scholarly journals Adapting Training and Use of an Application for Cognitively Impaired Older Adults Amidst COVID-19

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 658-659
Author(s):  
Francesca Falzarano ◽  
Sarah Weingast ◽  
Gabriel Gladstone-Groth ◽  
Marco Ceruso ◽  
Sara Czaja

Abstract The emergence of COVID-19 and social distancing requirements have resulted in disruptions to daily life, reduced opportunities for social engagement, and diminished resource access for millions of older adults. Individuals with cognitive impairments (CI) are particularly vulnerable to risk for social isolation. This presentation will discuss the PRISM-CI pilot trial, which aims to examine the feasibility and potential efficacy of the PRISM-CI software system on enhancing connectivity and quality of life among a diverse sample of 50 older adults aged 65 and over with a CI. PRISM-CI, adapted from the PRISM system (developed by the Center for Research and Education on Aging and Technology Enhancement) for this population, is intended to support social engagement, memory, and access to resources and information. We will present data regarding the feasibility and perceived value of PRISM-CI and discuss the challenges, and strategies used, to adapt the PRISM-CI trial during the pandemic. We used a multi-modal approach to provide remote training and specialized tablet instruction that includes individualized training sessions tailored to individuals’ learning needs, hobbies, and prior technology use. The adapted protocol also involves the use of remote access software for troubleshooting. We will also discuss how participant feedback guided the inclusion of additional features, such as Zoom videoconferencing and virtual library access, for the PRISM-CI application. Finally, we will demonstrate how the adaptation of the PRISM-CI protocol holds promise for the use of flexible, remote technology approaches to reach socially isolated older adults to foster psychosocial well-being.

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Mueller ◽  
H Foran

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<.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.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S210-S210
Author(s):  
Tamara A Baker ◽  
Lewina O Lee

Abstract Data show that seven out of every ten adults, over the age of 50, own a smartphone, with one out of ten owning a tablet. While traditional activities dictate the use of technology among this cohort, there is growing evidence that adults similarly use devices to also manage their medical care and to learn online. This increase has guided scholars in recognizing the utility of technology from designing interventions to understanding how technology may serve as a barrier and/or facilitator to one’s general well-being. This symposium features four presentations from nationally recognized scholars that will expand traditional perspectives on technology use, and how it influences social ties among older adults. Dr. Charness will examine the population-level trends in social network use by aging adults and discuss a recent CREATE intervention study (PRISM), that used a computer-based platform to reduce social isolation and loneliness among older adults. Dr. Czaja will similarly present findings from CREATE, and other trials, on the access to and use of email, social media sites, and online support groups among older adults, and the resultant impact on social connectivity, loneliness and social support. Dr. Rogers will discuss technologies that currently exist (e.g., apps, mobile devices, social networking) or are being developed (e.g., robotics, telepresence, virtual reality) to support social engagement. Dr. Antonucci will examine aspects of new technologies and their influence on health and well-being, while underscoring the perspective that new and emerging technologies hold great promise in overcoming traditional barriers to maintaining social contact and exchange.


2020 ◽  
pp. 073346482091002 ◽  
Author(s):  
Jessica Fields ◽  
Anupama Gunshekar Cemballi ◽  
Cathy Michalec ◽  
Debbie Uchida ◽  
Kami Griffiths ◽  
...  

Technology has the potential to increase social connectedness among older adults, but one-third do not use the internet. We formed a community partnership, Tech Allies, providing tablets, broadband, and 1:1 training to isolated older adults. In a pragmatic pilot trial, participants were randomized into intervention ( n = 44) and waitlist ( n = 39) groups. Volunteers provided eight weekly, in-home iPad lessons. Surveys assessed self-reported loneliness, social support, technology use, and confidence at baseline and follow-up. A subgroup completed in-home interviews. The intervention group showed no change in loneliness, marginally significant improvement in social support and technology confidence, and significant increase in technology use. Among the waitlist group, no changes were observed. Interviews showed some participants felt more connected to the world, and many expressed increased technology confidence. Key implementation lessons on program feasibility are discussed. Embedding training within existing community-based programs holds promise as a potentially sustainable mechanism to provide digital training to older adults.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 823-823
Author(s):  
Hyung Wook Choi ◽  
Rose Ann DiMaria-Ghalili ◽  
Mat Kelly ◽  
Alexander Poole ◽  
Erjia Yan ◽  
...  

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.


2021 ◽  
pp. 073346482199686
Author(s):  
Shoshana H. Bardach ◽  
Elizabeth K. Rhodus ◽  
Kelly Parsons ◽  
Allison K. Gibson

Social distancing guidelines during COVID can be isolating, especially for older adults, with potential for poor health outcomes. Technology offers opportunities for remote connection, yet, older adults’ use of and perspectives on technology during this time remain largely unknown. The purpose of this study was to gain insight into older adults’ technology use and preferences to inform the development of a technology training intervention to support older adult well-being. Semi-structured interviews were conducted with 30 older adults. Interviews were analyzed using an iterative, constant comparison approach. Findings were consistent with Socioemotional Selectivity Theory; respondents were primarily interested in technology to support emotionally meaningful goals. Participants indicated limited interest in technology training, referencing diminished future time perspectives to explain disinterest. Findings suggest that efforts to encourage older adults’ expanded technology adoption should highlight how use supports emotionally meaningful goals and provide low-effort, timely training, tied to specific and clear applications.


2021 ◽  
Vol 9 ◽  
Author(s):  
Kaileigh A. Byrne ◽  
Reza Ghaiumy Anaraky ◽  
Cheryl Dye ◽  
Lesley A. Ross ◽  
Kapil Chalil Madathil ◽  
...  

Loneliness, the subjective negative experience derived from a lack of meaningful companionship, is associated with heightened vulnerability to adverse health outcomes among older adults. Social technology affords an opportunity to cultivate social connectedness and mitigate loneliness. However, research examining potential inequalities in loneliness is limited. This study investigates racial and rural-urban differences in the relationship between social technology use and loneliness in adults aged 50 and older using data from the 2016 wave of the Health and Retirement Study (N = 4,315). Social technology use was operationalized as the self-reported frequency of communication through Skype, Facebook, or other social media with family and friends. Loneliness was assessed using the UCLA Loneliness scale, and rural-urban differences were based on Beale rural-urban continuum codes. Examinations of race focused on differences between Black/African-American and White/Caucasian groups. A path model analysis was performed to assess whether race and rurality moderated the relationship between social technology use and loneliness, adjusting for living arrangements, age, general computer usage. Social engagement and frequency of social contact with family and friends were included as mediators. The primary study results demonstrated that the association between social technology use and loneliness differed by rurality, but not race. Rural older adults who use social technology less frequently experience greater loneliness than urban older adults. This relationship between social technology and loneliness was mediated by social engagement and frequency of social contact. Furthermore, racial and rural-urban differences in social technology use demonstrated that social technology use is less prevalent among rural older adults than urban and suburban-dwelling older adults; no such racial differences were observed. However, Black older adults report greater levels of perceived social negativity in their relationships compared to White older adults. Interventions seeking to address loneliness using social technology should consider rural and racial disparities.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 559-559
Author(s):  
Walter Boot

Abstract There has been a great deal of research on technology to support older adults in their performance of Activities and Instrumental Activities of Daily Living. There has been substantially less research, however, on exploring technology solutions that support hobbies and leisure. This is unfortunate, as quality of life and well-being are determined by more than just one’s ability to manage everyday tasks. An overview will be presented of research the Center for Research and Education on Aging and Technology Enhancement (CREATE) has conducted over two decades with the goals of understanding and supporting older adults’ performance of technology-based leisure activities. Many of these studies have involved videogaming, where there exists a substantial age-related digital divide. CREATE has evaluated older adults’ attitudes and game experiences through survey and research studies and has even recorded longitudinal gameplay. How these findings can be applied to support technology-based leisure activities will be expanded upon. Part of a symposium sponsored by Technology and Aging Interest Group.


2012 ◽  
pp. 608-619 ◽  
Author(s):  
Elizabeth Mazur ◽  
Margaret L. Signorella ◽  
Michelle Hough

Early research on older adult computer users focused on the possibility for technology to increase social interaction and alleviate loneliness. Subsequent research has been equivocal on the possible benefits of the Internet for well-being. Nonetheless, in spite of an initial “gray gap,” older adults are increasingly joining younger cohorts in using the Internet. Barriers to older adults’ use of the Internet remain, such as physical and cognitive limitations. Attitudinal barriers may exist, but it is unclear whether these result from lack of experience or differences in income or health status. Business researchers have found that older persons differ from other age groups in their Internet engagement patterns, including online buying. Future research directions include whether computers can improve cognitive functioning and quality of life, how to increase engagement levels, and if there will always be a lag in technology use among older adults.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S979-S979
Author(s):  
Sabita Shrestha ◽  
Tina Colson

Abstract Older adults around the world are living longer. Similarly, in Asian countries longevity of older adults have significantly altered the demographics shift as well as the cultural landscape and needs of the society. These changes have compounded with challenges and needs as a community grapples with how to best take care of aging population. Nepal, a developing country, is also faced with a similar demographic shift among the geriatric population. This shift has brought challenges and needs to communities such as health care, daily living needs, social support systems, economic needs, etc. The geriatric population will require social support systems as they age. Historically, older adults have relied on traditional family support systems for their care and needs maintaining cultural values and norms which may burden immediate or extended family members. Recently, traditional family structures along with social support systems are breaking away from their family trees due to community advancement and modernization, and many are leaving for better economic opportunities. This trend has left many older adults alone in social isolation. Despite challenges in the community, Nepal government doesn’t offer infrastructure for social engagement for older adults. One solution to prevent isolation and loneliness is to establish “senior community centers” (western based concept) for social engaging older adults. Based on ecological framework, this presentation proposes a need of “Senior Community Centers” for older adults where they can become involved in social engagements and receive social supports outside traditional family support systems; thus, optimizing their health and well-being.


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