Exploring Digital Health Technology Utilization among Rural Older Adults: for Public Policy in the Digital Ageing Society

Abstract

 This descriptive survey aimed to (1) examine digital health technology usage among older adults in rural areas, (2) identify factors associated with digital health use, and (3) propose public policy recommendations to enhance digital health engagement. The sample comprised 50 older adults selected through simple random sampling. Research instruments showed acceptable validity and reliability (CVI = 0.79, Cronbach’s α = 0.80, KR-20 = 0.72).
Results indicated significant correlations between digital use and digital literacy (r = .55, p < .05), digital skills and knowledge (r = .40, p < .05), and between attitudes and digital use (r = .47, p < .05). Digital skills (r = .59, p < .05) and digital competence (r = .51, p < .05) were also related to digital use. Policy support was correlated with digital attitudes (r = .44, p < .05), while digital competence was strongly related to digital skills (r = .69, p < .05).Additionally, 66% of respondents expected technology to improve their health, 68.8% perceived it as easy to use, 76% reported social support, and 64.5% had sufficient device access. These results suggest that rural older adults demonstrate readiness and potential to engage with digital health, supported by improved skills, social networks, and infrastructure. Strengthening digital literacy and competence is therefore essential for reducing health disparities in aging rural populations and for guiding inclusive digital health policies that ensure equitable access and sustainable implementation in the digital era.