As the use of health information technologies continues to proliferate amongst seniors, many of whom lack computer experience, there is a need to develop effective training approaches to foster basic competencies. This paper describes the REmote Patient Education in a Telemedicine Environment (REPETE) system, a component of the IDEATel telemedicine architecture. The REPETE architecture supports simultaneous visual and audio teaching modes over low bandwidth connections. This paper presents an in-depth qualitative analysis of two patients being trained to use the IDEATel patient web portal. The results indicate that this method of instruction was useful in facilitating patients’ use of the web application. However, the observations suggest that there is learning curve for the trainer to use the resources effectively to establish common ground and foster competencies in the patient.
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