Heatwole Shank Kendra S
Towson University, MD, USA.
Gerontol Geriatr Med. 2022 Oct 2;8:23337214221128402. doi: 10.1177/23337214221128402. eCollection 2022 Jan-Dec.
Mild cognitive impairment (MCI), or objective and subjective cognitive decline, affects an estimated 15%-20% of individuals over the age of 65 . People with MCI generally live in community settings but may be at risk for functional changes in out-of-home participation, particularly when their instrumental activities are cognitively demanding or complex. Technology is part of the interface in complex person-place relationships. The purpose of this study is to examine the nature of everyday technology use in the context of out-of-home participation for community-dwelling older adults with MCI. Community-dwelling older adults with MCI (MoCA <26, >17; ( = 10)) were recruited for data collection using a Go-along method (naturalistic observation, semi-structured interviews, and photography) for multiple out-of-home activities. Findings from this project suggested that participants felt that technology, like their cognition, was out of their control and difficult to predict or change. Four ways the participants experienced the "technology landscape" in their daily lives included: enabling being present, facilitating participation, impeding goals, and constricting options. We present a model of the intersection of cognition, participation, and technology in daily life, and discuss ways that technology can most effectively be used to extend well-being for a population aging in place.
轻度认知障碍(MCI),即客观和主观认知衰退,据估计影响着15%至20%的65岁以上人群。患有MCI的人通常生活在社区环境中,但在户外参与活动时可能面临功能变化的风险,尤其是当他们的工具性活动对认知有较高要求或较为复杂时。技术是复杂的人与环境关系中的一部分。本研究的目的是探讨患有MCI的社区居住老年人在户外参与活动的背景下日常技术使用的本质。使用随行方法(自然观察、半结构化访谈和摄影)对患有MCI的社区居住老年人(蒙特利尔认知评估量表(MoCA)<26,>17;(n = 10))进行多项户外出行活动的数据收集。该项目的研究结果表明,参与者感觉技术就像他们的认知一样,不受他们控制,难以预测或改变。参与者在日常生活中体验“技术环境”的四种方式包括:使人能够在场、促进参与、阻碍目标实现以及限制选择。我们提出了一个日常生活中认知、参与和技术交叉的模型,并讨论了如何最有效地利用技术来为就地老龄化人群拓展福祉。