Lin Xin Yao, Boot Walter, Charness Neil, Czaja Sara J, Rogers Wendy
Division of Geriatrics and Palliative Medicine, Weill Cornell Medicine, New York, NY, USA.
Department of Psychology, Florida State University, Tallahassee, FL, USA.
Disabil Rehabil Assist Technol. 2025 Feb 2:1-10. doi: 10.1080/17483107.2025.2460104.
Older adults with a cognitive impairment may be challenged by the demands associated with technology systems used to support everyday activities. We investigated technology attitudes, proficiency, and usage across the domains of health, social, transportation, leisure, and domestic activities among older adults with mild cognitive impairment, traumatic brain injury, and post-stroke cognitive impairment. We examined whether age, gender, health, cognition, or technology attitudes (comfort, interest, efficacy) predicted technology proficiency and usage patterns. All variables were measured with validated questionnaires.
Participants ( = 163, age range 60-93) were part of the Everyday Needs Assessment for Cognitive Tasks (ENACT) study.
The participants were largely proficient in using technologies and had generally positive attitudes toward technology. Usage patterns varied across domains, with participants most engaged in technology uses to support social and domestic activities, followed by health activities. Technology was used least frequently to support transportation and leisure activities. Findings highlighted the complex interplay of demographic factors, cognition, and attitudes towards technologies in shaping older adults with cognitive impairments' adoption and use of technology across the various domains. Older age was associated with lower technology use, whereas positive attitudes towards technology (interest, comfort, and efficacy) were associated with higher use. Gender differences were evident in social, domestic, and leisure technology domains.
These findings underscore that older adults with a cognitive impairment can use and are receptive towards technology. The findings provide valuable insights for tailoring interventions to meet the needs and preferences of older adults with a cognitive impairment.
患有认知障碍的老年人可能会受到用于支持日常活动的技术系统所带来的要求的挑战。我们调查了患有轻度认知障碍、创伤性脑损伤和中风后认知障碍的老年人在健康、社交、交通、休闲和家庭活动等领域的技术态度、熟练程度和使用情况。我们研究了年龄、性别、健康状况、认知能力或技术态度（舒适度、兴趣度、效能感）是否能预测技术熟练程度和使用模式。所有变量均通过经过验证的问卷进行测量。
参与者（n = 163，年龄范围60 - 93岁）是认知任务日常需求评估（ENACT）研究的一部分。
参与者在很大程度上精通使用技术，并且对技术总体上持积极态度。各领域的使用模式各不相同，参与者最常参与支持社交和家庭活动的技术使用，其次是健康活动。用于支持交通和休闲活动的技术使用频率最低。研究结果突出了人口统计学因素、认知能力以及对技术的态度在塑造患有认知障碍的老年人在各个领域采用和使用技术方面的复杂相互作用。年龄较大与技术使用较少相关，而对技术的积极态度（兴趣、舒适度和效能感）与较高的使用相关。在社交、家庭和休闲技术领域存在明显的性别差异。
这些研究结果强调，患有认知障碍的老年人能够使用并接受技术。这些发现为定制干预措施以满足患有认知障碍的老年人的需求和偏好提供了有价值的见解。
