Examining Korean and Korean American older adults' perceived acceptability of home-based monitoring technologies in the context of culture.
OBJECTIVE
Despite the increasing use of home-based monitoring technologies by older adults, few studies have examined older adults' acceptance of these technologies, especially among people from diverse cultural groups. The purpose of this study was to explore Korean and Korean American older adults' attitudes toward and perceptions of home-based monitoring technologies in a cultural context.


METHODS
A qualitative analysis of focus groups and individual interviews using inductive coding methods and a constant comparative approach for emerging themes was conducted.


RESULTS
Several cultural factors that determine the acceptability of home-based monitoring technologies were identified. Most notably, the necessity of living alone due to loosened filial tradition and immigration was a main motivator for adopting these technologies for both Korean and Korean Americans. The level of satisfaction with the health care system or therapeutic interaction affected participants' perceived need for technologies. Compared with the Korean American group, Korean older adults regarded the government's role as more important in increasing adoption and use of new technologies.


CONCLUSIONS
Contextual factors need to be considered when explaining perceptions of home-based monitoring technologies among older adults from various ethnic groups and developing diffusion strategies according to end users' attitudes, experiences, and cultural backgrounds.
a College of Nursing, University of New Mexico , Albuquerque , NM , USA.
Jane
J
Chung
b Biobehavioral Nursing and Health Systems, School of Nursing, University of Washington , Seattle , WA , USA.
Hilaire J
HJ
Thompson
c Biomedical and Health Informatics, School of Medicine, University of Washington , Seattle , WA , USA.
Jonathan
J
Joe
c Biomedical and Health Informatics, School of Medicine, University of Washington , Seattle , WA , USA.
Amanda
A
Hall
b Biobehavioral Nursing and Health Systems, School of Nursing, University of Washington , Seattle , WA , USA.|c Biomedical and Health Informatics, School of Medicine, University of Washington , Seattle , WA , USA.
George
G
Demiris
D000368:Aged; D000369:Aged, 80 and over; D001213:Asian / Q000523:psychology*; D001292:Attitude to Computers; D003469:Culture; D005260:Female; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D017060:Patient Satisfaction; D010465:Perception; D058998:Remote Sensing Technology / Q000523:psychology; D056910:Republic of Korea / Q000208:ethnology; D012959:Socioeconomic Factors; D017216:Telemedicine / Q000458:organization & administration*; D014481:United States
Culture; home-based monitoring technologies; older adults; perceived usefulness; technology acceptance