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Canada Research Chair in Shared Decision Making and Knowledge Translation
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Our colleague Maya Fakhfakh publishes an article on Canadian older adults' intention to use an electronic decision aid for housing decisions


Older adults experiencing disabilities such as loss of autonomy face the decision of whether to stay at home or move to a healthcare facility such as a nursing home. Thus, they may need support for this difficult decision.
The authors assessed Canadian older adults' intention to use an electronic decision aid (eDA) for making housing decisions and identified the factors that influenced their intention.
They conducted a cross-sectional study using an online survey targeting older adults across the 10 Canadian provinces and 3 territories. They included respondents from an online panel who were aged 65 years or older, understood English or French, had access to an electronic device with an internet connection and had made a housing decision over the past few months or were planning to make a decision in the coming year. 
They based the online survey on the Unified Theory of Acceptance and Use of Technology (UTAUT). They adapted 17 UTAUT items to measure respondents' intention to use the eDA for housing decisions, as well as items measuring 4 intention constructs (performance expectancy, effort expectancy, social influence and facilitating conditions).
Findings from this pan-Canadian online survey suggest that Canadian older adults' intention to use an eDA to make housing decisions are similar to findings in other studies using UTAUT. Factors identified as influencing intention were mother tongue, objective e-Health literacy, performance expectancy, social influence and facilitating conditions. These will guide future strategies for implementing the eDA.

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By Carole Thiébaut, 06/01/2023