Characterizing the attitudes, proficiency, and usage patterns for daily technology among older adults with a cognitive impairment.

Purpose: Older adults with a cognitive impairment may be challenged by the demands associated with technology systems used to support everyday activities. We investigated technology attitudes, proficiency, and usage across the domains of health, social, transportation, leisure, and domestic activiti...

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Publicado en:Disability & Rehabilitation: Assistive Technology Vol. 20; no. 6; pp. 1677 - 1687
Autores principales: Lin, Xin Yao, Boot, Walter, Charness, Neil, Czaja, Sara J., Rogers, Wendy
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Aug2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2025
      vid: 20
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/17483107.2025.2460104
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        atl: Characterizing the attitudes, proficiency, and usage patterns for daily technology among older adults with a cognitive impairment.
      aug:
        au:
          Lin, Xin Yao
          Boot, Walter
          Charness, Neil
          Czaja, Sara J.
          Rogers, Wendy
        affil: Division of Geriatrics and Palliative Medicine, Weill Cornell Medicine, New York, NY, USA
      sug:
        subj:
          Cognition Disorders Epidemiology
          Digital Technology
          Attitude to Computers
          Practice Patterns
          Activities of Daily Living
          Brain Injuries
          Stroke
          Age Factors
          Sex Factors
          Health Status
          Cognition
          Quality of Life
          Human
          Male
          Female
          Middle Age
          Aged
          Aged, 80 and Over
          Questionnaires
          Needs Assessment
          Transportation
          Leisure Activities
          Sociodemographic Factors
          Descriptive Statistics
          Data Analysis Software
          Analysis of Variance
          Analysis of Covariance
          Multiple Regression
          Telephone
          Email
          Text Messaging
          Funding Source
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Purpose: Older adults with a cognitive impairment may be challenged by the demands associated with technology systems used to support everyday activities. We investigated technology attitudes, proficiency, and usage across the domains of health, social, transportation, leisure, and domestic activities among older adults with mild cognitive impairment, traumatic brain injury, and post-stroke cognitive impairment. We examined whether age, gender, health, cognition, or technology attitudes (comfort, interest, efficacy) predicted technology proficiency and usage patterns. All variables were measured with validated questionnaires. Materials and Methods: Participants (N = 163, age range 60–93) were part of the Everyday Needs Assessment for Cognitive Tasks (ENACT) study. Results: The participants were largely proficient in using technologies and had generally positive attitudes toward technology. Usage patterns varied across domains, with participants most engaged in technology uses to support social and domestic activities, followed by health activities. Technology was used least frequently to support transportation and leisure activities. Findings highlighted the complex interplay of demographic factors, cognition, and attitudes towards technologies in shaping older adults with cognitive impairments' adoption and use of technology across the various domains. Older age was associated with lower technology use, whereas positive attitudes towards technology (interest, comfort, and efficacy) were associated with higher use. Gender differences were evident in social, domestic, and leisure technology domains. Conclusion: These findings underscore that older adults with a cognitive impairment can use and are receptive towards technology. The findings provide valuable insights for tailoring interventions to meet the needs and preferences of older adults with a cognitive impairment. IMPLICATIONS FOR REHABILITATION: Older adults with a diverse cognitive impairment such as MCI, TBI, and PSCI generally have positive attitudes towards technology. Interventions can leverage this positive outlook to encourage technology adoption for therapeutic and daily use. Older adults with a cognitive impairment demonstrate proficiency in using technology, particularly for social and domestic purposes. Intervention efforts can build on these strengths by integrating similar technologies into treatment plans to enhance engagement and efficacy and encouraging use in underutilized domains like transportation and leisure. The complex interplay of cognition, demographics, and attitudes towards technology suggests that a multifaceted approach is necessary. Interventions should consider all these factors to maximize the effectiveness of technology-based interventions. By understanding and addressing the unique needs and preferences of older adults with cognitive impairments, rehabilitation programs can better leverage technology to improve health outcomes and quality of life.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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