Using Mobile Videoconferencing to Deliver Simultaneous Multi-Centre Health Education to Elderly People: A Pilot Study on Acceptance and Satisfaction


Keywords: Videoconferencing, telemedicine, aged, health education, mHealth, technology enabled learning


Background: Improving the health literacy of elderly people is an important means of promoting preventive care by empowering self-health management. While talks and workshops are common ways of delivering health education, their scale and coverage are limited by practical constraints. In this regard, a mobile multi-centre videoconferencing (VC) approach is proposed to connect elderly people at different elderly care centres, so that healthcare promotion activities conducted at one centre can be multicast simultaneously to others. The aim of this pilot study is to evaluate the acceptance and satisfaction of users with this approach. Methods: Three VC sessions were conducted to evaluate users’ acceptance and satisfaction of the proposed approach in different settings from a technical perspective. Healthcare promotion activities concerning healthy diets and health-promoting exercises were delivered using a commercial videoconferencing system and a cellular 4G network. User acceptance and satisfaction were measured at the end of each session using a 10-item 5-point Likert questionnaire, with 5 indicating the most positive response. Results: A total of 96 participants aged 60 years or above were recruited, with 12, 30, and 54 participants taking part in the three sessions, respectively. The mean scores of the items for the three sessions were within the ranges of 4.3–4.8, 4.4–4.8, and 3.7–4.5, respectively. Conclusion The results show that the multi-centre videoconferencing approach was accepted by the participants from a technical perspective. It is potentially a feasible approach for promoting health literacy to elderly people.


Scott TL, Gazmararian JA, Williams MV, Baker DW. Health literacy and preventive health care use among Medicare enrollees in a managed care organization. Med Care 2002;40:395-404.

Wolf MS, Gazmararian JA, Baker DW. Health literacy and functional health status among older adults. Arch Intern Med 2005;165:1946-1952.

Baker DW, Wolf MS, Feinglass J, et al. Health literacy and mortality among elderly persons. Arch Intern Med 2007;167:1503-1509.

Banbury A, Parkinson L, Nancarrow S, et al. Multi-site videoconferencing for home-based education of older people with chronic conditions: the Telehealth Literacy Project. J Telemed Telecare 2014;20:353-359.

Choi H, Kim J. Effectiveness of telemedicine: videoconferencing for low-income elderly with hypertension. Telemed J E Health 2014;20:1156-1164.

Wu G, Keyes LM. Group tele-exercise for improving balance in elders. Telemed J E Health 2006;12:561-570.

Tsai H-H, Tsai Y-F, Wang H-H, Chang Y-C, Chu HH. Videoconference program enhances social support, loneliness, and depressive status of elderly nursing home residents. Aging Ment Health 2010;14:947-954.

Mitzner TL, Stuck R, Hartley JQ, Beer JM, Rogers WA. Acceptance of televideo technology by adults aging with a mobility impairment for health and wellness interventions. J Rehabil Assist Technol Eng 2017;4:2055668317692755.

Tomimatsu S, Kudo K, Moriyama T, et al. How to prevent technical issues in large multiparty medical videoconferencing. J Int Soc Telemed Telehealth 2018;6:e10(1-8).

Shane-Carson K, Martin C. Logistics and uptake of genetic testing for patients referred for telegenetic counselling for cancer. J Int Soc Telemed Telehealth 2018;6:e13(1-7).

Chung VCH, Ma PHX, Lau CH, et al. Views on traditional Chinese medicine amongst Chinese population: a systematic review of qualitative and quantitative studies. Health Expect 2014;7:622-636.

Chung V, Wong E, Woo J, Lo SV, Griffiths S. Use of traditional Chinese medicine in the Hong Kong special administrative region of China. J Altern Complement Med 2007;13:361-368.

Bakken S, Grullon-Figueroa L, Izquierdo R, et al. Development, validation, and use of English and Spanish versions of the telemedicine satisfaction and usefulness questionnaire. J Altern Complement Med 2006;13:660-667.

Yip MP, Chang AM, Chan J, MacKenzie AE. Development of the telemedicine satisfaction questionnaire to evaluate patient satisfaction with telemedicine: a preliminary study. J Telemed Telecare 2003;9:46-50.

How to Cite
Choi, K.-S., & Wong, H.-F. (2018). Using Mobile Videoconferencing to Deliver Simultaneous Multi-Centre Health Education to Elderly People: A Pilot Study on Acceptance and Satisfaction. Journal of the International Society for Telemedicine and EHealth, 6(1), e17 (1-7). Retrieved from
Original Research