Attitudes Towards and Use of Information and Communication Technologies (ICTs) Among Older Adults in Italy and Sweden: the Influence of Cultural Context, Socio-Demographic Factors, and Time Perspective

Zambianchi, Manuela; Rönnlund, Michael; Carelli, Maria Grazia

doi:10.1007/s10823-019-09370-y

Cited by 27 publications

(27 citation statements)

References 52 publications

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“…Data on the general characteristics of the included studies included a summary of the year of publication, study design, region where the study was conducted, age of older adults studied, and main literacy instrument used. Regarding the region where the study was conducted, 2 studies were international collaborations, including 1 study between Italy and Sweden [24] and another study between the United States, United Kingdom, and New Zealand [25]. For these 2 studies, the first author's region of study was used in our general characteristics summary.…”

Section: Data Collectionmentioning

confidence: 99%

Measurement of Digital Literacy Among Older Adults: Systematic Review

Kim

et al. 2021

J Med Internet Res

165

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Background Numerous instruments are designed to measure digital literacy among the general population. However, few studies have assessed the use and appropriateness of these measurements for older populations. Objective This systematic review aims to identify and critically appraise studies assessing digital literacy among older adults and to evaluate how digital literacy instruments used in existing studies address the elements of age-appropriate digital literacy using the European Commission’s Digital Competence (DigComp) Framework. Methods Electronic databases were searched for studies using validated instruments to assess digital literacy among older adults. The quality of all included studies was evaluated using the Crowe Critical Appraisal Tool (CCAT). Instruments were assessed according to their ability to incorporate the competence areas of digital literacy as defined by the DigComp Framework: (1) information and data literacy, (2) communication and collaboration, (3) digital content creation, (4) safety, and (5) problem-solving ability, or attitudes toward information and communication technology use. Results Searches yielded 1561 studies, of which 27 studies (17 cross-sectional, 2 before and after, 2 randomized controlled trials, 1 longitudinal, and 1 mixed methods) were included in the final analysis. Studies were conducted in the United States (18/27), Germany (3/27), China (1/27), Italy (1/27), Sweden (1/27), Canada (1/27), Iran (1/27), and Bangladesh (1/27). Studies mostly defined older adults as aged ≥50 years (10/27) or ≥60 years (8/27). Overall, the eHealth Literacy Scale (eHEALS) was the most frequently used instrument measuring digital literacy among older adults (16/27, 59%). Scores on the CCAT ranged from 34 (34/40, 85%) to 40 (40/40, 100%). Most instruments measured 1 or 2 of the DigComp Framework’s elements, but the Mobile Device Proficiency Questionnaire (MDPQ) measured all 5 elements, including “digital content creation” and “safety.” Conclusions The current digital literacy assessment instruments targeting older adults have both strengths and weaknesses, relative to their study design, administration method, and ease of use. Certain instrument modalities like the MDPQ are more generalizable and inclusive and thus, favorable for measuring the digital literacy of older adults. More studies focusing on the suitability of such instruments for older populations are warranted, especially for areas like “digital content creation” and “safety” that currently lack assessment. Evidence-based discussions regarding the implications of digitalization for the treatment of older adults and how health care professionals may benefit from this phenomenon are encouraged.

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Section: Data Collectionmentioning

confidence: 99%

Measurement of Digital Literacy Among Older Adults: Systematic Review

Kim

et al. 2021

J Med Internet Res

165

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“…Furthermore, we used a large representative sample of the population aged 65 or more from the Lombardy Region, and data were collected through a telephone-based interview, which can be considered the most suitable solution for the older population in a pandemic context. In fact, during the pandemic, online surveys proved to be an effective tool for overcoming social distancing measures 32 , but they carry the risk of selection bias since they exclude those who, like many seniors, have poor digital literacy and internet access 33 .…”

Section: Resultsmentioning

confidence: 99%

Determinants of SARS-CoV-2 Infection in the Older Adult Population: Data From the LOST in Lombardia Study

Mosconi

Stival

Lugo

et al. 2022

Preprint

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Most COVID-19-related fatalities occurred among older adults, however to date, evidence on determinants of SARS-CoV-2 infection in this population is limited and mostly based on case series without a comparison group. A telephone-based cross-sectional study was conducted in November 2020 on a representative sample of 4,400 Italians aged ≥65 years residing in the Lombardy region. We determined the prevalence of a history of SARS-CoV-2 infection in the period between the beginning of the pandemic and the time of the interview. Thorough unconditional multiple logistic regression models, we estimated odds ratios (OR) of SARS-CoV-2 infection and the corresponding 95% confidence intervals (CI). We also evaluated if the infection was a determinant of a worsening in mental health wellbeing. Overall, 4.9% of participants reported a history of SARS-CoV-2 infection. No significant relationship between sex and SARS-CoV-2 infection was observed. SARS-CoV-2 infection was less frequently reported in subjects aged ≥70 (OR=0.55; 95% 0.41-0.74) compared to 65-69 years. No trend was observed after 70 years of age. Those with at least one chronic condition reported a lower infection rate compared to healthy subjects (OR=0.68 95% CI: 0.49-0.93). Separated/divorced participants less frequently reported infection than married/cohabiting ones (OR=2.33 95% CI: 1.29-4.20). Self-reported history of SARS-CoV-2 infection resulted being a determinant of an increase in depressive symptoms (OR=1.57; 95% CI: 1.17-2.10). This first large representative study of people aged 65 years or over suggests that in Italy the oldest subjects and those having chronic conditions less frequently expose themselves to SARS-CoV-2 infection during the pandemic.

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“…Furthermore, we used a large representative sample of the population aged 65 or older from the Lombardy region, and data were collected through a telephone-based interview, which can be considered the most suitable solution for the older population in a pandemic context. During the pandemic, online surveys proved to be an effective tool for overcoming social-distancing measures [ 36 ]; however, they carry the risk of selection bias, since they exclude those who, like many seniors, have poor digital literacy and internet access [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…Nonetheless, to date, knowledge about the potential determinants of SARS-CoV-2 infection in this population is mostly based on case series (which are inappropriate for investigating the issue as they do not include a comparison group) or surveys enrolling convenience samples (which provide findings that are not extensible to the general population) [ 7 ]. The few representative cross-sectional studies were online surveys, which are unsuitable for examining populations, such as the elderly, that often do not have internet access or have a low level of computer skills [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Determinants of SARS-CoV-2 Infection in the Older Adult Population: Data from the LOST in Lombardia Study

Mosconi

Stival²,

Lugo³

et al. 2022

Vaccines

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Most COVID-19 fatalities have occurred among older adults; however, evidence regarding the determinants of SARS-CoV-2 infection in this population is limited. Telephone interviews were conducted in November 2020 with a representative sample of 4400 Italians aged ≥65 years from the Lombardy region. We determined the prevalence of a history of SARS-CoV-2 infection. Through unconditional multiple logistic regression models, we estimated the odds ratios (ORs) of infection and the corresponding 95% confidence intervals (CIs). We further evaluated whether infection was related to a reduction in mental wellbeing. Of the participants, 4.9% reported a previous infection. No significant relationship between sex and infection was observed. Prior infection was less frequently reported in subjects aged ≥70 (OR = 0.55; 95% CI: 0.41–0.74) compared to 65–69 years, with no trend after 70 years of age. Those with at least one chronic condition reported a lower infection rate compared to healthy subjects (OR = 0.68; 95% CI: 0.49–0.93). Participants who lived alone more frequently reported infection than those who cohabited (OR = 2.33; 95% CI: 1.29–4.20). Prior infection was related to increased depressive symptoms (OR = 1.57; 95% CI: 1.17–2.10). This representative study of people aged ≥65 years suggests that in Italy, the oldest subjects and chronic patients less frequently exposed themselves to SARS-CoV-2 infection.

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Attitudes Towards and Use of Information and Communication Technologies (ICTs) Among Older Adults in Italy and Sweden: the Influence of Cultural Context, Socio-Demographic Factors, and Time Perspective

Cited by 27 publications

References 52 publications

Measurement of Digital Literacy Among Older Adults: Systematic Review

Measurement of Digital Literacy Among Older Adults: Systematic Review

Determinants of SARS-CoV-2 Infection in the Older Adult Population: Data From the LOST in Lombardia Study

Determinants of SARS-CoV-2 Infection in the Older Adult Population: Data from the LOST in Lombardia Study

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