Department of Human Movement Studies, University of Ostrava, Ostrava, Czech Republic.
Anume Ltd, Hradec Kralové, Czech Republic.
J Med Internet Res. 2024 Feb 7;26:e45492. doi: 10.2196/45492.
Despite the ever-increasing offering of SMART technologies (ie, computer-controlled devices acting intelligently and capable of monitoring, analyzing or reporting), a wide gap exists between the development of new technological innovations and their adoption in everyday care for older adults.
This study aims to explore the barriers and concerns related to the adoption of SMART technologies among different groups of stakeholders.
Data from 4 sources were used: semistructured in-person or internet-based interviews with professional caregivers (n=12), structured email interviews with experts in the area of aging (n=9), a web-based survey of older adults (>55 years) attending the Virtual University of the Third Age (n=369), and a case study on the adoption of new technology by an older adult care facility.
Although all stakeholders noted the potential of SMART technologies to improve older adult care, multiple barriers to their adoption were identified. Caregivers perceived older adults as disinterested or incompetent in using technology, reported preferring known strategies over new technologies, and noted own fears of using technology. Experts viewed technologies as essential but expressed concerns about cost, low digital competency of older adults, and lack of support or willingness to implement technologies in older adult care. Older adults reported few concerns overall, but among the mentioned concerns were lack of ability or interest, misuse of data, and limited usefulness (in specific subgroups or situations). In addition, older adults' ratings of the usefulness of different technologies correlated with their self-rating of digital competency (r=0.258; P<.001).
Older adults appeared to have more positive views of various technologies than professional caregivers; however, their concerns varied by the type of technology. Lack of competence and lack of support were among the common themes, suggesting that educationally oriented programs for both older adults and their caregivers should be pursued.
尽管智能技术（即能够进行监控、分析或报告的计算机控制设备）的种类不断增加，但新技术创新的发展与在老年人日常护理中的应用之间仍然存在很大差距。
本研究旨在探讨不同利益相关者群体在采用智能技术方面的障碍和关注点。
使用了 4 个来源的数据：与专业护理人员（n=12）进行的半结构化面对面或基于互联网的访谈、与老龄化领域专家（n=9）进行的结构化电子邮件访谈、参加虚拟老年大学的老年人（>55 岁）的基于网络的调查（n=369），以及对一家老年人护理机构采用新技术的案例研究。
尽管所有利益相关者都注意到智能技术在改善老年人护理方面的潜力，但发现了采用这些技术的多个障碍。护理人员认为老年人对使用技术不感兴趣或不熟练，报告说更喜欢已知的策略而不是新技术，并注意到自己对使用技术的恐惧。专家认为技术是必不可少的，但对成本、老年人数字能力低、缺乏在老年人护理中支持或采用技术的意愿表示担忧。老年人总体上报告的担忧较少，但提到的担忧包括缺乏能力或兴趣、数据滥用以及缺乏实用性（在特定亚组或情况下）。此外，老年人对不同技术的有用性的评价与其对数字能力的自我评价呈正相关（r=0.258；P<.001）。
与专业护理人员相比，老年人对各种技术的看法似乎更为积极；然而，他们的关注点因技术类型而异。缺乏能力和缺乏支持是共同的主题，这表明应针对老年人及其护理人员开展以教育为导向的计划。
