Background: The strain on health care services is increasing due to an ageing population and the
increasing prevalence of chronic health conditions. eHealth could contribute to optimise effective
and efficient care to older adults with one or more chronic health conditions in the general
practice. Aim: The aim of this study was to identify the needs, barriers and facilitators amongst
community-dwelling older adults (60þ) suffering from one or more chronic health conditions,
in using online eHealth applications to support general practice services. Methods: A qualitative
study, using semi-structured followed by think-aloud interviews, was conducted in the
Netherlands. The semi-structured interviews, supported by an interview guide were conducted
and analysed thematically. The think-aloud method was used to collect data about the cognitive
process while the participant was completing a task within online eHealth applications. Verbal
analysis according to the Chi approach was conducted to analyse the think-aloud interviews.
Findings: A total of n = 19 older adults with a mean age of 73 years participated. The ability to
have immediate contact with the GP on important health issues was identified as an important
need. Identified barriers were non-familiarity with the online eHealth applications and a mismatch
of user health needs. The low computer experience resulted in non-familiarity with the
online eHealth applications. Faltering applications resulted in participants refusing to participate
in the use of online eHealth applications. Convenience, efficiency and the instant availability
of eHealth via applications were identified as important facilitators. Conclusion: To
improve the use and acceptability of eHealth applications amongst older adults in the general
practice, the applications should be tailored to meet individual needs. More attention should be
given to improving the user-friendliness of these applications and to the promotion of the benefits
such as facilitating older adults independent living for longer.
