时间标签：数据日期 2026-11-05 · 生成时间 2026-11-05 05:30（Asia/Shanghai）｜ 检索窗口 PubMed edat 2026/11/02 – 2026/11/06 ｜ 情报发生日期 2026-11-05
研究问题
Factors such as usability, accessibility, digital infrastructure, organizational readiness, clinician workload, caregiver support, and integration into clinical workflows may influence whether older adults’ intention to use digital healthcare services is translated into actual use.；These access costs may be particularly relevant for low-income older adults and may influence whether intention to use digital healthcare services is translated into actual use.；Future research should examine how socioeconomic status and affordability shape digital healthcare engagement among older adults.Future research should also consider using objective behavioral measures or digital usage data to supplement self-reported responses and strengthen empirical validity.
方法
Trained interviewers visited participants’ homes and conducted face-to-face surveys with community-dwelling adults aged 65 years or older using a structured questionnaire.；Written informed consent was obtained from all participants before the face-to-face interview was conducted.Variables and measurementsDigital literacy, the independent variable, was measured using the Functional Assessment of Currently Employing Technology Scale (FACETS). 39 The scale includes 10 items assessing how frequently older adults engage in technology-related activities (e.g., sending emails, online banking, using social networking services).；The scale showed excellent internal consistency (Cronbach’s α = .901).Technostress, the mediating variable, was measured using 14 items from Nimrod. 40 The items assess the extent to which individuals experience stress related to technology use (e.g., “Using digital devices causes more problems than I would like”).
核心结论
However, significant disparities remain: older adults’ digital competency is only 71.4% of the national average, making them the most digitally vulnerable group. 3 These findings underscore the urgent need to strengthen digital capabilities among older adults to foster a more inclusive digital society. 4 Beyond access to digital devices, digital inequality among older adults increasingly manifests as gaps in the ability to effectively use digital technologies for essential life domains, including healthcare.；The scale demonstrated excellent internal consistency (Cronbach’s α = .929).；These findings indicate that higher digital literacy lowers technostress and enhances technology self-efficacy, which in turn increases older adults’ intention to use digital healthcare services.To further examine age-related heterogeneity, additional age-stratified analyses were conducted by dividing participants into young-old adults aged 65–74 years and old-old adults aged 75 years and older.
局限
However, significant disparities remain: older adults’ digital competency is only 71.4% of the national average, making them the most digitally vulnerable group. 3 These findings underscore the urgent need to strengthen digital capabilities among older adults to foster a more inclusive digital society. 4 Beyond access to digital devices, digital inequality among older adults increasingly manifests as gaps in the ability to effectively use digital technologies for essential life domains, including healthcare.；However, the total indirect effect and the indirect effect through technology self-efficacy were significant.；However, this mechanism exhibits age-related heterogeneity; specifically, among young-old adults, digital literacy retains a significant direct association with intention to use digital healthcare, whereas for old-old adults, the direct pathway disappears completely, leaving its effect fully transmitted through technology self-efficacy.The theoretical contribution of this study lies in its integrated examination of digital literacy, technostress, and technology self-efficacy within a single structural pathway.
对本项目的价值
中等价值：属「衰老机制与老年临床」方向；其他衰老相关栏目可用作本项目文献库与综述素材。 ｜ 价值分 2.6/5（★★★☆☆）
全文来源
PubMed PMC JATS（正文 36,738 字符，题名指纹 1.0，已过 PubMed PMCID 官方关联 + 题名指纹 + 正文长度归属校验）
原文题录
- 中文题名：数字素养对老年人使用数字医疗意愿的影响：技术压力与技术自我效能的串行多重中介分析
- 英文标题：Effects of Digital Literacy on Older Adults' Intention to Use Digital Healthcare: A Serial Multiple Mediation Analysis of Technostress and Technology Self-Efficacy.
- 期刊与标识：Digital health · PMID 42973708 · DOI 10.1177/20552076261487930 · PMC PMC13724864