Facilitators and barriers for use of digital technology in chronic disease management

Despite increased screening efforts and accessibility of healthcare services, the prevalence of chronic disease is on the rise in Singapore. Digital technology has become a valuable tool to aid management of chronic diseases. However, its utilisation remains challenging among older Singaporeans. Our study aims to explore the barriers and facilitators to the use of digital technology for chronic disease management among middle-aged and older adults in Singapore using the Unified Theory of Acceptance and Use of Technology (UTAUT) model. A population-based cross-sectional survey was conducted among Singaporeans and Permanent Residents aged 45-99 years, who provided informed consent. Interviewers conducted surveys in 14 blocks in District 22 (Jurong West). The questionnaire utilised the UTAUT model and included sociodemographic data. A total of 306 valid responses were analysed. For a good perception of digital technology, increasing age (OR = 0.961; 95%CI: 0.930-0.998, p = 0.038) is a significant barrier while having a tertiary-level education is a significant facilitator (OR = 2.52; 95%CI 1.18-5.38, p = 0.02). Regarding usage of digital technology, higher income (OR = 2.49; 95%CI: 1.15-5.40, p = 0.021), good performance expectancy (OR = 1.21; 95%CI:1.08-1.36, p = 0.001) and social influence (OR = 1.20; 95%CI:1.10-1.31, p = < 0.001) were the significant facilitators. Education, age, income, access to technology, marital status and perception of technology significantly influence digital technology usage for chronic disease management. Such demographic implications should be considered by policy makers to enhance the usage profile of digital health technologies. Future research could investigate the specific causes for the current trends observed, and explore potential interventions to increase adoption of technology among older adults.