How older adults with mild cognitive impairment relate to technology as part of present and future everyday life: a qualitative study

Hedman, Annicka; Lindqvist, Eva; Nygård, Louise

doi:10.1186/s12877-016-0245-y

Cited by 44 publications

(62 citation statements)

References 41 publications

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“…Sometimes they chose to stop using technology, although they needed it, or they had a desire to update their technology use. 57 However, downsizing use of technologies will become a challenge when the health services seek to implement new technologies. Older adults may be reluctant to use new technology that they not yet are familiar with.…”

Section: Discussionmentioning

confidence: 99%

Usability and acceptability of technology for community-dwelling older adults with mild cognitive impairment and dementia: a systematic literature review

Holthe¹,

Halvorsrud²,

Karterud³

et al. 2018

CIA

156

120

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BackgroundThe objective of this review was to obtain an overview of the technologies that have been explored with older adults with mild cognitive impairment and dementia (MCI/D), current knowledge on the usability and acceptability of such technologies, and how people with MCI/D and their family carers (FCs) were involved in these studies.Materials and methodsPrimary studies published between 2007 and 2017 that explored the use of technologies for community-dwelling people with MCI/D were identified through five databases: MEDLINE, PsycINFO, Embase, AMED, and CINAHL. Twenty-nine out of 359 papers met the criteria for eligibility. We used the Mixed Methods Appraisal Tool for quality assessment.ResultsA wide range of technologies was presented in the 29 studies, sorted into four domains: 1) safe walking indoors and outdoors; 2) safe living; 3) independent living; and 4) entertainment and social communication. The current state of knowledge regarding usability and acceptability reveals that even if researchers are aware of these concepts and intend to measure usability and acceptability, they seem difficult to assess. Terms such as “user friendliness” and “acceptance” were used frequently. User participation in the 29 studies was high. Persons with MCI/D, FCs, and staff/other older adults were involved in focus groups, workshops, and interviews as part of the preimplementation process.ConclusionResearch regarding technologies to support people with MCI/D seems optimistic, and a wide range of technologies has been evaluated in homes with people with MCI/D and their FCs. A major finding was the importance of including people with MCI/D and their FCs in research, in order to learn about required design features to enhance usability and acceptability. Surprisingly, very few studies reported on the consequences of technology use with regard to quality of life, occupational performance, or human dignity.

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Section: Discussionmentioning

confidence: 99%

Usability and acceptability of technology for community-dwelling older adults with mild cognitive impairment and dementia: a systematic literature review

Holthe¹,

Halvorsrud²,

Karterud³

et al. 2018

CIA

156

120

View full text Add to dashboard Cite

show abstract

“…In line with earlier studies, the results of the study show that implementing technology in everyday lives of older adults or digitalizing care services is not a straightforward procedure. Instead, it is intertwined with the complex social realities of end-users (Stokke et al, 2016;Hedman, Lindqvist, & Nygård, 2016;Bradford et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

“So, Tell Me What Kind of a Thing It Really Is”—Finnish Older Adults Making Sense of Home Technology

Lantela¹

2019

JMLE

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This article brings forth the experiential knowledge and views of sixteen Finnish older adults, (mean of age 84,9), who tried out home technology in their daily life, with the objective of discussing media literacy education in relation to this specific age group and context. The data were analyzed from the perspective of sensemaking as theorized by Karl Weick, which works as a heuristic enabling investigation of older adults' experiences in relation to home technology. The results show that the sensemaking of the participants is based on the identity of the non-user, retrospective reasoning and social context. For many, the technological solutions examined in this study did not seem to constitute a plausible answer to the perceived needs or realities of life. This study thus raises an important question: in the context of home technology implementation or media literacy, whose voice or sensemaking is heard? This general question comes with a set of related concerns and prompts further questions such as: Do older adults perceive a need for media literacy and how do they make sense of various media and the rapidly digitalizing culture? In media literacy education, older adults should be recognized within their unique life contexts.

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“…As technological development continues to further influence everyday life (Bates & Bitton, 2010;Coughlin, Pope, & Leedle, 2006;Hedman, Lindqvist, & Nygård, 2016), it is important to evaluate the ability to use technology and the effects this human-technology interaction can have on the elderly (Keningsberg et al, 2017). Technologies supporting older adults with and without disabilities have been reported to maintain or improve cognitive functioning, promote feelings of independence and safety, support social connectivity or increase well-being (Coorey, Neubeck, Mulley, & Redfern, 2018;Forsman et al, 2017;Khosravi, Rezvani, & Wiewiora, 2016;McDougall & House, 2012).…”

Section: Introductionmentioning

confidence: 99%

“…Technologies supporting older adults with and without disabilities have been reported to maintain or improve cognitive functioning, promote feelings of independence and safety, support social connectivity or increase well-being (Coorey, Neubeck, Mulley, & Redfern, 2018;Forsman et al, 2017;Khosravi, Rezvani, & Wiewiora, 2016;McDougall & House, 2012). In contrast, the involvement of technology in daily activities has been described as potentially demotivating or misleading in the elderly population (Kottorp et al, 2016;Schulz et al, 2015), pointing out that technology can also complicate everyday life. A meta-analysis showed that age is negatively related to perceived ease of technology use (Hauk, H€ uffmeier, & Krumm, 2018) and technologies with greater complexity are more demanding for older compared to younger adults (Ziefle & Bay, 2005), which might indicate a greater challenge for elderly with cognitive impairments.…”

Section: Introductionmentioning

confidence: 99%

“…The ETUQ structured interview evaluates the relevance of and perceived ability to use various technologies in an individuals' everyday life. The tool has been repeatedly used in older adults with and without cognitive impairment (Fallahpour, Kottorp, Nygård, & Lund, 2014;Fallahpour, Kottorp, Nygård, & Lund, 2015;Hedman, Nygård, Malinowsky, Almkvist, & Kottorp, 2016;Ryd, Nygård, Malinowsky, € Ohman, & Kottorp, 2017). Guided by the ETUQ, participants are asked to reflect upon their use of ETs from various areas of everyday life such as home maintenance (e.g.…”

Section: Introductionmentioning

confidence: 99%

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Do you observe what I perceive? The relationship between two perspectives on the ability of people with cognitive impairments to use everyday technology

Bartels

Susanne

Patomella

et al. 2019

Aging & Mental Health

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Objectives: Everyday technologies (ETs) can be challenging to use, particularly for older adults with cognitive impairments. This study evaluated the relationship between the self-perceived ability to use ET and observable performance of self-chosen and familiar, but challenging ETs in people with mild cognitive impairment (MCI) or dementia. Method: A self-perceived report, the Everyday Technology Use Questionnaire (S-ETUQ), and a structured observational tool, the Management of Everyday Technology Assessment (META), assessing the perceived and observed ability to use ET, were used in 41 people with MCI and 38 people with dementia. Correlations were investigated with non-parametric statistical tests. Results: In the dementia group, self-perceived report and observational scores correlated on a significant medium level (R s ¼0.44, p ¼ 0.006). In the MCI group, no significant correlation was found. Conclusion: The findings of this study suggest the ability of older adults with cognitive impairments to use ETs can be depicted with self-perceived reports as well as with observations. However, the combination of both approaches is recommended to get a comprehensive picture. While the S-ETUQ provides a broad picture of the use, presence and relevance of technologies in an individual's life, the META describes a specific human-technology interaction in detail. Furthermore, the results suggest people with early dementia retain the ability and insight to accurately reflect on their own ability to use ET, emphasizing the need to include their experiences in research and clinical work.

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How older adults with mild cognitive impairment relate to technology as part of present and future everyday life: a qualitative study

Cited by 44 publications

References 41 publications

Usability and acceptability of technology for community-dwelling older adults with mild cognitive impairment and dementia: a systematic literature review

Usability and acceptability of technology for community-dwelling older adults with mild cognitive impairment and dementia: a systematic literature review

“So, Tell Me What Kind of a Thing It Really Is”—Finnish Older Adults Making Sense of Home Technology

Do you observe what I perceive? The relationship between two perspectives on the ability of people with cognitive impairments to use everyday technology

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