{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T05:17:25Z","timestamp":1783142245524,"version":"3.54.6"},"reference-count":36,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:00:00Z","timestamp":1777939200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000780","name":"European Commission","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010661","name":"Horizon 2020 Framework Programme","doi-asserted-by":"publisher","award":["857,188"],"award-info":[{"award-number":["857,188"]}],"id":[{"id":"10.13039\/100010661","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Medical Informatics"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.ijmedinf.2026.106475","type":"journal-article","created":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T15:10:50Z","timestamp":1777993850000},"page":"106475","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Factors influencing older adults\u2019 acceptance and usability of assistive technology services: A longitudinal multilevel analysis"],"prefix":"10.1016","volume":"216","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5784-3752","authenticated-orcid":false,"given":"Laura","family":"Fiorini","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3188-3585","authenticated-orcid":false,"given":"Jasmine","family":"Pani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7906-9013","authenticated-orcid":false,"given":"Erika","family":"Rovini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grazia","family":"D\u2019Onofrio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppina","family":"Iannacone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8773-8651","authenticated-orcid":false,"given":"Sergio","family":"Russo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5707-2158","authenticated-orcid":false,"given":"Francesco","family":"Giuliani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2058-9284","authenticated-orcid":false,"given":"Letizia","family":"Lorusso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lara","family":"Toccafondi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-1990-642X","authenticated-orcid":false,"given":"Novella","family":"Calamida","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Filippo","family":"Cavallo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ijmedinf.2026.106475_b0005","unstructured":"EUROSTAT. Population Structure and Ageing. https:\/\/ec.europa.eu\/eurostat\/statistics-explained\/index.php?title=Population_structure_and_ageing (2024)."},{"key":"10.1016\/j.ijmedinf.2026.106475_b0010","first-page":"93","article-title":"Gerontechnology: emerging technologies and their impact on aging in society","volume":"48","author":"Bouma","year":"1998","journal-title":"Gerontechnology"},{"key":"10.1016\/j.ijmedinf.2026.106475_b0015","doi-asserted-by":"crossref","DOI":"10.1186\/s12877-022-02860-8","article-title":"Perspectives on Telehealth for older adults during the COVID-19 pandemic using the quadruple aim: interviews with 48 physicians","volume":"22","author":"Goldberg","year":"2022","journal-title":"BMC Geriatr."},{"key":"10.1016\/j.ijmedinf.2026.106475_b0020","doi-asserted-by":"crossref","DOI":"10.3389\/fneur.2021.761965","article-title":"A Systematic review of telemedicine for older adults with dementia during COVID-19: an alternative to in-person health services?","volume":"12","author":"Elbaz","year":"2021","journal-title":"Front. Neurol."},{"key":"10.1016\/j.ijmedinf.2026.106475_b0025","doi-asserted-by":"crossref","DOI":"10.3390\/s22176631","article-title":"On the use of assistive technology during the COVID-19 outbreak: results and lessons learned from pilot studies","volume":"22","author":"Fiorini","year":"2022","journal-title":"Sensors"},{"key":"10.1016\/j.ijmedinf.2026.106475_b0030","doi-asserted-by":"crossref","DOI":"10.1186\/s12905-021-01189-5","article-title":"Barriers in access to healthcare for women with disabilities: a systematic review in qualitative studies","volume":"21","author":"Matin","year":"2021","journal-title":"BMC Womens Health"},{"key":"10.1016\/j.ijmedinf.2026.106475_b0035","doi-asserted-by":"crossref","unstructured":"Conway, A., Ryan, A., Harkin, D., Mc Cauley, C. & Goode, D. A review of the factors influencing adoption of digital health applications for people living with dementia. Digital Health vol. 9 Preprint at https:\/\/doi.org\/10.1177\/20552076231162985 (2023).","DOI":"10.1177\/20552076231162985"},{"key":"10.1016\/j.ijmedinf.2026.106475_b0040","doi-asserted-by":"crossref","DOI":"10.3109\/17483107.2014.974221","article-title":"Users\u2019 perspectives on the provision of assistive technologies in Bangladesh: awareness, providers, costs and barriers","volume":"10","author":"Borg","year":"2015","journal-title":"Disabil. Rehabil. Assist. Technol."},{"key":"10.1016\/j.ijmedinf.2026.106475_b0045","doi-asserted-by":"crossref","DOI":"10.1186\/s12889-024-18036-5","article-title":"Barriers and facilitators to health technology adoption by older adults with chronic diseases: an integrative systematic review","volume":"24","author":"Bertolazzi","year":"2024","journal-title":"BMC Public Health"},{"key":"10.1016\/j.ijmedinf.2026.106475_b0050","article-title":"The technology acceptance model 30 years of TAM","volume":"1","author":"Davis","year":"2023","journal-title":"Technology (singap World. Sci)"},{"key":"10.1016\/j.ijmedinf.2026.106475_b0055","doi-asserted-by":"crossref","DOI":"10.1080\/00140139.2014.895855","article-title":"Gerontechnology acceptance by elderly Hong Kong chinese: a senior technology acceptance model (STAM)","volume":"57","author":"Chen","year":"2014","journal-title":"Ergonomics"},{"key":"10.1016\/j.ijmedinf.2026.106475_b0060","doi-asserted-by":"crossref","DOI":"10.1080\/10447318.2017.1336317","article-title":"The impact of personality on the subjective assessment of usability","volume":"34","author":"Kortum","year":"2018","journal-title":"Int. J. Hum. Comput. Interact."},{"key":"10.1016\/j.ijmedinf.2026.106475_b0065","doi-asserted-by":"crossref","DOI":"10.1093\/jamia\/ocv099","article-title":"Quantifying usability: an evaluation of a diabetes mHealth system on effectiveness, efficiency, and satisfaction metrics with associated user characteristics","volume":"23","author":"Georgsson","year":"2016","journal-title":"J. Am. Med. Inform. Assoc."},{"key":"10.1016\/j.ijmedinf.2026.106475_b0070","doi-asserted-by":"crossref","DOI":"10.1071\/AH15201","article-title":"Evaluation of a National Broadband Network-enabled Telehealth trial for older people with chronic disease","volume":"40","author":"Nancarrow","year":"2016","journal-title":"Aust. Health Rev."},{"key":"10.1016\/j.ijmedinf.2026.106475_b0075","doi-asserted-by":"crossref","DOI":"10.2196\/22672","article-title":"A digital platform to support self-management of multiple chronic conditions (ProACT): findings in relation to engagement during a one-year proof-of-concept trial","volume":"23","author":"Doyle","year":"2021","journal-title":"J. Med. Internet Res."},{"key":"10.1016\/j.ijmedinf.2026.106475_b0080","doi-asserted-by":"crossref","DOI":"10.1186\/s12911-017-0486-5","article-title":"Perceptions on use of home telemonitoring in patients with long term conditions - concordance with the health information technology acceptance model: a qualitative collective case study","volume":"17","author":"Middlemass","year":"2017","journal-title":"BMC Med. Inform. Decis. Mak."},{"key":"10.1016\/j.ijmedinf.2026.106475_b0085","doi-asserted-by":"crossref","DOI":"10.1016\/j.techfore.2021.120678","article-title":"The social dimension of domesticating technology: interactions between older adults, caregivers, and robots in the home","volume":"167","author":"S\u00f8raa","year":"2021","journal-title":"Technol. Forecast. Soc. Change"},{"key":"10.1016\/j.ijmedinf.2026.106475_b0090","doi-asserted-by":"crossref","DOI":"10.1186\/s12877-021-02702-z","article-title":"Patients\u2019 and healthcare providers\u2019 perceptions and experiences of telehealth use and online health information use in chronic disease management for older patients with chronic obstructive pulmonary disease: a qualitative study","volume":"22","author":"Jiang","year":"2022","journal-title":"BMC Geriatr."},{"key":"10.1016\/j.ijmedinf.2026.106475_b0095","doi-asserted-by":"crossref","DOI":"10.3390\/s23020797","article-title":"Design and evaluation of personalized services to foster active aging: the experience of technology pre-validation in italian pilots","volume":"23","author":"Lorusso","year":"2023","journal-title":"Sensors"},{"key":"10.1016\/j.ijmedinf.2026.106475_b0100","doi-asserted-by":"crossref","DOI":"10.4017\/gt.2021.20.2.411.01","article-title":"Psychological factors that affect the acceptance and need for ICT services for older adults with chronic diseases","volume":"20","author":"Jo","year":"2021","journal-title":"Gerontechnology"},{"key":"10.1016\/j.ijmedinf.2026.106475_b0105","doi-asserted-by":"crossref","DOI":"10.1089\/cyber.2012.0029","article-title":"The influence of computer literacy and computer anxiety on computer self-efficacy: the moderating effect of gender","volume":"17","author":"Lee","year":"2014","journal-title":"Cyberpsychol. Behav. Soc. Netw."},{"key":"10.1016\/j.ijmedinf.2026.106475_b0110","doi-asserted-by":"crossref","unstructured":"Hvali\u010d-Touzery, S., Dolni\u010dar, V. & Prevodnik, K. Factors influencing informal carers\u2019 acceptance of assistive telecare systems in the pre- and post-implementation phase: Ascoping study. Health and Social Care in the Community vol. 30 Preprint at https:\/\/doi.org\/10.1111\/hsc.13840 (2022).","DOI":"10.1111\/hsc.13840"},{"key":"10.1016\/j.ijmedinf.2026.106475_b0115","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0115064","article-title":"Applying multivariate clustering techniques to health data: the 4 types of healthcare utilization in the Paris metropolitan area","volume":"9","author":"Lef\u00e8vre","year":"2014","journal-title":"PLoS One"},{"key":"10.1016\/j.ijmedinf.2026.106475_b0120","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0293622","article-title":"Identifying user profiles of healthcare, social and employment services in a working-age population: a cluster analysis with linked individual-level register data from Finland","volume":"18","author":"Blomgren","year":"2023","journal-title":"PLoS One"},{"key":"10.1016\/j.ijmedinf.2026.106475_b0125","doi-asserted-by":"crossref","DOI":"10.1016\/j.jbi.2016.08.021","article-title":"Modelling assistive technology adoption for people with dementia","volume":"63","author":"Chaurasia","year":"2016","journal-title":"J. Biomed. Inform."},{"key":"10.1016\/j.ijmedinf.2026.106475_b0130","unstructured":"Mettler, T. Explorative clustering of clinical user profiles: A first step towards user-centered health information systems. in ECIS 2013 \u2013 In: Proceedings of the 21st European Conference on Information Systems (2013)."},{"key":"10.1016\/j.ijmedinf.2026.106475_b0135","article-title":"Pilots for healthy and active ageing (PHArA-ON) project: Definition of new technological solutions for older people in italian pilot sites based on elicited user needs","volume":"22","author":"D\u2019Onofrio","year":"2022","journal-title":"Sensors"},{"key":"10.1016\/j.ijmedinf.2026.106475_b0140","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijmedinf.2025.105973","article-title":"Investigating the impact of sociodemographic factors on training efficacy and its correlation with technology usability in older adults: Lessons learned in italian and Murcian pilots","volume":"202","author":"Fiorini","year":"2025","journal-title":"Int. J. Med. Inform."},{"key":"10.1016\/j.ijmedinf.2026.106475_b0145","article-title":"\u2018Mini-mental state\u2019. a practical method for grading the cognitive state of patients for the clinician","volume":"12","author":"Folstein","year":"1975","journal-title":"J. Psychiatr. Res."},{"key":"10.1016\/j.ijmedinf.2026.106475_b0150","doi-asserted-by":"crossref","DOI":"10.1207\/s15327752jpa6601_2","article-title":"UCLA Loneliness Scale (Version 3): reliability, validity, and factor structure","volume":"66","author":"Russell","year":"1996","journal-title":"J. Pers. Assess."},{"key":"10.1016\/j.ijmedinf.2026.106475_b0155","unstructured":"van Reenen, M. & Oppe, M. EQ-5D-3L user guide: basic information on how to use the EQ-5D-3L instrument. EuroQol Research Foundation Preprint at https:\/\/euroqol.org\/wp-content\/uploads\/2023\/11\/EQ-5D-3LUserguide-23-07.pdf (2015)."},{"key":"10.1016\/j.ijmedinf.2026.106475_b0160","doi-asserted-by":"crossref","first-page":"385","DOI":"10.2307\/2136404","article-title":"A global measure of perceived stress","volume":"24","author":"Cohen","year":"1983","journal-title":"J. Health Soc. Behav."},{"key":"10.1016\/j.ijmedinf.2026.106475_b0165","doi-asserted-by":"crossref","DOI":"10.1207\/s15327752jpa5201_2","article-title":"The multidimensional scale of perceived social support","volume":"52","author":"Zimet","year":"1988","journal-title":"J. Pers. Assess."},{"key":"10.1016\/j.ijmedinf.2026.106475_b0170","article-title":"SUS -a quick and dirty usability scale usability and context","volume":"189","author":"Brooke","year":"1996","journal-title":"Usability Evaluation in Industry"},{"key":"10.1016\/j.ijmedinf.2026.106475_b0175","doi-asserted-by":"crossref","DOI":"10.1007\/s12369-010-0068-5","article-title":"Assessing acceptance of assistive social agent technology by older adults: the almere model","volume":"2","author":"Heerink","year":"2010","journal-title":"Int. J. Soc. Robot."},{"key":"10.1016\/j.ijmedinf.2026.106475_b0180","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijmedinf.2025.106179","article-title":"Identifying and evaluating factors influencing technology adoption: a multi-pilot study within the Pharaon project","volume":"206","author":"Pani","year":"2026","journal-title":"Int. J. Med. Inform."}],"container-title":["International Journal of Medical Informatics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1386505626002157?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1386505626002157?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T04:44:17Z","timestamp":1783140257000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1386505626002157"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":36,"alternative-id":["S1386505626002157"],"URL":"https:\/\/doi.org\/10.1016\/j.ijmedinf.2026.106475","relation":{},"ISSN":["1386-5056"],"issn-type":[{"value":"1386-5056","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Factors influencing older adults\u2019 acceptance and usability of assistive technology services: A longitudinal multilevel analysis","name":"articletitle","label":"Article Title"},{"value":"International Journal of Medical Informatics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ijmedinf.2026.106475","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier B.V.","name":"copyright","label":"Copyright"}],"article-number":"106475"}}