Human-Technology Interaction Factors Associated with Electronic Personal Health Records (ePHRs) Use Among Younger and Older Adult Users: A Secondary Data Analysis (Preprint)

2021 ◽  
Author(s):  
Yan Luo ◽  
Krystal Dozier ◽  
Carin Ikenberg
Keyword(s):  
Older Adults ◽  
Health Information ◽  
Personal Health Record ◽  
Age Groups ◽  
Personal Health ◽  
Younger Adults ◽  
Clinical Notes ◽  
Interaction Factors ◽  
The Relationship ◽  
Two Age Groups

BACKGROUND An electronic personal health record (ePHR), also known as a personal health record (PHR), was broadly defined as an electronic application through which individuals can access, manage, and share their health information in a secure and confidential environment. Although ePHRs can benefit individuals as well as caregivers and healthcare providers, the use of ePHRs among individuals continues to remain low. The relationship between age and ePHRs use has been documented in previous studies, which indicated younger age was related to higher ePHRs use, and patients who are younger were more likely to use ePHRs. OBJECTIVE The current study aims to examine the relationship between human-technology interaction factors and ePHRs use among adults, and then compare the different effects of human-technology interaction factors on ePHRs use between younger adults (18-54 years old) and older adults (55 years of age and over). METHODS We analyzed the from the Health Information National Trends Survey (HINTS5, Cycle 3) collected from U.S. adults aged 18 years old and over in 2019. Descriptive analysis was conducted for all variables and each item of ePHRs use. Bivariate tests (Pearson test for categorical variable and F-test for continuous variables) were conducted over four age groups. Lastly, adjusting for socio-demographics and healthcare resources, a weighted multiple linear regression was conducted to examine the relationship between human-technology interaction factors and ePHRs use. RESULTS The final sample size was 1,363 and divided into two age groups: 18-54 years old and 55 years of age and older. The average level of ePHRs use was low (Mean=2.76, range=0-8). There is no significant difference on average ePHRs use between two age groups. Including clinical notes was positively related to ePHRs use in both groups: 18-54 years old (beta=0.28, P<0.01), 55 years old and above (beta=0.15, P<0.01). While accessing ePHRs using a smartphone app was only associated with ePHRs use among younger adults (beta=0.29, P<0.001), ease to understand health information in ePHRs was positively linked to ePHRs use only among older adults (beta=0.13, P<0.01). CONCLUSIONS This study found that including clinical notes was positively related to ePHRs use in both age groups, which suggested that including clinical notes as a part of ePHRs might improve the effective use of ePHRs among patients. Moreover, accessing ePHRs using a smartphone app was associated with higher ePHRs use among younger adults while ease of understanding health information in ePHRs was linked to higher ePHRs use among older adults. The design of ePHRs should provide the option of being accessible through mobile devices to promote greater ePHRs use among young people. For older adults, providers could add additional notes to explain health information recorded in the ePHRs.

Age and Neurocognition Are Associated With Credibility Evaluations of Health Websites

2021 ◽  
Author(s):  
Michelle A. Babicz ◽  
Samina Rahman ◽  
Victoria Kordovski ◽  
Savanna Tierney ◽  
Steven Paul Woods
Keyword(s):  
Older Adults ◽  
Health Literacy ◽  
Health Information ◽  
Age Groups ◽  
The Internet ◽  
Online Health Information ◽  
Younger Adults ◽  
Neurocognitive Functions ◽  
Credibility Rating ◽  
Future Work

The internet has become a common means by which many older adults seek out health information. The prevalence of misinformation on the internet makes the search for accurate online health information a more complex and evaluative process. This study examined the role of age and neurocognition in credibility evaluations of credible and non-credible health websites. Forty-one older adults and fifty younger adults completed a structured credibility rating task in which they evaluated a series of webpages displaying health information about migraine treatments. Participants also completed measures of neurocognition, internet use, and health literacy. Results suggested that older adults rated non-credible health websites as more credible than younger adults, but the age groups did not differ in their ratings of credible sites. Within the full sample, neurocognition was positively associated with credibility ratings for non-credible health websites, whereas health literacy was related to the ratings of credible sites. Findings indicate that older adults may be more likely to trust non-credible health websites than younger adults, which may relate to differences in higher-order neurocognitive functions. Future work might examine whether cognitive-based supports for credibility training in older adults can be used to improve the accuracy with which they evaluate online health information.

scholarly journals Neural mechanisms supporting emotional and self-referential information processing and encoding in older and younger adults

2020 ◽  
Vol 15 (4) ◽  
pp. 405-421
Author(s):  
Ryan T Daley ◽  
Holly J Bowen ◽  
Eric C Fields ◽  
Katelyn R Parisi ◽  
Angela Gutchess ◽  
...  
Keyword(s):  
Older Adults ◽  
Age Groups ◽  
Neural Mechanisms ◽  
Future Research ◽  
Younger Adults ◽  
Cognitive Domains ◽  
Adult Lifespan ◽  
Neutral Information ◽  
Referential Processing ◽  
Two Age Groups

Abstract Emotion and self-referential information can both enhance memory, but whether they do so via common mechanisms across the adult lifespan remains underexplored. To address this gap, the current study directly compared, within the same fMRI paradigm, the encoding of emotionally salient and self-referential information in older adults and younger adults. Behavioral results replicated the typical patterns of better memory for emotional than neutral information and for self-referential than non-self-referential materials; these memory enhancements were present for younger and older adults. In neural activity, young and older adults showed similar modulation by emotion, but there were substantial age differences in the way self-referential processing affected neural recruitment. Contrary to our hypothesis, we found little evidence for overlap in the neural mechanisms engaged for emotional and self-referential processing. These results reveal that—just as in cognitive domains—older adults can show similar performance to younger adults in socioemotional domains even though the two age groups engage distinct neural mechanisms. These findings demonstrate the need for future research delving into the neural mechanisms supporting older adults’ memory benefits for socioemotional material.

scholarly journals Evidence for Age-Equivalent and Task-Dissociative Metacognition in the Memory Domain

2021 ◽  
Vol 12 ◽  
Author(s):  
Alexandria C. Zakrzewski ◽  
Edie C. Sanders ◽  
Jane M. Berry
Keyword(s):  
Older Adults ◽  
Memory Performance ◽  
Age Groups ◽  
Item Recognition ◽  
Younger Adults ◽  
Decision Confidence ◽  
Post Test ◽  
The Relationship ◽  
Metacognitive Ability ◽  
Confidence Ratings

Research suggests that metacognitive monitoring ability does not decline with age. For example, judgments-of-learning (JOL) accuracy is roughly equivalent between younger and older adults. But few studies have asked whether younger and older adults’ metacognitive ability varies across different types of memory processes (e.g., for items vs. pairs). The current study tested the relationship between memory and post-decision confidence ratings at the trial level on item (individual words) and associative (word pairs) memory recognition tests. As predicted, younger and older adults had similar metacognitive efficiency, when using meta-d’/d’, a measure derived from Signal Detection Theory, despite a significant age effect favoring younger adults on memory performance. This result is consistent with previous work showing age-equivalent metacognitive efficiency in the memory domain. We also found that metacognitive efficiency was higher for associative memory than for item memory across age groups, even though associative and item recognition memory (d’) were statistically equivalent. Higher accuracy on post-test decision confidence ratings for associative recognition relative to item recognition on resolution accuracy itself (meta-d’) and when corrected for performance differences (meta-d’/d’) are novel findings. Implications for associative metacognition are discussed.

Inhibition of Return Using Location Discrimination in Two Age Groups

2005 ◽  
Vol 100 (2) ◽  
pp. 554-558 ◽  
Author(s):  
Noriaki Tsuchida
Keyword(s):  
Older Adults ◽  
Response Latency ◽  
Discrimination Task ◽  
Inhibition Of Return ◽  
Age Groups ◽  
Good Health ◽  
Older Age ◽  
Younger Adults ◽  
Inhibitory Function ◽  
Two Age Groups

The present study investigated “inhibition of return” which refers to increased response latency when the target in a location discrimination task appears in the same location on consecutive trials. Research to date has suggested that this effect is little changed across age. However, this study, which compared 12 older adults in good health ( M = 73.0, SD = 5.3) with younger adults using the target-target paradigm to examine inhibition of return, suggests there is a strong and continuous effect in older adults in comparison to younger adults. Results indicate the possibility that the inhibitory function may become stronger at an older age.

scholarly journals Age differences in experiencing meaning in life: A multidimensional approach

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 908-908
Author(s):  
Nicole Long Ki Fung ◽  
Helene Fung
Keyword(s):  
Older Adults ◽  
Age Differences ◽  
Sense Of Coherence ◽  
Meaning In Life ◽  
Online Survey ◽  
Age Groups ◽  
Well Being ◽  
Multidimensional Approach ◽  
Younger Adults ◽  
Two Age Groups

Abstract Coherence, purpose and significance were defined as the three facets of the presence of meaning in life (Martela & Steger, 2016). This study investigated the age differences in the three facets of meaning in life between younger and older adults. We recruited 241 younger adults (Mage=18.72, SD=1.50, 36.5% male) and 114 older adults (Mage=64.93, SD= 5.94, 52.6% male) from Hong Kong to fill out a one-hour online survey. We adapted the Multidimensional Existential Meaning Scale, which measured sense of coherence, purpose, significance. In specific, the adapted version measured significance in two sub facets: the naturalistic significance (important to other people) and cosmic significance (impact lasts beyond lifetime and space). The results showed that older adults had higher sense of coherence (t=3.47, p&lt;.001), higher sense of cosmic significance (t=6.29, p&lt;.001) but lower sense of purpose than younger adults (t=-2.02, p&lt;.05). There were no significant differences in naturalistic significance between the two age groups (t=1.24, p=.22). Within both age groups, participants had the highest score in purpose, followed by coherence and naturalistic significance. They had the lowest score in cosmic significance. This study illustrated that younger and older adults have different absolute levels of meaning facets but are similar in the relative levels of meaning facets. Further studies can investigate how changes in absolute levels of meaning facet and preservation of the relative levels may affect well-being across age.

Cognitive Load Affects Speech Motor Performance Differently in Older and Younger Adults

2019 ◽  
Vol 62 (5) ◽  
pp. 1258-1277 ◽  
Author(s):  
Megan K. MacPherson
Keyword(s):  
Older Adults ◽  
Cognitive Load ◽  
Motor Performance ◽  
Age Groups ◽  
Incongruent Condition ◽  
Sentence Production ◽  
Movement Duration ◽  
Production Task ◽  
Younger Adults ◽  
Speech Motor

PurposeThe aim of this study was to determine the impact of cognitive load imposed by a speech production task on the speech motor performance of healthy older and younger adults. Response inhibition, selective attention, and working memory were the primary cognitive processes of interest.MethodTwelve healthy older and 12 healthy younger adults produced multiple repetitions of 4 sentences containing an embedded Stroop task in 2 cognitive load conditions: congruent and incongruent. The incongruent condition, which required participants to suppress orthographic information to say the font colors in which color words were written, represented an increase in cognitive load relative to the congruent condition in which word text and font color matched. Kinematic measures of articulatory coordination variability and movement duration as well as a behavioral measure of sentence production accuracy were compared between groups and conditions and across 3 sentence segments (pre-, during-, and post-Stroop).ResultsIncreased cognitive load in the incongruent condition was associated with increased articulatory coordination variability and movement duration, compared to the congruent Stroop condition, for both age groups. Overall, the effect of increased cognitive load was greater for older adults than younger adults and was greatest in the portion of the sentence in which cognitive load was manipulated (during-Stroop), followed by the pre-Stroop segment. Sentence production accuracy was reduced for older adults in the incongruent condition.ConclusionsIncreased cognitive load involving response inhibition, selective attention, and working memory processes within a speech production task disrupted both the stability and timing with which speech was produced by both age groups. Older adults' speech motor performance may have been more affected due to age-related changes in cognitive and motoric functions that result in altered motor cognition.

Video Games and Emotion Regulation

GeroPsych ◽  
2018 ◽  
Vol 31 (4) ◽  
pp. 205-213 ◽  
Author(s):  
Kathryn L. Ossenfort ◽  
Derek M. Isaacowitz
Keyword(s):  
Older Adults ◽  
Emotion Regulation ◽  
Video Games ◽  
Age Differences ◽  
Interactive Media ◽  
Age Groups ◽  
Younger Adults ◽  
Media Usage ◽  
The Everyday ◽  
Media Preferences

Abstract. Research on age differences in media usage has shown that older adults are more likely than younger adults to select positive emotional content. Research on emotional aging has examined whether older adults also seek out positivity in the everyday situations they choose, resulting so far in mixed results. We investigated the emotional choices of different age groups using video games as a more interactive type of affect-laden stimuli. Participants made multiple selections from a group of positive and negative games. Results showed that older adults selected the more positive games, but also reported feeling worse after playing them. Results supplement the literature on positivity in situation selection as well as on older adults’ interactive media preferences.

scholarly journals Are the Acute Effects of THC Different in Aging Adults?

2021 ◽  
Vol 11 (5) ◽  
pp. 590
Author(s):  
Raeghan L. Mueller ◽  
Jarrod M. Ellingson ◽  
L. Cinnamon Bidwell ◽  
Angela D. Bryan ◽  
Kent E. Hutchison
Keyword(s):  
Older Adults ◽  
Young Adults ◽  
Age Groups ◽  
Young Group ◽  
Self Administration ◽  
Behavioral Measures ◽  
Younger Adults ◽  
Different Types ◽  
Before And After ◽  
Aging Adults

In recent years of expanding legalization, older adults have reported the largest increase in cannabis use of any age group. While its use has been studied extensively in young adults, little is known about the effects of THC in older adults and whether the risks of cannabis might be different, particularly concerning intoxication and cognition. The current study investigated whether age is associated with the deleterious effects of THC on cognitive performance and other behavioral measures before and after ad libitum self-administration of three different types of cannabis flower (THC dominant, THC + CBD, and CBD dominant). Age groups consisted of young adults (ages 21–25) and older adults (ages 55–70). Controlling for pre-use scores on all measures, the THC dominant chemovar produced a greater deleterious effect in younger adults compared with older adults in tests of learning and processing speed, whereas there were no differences between old and young in the effects of the other chemovars. In addition, the young group reported greater cannabis craving than the older group after using the THC chemovar. Consistent with some reports in the preclinical literature, the findings suggest that older adults may be less sensitive to the effects of THC on cognitive and affective measures.

scholarly journals Housing Transitions and Recovery of Older Adults Following Hurricane Sandy

2018 ◽  
Vol 74 (6) ◽  
pp. 1041-1052 ◽  
Author(s):  
Alexis A Merdjanoff ◽  
Rachael Piltch-Loeb ◽  
Sarah Friedman ◽  
David M Abramson
Keyword(s):  
Older Adults ◽  
Age Groups ◽  
Family Health ◽  
Hurricane Sandy ◽  
Younger Adults ◽  
Younger Age ◽  
Observational Cohort ◽  
Emergency Housing ◽  
Young Old ◽  
Post Disaster

Abstract Objectives This study explores the effects of social and environmental disruption on emergency housing transitions among older adults following Hurricane Sandy. It is based upon the Sandy Child and Family Health (S-CAFH) Study, an observational cohort of 1,000 randomly sampled New Jersey residents living in the nine counties most affected by Sandy. Methods This analysis examines the post-Sandy housing transitions and recovery of the young-old (55–64), mid-old (65–74), and old-old (75+) compared with younger adults (19–54). We consider length of displacement, number of places stayed after Sandy, the housing host (i.e., family only, friends only, or multi-host), and self-reported recovery. Results Among all age groups, the old-old (75+) reported the highest rates of housing damage and were more likely to stay in one place besides their home, as well as stay with family rather than by themselves after the storm. Despite this disruption, the old-old were most likely to have recovered from Hurricane Sandy. Discussion Findings suggest that the old-old were more resilient to Hurricane Sandy than younger age groups. Understanding the unique post-disaster housing needs of older adults can help identify critical points of intervention for their post-disaster recovery.

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