{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T09:49:38Z","timestamp":1769939378415,"version":"3.49.0"},"reference-count":32,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Nippon Gases Portugal","award":["PDE\/BDE\/127784\/2016."],"award-info":[{"award-number":["PDE\/BDE\/127784\/2016."]}]},{"name":"Portuguese Plano de Recupera\u00e7\u00e3o e Resili\u00eancia","award":["Project 41, HfPT: Health from Portugal"],"award-info":[{"award-number":["Project 41, HfPT: Health from Portugal"]}]},{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","award":["PDE\/BDE\/127784\/2016."],"award-info":[{"award-number":["PDE\/BDE\/127784\/2016."]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","award":["UIDB\/00408\/2020"],"award-info":[{"award-number":["UIDB\/00408\/2020"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","award":["UIDP\/00408\/2020"],"award-info":[{"award-number":["UIDP\/00408\/2020"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["DIGITAL HEALTH"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p> Computer confidence and computer self-efficacy can impact an individual's perceived ease of use and usefulness of technology, ultimately determining adherence to digital healthcare services. However, few studies focus on assessing the impact of non-clinical factors on the efficacy and adherence to digital healthcare platforms. <\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p> We aimed to analyse the role of non-clinical factors (i.e. computer confidence and computer self-efficacy) in the interaction experience (IX) and the feasibility of a digital neuropsychological platform called NeuroVRehab.PT in a group of older adults with varying levels of computer confidence. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> Eight older adults (70.63\u2009\u00b1\u20096.1 years) evaluated the platform, and data was collected using the Think-Aloud method and a semi-structured interview. Sessions were audio-recorded and analysed through an inductive-deductive informed Thematic Analysis protocol. This study was conducted according to the Consolidated Criteria for Reporting Qualitative Research guidelines. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Three main themes were identified (Interaction Experience, Digital Literacy, and Attitudes toward NeuroVRehab.PT). Computer anxiety and fear of making errors were not uncommon, even among older adults who perceive themselves as confident in technology use, and negatively impacted IX. Moreover, some game elements (e.g. three-star system, progression bar) were not intuitive to all participants, leading to misleading interpretations. On the other hand, human support and the platform's realism seemed to impact participants\u2019 IX positively. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> This study shed light on the barriers raised by non-clinical factors in adopting and using digital healthcare services by older adults. Furthermore, a critical analysis of the platform's features that promote user adoption is done, and suggestions for overcoming limitations are presented. <\/jats:p><\/jats:sec>","DOI":"10.1177\/20552076231223805","type":"journal-article","created":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T08:34:58Z","timestamp":1705048498000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Digital health and patient adherence: A qualitative study in older adults"],"prefix":"10.1177","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5203-5174","authenticated-orcid":false,"given":"Filipa","family":"Ferreira-Brito","sequence":"first","affiliation":[{"name":"Instituto de Sa\u00fade Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal"},{"name":"LASIGE, Faculdade de Ci\u00eancias, Universidade de Lisboa, Lisboa, Portugal"}]},{"given":"S\u00e9rgio","family":"Alves","sequence":"additional","affiliation":[{"name":"LASIGE, Faculdade de Ci\u00eancias, Universidade de Lisboa, Lisboa, Portugal"}]},{"given":"Tiago","family":"Guerreiro","sequence":"additional","affiliation":[{"name":"LASIGE, Faculdade de Ci\u00eancias, Universidade de Lisboa, Lisboa, Portugal"}]},{"given":"Osvaldo","family":"Santos","sequence":"additional","affiliation":[{"name":"Instituto de Sa\u00fade Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal"},{"name":"Unbreakable Idea Research, Painho, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3735-8554","authenticated-orcid":false,"given":"C\u00e1tia","family":"Caneiras","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio de Investiga\u00e7\u00e3o em Microbiologia na Sa\u00fade Ambiental (EnviHealthMicro Lab), Instituto de Sa\u00fade Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal"},{"name":"Healthcare Department, Nippon Gases Portugal, Lisboa, Portugal"}]},{"given":"Lu\u00eds","family":"Carri\u00e7o","sequence":"additional","affiliation":[{"name":"LASIGE, Faculdade de Ci\u00eancias, Universidade de Lisboa, Lisboa, Portugal"}]},{"given":"Ana","family":"Verdelho","sequence":"additional","affiliation":[{"name":"Instituto de Sa\u00fade Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal"},{"name":"Instituto de Medicina Molecular, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal"},{"name":"Neurology Service, Department of Neurosciences and Mental Health, Hospital de Santa Maria, Centro Hospitalar Universit\u00e1rio Lisboa Norte, Lisboa, Portugal"}]}],"member":"179","published-online":{"date-parts":[[2024,1,12]]},"reference":[{"key":"bibr1-20552076231223805","doi-asserted-by":"publisher","DOI":"10.2196\/18476"},{"key":"bibr2-20552076231223805","unstructured":"WHO. 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ISO 9241-210:2019, ergonomics of human-system interaction \u2014 part 210: human-centred design for interactive systems. [cited 2021 Sep 30], https:\/\/www.iso.org\/obp\/ui\/#iso:std:iso:9241:210:ed-2:v1:en (2019)."},{"key":"bibr9-20552076231223805","doi-asserted-by":"publisher","DOI":"10.2196\/rehab.6376"},{"key":"bibr10-20552076231223805","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnt117"},{"key":"bibr11-20552076231223805","doi-asserted-by":"publisher","DOI":"10.2307\/249008"},{"key":"bibr12-20552076231223805","first-page":"1010","volume-title":"Handb Res Eff Electron Gaming Educ","author":"Winn BM"},{"key":"bibr13-20552076231223805","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.8.2.e9"},{"key":"bibr14-20552076231223805","doi-asserted-by":"publisher","DOI":"10.2196\/11604"},{"key":"bibr15-20552076231223805","doi-asserted-by":"publisher","DOI":"10.1037\/0033-295X.84.2.191"},{"key":"bibr16-20552076231223805","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9123821"},{"key":"bibr17-20552076231223805","doi-asserted-by":"publisher","DOI":"10.3946\/kjme.2017.53"},{"key":"bibr18-20552076231223805","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"bibr19-20552076231223805","volume-title":"The think aloud method: a practical guide to modelling cognitive processes","author":"Someren M","year":"1994"},{"key":"bibr20-20552076231223805","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"bibr21-20552076231223805","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"bibr22-20552076231223805","doi-asserted-by":"publisher","DOI":"10.1037\/13620-004"},{"key":"bibr23-20552076231223805","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2019.05.070"},{"key":"bibr24-20552076231223805","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2019.05.066"},{"key":"bibr25-20552076231223805","doi-asserted-by":"publisher","DOI":"10.2196\/35371"},{"key":"bibr26-20552076231223805","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103287"},{"key":"bibr27-20552076231223805","unstructured":"ESA. 2020 essential facts about the video game industry. 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