Perception and Adoption of Mobile Accessibility Features by Older Adults Experiencing Ability Changes

Franz, Rachel L.; Wobbrock, Jacob O.; Cheng, Yi; Findlater, Leah

doi:10.1145/3308561.3353780

Cited by 18 publications

(7 citation statements)

References 36 publications

(37 reference statements)

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“…Poorly designed user interfaces that are difficult to interact with due to the requirement of several factor authentications and inputs, slow and freezing, [ 30 , 36 , 48 ] poor connectivity [ 112 ], and lack of notification system [ 30 ] were identified as barriers to digital engagement among older adults. By contrast, simple login procedures, accessible, customizable and easy access technologies, including large displays, touch screens, high-definition sound and pictures, high-quality outputs and the ability to give printouts to facilitate engagement [ 31 , 38 , 41 , 84 , 85 , 113 , 116 ]. Automated technologies with instant feedback and interactive features; and the ability to track performance were received more favorably [ 55 , 84 , 90 , 101 ].…”

Section: Resultsmentioning

confidence: 99%

Digital Engagement of Older Adults: Scoping Review

Kebede¹,

Ozolins²,

Holst³

et al. 2022

J Med Internet Res

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Background Digital technologies facilitate everyday life, social connectedness, aging at home, well-being, and dignified care. However, older adults are disproportionately excluded from these benefits. Equal digital opportunities, access, and meaningful engagement require an understanding of older adults’ experience across different stages of the technological engagement life cycle from nonuse and initial adoption to sustained use, factors influencing their decisions, and how the experience changes over time. Objective Our objectives were to identify the extent and breadth of existing literature on older adults’ perspective on digital engagement and summarize the barriers to and facilitators for technological nonuse, initial adoption, and sustained digital technology engagement. Methods We used the Arksey and O’Malley framework for the scoping review process. We searched MEDLINE, PsycINFO, CINAHL, Web of Science, and ACM digital library for primary studies published between 2005 and 2021. The inclusion and exclusion criteria were developed based on the Joanna Briggs Institute (participants, content, and context) framework. Studies that investigated the digital engagement experience as well as barriers to and facilitators of older adults’ digital technology engagement were included. The characteristics of the study, types of digital technology, and digital engagement levels were analyzed descriptively. Content analysis was used to generate tentative elements using a congruent theme, and barriers and facilitators were mapped over the capability, opportunity, and motivation behavior change model (COM-B) and the theoretical domain framework. The findings were reported in accordance with the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews). Results In total, 96 publications were eligible for the final charting and synthesis. Most of the studies were published over the past 5 years, investigated the initial adoption stage of digital engagement, and focused on everyday technologies. The most cited barriers and facilitators across the engagement stages from each COM-B component were capability (eg, physical and psychological changes and lack of skill), opportunity (eg, technological features, environmental context, and resources), and motivation (eg, optimism from perceived usefulness and beliefs about capability). Conclusions The COM-B model and theoretical domain framework provide a guide for identifying multiple and intertwined barriers and facilitators at each stage of digital engagement. There are limited studies looking into the whole spectrum of older adults’ digital technology experience; in particular, studies on technological nonuse and sustained use stages are rare. Future research and practice should focus on tailored interventions accounting for the barriers to older adults’ digital engagement and addressing capabilities, motivation, and opportunities; affordable, usable, and useful digital technologies, which address the changes and capability requirements of older adults and are cocreated with a value framework; and lifelong learning and empowerment to develop older adults’ knowledge and skills to cope with digital technology development. International Registered Report Identifier (IRRID) RR2-10.2196/25616

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Section: Resultsmentioning

confidence: 99%

Digital Engagement of Older Adults: Scoping Review

Kebede¹,

Ozolins²,

Holst³

et al. 2022

J Med Internet Res

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“…Error-recovery support such as back function allowed them to recover to the last correct position, where they could safely proceed. While previous work found that older adults are hesitant to conduct trial-and-error due to factors such as lack of encouragement for self-diagnosis [18] and self-perception of changes in abilities [20], our findings provided encouraging evidence that older adults are more willing and confident to use trial-and-error approach if they are well supported with interactive error-recovery mechanism, such as the ones explored in our work, and were assured that errors would not result in severe consequences [3].…”

Section: Discussion 71 Key Takeawaysmentioning

confidence: 99%

Synapse

Jin

Xiaoying

et al. 2022

Proc. ACM Interact. Mob. Wearable Ubiquitous Technol.

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As smartphones are widely adopted, mobile applications (apps) are emerging to provide critical services such as food delivery and telemedicine. While bring convenience to everyday life, this trend may create barriers for older adults who tend to be less tech-savvy than young people. In-person or screen sharing support is helpful but limited by the help-givers' availability. Video tutorials can be useful but require users to switch contexts between watching the tutorial and performing the corresponding actions in the app, which is cumbersome to do on a mobile phone. Although interactive tutorials have been shown to be promising, none was designed for older adults. Furthermore, the trial-and-error approach has been shown to be beneficial for older adults, but they often lack support to use the approach. Inspired by both interactive tutorials and trial-and-error approach, we designed an app-independent mobile service, Synapse, for help-givers to create a multimodal interactive tutorial on a smartphone and for help-receivers (e.g., older adults) to receive interactive guidance with trial-and-error support when they work on the same task. We conducted a user study with 18 older adults who were 60 and over. Our quantitative and qualitative results show that Synapse provided better support than the traditional video approach and enabled participants to feel more confident and motivated. Lastly, we present further design considerations to better support older adults with trial-and-error on smartphones.

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“…For example, a lack of knowledge about technologies' capabilities led some participants to avoid them, such as the avoidance of ftness trackers by people who use wheelchairs, even though some systems (such as Apple Watch [2]) have deployed adaptations to support wheelchair users following research on this issue [13]. Similarly, a lack of awareness of existing accessibility functions for mainstream technologies like phones [21,43] and web browsers [9] has been documented in prior studies. The broader socio-technical context of marketing materials, setup instructions, system defaults, and accessibility options for systems may need to be reconsidered in order to ensure that existing solutions are utilized efectively.…”

Section: Discussionmentioning

confidence: 99%

Sense and Accessibility

Kane

Guo

Morris

2020

Proceedings of the 22nd International ACM SIGACCESS Conference on Computers and Accessibility

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Sensing technologies that implicitly and explicitly mediate digital experiences are an increasingly pervasive part of daily living; it is vital to ensure that these technologies work appropriately for people with physical disabilities. We conducted on online survey with 40 adults with physical disabilities, gathering open-ended descriptions about respondents' experiences with a variety of sensing systems, including motion sensors, biometric sensors, speech input, as well as touch and gesture systems. We present fndings regarding the many challenges status quo sensing systems present for people with physical disabilities, as well as the ways in which our participants responded to these challenges. We conclude by refecting on the signifcance of these fndings for defning a future research agenda for creating more inclusive sensing systems. CCS CONCEPTS • Human-centered computing → Ubiquitous and mobile computing; Accessibility; • Computing methodologies → Artifcial intelligence; • Social and professional topics → People with disabilities.

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Perception and Adoption of Mobile Accessibility Features by Older Adults Experiencing Ability Changes

Cited by 18 publications

References 36 publications

Digital Engagement of Older Adults: Scoping Review

Digital Engagement of Older Adults: Scoping Review

Synapse

Sense and Accessibility

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