title: The Effect of Chronological Age on the Acceptance of Internet-Based Hearing Health Care.
abstract: OBJECTIVE
  The purpose of this article is to offer design considerations in developing Internet-based hearing health care for older adults by analyzing and discussing the relationship between chronological age, computer skills, and the acceptance of Internet-based hearing health care.
  
  
  METHODS
  This article reports baseline data from a training study measuring the acceptance of Internet-based hearing health care. Participants (n = 26; 20 men, 6 women) were aged 55–95 years. All passed a cognitive screen and failed a hearing screen. Participants completed the Patient- Technology Acceptance questionnaire (Or, 2008). Computer literacy was measured using the Northstar Digital Literacy Assessment (Cytron-Hysom, Hadley, Vanek, Graif, & Asp, 2012).
  
  
  RESULTS
  Computer literacy was negatively correlated with increasing age. Additional negative relationships were seen between computer literacy and computer anxiety and between computer literacy and computer self-efficacy. Finally, there was a negative relationship between computer self-efficacy and computer anxiety.
  
  
  CONCLUSIONS
  These results suggest computer literacy is lower in adults of advanced age than in those who are a few years younger. Indirect relationships were observed between age and computer self-efficacy and between age and computer anxiety. Consideration should be given to addressing discrepancies in self-efficacy and computer literacy in older adults to increase the likelihood of acceptance of Internet-based hearing health care.
authors.forename: Ashley N
authors.initials: AN
authors.lastname: Moore
authors.forename: Ann M
authors.initials: AM
authors.lastname: Rothpletz
authors.forename: Jill E
authors.initials: JE
authors.lastname: Preminger
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001292:Attitude to Computers; D003197:Computer Literacy; D012048:Correction of Hearing Impairment; D003695:Delivery of Health Care; D005260:Female; D034381:Hearing Loss / Q000534:rehabilitation*; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D011795:Surveys and Questionnaires