Decoding the Influence of eHealth on Autonomy, Competence, and Relatedness in Older Adults: Qualitative Analysis of Self-Determination Through the Motivational Technology Model

Lynne Margalit Cotter · Dhavan V. Shah · Kaitlyn Brown · Marie‐Louise Mares · Gina Landucci · Sydney Saunders +5 more

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Technology Use by Older Adults Mobile Health and mHealth Applications Health, Technology, Consumer Behavior

Abstract

BACKGROUND: Older adults adopt and use eHealth systems to build autonomy, competence, and relatedness and engage in healthy behaviors. The motivational technology model posits that technology features, such as those on websites, smart displays, and mobile phones, must allow for navigability, interactivity, and customizability, which spur feelings of self-determination and intrinsic motivation. We studied ElderTree, an online system for older adults that provides on-demand videos of healthy living content, self-monitoring, and weekly researcher-hosted video meetings. OBJECTIVE: We aimed to understand the theoretical crossover between the motivational technology model and self-determination theory using features of ElderTree to understand the usability of the technology and how it may support older adults' autonomy, competence, and relatedness. METHODS: Drawing participants from a randomized controlled trial of a mobile health app for older adults with multiple chronic conditions, we conducted qualitative interviews with 22 older adults about their use of the app; the interviews were coded using qualitative thematic analysis. RESULTS: Older adults did find that features within ElderTree such as content available on demand, good navigation, and weekly researcher-led video calls supported feelings of autonomy, competence, and relatedness, respectively. Individual differences such as a background using computers also influenced participants' experiences with the smart displays. CONCLUSIONS: Participants confirmed the features that increased internal motivation, such as interactivity correlating with feelings of relatedness, but they also found other ways to support autonomous health behavior change beyond narrow views of navigability, interactivity, and customization.

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2000Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being.1995The need to belong: Desire for interpersonal attachments as a fundamental human motivation.2006Demonstrating Rigor Using Thematic Analysis: A Hybrid Approach of Inductive and Deductive Coding and Theme Development 1995Computer Self-Efficacy: Development of a Measure and Initial Test 2015Moral Identity and Developmental Theory 2009Autonomy, competence, and relatedness in the classroom 2012Self-Determination Theory Applied to Health Contexts 2020A meta-analysis of self-determination theory-informed intervention studies in the health domain: effects on motivation, health behavior, physical, and psychological health

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