Experiences with Technology Amongst an International Sample of Older Adults: Results from a Qualitative Interpretive Meta-Synthesis

2021 ◽  
Author(s):  
Vivian J Miller ◽  
Erin M Roark ◽  
Noelle L Fields ◽  
Courtney Cronley
Keyword(s):  
Older Adults ◽  
Social Work ◽  
Social Isolation ◽  
Technology Use ◽  
Well Being ◽  
Information And Communications Technology ◽  
World Health ◽  
Subjective Well Being ◽  
Negative Impacts ◽  
Nuanced Understanding

Abstract Identifying and implementing effective strategies to combat social exclusion and isolation is critical, given that eradicating social isolation has been identified as one of the social work profession’s main goals. Training older adults to use information and communications technology (ICT) effectively may be an appropriate intervention to combat and mitigate the negative impacts of social isolation within the aging population. ICT has demonstrated promise with older adults, with research demonstrating that older adults with higher technology use report better self-reported physical health and subjective well-being. Given this promise, the authors of this study seek to create more nuanced understanding of the experience of ICT usage, as told by an international sample of older adults using a qualitative interpretive meta-synthesis (QIMS). Using the QIMS methodology paired with phenomenological reduction, the authors synthesised nine (N = 9) qualitative studies through the lens of the World Health Organization’s age-friendly domains. This process resulted in three overarching themes that describe older adults’ experiences engaging with technology: ‘desire for empowerment’, ‘connection’ and ‘aging well’. Findings from this study highlight overall benefits of technology use among older adults aging in the community. This study concludes with implications for social work research and practice.

scholarly journals Older Adults and Technology Use: A Systematic Literature Review

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 823-823
Author(s):  
Hyung Wook Choi ◽  
Rose Ann DiMaria-Ghalili ◽  
Mat Kelly ◽  
Alexander Poole ◽  
Erjia Yan ◽  
...  
Keyword(s):  
Older Adults ◽  
Technology Use ◽  
Age Groups ◽  
Well Being ◽  
Sample Population ◽  
Age Cohorts ◽  
Fine Grained ◽  
Nuanced Understanding ◽  
Smart Technologies ◽  
Age Range

Abstract Researchers are increasingly interested in leveraging technology to support the physical and mental well-being of older adults. We systematically reviewed previous scholars’ criteria for sampling older adult populations, focusing on age cohorts (namely adults over 65) and their use of internet and smart technologies. We iteratively developed keyword combinations that represent older adults and technology from the retrieved literature. Between 2011 and 2020, 70 systematic reviews were identified, 26 of which met our inclusion criteria for full review. Most important, not one of the 26 papers used a sample population classification more fine-grained than “65 and older.” A knowledge gap thus exists; researchers lack a nuanced understanding of differences within this extraordinarily broad age-range. Demographics that we propose to analyze empirically include not only finer measures of age (e.g., 65-70 or 71-75, as opposed to “65 and older”), but also those age groups’ attitudes toward and capacity for technology use.

scholarly journals Social Isolation and Psychological Distress Among Older Adults Related to COVID-19: A Narrative Review of Remotely-Delivered Interventions and Recommendations

2020 ◽  
Vol 40 (1) ◽  
pp. 3-13
Author(s):  
Julie A. Gorenko ◽  
Chelsea Moran ◽  
Michelle Flynn ◽  
Keith Dobson ◽  
Candace Konnert
Keyword(s):  
Older Adults ◽  
Social Isolation ◽  
Mental Health Professionals ◽  
Psychological Symptoms ◽  
Well Being ◽  
Narrative Review ◽  
Comprehensive Overview ◽  
Wide Range ◽  
Barriers To Implementation ◽  
Negative Impacts

The COVID-19 pandemic is associated with several short- and long-term negative impacts on the well-being of older adults. Physical distancing recommendations to reduce transmission of the SARS-CoV2-19 virus increase the risk of social isolation and loneliness, which are associated with negative outcomes including anxiety, depression, cognitive decline, and mortality. Taken together, social isolation and additional psychological impacts of the pandemic (e.g., worry, grief) underscore the importance of intervention efforts to older adults. This narrative review draws upon a wide range of evidence to provide a comprehensive overview of appropriate remotely-delivered interventions for older adults that target loneliness and psychological symptoms. These include interventions delivered by a range of individuals (i.e., community members to mental health professionals), and interventions that vary by implementation (e.g., self-guided therapy, remotely-delivered interventions via telephone or video call). Recommendations to overcome barriers to implementation and delivery are provided, with consideration given to the different living situations.

Social isolation undermines quality of life in older adults

2019 ◽  
Vol 32 (11) ◽  
pp. 1283-1292
Author(s):  
Karla Moreno-Tamayo ◽  
Betty Manrique-Espinoza ◽  
Eliseo Ramírez-García ◽  
Sergio Sánchez-García
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Social Isolation ◽  
Well Being ◽  
World Health ◽  
Regression Analyses ◽  
World Health Organization Quality ◽  
Global Quality Of Life ◽  
Health Factors

ABSTRACTObjective:Several studies have documented associations between social isolation and poor physical health or well-being. However, little is known of the importance of social support among older adults on specific topics about their quality of life. The purpose of the present study was to determine the relationship between social isolation and quality of life among older adults.Design:A cross-sectional study.Setting:Mexico City.Participants:1,252 subjects aged ≥ 60 years living at home.Measurements:We used the Abbreviated Version of the Lubben Social Network Scale (LSNS-6) to assess social isolation and the World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-Old) to assess quality of life. Socio-demographic and health factors were collected through face-to-face interviews. A series of linear regression analyses were used to investigate relationship between social isolation and quality of life. The statistical models were controlled for socio-demographic and health factors.Results:A total of 750 women (60%) and 502 men (40%) participated in the study. According to their LSNS-6 scores, 426 participants (34.0%) were classified into the highest group of isolation (range 0-10 points). Older adults with higher scores of social isolation exhibited lower quality of life. Regression analyses indicated that social isolation correlated with lower levels of global quality of life, autonomy, intimacy, and past, present, and future activities.Conclusions:Coping with life from a socially isolated situation entails serious difficulties concerning quality of life. Interventions that foster environments where older adults can forge social bonds might improve their quality of life.

Self-reported hearing difficulty, subjective well-being and social relationships among older adults in Ghana

2020 ◽  
pp. 16-23
Author(s):  
Alfred E Yawson ◽  
John Tetteh ◽  
Isaac Adomako ◽  
Phaedra Yamson ◽  
Kafui Searyoh ◽  
...  
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Older Adult ◽  
Social Relationships ◽  
Social Relationship ◽  
Well Being ◽  
World Health ◽  
Subjective Well Being ◽  
Unhealthy Lifestyle ◽  
Hearing Difficulty

Background: Hearing difficulty negatively impacts individual relationships with family and friends and other social relationships. Objective:This research was conducted to determine the factors significantly influencing self-reported hearing difficulty (SHD) and further to assess the influence of SHD on social relationship among older adults in Ghana. Methods: World Health Organization’s Studyon Global AGEing and Adult Health Ghana dataset for older adults 50 yr. and above was used for this study. Social relationship and hearing difficulty were the primary and secondary outcomes respectively. A modified Poisson with Mahalanobis distance matching within propensity caliper was employed to determine the different influences on social relationships by SHD. All analysis was performed using the statistical software Stata Version 15 and with a confidence interval (CI) of 95%. Results: The prevalence of SHD among older adults in Ghana was 19.5% (95%CI=16.9-22.3). Rao-Scott test of association showed that all covariates (demographic characteristics, self-rated health, quality of life, life satisfaction and unhealthy lifestyle) were significantly associated with SHD (p<0.05). Sensitivity analysis showed that, SHD predicted a significantly decreased probability count of social relationship among older adults with SHD [adjusted prevalence ratio(95%CI)=-0.08(-0.15-0.02)]. Binary and ordinal outcomes showed that among the older adults with SHD, only 35% and 70% respectively were likely to have a good social relationship [adjusted odds ratio (aOR) (95%CI)=0.65(0.46-0.90) and aOR (95%CI)=0.70(0.51-0.96)respectively]. Conclusion: Overall, the prevalence of hearing loss in older adults in Ghana was 19.5%, and was higher among older adult females. This high prevalence of SHD had significant negative effect on social relationships among the older adults. In line with global efforts to reduce effect of hearing loss, it is imperative that, clinical assessment of hearing loss should always consider the social characteristics of the older adult.

scholarly journals The Association Between the Use of Digital Health Management Tools and Subjective Well-Being Among Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 498-498
Author(s):  
Mai See Yang ◽  
Haowei Wang ◽  
Yong Kyung Choi
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Technology Use ◽  
Health Management ◽  
Digital Health ◽  
Later Life ◽  
Well Being ◽  
Community Dwelling ◽  
Subjective Well Being ◽  
Management Tools

Abstract This study aims to examine the association between the use of digital health management tools and subjective well-being in later life. Research is limited about technology use (e.g., participation in online wellness program, finding medical information, using devices to monitor health) among community dwelling older adults. This study used data from the Health and Retirement study 2012 Module “Technology Use: Barriers and Benefits” (N = 1,416). We used multiple regression methods to test the association between technology use and subjective well-being (i.e., self-rated health, life satisfaction, and depressive symptoms). Over half of the participants reported using technology (58%). The mean age for this group was 68.7 (SD 9.6). Majority of the respondents were female (55%). About 18% were non-Hispanic Blacks, 2% were non-Hispanic other, 11% were Hispanic, and 68% were non-Hispanic Whites. For this sample of technology users, the usage of digital health management included online exercise programs (16%), online wellness programs or health monitoring programs (7%), searching for medical and health information online (43%), digital devices to monitor health (31%), and physical activity-based video game such as Wii Fit (7%). Over 88% of the sample have used at least one of these formats to monitor their health. Results from regression models suggested that the use of any digital health management tools was related to fewer depressive symptoms and better self-reported health. Findings from this study provide insight into how digital health management can protect older adults from poor subjective well-being in later life.

scholarly journals Social engagement technologies and their use among grandparents and adult grandchildren

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Mueller ◽  
H Foran
Keyword(s):  
Older Adults ◽  
Family Relationships ◽  
Technology Use ◽  
Social Engagement ◽  
Well Being ◽  
Social Technology ◽  
Subjective Well Being ◽  
Self Rated Health ◽  
Adult Grandchildren ◽  
Health And Well Being

Abstract The quality of close family relationships can affect the health and well-being of older adults. Further, research suggests that relationships between grandparents and adult grandchildren can have a positive impact on the lives of each generation, particularly regarding social and emotional support. Social engagement technologies may provide new opportunities for older adults to foster and maintain family relationships, including those between grandparents and adult grandchildren. The current cross-sectional study examined associations between the use of social engagement technologies and health and well-being outcomes in 177 younger adults (M = 26.67, SD = 7.83; 81.4% female) and 202 older adults (M = 71.09, SD = 8.17; 77.8% female). Social technology use was assessed through five mediums that are used to enhance social connectivity (e.g., e-mail, social network sites, online video or phone calls, instant messaging, and smartphones). Higher use of social engagement technologies was associated with better self-rated health, subjective well-being, and social support among younger and older adults. Interestingly, social technology use was associated with less depressive symptoms only for older adults (r=-.26, p&lt;.05). There was, however, no correlation between social technology use and loneliness at the bivariate level. Of all five media, only smartphone use was correlated with more positive evaluations of the grandparent-grandchild relationship. After controlling for age, both grandparent-grandchild relationship quality and social technology use were associated with better self-rated health, subjective well-being, and social support for grandparents and adult grandchildren. Key messages Taken together, these findings indicate the need for a nuanced perspective on the benefits of social engagement technologies. More research is needed to explore the use case for social engagement technologies among older adults and their family members.

scholarly journals Assessing and decomposing gender differences in evaluative and emotional well-being among older adults in the developing world

2020 ◽  
Author(s):  
Clémence Kieny ◽  
Gabriela Flores ◽  
Jürgen Maurer
Keyword(s):  
Older Adults ◽  
Gender Differences ◽  
Older Women ◽  
Gender Gap ◽  
Well Being ◽  
Individual Characteristics ◽  
World Health ◽  
Adult Health ◽  
Subjective Well Being ◽  
Life Circumstances

Abstract Using data from the World Health Organization’s Study on Global AGEing and Adult Health (SAGE), we evaluate the relationship between gender and several measures of subjective well-being among older adults in developing countries. Furthermore, we contrast the partial associations of gender with these well-being measures when controlling only for age (age-adjusted analyses) with the corresponding partial associations when including individual characteristics and life circumstances as controls (multivariable-adjusted analyses). While age-adjusted analyses reveal that older women have lower levels of evaluative well-being than older men, multivariable-adjusted analyses show that - given similar life circumstances - they have equal or slightly higher evaluative well-being. This suggests that the gender gap in evaluative well-being may be explained by less favorable life circumstances of older women. Age-adjusted results also show that older women tend to have lower levels of emotional well-being. However, we find no reversal, but merely an attenuation of these gender differences in emotional well-being when controlling for additional individual characteristics and life circumstances. Finally, we perform Oaxaca-Blinder decompositions to disaggregate the gender gaps in well-being into explained parts - attributable to gender differences in individual characteristics and life circumstances - and unexplained parts - related to gender differences in the association between life circumstances and subjective well-being. These results further corroborate our findings that women tend to be disadvantaged in terms of both evaluative and emotional well-being, and that this disadvantage is mostly driven by observable factors related to the explained part of the decomposition, such as gender differences in socio-economic status and health.

Connecting Older Adults and Their Families through Social Technology

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
J Mueller ◽  
H Foran
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Family Relationships ◽  
Technology Use ◽  
Social Connectedness ◽  
Family Members ◽  
Well Being ◽  
Social Technology ◽  
Subjective Well Being ◽  
Health And Well Being

Abstract Background Older adults often face problems with social isolation, which is a risk factor for poorer mental and physical health. New forms of social technologies (e.g., WhatsApp) provide opportunities to facilitate social connectedness with family members. Understanding older adults’ behaviors and perceptions related to digital communication tools can inform the development of interventions to increase the adoption of these tools for social communication. This study aims to evaluate attitudes and barriers to as well as facilitators of social technology reported by grandparents and grandchildren. The secondary aim is to examine the associations between social technology use and health and well-being outcomes and to identify what factors mediate the use of social technology. Methods In this cross-sectional study, 144 grandchildren (Mage=26.53, SD = 9.17; 81.9% female) were recruited through student mailing lists. Grandparents were invited either through their grandchild or by the research team and recruitment is expected to be completed by September 2019. Three main groups of variables were examined: health and well-being outcomes, social support related outcomes and social technology related outcomes. Results & Conclusions Grandchildren reported very positive attitudes toward social technology as expected. Greater social technology use was associated with better psychological (r =.26, p =.002) and subjective well-being (rs =.20, p =.023), higher psychosocial flourishing (r =.41, p &lt;.001), social support (rs =.22, p =.009) and social connectedness (r =.39, p &lt;.001). Social technology use was not correlated with health, the grandparent-grandchild relationship, loneliness and depression at the bivariate level. Barriers to social technology are security concerns, threat to privacy and constant availability. Facilitators include increased contact, dealing with geographic boundaries and information seeking. Results from grandparents will also be presented. Key messages Social technology has potential to enhance older adults’ lives by facilitating better family relationships, building social support, reducing loneliness and through this improve health and well-being. More research is needed in this area to understand benefits or potential harms and dynamics between younger family members and older adults in use of social technology.

scholarly journals Moderating Effect of Race and Ethnicity Between Technology Use and Social Isolation

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 101-101
Author(s):  
Sunghwan Cho ◽  
Tommy Buckley ◽  
Kyeongmo Kim
Keyword(s):  
Older Adults ◽  
Social Isolation ◽  
Race And Ethnicity ◽  
Technology Use ◽  
Living Arrangement ◽  
Well Being ◽  
Moderating Effect ◽  
Community Dwelling ◽  
Religious Activities ◽  
Race Ethnicity

Abstract Social isolation among older adults has brought about poor outcomes of their health and well-being. Information and Communication technology (ICT) is known to alleviate social isolation of older adults. However, it is unknown how ICT access and use are associated with social isolation by race. This study examined the association of ICT and social isolation from the National Health and Aging Trends Study (NHATS), estimating moderating effects of race and ethnicity. The sample for this study was community dwelling Medicare beneficiaries aged 65+ (n=5,567). An index for ICT was formed from five domains: social network websites, email and texting, working cellphone, tablet devices and online computer use (range 1-5, mean=3.96, SD=0.927), and social isolation was derived from responses to five areas: living arrangement, attending religious activities, numbers of important people to talk with, attending other activities such as club participation and volunteer work (range=0-2, mean=1.74, SD=0.927). Race and ethnicity included White (69.6%), African-American (20.7%), Hispanic (5.5%) and Asian/Pacific Islander (2.5%). Multiple linear regression was used using a moderating effect of race/ethnicity, including relevant covariates. Findings revealed increased ICT use was associated with lower social isolation (b=0.05, p&lt;0.05), and race/ethnicity was a significant moderator in the association between ICT and social isolation for African-Americans (b=0.08, p&lt;0.05) and Hispanics (b=0.15, p&lt;0.05) compared to White older adults. The findings indicate that racial differences should be considered when applying technology use to reduce older adults’ social isolation. Practitioners can provide racially competent ICT services for older adults interested in tech-based communication.

Self-reported hearing difficulty, subjective well-being and social relationships among older adults in Ghana

2020 ◽  
pp. 16-23
Author(s):  
Alfred E Yawson ◽  
John Tetteh ◽  
Isaac Adomako ◽  
Phaedra Yamson ◽  
Kafui Searyoh ◽  
...  
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Older Adult ◽  
Social Relationships ◽  
Social Relationship ◽  
Well Being ◽  
World Health ◽  
Subjective Well Being ◽  
Unhealthy Lifestyle ◽  
Hearing Difficulty

Background: Hearing difficulty negatively impacts individual relationships with family and friends and other social relationships. Objective:This research was conducted to determine the factors significantly influencing self-reported hearing difficulty (SHD) and further to assess the influence of SHD on social relationship among older adults in Ghana. Methods: World Health Organization’s Studyon Global AGEing and Adult Health Ghana dataset for older adults 50 yr. and above was used for this study. Social relationship and hearing difficulty were the primary and secondary outcomes respectively. A modified Poisson with Mahalanobis distance matching within propensity caliper was employed to determine the different influences on social relationships by SHD. All analysis was performed using the statistical software Stata Version 15 and with a confidence interval (CI) of 95%. Results: The prevalence of SHD among older adults in Ghana was 19.5% (95%CI=16.9-22.3). Rao-Scott test of association showed that all covariates (demographic characteristics, self-rated health, quality of life, life satisfaction and unhealthy lifestyle) were significantly associated with SHD (p<0.05). Sensitivity analysis showed that, SHD predicted a significantly decreased probability count of social relationship among older adults with SHD [adjusted prevalence ratio(95%CI)=-0.08(-0.15-0.02)]. Binary and ordinal outcomes showed that among the older adults with SHD, only 35% and 70% respectively were likely to have a good social relationship [adjusted odds ratio (aOR) (95%CI)=0.65(0.46-0.90) and aOR (95%CI)=0.70(0.51-0.96)respectively]. Conclusion: Overall, the prevalence of hearing loss in older adults in Ghana was 19.5%, and was higher among older adult females. This high prevalence of SHD had significant negative effect on social relationships among the older adults. In line with global efforts to reduce effect of hearing loss, it is imperative that, clinical assessment of hearing loss should always consider the social characteristics of the older adult.

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