type
journal article
Language
en
Open access
Locations
  • Urogynecology (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute on Aging (R03AG053277, L30 AG060604)
Topics
  • Social Sciences › Demography › Technology Use by Older Adults
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
Keywords
pelvic floor dysfunction, mobile technology adoption, telemedicine, videoconferencing, text messaging, patient portals, email communication, smartphone ownership, age differences, older women
MeSH terms
Smartphone, Adult, Age Factors, Aged, Aged, 80 and over, Communication, Cross-Sectional Studies, Educational Status, Female, Health Personnel, Health Services Accessibility, Humans, Middle Aged, Patient Acceptance of Health Care, Telecommunications, Telemedicine, Internet, Electronic Mail, Videoconferencing, Young Adult, Health Communication, Pelvic Floor Disorders, Text Messaging

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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

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