Peer-Reviewed Publication
JMIR Hum Factors2026;13e78430.May 4, 2026Journal Article
Identifying Skill and Usability Barriers to Digital Health Tool Use Among Older Adult Patients in US Safety Net Clinics: Mixed Methods Study.
Taylor Rapson1,2, Magaly Ramirez1, Sandy He2, Jeanette Wong2,3, Hyunjin Cindy Kim2,3, Isabel Luna2,3, Andersen Yang2,3, Junhong Li2,3, Paul A Fishman1, James D Ralston1,4, Courtney R Lyles2,3,5, Elaine C Khoong2,3,6
1Department of Health Systems and Population Health, School of Public Health, University of Washington, Seattle, WA, 98195, United States.
2Division of General Internal Medicine at Zuckerberg San Francisco General Hospital, Department of Medicine, University of California, San Francisco, 1001 Potrero Avenue, Main Building 5, 1st floor, 1M, San Francisco, CA, 94110, United States, 1 628-206-8000.
3Action Research Center for Health, Zuckerberg San Francisco General Hospital, University of California, San Francisco, San Francisco, CA, United States.
4Kaiser Permanente Washington Health Research Institute, Seattle, WA, United States.
5Center for Healthcare Policy and Research, University of California at Davis, Sacramento, CA, United States.
6Division of Clinical Informatics and Digital Transformation (DoC-IT), Department of Medicine, University of California, San Francisco, San Francisco, CA, United States.
Abstract
BACKGROUND: Despite their benefits, digital health tools often face adoption barriers because of the digital divide. Identifying the fundamental user skills required to effectively navigate these tools and the usability barriers is essential to addressing disparities in use.
OBJECTIVE: This study aimed to identify the skill and usability barriers to using digital health tools.
METHODS: This stud…
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