2026 ASEE Annual Conference & Exposition

MACHINE LEARNING APPROACHES TO FORECAST HOUSEHOLD TELEHEALTH ADOPTION: A DATA GROUNDED FRAMEWORK

Presented at DSAI-Session 12: Data Science Projects, Datasets, and Real-World Applications

Household telehealth adoption remains uneven, particularly in communities facing limited broadband access and low levels of digital readiness. Traditional analytic approaches often describe adoption patterns retrospectively and frequently overlook the structural conditions that shape who is able to engage with telehealth services. In the absence of theory-driven, data-grounded frameworks, planners, organizations, and public agencies lack effective tools to support outreach strategies, infrastructure investment, and equitable resource allocation. As telehealth becomes an increasingly essential component of healthcare access, understanding the conditions that shape household-level adoption is critical for ensuring equitable service delivery. This study adopts a data-grounded, theory-guided design to examine household telehealth adoption, with an emphasis on feasibility assessment and framework development rather than fitted model performance. Guided ex ante by the Unified Theory of Acceptance and Use of Technology (UTAUT), the study specifies how facilitating conditions, effort expectancy, social influence, and performance expectancy can be operationalized using observable indicators related to broadband access, digital readiness, demographic context, and health needs. The analysis draws on empirically observed distributions from community-based survey data and supporting public-sector information, supplemented by qualitative insights that contextualize barriers to telehealth use. This paper contributes a theory-constrained, data-grounded framework that integrates technology adoption theory with exploratory analytic techniques to structure empirical signals related to access, digital readiness, and perceived usefulness at the household level. Rather than training or validating supervised learning models, the study evaluates whether the available data exhibit sufficient structure to support the future application of supervised machine learning within a theory-constrained analytic space. Observed patterns are interpreted at the level of UTAUT constructs to inform scenario-based reasoning about adoption readiness, rather than to generate population-level predictions. The resulting framework provides a transparent and policy-relevant foundation for targeted planning, guiding future data collection efforts and supporting equitable telehealth strategies in underserved communities. In addition, the framework contributes to engineering education by providing a transparent, theory-driven example of how data, machine learning concepts, and equity considerations can be integrated and taught in applied, data-constrained contexts.

Authors
  1. Samuel Fakolade Morgan State University [biography]
  2. Olorunfunmi Samuel Shobowale Morgan State University [biography]
  3. Russel Patrick Chanza Morgan State University [biography]
Note

The full paper will be available to logged in and registered conference attendees once the conference starts on June 21, 2026, and to all visitors after the conference ends on June 24, 2026