Informal Caregivers' Use of Internet-Based Health Resources: An Analysis of the Health Information National Trends Survey

• Published in: JMIR aging Vol. 1; no. 2; p. e11051
• Main Authors: Shaffer, Kelly M, Chow, Philip I, Cohn, Wendy F, Ingersoll, Karen S, Ritterband, Lee M
• Format: Journal Article
• Language: English
• Published: Canada JMIR Publications 18-12-2018
• Subjects: Adults; Age; Aging; Alzheimer's disease; Caregivers; Internet access; Older people; Original Paper; Population; Smartphones; Sociodemographics; Trends; Variables; United States > US; health education; caregivers; information dissemination; uncompensated care; mobile phone; internet
• ISSN: 2561-7605; 2561-7605
• DOI: 10.2196/11051

Informal caregivers express strong interest in technology innovations to help them in their caregiving role; however, divides across sociodemographic characteristics in internet and technology access may preclude the most vulnerable caregivers from accessing such resources.
This study aims to examine caregivers' internet use, both generally and for seeking health-related information, and whether usage differs as a function of caregivers' characteristics.
Data were analyzed from the Health Information National Trends Survey 5 Cycle 1. Participants were included in analyses if they self-identified as providing uncompensated care to a close individual. Caregivers reported internet use factors, age, education, rurality, general health, distress, and objective caregiving burden. We used chi-square tests of independence with jackknife variance estimation to compare whether internet use factors differed by caregivers' characteristics.
A total of 77.5% (303/391) caregivers surveyed reported ever using the internet. Of internet users, 88.1% (267/303) accessed from a home computer and 83.2% (252/303) from a mobile device. Most caregivers accessed health information for themselves (286/391, 73.1%) or others (264/391, 67.5%); fewer communicated with a doctor over the Web (148/391, 37.9%) or had a wellness app (171/391, 43.7%). Caregivers reporting younger age, more education, and good health were more likely to endorse any of these activities. Furthermore, two-thirds of caregivers (258/391, 66.0%) endorsed trust in health information from the internet.
Computers and mobile devices are practical platforms for disseminating caregiving-related information and supportive services to informal caregivers; these modalities may, however, have a more limited reach to caregivers who are older, have less education, and are in poorer health.