Everyday Technology Use and Overall Needed Assistance to Function in the Home and Community Among Urban Older Adults

Walsh, Ryan; Lee, Jenica; Drasga, Ruxandra; Leggett, Caniece; Shapnick, Holly; Kottorp, Anders

doi:10.1177/0733464819878620

Cited by 6 publications

(17 citation statements)

References 34 publications

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“…As Walsh et al (2020) suggested, there appears to be a complex association between activity engagement and ET use for older adults, which we also believe to be true for the subset with MCI based on our findings. Participation out of home is critical for quality of life while aging in place yet are at risk for those experiencing cognitive change ( Sturge et al, 2020 ).…”

Section: Discussionsupporting

confidence: 80%

“You Know, I Swipe My Card and Hope for the Best”: Technology and Cognition as Dual Landscapes of Change

Shank

2022

Gerontology and Geriatric Medicine

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Mild cognitive impairment (MCI), or objective and subjective cognitive decline, affects an estimated 15%–20% of individuals over the age of 65 . People with MCI generally live in community settings but may be at risk for functional changes in out-of-home participation, particularly when their instrumental activities are cognitively demanding or complex. Technology is part of the interface in complex person-place relationships. The purpose of this study is to examine the nature of everyday technology use in the context of out-of-home participation for community-dwelling older adults with MCI. Community-dwelling older adults with MCI (MoCA <26, >17; ( n = 10)) were recruited for data collection using a Go-along method (naturalistic observation, semi-structured interviews, and photography) for multiple out-of-home activities. Findings from this project suggested that participants felt that technology, like their cognition, was out of their control and difficult to predict or change. Four ways the participants experienced the “technology landscape” in their daily lives included: enabling being present, facilitating participation, impeding goals, and constricting options. We present a model of the intersection of cognition, participation, and technology in daily life, and discuss ways that technology can most effectively be used to extend well-being for a population aging in place.

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Section: Discussionsupporting

confidence: 80%

“You Know, I Swipe My Card and Hope for the Best”: Technology and Cognition as Dual Landscapes of Change

Shank

2022

Gerontology and Geriatric Medicine

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“…The numbers of the evaluated sample were considerably varied, and the range of variation ranged from the smallest sample with six participants [ 36 ] to the largest, reaching a total population of two hundred and seventy-four individuals [ 30 ]. Most studies were conducted in Sweden ( n = 6, 55%) [ 30 , 32 , 34 , 35 , 36 , 37 ], and other studies were conducted in the United States ( n = 4, 36%) [ 28 , 29 , 31 , 38 ] and Belgium ( n = 1, 9%) [ 33 ]. For most studies, the first author was from the field of occupational therapy or occupational therapy departments from several universities ( n = 8) [ 28 , 29 , 31 , 32 , 34 , 36 , 37 , 38 ], followed by neuropsychologists or departments of psychiatry and neuropsychology ( n = 2) [ 33 , 35 ] and departments of geriatrics ( n = 1) [ 30 ].…”

Section: Resultsmentioning

confidence: 99%

“…Six studies used quantitative research methodologies [ 28 , 29 , 31 , 33 , 34 , 35 ], whereas four adopted qualitative research methodologies [ 32 , 36 , 37 , 38 ]. Only one study used mixed methodologies [ 30 ].…”

Section: Resultsmentioning

confidence: 99%

Digitalization of Activities of Daily Living and Its Influence on Social Participation for Community-Dwelling Older Adults: A Scoping Review

Mendoza-Holgado,

García-González,

López-Espuela

2024

Healthcare

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Everyday technology (ET) has been defined as the broad set of devices and artefacts that are currently present in people’s lives both inside and outside of the home. A subgroup within ET is known as everyday information and communication technologies (EICTs). The main characteristic of these technologies is that they can facilitate or disrupt the engagement of individuals in their daily activities. This scoping review aims to identify what is known about how ET can function as facilitators or barriers to occupations, such as the social participation of older adults. The proposed scoping review was conducted in accordance with the Joanna Briggs Institute (JBI) methodology for scoping reviews. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Review (PRISMA-ScR) guidelines and checklist. The scoping review was conducted across five online databases (PubMed, Scopus, Web of Science, MEDLINE and PsycoINFO [EBSCO]) to identify published, peer-reviewed records. Studies were screened by two independent reviewers against the inclusion criteria. This review considered studies concerning the use of ET or EICTs in community-dwelling adults aged over 60 years, with or without cognitive impairment or dementia. All of the articles were in English, and reviews were not included. Eleven papers were selected and showed that despite the increasing demand for technologies of daily life and the digitalization of society and processes, according to our research, few studies addressed the limitations in the social participation of older adults. In conclusion, ET can provide a way to promote and maintain the personal autonomy for older adults in community dwellings. However, cognitive impairment hinders the use of electronic technologies and increases perceived problems.

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“…This study showed that older adults begin making errors using ETs at the SMC stage, the tendency becomes more pronounced in the MCI stage, and by the AD stage, ETs become very difficult to use. It has been suggested that assessing the ability to use ETs predicts re- quirements for future support [37]. For older adults to continue living at home for as long as possible, it is important to make detailed evaluations of their abilities to use ETs in individual contexts and to provide personalized support.…”

Section: Discussionmentioning

confidence: 99%

Difficulties in the Use of Everyday Technology among Older Adults with Subjective Memory Complaint and Cognitive Decline

Ikeda

Maruta²,

Shimokihara

et al. 2021

Gerontology

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Introduction: The ability to use everyday technology (ET) is becoming increasingly necessary for maintaining domestic and social lives. For older adults, difficulties with using ETs can begin at the mild cognitive impairment (MCI) state and may indicate increasing cognitive decline. The aim of this study was to conduct a detailed investigation into the ability to use ETs among Japanese older community-dwelling adults at 3 stages of cognitive function and the ability to carry out daily activities. Method: We analyzed family members’ responses to questions about older adults with cognitive decline in their families. A total of 168 older adults with subjective memory complaints (SMC) or cognitive decline and inconvenience in daily life were analyzed. A questionnaire was used to assess the characteristics, ability to use ETs, and ability to manage refrigerator contents, all of which can be early signs of dementia. Participants were divided 3 groups by the type of dementia: SMC (n = 77), MCI (n = 36), and Alzheimer’s disease (AD) (n = 55) for comparison. Result: The observation list of early signs of dementia (OLD) total score indicated a significant positive correlation with the number of ET errors (r = 0.37, p < 0.001) and number of difficulties with refrigerator management (r = 0.18, p = 0.031). Regarding number of ET errors, there was a significant main effect for the 3 groups, and the SMC group made significantly fewer errors than the AD group (p = 0.02). In 7 of the 11 ET categories, errors with using ETs were associated with all 3 groups, with the SMC group making fewer errors, and the AD group making more. Regarding difficulties with refrigerator management, 2 out of 9 problems were associated with the 3 groups, with the SMC group having fewer difficulties and the AD group having more. Discussion/Conclusion: The results indicated that the ability to use ETs and to manage refrigerator contents begins to decline at the SMC stage. Further evaluation of the ability to use ETs is needed for older adults with SMC so that adequate support in the context of the individual can be provided.

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Everyday Technology Use and Overall Needed Assistance to Function in the Home and Community Among Urban Older Adults

Cited by 6 publications

References 34 publications

“You Know, I Swipe My Card and Hope for the Best”: Technology and Cognition as Dual Landscapes of Change

“You Know, I Swipe My Card and Hope for the Best”: Technology and Cognition as Dual Landscapes of Change

Digitalization of Activities of Daily Living and Its Influence on Social Participation for Community-Dwelling Older Adults: A Scoping Review

Difficulties in the Use of Everyday Technology among Older Adults with Subjective Memory Complaint and Cognitive Decline

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