Adoption and Handling Information Communication Technology as Instrumental Activities of Daily Living for Aging-in-Place in Chinese Older Adults

Abstract (Background) The use of information communication technology and smartphone application are crucial to individuals’ functional independence of community living. Previous studies did not reveal how older adults’ in applying the information communication technology will affect their aging-in-place in our contemporary community. (Methods) This study aimed at developing the psychometric properties of the instrument named Advanced Instrumental Activities of Daily Living (AIADL), and to explore the adoption and handling information communication technology in instrumental activities of daily living for aging-in-place of older adults. 100 home-living participants who are functionally and socially independent, 100 hostel-living participants who are functionally independent but need social assistance, and 100 care-and-attention home living participants who need environment support and assistance in daily functioning were recruited for this study. (Results) AIADL showed good test-retest reliability and good-to-excellent internal consistency. Exploratory factor analysis revealed a two-factor structure with “home living and management” and “community living”. Validity analysis with the known-groups method showed a high overall accuracy of prediction of individuals’ capability of independent living in the community. (Conclusions) AIADL is a valid and reliable instrument to assess older adults’ ability in handling contemporary instrumental activities in their daily life. This instrument can serve as a reference in measuring individuals’ ability of aging-in-place.

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Information communication technology-enabled instrumental activities of daily living: a paradigm shift in functional assessment

Disability and Rehabilitation Assistive Technology ◽

10.1080/17483107.2019.1650298 ◽

2019 ◽

Vol 15 (7) ◽

pp. 746-753

Author(s):

Abbas H. Quamar ◽

Mark R. Schmeler ◽

Diane M. Collins ◽

Richard M. Schein

Keyword(s):

Activities Of Daily Living ◽

Communication Technology ◽

Functional Assessment ◽

Paradigm Shift ◽

Daily Living ◽

Information Communication Technology ◽

Information Communication ◽

Instrumental Activities

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Promoting Information Communication Technology Adoption and Acceptance for Aging-in-Place: A Randomized Controlled Trial

Journal of Applied Gerontology ◽

10.1177/0733464819891045 ◽

2019 ◽

pp. 073346481989104 ◽

Cited By ~ 1

Author(s):

Sajay Arthanat

Keyword(s):

Older Adults ◽

Randomized Controlled Trial ◽

Communication Technology ◽

Controlled Trial ◽

Aging In Place ◽

Information Communication Technology ◽

Control Group ◽

Information Communication ◽

Randomized Controlled ◽

Ict Training

The prevailing digital divide along with barriers to information communication technology (ICT) adoption among older adults is well elucidated. To contribute evidence on ICT education, a 2-year randomized controlled trial verified the long-term effect of a novel individualized ICT training program for older adults in demographic cohorts who are known to underutilize ICT ( n = 42 in the training and n = 43 in a control group). Mixed-model repeated measures analysis of data was conducted from baseline and 6-month intervals ( df = 4, 1) post training. Older adults in the training group engaged in a wide range of leisure ( p = .03), health management ( p = .006), and instrumental activities of daily living ( p = .02) significantly more than those in the control group. They also reported significantly enhanced technology acceptance and sustained sense of independence in key ICT-based activities. The study supports the implementation of one-on-one ICT training programs to promote access and utilization of digital resources for aging-in-place.

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Fatigue as a long-term risk factor for limitations in instrumental activities of daily living and/or mobility performance in older adults after 10 years

Clinical Interventions in Aging ◽

10.2147/cia.s116741 ◽

2016 ◽

Vol Volume 11 ◽

pp. 1579-1587 ◽

Cited By ~ 7

Author(s):

Sigrid Mueller-Schotte ◽

Nienke Bleijenberg ◽

Yvonne T. van der Schouw ◽

Marieke J. Schuurmans

Keyword(s):

Older Adults ◽

Risk Factor ◽

Activities Of Daily Living ◽

Daily Living ◽

Mobility Performance ◽

Instrumental Activities

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Trajectories of Limitations in Instrumental Activities of Daily Living in Frail Older Adults With Vision, Hearing, or Dual Sensory Loss

The Journals of Gerontology Series A ◽

10.1093/gerona/gly155 ◽

2018 ◽

Vol 74 (6) ◽

pp. 936-942 ◽

Cited By ~ 4

Author(s):

Sigrid Mueller-Schotte ◽

Nicolaas P A Zuithoff ◽

Yvonne T van der Schouw ◽

Marieke J Schuurmans ◽

Nienke Bleijenberg

Keyword(s):

Older Adults ◽

Activities Of Daily Living ◽

Daily Living ◽

Sensory Loss ◽

Frail Older Adults ◽

Instrumental Activities ◽

Dual Sensory Loss

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Fall related self-efficacy in instrumental activities of daily living predict falls in old community-living people

European Geriatric Medicine ◽

10.1016/j.eurger.2013.07.187 ◽

2013 ◽

Vol 4 ◽

pp. S57

Author(s):

K. Hellström ◽

M. Sandström ◽

P. Heideken Wågert ◽

M. Sandborgh ◽

A. Söderlund ◽

...

Keyword(s):

Activities Of Daily Living ◽

Self Efficacy ◽

Daily Living ◽

Community Living ◽

Instrumental Activities

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ASSESSMENT OF INSTRUMENTAL ACTIVITIES OF DAILY LIVING IN OLDER ADULTS WITH SUBJECTIVE COGNITIVE DECLINE USING THE VIRTUAL REALITY FUNCTIONAL CAPACITY ASSESSMENT TOOL (VRFCAT)

Journal of Prevention of Alzheimer's Disease ◽

10.14283/jpad.2018.28 ◽

2018 ◽

pp. 1-9

Author(s):

A.S. Atkins1 ◽

A. Khan ◽

D. Ulshen ◽

A. Vaughan ◽

D. Balentin ◽

...

Keyword(s):

Older Adults ◽

Virtual Reality ◽

Activities Of Daily Living ◽

Cognitive Decline ◽

Functional Capacity ◽

Daily Living ◽

Assessment Tool ◽

Subjective Cognitive Decline ◽

Capacity Assessment ◽

Instrumental Activities

Background: Continuing advances in the understanding of Alzheimer’s disease progression have inspired development of disease-modifying therapeutics intended for use in preclinical populations. However, identification of clinically meaningful cognitive and functional outcomes for individuals who are, by definition, asymptomatic remains a significant challenge. Clinical trials for prevention and early intervention require measures with increased sensitivity to subtle deficits in instrumental activities of daily living (IADL) that comprise the first functional declines in prodromal disease. Validation of potential endpoints is required to ensure measure sensitivity and reliability in the populations of interest. Objectives: The present research validates use of the Virtual Reality Functional Capacity Assessment Tool (VRFCAT) for performance-based assessment of IADL functioning in older adults (age 55+) with subjective cognitive decline. Design: Cross-sectional validation study. Setting: All participants were evaluated on-site at NeuroCog Trials, Durham, NC, USA. Participants: Participants included 245 healthy younger adults ages 20-54 (131 female), 247 healthy older adults ages 55-91 (151 female) and 61 older adults with subjective cognitive decline (SCD) ages 56-97 (45 female). Measures: Virtual Reality Functional Capacity Assessment Tool; Brief Assessment of Cognition App; Alzheimer’s Disease Cooperative Study Prevention Instrument Project – Mail-In Cognitive Function Screening Instrument; Alzheimer’s Disease Cooperative Study Instrumental Activities of Daily Living – Prevention Instrument, University of California, San Diego Performance-Based Skills Assessment – Validation of Intermediate Measures; Montreal Cognitive Assessment; Trail Making Test- Part B. Results: Participants with SCD performed significantly worse than age-matched normative controls on all VRFCAT endpoints, including total completion time, errors and forced progressions (p≤0001 for all, after Bonferonni correction). Consistent with prior findings, both groups performed significantly worse than healthy younger adults (age 20-54). Participants with SCD also performed significantly worse than controls on objective cognitive measures. VRFCAT performance was strongly correlated with cognitive performance. In the SCD group, VRFCAT performance was strongly correlated with cognitive performance across nearly all tests with significant correlation coefficients ranging from 0.3 to 0.7; VRFCAT summary measures all had correlations greater than r=0.5 with MoCA performance and BAC App Verbal Memory (p<0.01 for all). Conclusions: Findings suggest the VRFCAT provides a sensitive tool for evaluation of IADL functioning in individuals with subjective cognitive decline. Strong correlations with cognition across groups suggest the VRFCAT may be uniquely suited for clinical trials in preclinical AD, as well as longitudinal investigations of the relationship between cognition and function.

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