The Effect of Digital Literacy Training on Physical Activity App Acceptance and Behavioral Intentions Among Older Women: An Experimental Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 63
- 试验地点
- 1
- 主要终点
- Change in eHealth literacy
研究概览
简要总结
This randomized controlled study examined whether a structured digital literacy training program could improve eHealth literacy, acceptance of physical activity applications, and behavioral intentions among older women. Participants aged 55 years and older with prior experience using physical activity applications were randomly assigned to either a 9-week face-to-face digital literacy training intervention or a control group that continued usual daily activities without receiving any educational program. Outcomes were assessed at baseline and after the intervention. The study evaluated whether improving digital literacy enhances technology acceptance and supports intentions to use physical activity applications and engage in physical activity.
详细描述
Physical activity is an important factor supporting health, independence, and quality of life among older adults; however, many individuals face barriers to maintaining regular activity. Digital solutions, such as physical activity applications, may help promote activity, but their acceptance among older adults remains inconsistent and is influenced by digital literacy and related factors.
This study examined whether a structured digital literacy training intervention could improve eHealth literacy, acceptance of physical activity applications, and behavioral intentions related to application use and physical activity among older women. Older women were selected as the target population due to evidence suggesting lower levels of digital literacy and lower acceptance of health technologies in this group. The study was based on the Unified Theory of Acceptance and Use of Technology 2 (UTAUT2), supplemented with personal innovativeness.
A randomized controlled pre-post experimental design was used. Participants aged 55 years and older with prior experience using physical activity applications were recruited using purposive and snowball sampling methods. Following baseline assessment, participants were assigned to either an experimental or control group. The experimental group received a structured digital literacy training program, while the control group continued usual daily activities without intervention.
The intervention consisted of a structured 9-week face-to-face digital literacy training program focused on developing practical skills for using physical activity applications. The training emphasized hands-on practice, individualized support, and progressive skill development.
Outcomes were assessed at baseline and after the intervention. Measures included eHealth literacy, UTAUT2-based technology acceptance constructs (performance expectancy, effort expectancy, social influence, facilitating conditions, hedonic motivation, habit, and personal innovativeness), intention to use physical activity applications, and intention to engage in physical activity.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 55 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Female sex
- •Age ≥55 years
- •Prior experience using physical activity applications (current or former users)
- •Engagement in at least minimal physical activity (≥1 time per week)
- •Access to a smartphone
- •Ability to understand the study procedures and provide informed consent
排除标准
- •Age <55 years
- •No prior experience using physical activity applications
- •Not engaging in at least minimal physical activity (less than once per week)
- •No access to a smartphone
- •Inability to understand the study procedures or provide informed consent
研究组 & 干预措施
Digital Literacy Training Intervention
Participants in this group received a structured 9-week digital literacy training program focused on improving skills in using physical activity applications. The intervention included weekly face-to-face sessions, practical exercises, and guided support to enhance eHealth literacy, technology acceptance, and engagement with physical activity apps.
干预措施: Digital Literacy Training Program (Behavioral)
Control Group
Participants in this group continued their usual daily activities without receiving any digital literacy training or structured intervention during the study period.
结局指标
主要结局
Change in eHealth literacy
时间窗: Baseline and post-intervention at 9 weeks
eHealth literacy was assessed using the eHealth Literacy Scale (eHEALS), an 8-item self-report measure of perceived knowledge, confidence, and skills in locating, evaluating, and applying electronic health information for health-related purposes. Each item is rated on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree). Total scores range from 8 to 40, with higher scores indicating better eHealth literacy.
Change in physical activity application acceptance
时间窗: Baseline and post-intervention at 9 weeks
Physical activity application acceptance was assessed using constructs from the Unified Theory of Acceptance and Use of Technology 2 (UTAUT2), including performance expectancy, effort expectancy, social influence, facilitating conditions, hedonic motivation, and habit, with personal innovativeness included as an additional construct. Items are rated on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree), and scores range from 1 to 5, with higher scores indicating greater acceptance of physical activity applications.
次要结局
- Change in intention to use physical activity applications(Baseline and post-intervention at 9 weeks)
- Change in intention to engage in physical activity(Baseline and post-intervention at 9 weeks)