Influencing Factors in Digital Health Intervention Uptake: The Interplay of Education, Lifestyle, and Digital Literacy

Ilona Ruotsalainen (Corresponding author), Mikko Valtanen, Riikka Kärsämä, Adil Umer, Suvi Parikka, Annamari Lundqvist, Jaana Lindström

Research output: Chapter in Book/Report/Conference proceedingConference article in proceedingsScientificpeer-review

Abstract

Chronic diseases strain global healthcare economically, and integrating digital solutions are proposed to help in meeting the rising demand. Digital health interventions (DHIs) offer promise for personalized, and cost-effective health services, however, factors influencing their uptake remain unclear. We examined whether the probability of lifestyle DHI uptake varies among individuals with different educational levels and lifestyles, based on their attitudes and usage of e-services. We also examined the effect of sex and age, and the association between DHI uptake and both educational attainment and overall lifestyle. A possibility to start using a web-based lifestyle DHI was offered to a subgroup (n = 6978) of Healthy Finland survey participants and adjusted logistic regression models were used to investigate the factors affecting uptake. We found that higher education and healthier lifestyle, as indicated by lifestyle score, were related to higher odds of DHI uptake. However, the effects of age, sex, independence of e-service use, and competence to use online services varied across lifestyle score groups. No significant interactions were observed related to educational attainment. These results imply that lifestyle DHIs are less likely to reach individuals with less-healthy lifestyle habits and lower educational attainment. In addition, some predictors affected the uptake differently across lifestyle score groups, suggesting that implementations of DHIs might attempt strategies to optimize the participation rates in especially targeted subgroups.
Original languageEnglish
Title of host publicationDigital Health and Wireless Solutions
Subtitle of host publicationFirst Nordic Conference, NCDHWS 2024
PublisherSpringer
Pages322–332
Number of pages11
VolumeI
ISBN (Electronic)978-3-031-59079-5
ISBN (Print)978-3-031-59090-0
DOIs
Publication statusPublished - 5 May 2024
MoE publication typeA4 Article in a conference publication
Event1st Nordic Conference on Digital Health and Wireless Solutions, NCDHWS 2024 - Hotel Lasaretti, Oulu, Finland
Duration: 7 May 20248 May 2024
https://nordic-digihealth.com/welcome/

Publication series

SeriesCommunications in Computer and Information Science
Volume2083
ISSN1865-0929

Conference

Conference1st Nordic Conference on Digital Health and Wireless Solutions, NCDHWS 2024
Country/TerritoryFinland
CityOulu
Period7/05/248/05/24
Internet address

Funding

This study was funded by the Academy of Finland (grant numbers 332464 and 332466).

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