IDEAS home Printed from https://ideas.repec.org/a/eee/tefoso/v221y2025ics0040162525003877.html

A hierarchical framework for addressing innovation resistance to ICT adoption in older adults: A case study of safety alarm systems

Author

Listed:
  • Chang, Ming-Hao
  • Lian, Jian-Yu
  • Sung, Pi-Shan
  • Chen, Peng-Ting

Abstract

Aging in place, the concept of older individuals living independently within their communities, is gaining importance as the global population aged over 65 rises. Technology, particularly information and communication technology (ICT), plays a crucial role in supporting aging in place by enhancing safety and quality of life. Given Taiwan's strong research and development sector in ICT and the prevalence of aging in place, the case study is conducted in Taiwan. Content analysis of the interviews identified 16 key barriers, which were combined with those from the literature review. To systematically address these barriers and develop strategies, the study employed the Interpretive Structural Modeling (ISM) methodology, which involved establishing pairwise relationships among challenges with expert input. The study included 27 expert respondents, including physicians and scholars. This study found that User's Computer Literacy, Product Operation Complexity, Network Equipment Support, and Usage Safety Consideration require immediate attention. Therefore, older adults with an early educational background in computer literacy tend to adopt ICT more successfully. This study offers a hierarchical framework for overcoming barriers to ICT adoption among the elderly, enhancing elderly safety and supporting aging in place.

Suggested Citation

  • Chang, Ming-Hao & Lian, Jian-Yu & Sung, Pi-Shan & Chen, Peng-Ting, 2025. "A hierarchical framework for addressing innovation resistance to ICT adoption in older adults: A case study of safety alarm systems," Technological Forecasting and Social Change, Elsevier, vol. 221(C).
    • Handle: RePEc:eee:tefoso:v:221:y:2025:i:c:s0040162525003877
    DOI: 10.1016/j.techfore.2025.124356
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0040162525003877
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.techfore.2025.124356?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to

    for a different version of it.

    References listed on IDEAS

    as
    1. Chun-Hua Hsiao & Kai-Yu Tang, 2015. "Examining a Model of Mobile Healthcare Technology Acceptance by the Elderly in Taiwan," Journal of Global Information Technology Management, Taylor & Francis Journals, vol. 18(4), pages 292-311, October.
    2. Nadine Andrea Felber & Wendy Lipworth & Yi Jiao (Angelina) Tian & Delphine Roulet Schwab & Tenzin Wangmo, 2024. "Informing existing technology acceptance models: a qualitative study with older persons and caregivers," European Journal of Ageing, Springer, vol. 21(1), pages 1-16, December.
    3. Chen, Peng-Ting & Kuo, Shu-Chen, 2017. "Innovation resistance and strategic implications of enterprise social media websites in Taiwan through knowledge sharing perspective," Technological Forecasting and Social Change, Elsevier, vol. 118(C), pages 55-69.
    4. Marc-Eric Bobillier Chaumon & Christine Michel & Franck Tarpin Bernard & Bernard Croisile, 2014. "Can ICT improve the quality of life of elderly adults living in residential home care units? From actual impacts to hidden artefacts," Behaviour and Information Technology, Taylor & Francis Journals, vol. 33(6), pages 574-590, June.
    5. Luis Perotti & Oskar Stamm & Lisa Mesletzky & Susan Vorwerg & Marc Fournelle & Ursula Müller-Werdan, 2023. "Needs and Attitudes of Older Chronic Back Pain Patients towards a Wearable for Ultrasound Biofeedback during Stabilization Exercises: A Qualitative Analysis," IJERPH, MDPI, vol. 20(6), pages 1-20, March.
    6. Meena, Abhilasha & Dhir, Sanjay & Sushil, Sushil, 2024. "Coopetition, strategy, and business performance in the era of digital transformation using a multi-method approach: Some research implications for strategy and operations management," International Journal of Production Economics, Elsevier, vol. 270(C).
    7. repec:plo:pone00:0237647 is not listed on IDEAS
    8. Kumari, Pooja & Shankar, Amit & Behl, Abhishek & Pereira, Vijay & Yahiaoui, Dorra & Laker, Benjamin & Gupta, Brij B. & Arya, Varsha, 2024. "Investigating the barriers towards adoption and implementation of open innovation in healthcare," Technological Forecasting and Social Change, Elsevier, vol. 200(C).
    9. Kautish, Pradeep & Siddiqui, Mujahid & Siddiqui, Aaliyah & Sharma, Veenu & Alshibani, Safiya Mukhtar, 2023. "Technology-enabled cure and care: An application of innovation resistance theory to telemedicine apps in an emerging market context," Technological Forecasting and Social Change, Elsevier, vol. 192(C).
    10. Wei-Chih Lu & I-Ching Tsai & Kuan-Chung Wang & Te-Ai Tang & Kuan-Chen Li & Ya-Ci Ke & Peng-Ting Chen, 2021. "Innovation Resistance and Resource Allocation Strategy of Medical Information Digitalization," Sustainability, MDPI, vol. 13(14), pages 1-20, July.
    11. Kumar, Girish & James, Ajith Tom & Choudhary, Krishna & Sahai, Rishi & Song, Weon Keun, 2022. "Investigation and analysis of implementation challenges for autonomous vehicles in developing countries using hybrid structural modeling," Technological Forecasting and Social Change, Elsevier, vol. 185(C).
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Wang, Kuan-Chung & Huang, Po-Sen & Wang, Yu-Lin & Hoe, Zheng-Yu & Noor, Afaq Ahmed & Chen, Peng-Ting, 2025. "Bridging the gap: Healthcare practitioners' insights on overcoming Telemedicine barriers and optimal strategies for implementation," Technology in Society, Elsevier, vol. 82(C).
    2. Guo, Hailan & Shen, Zhen & Chen, Yanting & Dong, Ming, 2025. "Analyzing the impact of government R&D subsidy and digital transformation on supply chain risk dynamics management and firm performance in the China's chip industry," International Journal of Production Economics, Elsevier, vol. 281(C).
    3. Yi, Jisu & Lee, Youseok & Suh, Jungmin & Kim, Sang-Hoon, 2022. "Psychological determinants of non-attendees’ resistance toward performing arts," Journal of Business Research, Elsevier, vol. 149(C), pages 690-699.
    4. Seepana, Chandrasekararao & Paulraj, Antony & Datar, Aneesh, 2025. "Environmental uncertainties and reciprocal investments within coopetition: The contingent role of appropriability mechanisms," International Journal of Production Economics, Elsevier, vol. 290(C).
    5. Shan, Wei & Qiao, Tong & Zhang, Mingli, 2020. "Getting more resources for better performance: The effect of user-owned resources on the value of user-generated content," Technological Forecasting and Social Change, Elsevier, vol. 161(C).
    6. Chen, Jiangtao & Cai, Wenyu & Luo, Jiamei & Mao, Hongyi, 2025. "How does digital trust boost open innovation? Evidence from a mixed approach," Technological Forecasting and Social Change, Elsevier, vol. 212(C).
    7. Osorio, Chad Patrick & Gojo Cruz, Jamlech Iram, 2025. "Promoting free flows via competition law: An AI industry blueprint for Southeast Asia," Telecommunications Policy, Elsevier, vol. 49(5).
    8. Friedman, Nicola & Ormiston, Jarrod, 2022. "Blockchain as a sustainability-oriented innovation?: Opportunities for and resistance to Blockchain technology as a driver of sustainability in global food supply chains," Technological Forecasting and Social Change, Elsevier, vol. 175(C).
    9. Liao, Huchang & Li, Xiaofang, 2025. "A multi-criterion decision making method for renewable energy storage technology selection with incomplete evaluation information," Technological Forecasting and Social Change, Elsevier, vol. 215(C).
    10. Zahlan, Ahmed, 2025. "Strategic resource mobilization for AI entrepreneurship in healthcare: Qualitative insights from startup founders," Technovation, Elsevier, vol. 145(C).
    11. Devi, Yashoda & Koshta, Nitin & Pendyala, Sastry Sarath, 2025. "Digital transformation and rural healthcare disparities: A mixed-methods approach in India," Technovation, Elsevier, vol. 140(C).
    12. Mahmud, Hasan & Islam, A.K.M. Najmul & Mitra, Ranjan Kumar, 2023. "What drives managers towards algorithm aversion and how to overcome it? Mitigating the impact of innovation resistance through technology readiness," Technological Forecasting and Social Change, Elsevier, vol. 193(C).
    13. Duan, Xu & Si, Hongyun & Xiang, Pengcheng, 2025. "Technology into reality: Disentangling the challenges of shared autonomous electric vehicles implementation from stakeholder perspectives," Energy, Elsevier, vol. 316(C).
    14. Syed, Tahir Abbas & Aslam, Haris & Bhatti, Zeeshan Ahmed & Mehmood, Fahad & Pahuja, Aseem, 2024. "Dynamic pricing for perishable goods: A data-driven digital transformation approach," International Journal of Production Economics, Elsevier, vol. 277(C).
    15. Shankar, Ravi & Pathak, Devendra Kumar & Choudhary, Devendra, 2019. "Decarbonizing freight transportation: An integrated EFA-TISM approach to model enablers of dedicated freight corridors," Technological Forecasting and Social Change, Elsevier, vol. 143(C), pages 85-100.
    16. Nicoleta Cristache & Nicoleta Valentina Florea & Marian Nastase & Gabriel Croitoru & Costinela Fortea & Manuela-Violeta Tureatca, 2025. "The Influence of Political, Social, and Economic Factors on the Acceptance of Technology in the Workplace in the Context of Industrial Revolution 4.0," The AMFITEATRU ECONOMIC journal, Academy of Economic Studies - Bucharest, Romania, vol. 27(68), pages 1-76, February.
    17. Mayank Pathak & Pinosh Kumar Hajoary, 2024. "Reconciling Tourism Competitiveness with Circularity: An IFI Framework for Policy Intervention from a Developing Perspective," International Journal of Global Business and Competitiveness, Springer, vol. 19(1), pages 21-29, December.
    18. Rajak, Manindra & Shaw, Krishnendu, 2021. "An extension of technology acceptance model for mHealth user adoption," Technology in Society, Elsevier, vol. 67(C).
    19. Wu, Jiaqi & Liu, Xin & Zhang, Chenghu, 2024. "Unveiling the influencing mechanism underlying users’ adoption and recommend intentions of central bank digital currency: A behavioral reasoning theory perspective," Journal of Retailing and Consumer Services, Elsevier, vol. 81(C).
    20. Su, Yu-Shan & Huang, Hsini & Daim, Tugrul & Chien, Pan-Wei & Peng, Ru-Ling & Karaman Akgul, Arzu, 2023. "Assessing the technological trajectory of 5G-V2X autonomous driving inventions: Use of patent analysis," Technological Forecasting and Social Change, Elsevier, vol. 196(C).

    More about this item

    Keywords

    ;
    ;
    ;
    ;

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:tefoso:v:221:y:2025:i:c:s0040162525003877. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.sciencedirect.com/science/journal/00401625 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.