This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Kaufman, D. R. Articles by Starren, J. Search for Related Content Social Bookmarking                         What's this?

Redesigning a Telehealth Diabetes Management Program for a Digital Divide Seniors Population

Department of Biomedical Informatics and Psychiatry at Columbia University, davek{at}dbmi.columbia.edu

Jenia Pevzner, BA

Columbia University

Charlyn Hilliman, MPA, MPhil

Department of Biomedical Informatics, Columbia University

Ruth S. Weinstock, MD, PhD

SUNY Upstate Medical University and V.A. Medical Center, Syracuse, NY, Joslin Diabetes Center at SYNY Upstate Medical University at Syracuse, NY

Jeanne Teresi, EdD, PhD

Research Division, Hebrew Home for the Aged at Riverdale, Bronx, NY, Columbia University Stroud Center and New York State Psychiatric Institute

Steven Shea, MD, MS

Columbia University

Justin Starren, MD, PhD, FACMI

College of Physicians and Surgeons, Columbia University

Recent advances in health information technologies promise to significantly improve the quality of care and quality of life for individuals who are chronically ill. However, significant challenges exist in targeting Digital Divide populations who are likely to be older, less educated, and novice computer users. This article presents a framework for understanding and reducing barriers for older adults to effectively use health information systems designed for disease management. The research is illustrated in the context of the IDEATel project, a large-scale telemedicine diabetes management and education program. The framework has three interdependent foci: hardware and software systems, tasks supported by the system, and user profiles. These foci are addressed in the context of usability and training studies. The studies document the challenges faced in facilitating patients’ access to Web resources supporting disease management. The article discusses system design changes that are intended to increase participants’ productive use of system resources.

Key Words: telehealth • usability • iterative design • older adults • Digital Divide

Home Health Care Management & Practice, Vol. 18, No. 3, 223-234 (2006)
DOI: 10.1177/1084822305281949


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				J. S Ancker and D. Kaufman Rethinking Health Numeracy: A Multidisciplinary Literature Review JAMIA, November 1, 2007; 14(6): 713 - 721. [Abstract] [Full Text] [PDF]