Slide
Centre Interdisciplinaire
de Recherche et d’Innovation
en Cybersécurité et Société
de Recherche et d’Innovation
en Cybersécurité et Société
1.
Azzi, S.; Daramola, O.; Gagnon, S.
Health information technology acceptance by older people: a systematic review Journal Article
In: Discover public health, vol. 23, no. 1, 2026, ISSN: 30050774 (ISSN).
Abstract | Links | BibTeX | Tags: Acceptance, Adoption, adult, Africa, aged, aging, assistive technology, conceptual framework, Elderly people, female, Healthcare technology, human, Information retrieval, male, Medical informatics, older adults, Preferred Reporting Items for Systematic Reviews and Meta-Analyses, quality control, review, Social Cognitive Theory, systematic review, telehealth, Theory of Planned Behavior, Theory of Reasoned Action, validity, Web of Science
@article{azziHealthInformationTechnology2026,
title = {Health information technology acceptance by older people: a systematic review},
author = {S. Azzi and O. Daramola and S. Gagnon},
url = {https://www.scopus.com/pages/publications/105035521505?origin=resultslist},
doi = {10.1186/s12982-026-01658-y},
issn = {30050774 (ISSN)},
year = {2026},
date = {2026-01-01},
journal = {Discover public health},
volume = {23},
number = {1},
publisher = {BioMed Central Ltd},
abstract = {Background: The increasing ageing population has led to the development of Health Information Technologies (HIT) for older individuals. However, there is a lack of clarity on which HIT older people are more likely to accept and the factors influencing their intention for acceptance. Methods: A systematic literature review was conducted following PRISMA guidelines. Four academic databases were searched: Scopus, PubMed, the Web of Science, and the Cumulative Index to Nursing and Allied Health Literature, which resulted in the retrieval of 4941 articles. A total of 51 primary studies from 2007 to 2025 that satisfied the inclusion criteria and were subjected to quality assessment and used for the study. This review was registered in PROSPERO (CRD 420251271463). Results: The study revealed that older people have a higher intention to accept assistive technologies over mobile health/eHealth. Older people’s HIT acceptance is influenced by personal, social, and technology design factors. There is a lack of geographical diversity of studies, with few coming from regions like Asia and Africa, hindering a global understanding of HIT acceptance factors. Notably, nearly half of the studies (45.09%) did not employ a theoretical framework, suggesting a lack of grounding in established knowledge and theoretical validity. While theories like the Technology Acceptance Model and the Unified Theory of Acceptance and Use of Technology and their extensions are commonly used, other frameworks, such as the Theory of Reasoned Action, Theory of Planned Behaviour, and Social Cognitive Theory, have been underexplored. Conclusion: The study highlights the need for more rigorous research with diverse geographical representation and the application of broader theoretical perspectives to deepen understanding of HIT acceptance among older people. It also specifies the imperatives for user-centredness in developing HIT products by manufacturers. © The Author(s) 2026.},
keywords = {Acceptance, Adoption, adult, Africa, aged, aging, assistive technology, conceptual framework, Elderly people, female, Healthcare technology, human, Information retrieval, male, Medical informatics, older adults, Preferred Reporting Items for Systematic Reviews and Meta-Analyses, quality control, review, Social Cognitive Theory, systematic review, telehealth, Theory of Planned Behavior, Theory of Reasoned Action, validity, Web of Science},
pubstate = {published},
tppubtype = {article}
}
Background: The increasing ageing population has led to the development of Health Information Technologies (HIT) for older individuals. However, there is a lack of clarity on which HIT older people are more likely to accept and the factors influencing their intention for acceptance. Methods: A systematic literature review was conducted following PRISMA guidelines. Four academic databases were searched: Scopus, PubMed, the Web of Science, and the Cumulative Index to Nursing and Allied Health Literature, which resulted in the retrieval of 4941 articles. A total of 51 primary studies from 2007 to 2025 that satisfied the inclusion criteria and were subjected to quality assessment and used for the study. This review was registered in PROSPERO (CRD 420251271463). Results: The study revealed that older people have a higher intention to accept assistive technologies over mobile health/eHealth. Older people’s HIT acceptance is influenced by personal, social, and technology design factors. There is a lack of geographical diversity of studies, with few coming from regions like Asia and Africa, hindering a global understanding of HIT acceptance factors. Notably, nearly half of the studies (45.09%) did not employ a theoretical framework, suggesting a lack of grounding in established knowledge and theoretical validity. While theories like the Technology Acceptance Model and the Unified Theory of Acceptance and Use of Technology and their extensions are commonly used, other frameworks, such as the Theory of Reasoned Action, Theory of Planned Behaviour, and Social Cognitive Theory, have been underexplored. Conclusion: The study highlights the need for more rigorous research with diverse geographical representation and the application of broader theoretical perspectives to deepen understanding of HIT acceptance among older people. It also specifies the imperatives for user-centredness in developing HIT products by manufacturers. © The Author(s) 2026.
2.
Grenier, S.; Forget, H.; Bouchard, S.; Isere, S.; Belleville, S.; Potvin, O.; Rioux, M. -È.; Talbot, M.; Pachana, N. A.; Voshaar, R. C. Oude
In: International Psychogeriatrics, vol. 27, no. 7, pp. 1217–1225, 2015, ISSN: 10416102, (Publisher: Cambridge University Press).
Abstract | Links | BibTeX | Tags: adult, aged, aging, Anxiety, Anxiety disorder, Anxiety Disorders, clinical effectiveness, cognition, cognitive defect, cognitive therapy, Depression, disease association, exposure, Fear, generalized anxiety disorder, gerontopsychiatry, human, Humans, late life anxiety disorder, panic, patient counseling, posttraumatic stress disorder, procedures, psychology, randomized controlled trial (topic), relaxation training, Research, review, Social Support, treatment outcome, trends, virtual reality, virtual reality exposure therapy
@article{grenier_using_2015,
title = {Using virtual reality to improve the efficacy of cognitive-behavioral therapy (CBT) in the treatment of late-life anxiety: Preliminary recommendations for future research},
author = {S. Grenier and H. Forget and S. Bouchard and S. Isere and S. Belleville and O. Potvin and M. -È. Rioux and M. Talbot and N. A. Pachana and R. C. Oude Voshaar},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-84931830085&doi=10.1017%2fS1041610214002300&partnerID=40&md5=6a937a7a7f13fca31c84fc7859b365d0},
doi = {10.1017/S1041610214002300},
issn = {10416102},
year = {2015},
date = {2015-01-01},
journal = {International Psychogeriatrics},
volume = {27},
number = {7},
pages = {1217–1225},
publisher = {Cambridge University Press},
abstract = {Cognitive-behavioral therapy (CBT) using traditional exposure techniques (i.e. imaginal and in vivo) seems less effective to treat anxiety in older adults than in younger ones. This is particularly true when imaginal exposure is used to confront the older patient to inaccessible (e.g. fear of flying) or less tangible/controllable anxiety triggers (e.g. fear of illness). Indeed, imaginal exposure may become less effective as the person gets older since normal aging is characterized by the decline in cognitive functions involved in the creation of vivid/detailed mental images. One way to circumvent this difficulty is to expose the older patient to a virtual environment that does not require the ability to imagine the frightening situation. In virtuo exposure has proven to be efficient to treat anxiety in working-age people. In virtuo exposure could be employed to improve the efficacy of CBT with exposure sessions in the treatment of late-life anxiety? The current paper explores this question and suggests new research avenues. Copyright © International Psychogeriatric Association 2014.},
note = {Publisher: Cambridge University Press},
keywords = {adult, aged, aging, Anxiety, Anxiety disorder, Anxiety Disorders, clinical effectiveness, cognition, cognitive defect, cognitive therapy, Depression, disease association, exposure, Fear, generalized anxiety disorder, gerontopsychiatry, human, Humans, late life anxiety disorder, panic, patient counseling, posttraumatic stress disorder, procedures, psychology, randomized controlled trial (topic), relaxation training, Research, review, Social Support, treatment outcome, trends, virtual reality, virtual reality exposure therapy},
pubstate = {published},
tppubtype = {article}
}
Cognitive-behavioral therapy (CBT) using traditional exposure techniques (i.e. imaginal and in vivo) seems less effective to treat anxiety in older adults than in younger ones. This is particularly true when imaginal exposure is used to confront the older patient to inaccessible (e.g. fear of flying) or less tangible/controllable anxiety triggers (e.g. fear of illness). Indeed, imaginal exposure may become less effective as the person gets older since normal aging is characterized by the decline in cognitive functions involved in the creation of vivid/detailed mental images. One way to circumvent this difficulty is to expose the older patient to a virtual environment that does not require the ability to imagine the frightening situation. In virtuo exposure has proven to be efficient to treat anxiety in working-age people. In virtuo exposure could be employed to improve the efficacy of CBT with exposure sessions in the treatment of late-life anxiety? The current paper explores this question and suggests new research avenues. Copyright © International Psychogeriatric Association 2014.
3.
Grenier, S.; Forget, H.; Bouchard, S.; Isere, S.; Belleville, S.; Potvin, O.; Rioux, M. -È.; Talbot, M.; Pachana, N. A.; Voshaar, R. C. Oude
In: International Psychogeriatrics, vol. 27, no. 7, pp. 1217–1225, 2015, ISSN: 10416102.
Abstract | Links | BibTeX | Tags: adult, aged, aging, Anxiety, Anxiety disorder, Anxiety Disorders, clinical effectiveness, cognition, cognitive defect, cognitive therapy, Depression, disease association, exposure, Fear, generalized anxiety disorder, gerontopsychiatry, human, Humans, late life anxiety disorder, panic, patient counseling, posttraumatic stress disorder, procedures, psychology, randomized controlled trial (topic), relaxation training, Research, review, Social Support, treatment outcome, trends, virtual reality, virtual reality exposure therapy
@article{grenierUsingVirtualReality2015,
title = {Using virtual reality to improve the efficacy of cognitive-behavioral therapy (CBT) in the treatment of late-life anxiety: Preliminary recommendations for future research},
author = {S. Grenier and H. Forget and S. Bouchard and S. Isere and S. Belleville and O. Potvin and M. -È. Rioux and M. Talbot and N. A. Pachana and R. C. Oude Voshaar},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-84931830085&doi=10.1017%2fS1041610214002300&partnerID=40&md5=6a937a7a7f13fca31c84fc7859b365d0},
doi = {10.1017/S1041610214002300},
issn = {10416102},
year = {2015},
date = {2015-01-01},
journal = {International Psychogeriatrics},
volume = {27},
number = {7},
pages = {1217–1225},
publisher = {Cambridge University Press},
abstract = {Cognitive-behavioral therapy (CBT) using traditional exposure techniques (i.e. imaginal and in vivo) seems less effective to treat anxiety in older adults than in younger ones. This is particularly true when imaginal exposure is used to confront the older patient to inaccessible (e.g. fear of flying) or less tangible/controllable anxiety triggers (e.g. fear of illness). Indeed, imaginal exposure may become less effective as the person gets older since normal aging is characterized by the decline in cognitive functions involved in the creation of vivid/detailed mental images. One way to circumvent this difficulty is to expose the older patient to a virtual environment that does not require the ability to imagine the frightening situation. In virtuo exposure has proven to be efficient to treat anxiety in working-age people. In virtuo exposure could be employed to improve the efficacy of CBT with exposure sessions in the treatment of late-life anxiety? The current paper explores this question and suggests new research avenues. Copyright © International Psychogeriatric Association 2014.},
keywords = {adult, aged, aging, Anxiety, Anxiety disorder, Anxiety Disorders, clinical effectiveness, cognition, cognitive defect, cognitive therapy, Depression, disease association, exposure, Fear, generalized anxiety disorder, gerontopsychiatry, human, Humans, late life anxiety disorder, panic, patient counseling, posttraumatic stress disorder, procedures, psychology, randomized controlled trial (topic), relaxation training, Research, review, Social Support, treatment outcome, trends, virtual reality, virtual reality exposure therapy},
pubstate = {published},
tppubtype = {article}
}
Cognitive-behavioral therapy (CBT) using traditional exposure techniques (i.e. imaginal and in vivo) seems less effective to treat anxiety in older adults than in younger ones. This is particularly true when imaginal exposure is used to confront the older patient to inaccessible (e.g. fear of flying) or less tangible/controllable anxiety triggers (e.g. fear of illness). Indeed, imaginal exposure may become less effective as the person gets older since normal aging is characterized by the decline in cognitive functions involved in the creation of vivid/detailed mental images. One way to circumvent this difficulty is to expose the older patient to a virtual environment that does not require the ability to imagine the frightening situation. In virtuo exposure has proven to be efficient to treat anxiety in working-age people. In virtuo exposure could be employed to improve the efficacy of CBT with exposure sessions in the treatment of late-life anxiety? The current paper explores this question and suggests new research avenues. Copyright © International Psychogeriatric Association 2014.
4.
Bouchard, S.; Gauthier, J.; Ivers, H.; Paradis, J.
In: Canadian Journal on Aging, vol. 15, no. 4, pp. 500–513, 1996, ISSN: 07149808 (ISSN), (Publisher: Cambridge University Press).
Abstract | Links | BibTeX | Tags: adaptation of self-report, aged, aging, Anxiety, anxiety neurosis, article, assessment, diagnostic test, human, STAI
@article{bouchard_adaptation_1996,
title = {Adaptation of the State-Trait Anxiety Inventory for persons aged 65 and older [Adaptation de l'inventaire d'anxiete situationnelle et de trait d'anxiete aux personnes agees de 65 ans et plus (IASTA-Y65+)]},
author = {S. Bouchard and J. Gauthier and H. Ivers and J. Paradis},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-0030424436&doi=10.1017%2fs0714980800009387&partnerID=40&md5=f432dc83de1327520a41a36aba10e89d},
doi = {10.1017/s0714980800009387},
issn = {07149808 (ISSN)},
year = {1996},
date = {1996-01-01},
journal = {Canadian Journal on Aging},
volume = {15},
number = {4},
pages = {500–513},
publisher = {Cambridge University Press},
abstract = {This article reports on two studies that describe the adaptation of Spielberger's State-Trait Anxiety Inventory (form Y) for people aged 65 and older. The aim of the first study is to assess the necessity to modify the format of the STAI for the aged. Verbal reports of 22 subjects suggest difficulties reading the items, respecting the instructions and using the Likert scale. Item-remainder correlations supported these observations. Therefore, the size of the text was doubled and the state or trait instructions, as well as the choices of the Likert scale, were repeated in each item. A second study is carried out to test if these modifications enhanced the understanding of the items, and simplified the use of the STAI-Y. Verbal report and internal consistency showed a significant improvement. Our results support the recommendation of other authors that adapting an instrument for the elderly necessitates important modifications.},
note = {Publisher: Cambridge University Press},
keywords = {adaptation of self-report, aged, aging, Anxiety, anxiety neurosis, article, assessment, diagnostic test, human, STAI},
pubstate = {published},
tppubtype = {article}
}
This article reports on two studies that describe the adaptation of Spielberger's State-Trait Anxiety Inventory (form Y) for people aged 65 and older. The aim of the first study is to assess the necessity to modify the format of the STAI for the aged. Verbal reports of 22 subjects suggest difficulties reading the items, respecting the instructions and using the Likert scale. Item-remainder correlations supported these observations. Therefore, the size of the text was doubled and the state or trait instructions, as well as the choices of the Likert scale, were repeated in each item. A second study is carried out to test if these modifications enhanced the understanding of the items, and simplified the use of the STAI-Y. Verbal report and internal consistency showed a significant improvement. Our results support the recommendation of other authors that adapting an instrument for the elderly necessitates important modifications.
5.
Bouchard, S.; Gauthier, J.; Ivers, H.; Paradis, J.
In: Canadian Journal on Aging, vol. 15, no. 4, pp. 500–513, 1996, ISSN: 07149808 (ISSN).
Abstract | Links | BibTeX | Tags: adaptation of self-report, aged, aging, Anxiety, anxiety neurosis, article, assessment, diagnostic test, human, STAI
@article{bouchardAdaptationStateTraitAnxiety1996,
title = {Adaptation of the State-Trait Anxiety Inventory for persons aged 65 and older [Adaptation de l'inventaire d'anxiete situationnelle et de trait d'anxiete aux personnes agees de 65 ans et plus (IASTA-Y65+)]},
author = {S. Bouchard and J. Gauthier and H. Ivers and J. Paradis},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-0030424436&doi=10.1017%2fs0714980800009387&partnerID=40&md5=f432dc83de1327520a41a36aba10e89d},
doi = {10.1017/s0714980800009387},
issn = {07149808 (ISSN)},
year = {1996},
date = {1996-01-01},
journal = {Canadian Journal on Aging},
volume = {15},
number = {4},
pages = {500–513},
publisher = {Cambridge University Press},
abstract = {This article reports on two studies that describe the adaptation of Spielberger's State-Trait Anxiety Inventory (form Y) for people aged 65 and older. The aim of the first study is to assess the necessity to modify the format of the STAI for the aged. Verbal reports of 22 subjects suggest difficulties reading the items, respecting the instructions and using the Likert scale. Item-remainder correlations supported these observations. Therefore, the size of the text was doubled and the state or trait instructions, as well as the choices of the Likert scale, were repeated in each item. A second study is carried out to test if these modifications enhanced the understanding of the items, and simplified the use of the STAI-Y. Verbal report and internal consistency showed a significant improvement. Our results support the recommendation of other authors that adapting an instrument for the elderly necessitates important modifications.},
keywords = {adaptation of self-report, aged, aging, Anxiety, anxiety neurosis, article, assessment, diagnostic test, human, STAI},
pubstate = {published},
tppubtype = {article}
}
This article reports on two studies that describe the adaptation of Spielberger's State-Trait Anxiety Inventory (form Y) for people aged 65 and older. The aim of the first study is to assess the necessity to modify the format of the STAI for the aged. Verbal reports of 22 subjects suggest difficulties reading the items, respecting the instructions and using the Likert scale. Item-remainder correlations supported these observations. Therefore, the size of the text was doubled and the state or trait instructions, as well as the choices of the Likert scale, were repeated in each item. A second study is carried out to test if these modifications enhanced the understanding of the items, and simplified the use of the STAI-Y. Verbal report and internal consistency showed a significant improvement. Our results support the recommendation of other authors that adapting an instrument for the elderly necessitates important modifications.