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Elimelech OC, Ferrante S, Josman N, Meyer S, Lunardini F, Gómez-Raja J, Galán C, Cáceres P, Sciama P, Gros M, Vurro C, Rosenblum S. Technology use characteristics among older adults during the COVID-19 pandemic: A cross-cultural survey. TECHNOLOGY IN SOCIETY 2022; 71:102080. [PMID: 35991080 PMCID: PMC9376146 DOI: 10.1016/j.techsoc.2022.102080] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Revised: 08/01/2022] [Accepted: 08/07/2022] [Indexed: 05/14/2023]
Abstract
Personal computers, tablets, and smartphones may support older adults' engagement when people are required to stay home and opportunities to engage in meaningful activities are reduced during the COVID-19 period. This study aims to screen older adults' technology-use characteristics across social, leisure, and education domains during the COVID-19 pandemic from a crosscultural viewpoint. The sample included 576 participants aged 60 and older from France (n = 62), Spain (n = 110), and Israel (n = 404). Participants completed the technology-use survey, which consists of questions about their facilities, technology usability, need for adaptations to support technology use, and changes in technology use since COVID-19. Significant differences were found between countries in facilities, χ2 (2) = 25.16, p < .001, and usability, χ2 (2) = 64.14, p < .001, across the three domains. Furthermore, 34% of technological usability was predicted by country and facilities, F (4, 568) = 72.39, p < .001. Participants noted a willingness to use technology if it was adapted for social (61%-73%), leisure (51%-71%), or educational (67%-76%) activities and that they devoted substantially more time to technology across domains (>58%) due to COVID-19. These findings highlight culture and facilities as factors that play an imperative role in supporting and enhancing the usability of technology among older adults.
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Affiliation(s)
- Ortal Cohen Elimelech
- The Laboratory of Complex Human Activity and Participation, Department of Occupational Therapy, University of Haifa, Israel
| | - Simona Ferrante
- Department of Electronics, Information and Bioengineering, Politecnico di Milano, Milano, Italy
| | - Naomi Josman
- Department of Occupational Therapy, University of Haifa, Israel
| | - Sonya Meyer
- Department of Occupational Therapy, Ariel University, Ariel, Israel
| | - Francesca Lunardini
- Department of Electronics, Information and Bioengineering, Politecnico di Milano, Milano, Italy
| | | | | | | | | | | | - Clodia Vurro
- Department of Economics, Management and Quantitative Methods, University of Milan, Italy
| | - Sara Rosenblum
- The Laboratory of Complex Human Activity and Participation, Department of Occupational Therapy, University of Haifa, Israel
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Shih YN, Hsu JL, Wang YC, Wu CC, Liao YH. Test–retest reliability and criterion-related validity of Shih–Hsu test of attention between people with and without schizophrenia. Br J Occup Ther 2021. [DOI: 10.1177/0308022621991774] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
Introduction The “Shih–Hsu Test of Attention” (SHTA) is an iPad-based attention assessment tool developed in recent years by occupational therapists and has acceptable criterion-related validity and high test–retest reliability in preliminary application. This research project explores the criterion-related validity and test–retest reliability of SHTA between people with and without schizophrenia. Method The participants were 76 adults with schizophrenia aged 20–64 years, and 66 adults without diagnosed mental illness aged 20–64 years were recruited in this study on a voluntary basis. Each participant was assessed twice. The participants completed both the SHTA and Chu’s Attention Test (CAT) in the first test and the SHTA after 3 weeks. Findings Analytical results indicate that the SHTA has satisfactory test–retest reliability (ICC = 0.67) and criterion-related validity (γ = 0.29, p < 0.05*) for adults with schizophrenia and has high test–retest reliability (ICC = 0.90) and criterion-related validity (γ = 0.25, p < 0.05*) for adults without diagnosed mental illness. The MDC% value for the subjects without diagnosed mental illness was 12.1%, indicating acceptable random measurement error. Conclusion Our preliminary findings show that the iPad-based attention assessment tool, SHTA, has satisfactory criterion-related validity and test–retest reliability, supporting the future application of SHTA as an attention assessment tool.
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Affiliation(s)
- Yi-Nuo Shih
- Department of Occupational Therapy, College of Medicine, Fu Jen Catholic University, New Taipei, Taiwan
| | - Jia-Lien Hsu
- Department of Computer Science and Information Engineering, Fu Jen Catholic University, New Taipei, Taiwan
| | - Yi-Ching Wang
- School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Chia-Chun Wu
- Department of Graduate Institute of Applied Science and Engineering, Fu Jen Catholic University, New Taipei, Taiwan
| | - Yin-huang Liao
- Department of Psychiatry, Cathay General Hospital, Taipei, Taiwan
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Shih YN, Hsu JL, Wu CC, Hsiao JH. Development of an iPad-based assessment tool for measuring attention and validation in older employees. Work 2020; 67:811-815. [PMID: 33325423 DOI: 10.3233/wor-203325] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND In recent years, the elderly population has increasingly worked in various workplaces. Hence, measurements to assess the work attention of the elderly has become an important need. OBJECTIVES The aims of this research project are to develop an iPad-based attention assessment tool, "Shih-Hsu Test of Attention" (SHTA) for work attention, that adopts touchscreen as the medium interface, and to explore criterion-related validity and test-retest reliability of this new attention assessment tool for elders. METHODS Thirty-one participants aged between 65-85 years were recruited in this study on a voluntary basis. Each participant was assessed two times. The participants completed both the SHTA and Chu's Attention Test (CAT), and the SHTA was used to test participants after three weeks. RESULTS The analytical results demonstrate that the SHTA has acceptable criterion-related validity (γ= 0.400, p < 0.05*) and test-retest reliability (ICC = 0.920, p < 0.01**). CONCLUSIONS Our preliminary findings show that the iPad-based auditory attention assessment tool, SHTA, has satisfactory criterion-related validity and test-retest reliability, which supports the use of SHTA as an attention assessment tool for older employees.
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Affiliation(s)
- Yi-Nuo Shih
- Department of Occupational Therapy, College of Medicine, Fu Jen Catholic University, New Taipei City, Taiwan
| | - Jia-Lien Hsu
- Department of Computer Science and Information Engineering, College of Science and Engineering, Fu Jen Catholic University, New Taipei City, Taiwan
| | - Chia-Chun Wu
- Department of Occupational Therapy, College of Medicine, Fu Jen Catholic University, New Taipei City, Taiwan.,Division of Psychiatry, Fu Jen Catholic University Hospital, New Taipei City, Taiwan.,Department of Graduate Institute of Applied Science and Engineering, College of Science and Engineering, Fu Jen Catholic University, New Taipei City, Taiwan
| | - Jia-Hui Hsiao
- Department of Psychiatry, Cathay General Hospital, Taipei, Taiwan.,Department of Occupational Therapy, Taipei City Psychiatric Center, Taipei City Hospital, Taipei, Taiwan
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Malinowsky C, Nygård L, Pantzar M, Kottorp A. Test-retest reliability of the short version of the everyday technology use questionnaire (S-ETUQ). Scand J Occup Ther 2020; 27:567-576. [PMID: 32242449 DOI: 10.1080/11038128.2020.1744715] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Background: Everyday technologies (ET) such as smart phones, and internet banking are increasingly incorporated into daily activities. Therefore, valid assessments are needed to identify ability in ET use and to design and evaluate interventions.Aims: To evaluate and compare the stability over time (test-retest reliability) of measures generated with the short version of the Everyday Technology Use Questionnaire (S-ETUQ) in older adults with cognitive impairment or mild dementia.Materials and Methods: Data was collected with S-ETUQ at two occasions (m = 20.9 days in between) in a sample of (n = 73) older adults with cognitive impairment of different origin (n = 38) or mild dementia (n = 35). Stability of each participant's S-ETUQ measure was examined using standardised difference z-comparisons. The test-retest reliability coefficient of the S-ETUQ measures was determined by Intraclass Correlation Coefficients. Comparisons were performed using Mann-Whitney u-tests.Results: The S-ETUQ measures were statistically stable between the two occasions. Hence, the group of persons with cognitive impairment demonstrated slightly higher stability and fewer differences compared to the group with mild dementia. The ICCs (0.82-0.90) indicated good to excellent agreement.Conclusions: S- ETUQ can be used with older people with cognitive impairments of varying degree to gather reliable and precise information regarding their use of ET.
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Affiliation(s)
- Camilla Malinowsky
- Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet, Huddinge, Sweden
| | - Louise Nygård
- Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet, Huddinge, Sweden
| | - Monica Pantzar
- Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet, Huddinge, Sweden
| | - Anders Kottorp
- Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet, Huddinge, Sweden.,Faculty of Health and Society, Malmö University, Malmö, Sweden
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Walsh R, Drasga R, Lee J, Leggett C, Shapnick H, Kottorp A. Activity Engagement and Everyday Technology Use Among Older Adults in an Urban Area. Am J Occup Ther 2019; 72:7204195040p1-7204195040p7. [PMID: 29953834 DOI: 10.5014/ajot.2018.031443] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVE We investigated associations among activity engagement (AE), number of available and relevant everyday technologies, ability to use everyday technologies, and cognitive status among older adults in an urban area. METHOD This cross-sectional study included 110 participants and used three assessments: the Frenchay Activities Index to measure AE, the Everyday Technology Use Questionnaire to measure the number of and ability to use available and relevant everyday technologies, and the Montreal Cognitive Assessment to measure cognitive status. Data analyses used a one-way analysis of variance and a multiple linear regression model. RESULTS The number of available and relevant everyday technologies was significantly different (p < .001) among groups that varied in level of AE. Ability to use everyday technologies did not significantly differ among groups. Cognitive status did not explain level of AE when the number of available and relevant everyday technologies was considered. CONCLUSION Increasing the accessibility of available and relevant everyday technologies among older adults in an urban area may increase AE.
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Affiliation(s)
- Ryan Walsh
- Ryan Walsh, MA, is MSOT Student, Department of Occupational Therapy, University of Illinois at Chicago, Chicago, IL;
| | - Ruxandra Drasga
- Ruxandra Drasga, MBA, is MSOT Student, Department of Occupational Therapy, University of Illinois at Chicago, Chicago, IL
| | - Jenica Lee
- Jenica Lee, OTD, OTR/L, is Clinical Assistant Professor, Department of Occupational Therapy, University of Illinois at Chicago, Chicago, IL
| | - Caniece Leggett
- Caniece Leggett, BS, is MSOT Student, Department of Occupational Therapy, University of Illinois at Chicago, Chicago, IL
| | - Holly Shapnick
- Holly Shapnick, MS, OTR/L, is OTD Student, University of Illinois at Chicago, Chicago, IL
| | - Anders Kottorp
- Anders Kottorp, PhD, OT Reg, is Professor and Dean, Faculty of Health and Society, Malmö University, Malmö, Sweden
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McGrath C, Corrado AM. The environmental factors that influence technology adoption for older adults with age-related vision loss. Br J Occup Ther 2018. [DOI: 10.1177/0308022618813247] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
IntroductionWith the increasing proportion of older adults aging with vision loss, low-vision assistive devices can help to support occupational engagement; however, such devices are grossly underused among this population. The overarching purpose of this project was to examine the environmental factors that influence technology adoption for older adults with age-related vision loss.MethodsA one-day workshop, which utilized a variety of hands-on methods including Show & Tell, Technology Interaction, and an “App” Assessment activity, was conducted. A total of 19 participants attended the workshop, including 10 older adults with age-related vision loss, six caregivers, one healthcare provider, and two technology industry professionals.ResultsA total of four themes emerged, including: (1) making life harder; (2) relying on support networks; (3) factoring in the pragmatics; and (4) not me, not yet. These themes illustrate the various ways that environmental factors, including physical, social, cultural, and institutional/political factors, influence decision-making regarding technology adoption by older adults with age-related vision loss.ConclusionThis paper demonstrates several environmental factors that influence low-vision assistive device adoption among older adults with age-related vision loss. With their holistic view of clients, including an appreciation for environmental influences, occupational therapists are well positioned to help identify those environmental barriers limiting low-vision assistive device adoption and use.
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Affiliation(s)
- Colleen McGrath
- Assistant Professor, School of Occupational Therapy, The University of Western Ontario, Canada
| | - Ann Marie Corrado
- Graduate student, School of Health and Rehabilitation Sciences, The University of Western Ontario, Canada
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Stern BZ, Goverover Y. Everyday technology use for men with multiple sclerosis: An occupational perspective. Br J Occup Ther 2018. [DOI: 10.1177/0308022618777985] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Brocha Z Stern
- PhD Candidate, Department of Occupational Therapy, Steinhardt School of Culture, Education, and Human Development, New York University, USA
| | - Yael Goverover
- Associate Professor, Department of Occupational Therapy, Steinhardt School of Culture, Education, and Human Development, New York University, USA
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Hedman A, Nygård L, Kottorp A. Everyday Technology Use Related to Activity Involvement Among People in Cognitive Decline. Am J Occup Ther 2017; 71:7105190040p1-7105190040p8. [PMID: 28809657 DOI: 10.5014/ajot.2017.027003] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVE We investigated how everyday technology use related to activity involvement over 5 yr in people with mild cognitive impairment. METHOD Thirty-seven older adults with mild cognitive impairment were evaluated regarding everyday technology use and involvement in activities over time. Information on diagnostic changes was collected from medical files. Linear mixed-effects models were used in data analysis. RESULTS Ability to use everyday technology showed a significant effect on activity involvement (p = .007) beyond the effects of time, diagnostic change, and age. Decreases in number of everyday technologies used (p < .001) and share of accessible and relevant everyday technologies used (p = .04) were associated with decreasing activity involvement. However, these two aspects did not reinforce each other. CONCLUSION When monitoring activity involvement in clients with cognitive decline, health care professionals should take into account clients' ability to use everyday technologies and the amount of everyday technologies they use.
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Affiliation(s)
- Annicka Hedman
- Annicka Hedman, PhD, OT Reg, is Postdoctoral Fellow, Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet, Huddinge, Sweden;
| | - Louise Nygård
- Louise Nygård, PhD, OT Reg, is Professor, Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden
| | - Anders Kottorp
- Anders Kottorp, PhD, OT Reg, is Associate Professor, Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden, and Professor, Department of Occupational Therapy, University of Illinois at Chicago
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Holthe T, Jentoft R, Arntzen C, Thorsen K. Benefits and burdens: family caregivers' experiences of assistive technology (AT) in everyday life with persons with young-onset dementia (YOD). Disabil Rehabil Assist Technol 2017; 13:754-762. [PMID: 28891356 DOI: 10.1080/17483107.2017.1373151] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
BACKGROUND People with dementia and their family caregivers may benefit from assistive technology (AT), but knowledge is scarce about family carers' (FC) experiences and involvement in the use of AT in everyday life. AIM To examine the FC roles and experiences with AT as means of supporting people with young onset-dementia (YOD). METHOD Qualitative interview study with follow-up design. Repeated semi-structured interviews were conducted with 13 FC of people with YOD, participating in an ongoing intervention study investigating the families' use and experiences of AT in everyday life. RESULTS Six main themes emerged: (1) timely information about AT; (2) waiting times; (3) AT incorporated into everyday living; (4) AT experienced as a relief and burden; (5) appraisal of AT qualities and (6) the committed caregiver. CONCLUSIONS The study found benefits for the FC, especially with simply designed AT, but also several barriers for successful use. A committed caregiver is vital throughout the process. Users will need professional advice and support, and occupational therapists may have a significant role in the process. Interventions implementing AT must be based on analysis of the needs of the person with YOD and the carers: their capabilities, preferences, embodied habits, and coping strategies. Implications for Rehabilitation Committed family carers (FC) play an important, often decisive, role in providing support for the person with young-onset dementia (YOD, onset <65 years) to use and benefit from the AT. The simpler the AT, the better. The AT should be introduced at "the right time", before the cognitive and adaptive reduction is too great. The "window" for implementation may be short. AT has potential to ease caregiving and give relief for FC. However, many barriers, difficulties and problems must be attended to. A system for individualized support over time is necessary for implementing AT for this group.
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Affiliation(s)
- Torhild Holthe
- a Norwegian National Advisory Unit on Ageing and Health , Tönsberg , Norway
| | - Rita Jentoft
- b Department of Health and Care Sciences, Faculty of Health Sciences , The Arctic University of Norway , Tromsö , Norway
| | - Cathrine Arntzen
- b Department of Health and Care Sciences, Faculty of Health Sciences , The Arctic University of Norway , Tromsö , Norway
| | - Kirsten Thorsen
- c Norwegian National Advisory Unit on Ageing and Health , Oslo , Norway
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Malinowsky C, Nygård L, Tanemura R, Nagao T, Noda K, Nakata O, Sagara J, Rosenberg L, Asaba E, Kottorp A. Everyday technology use among older adults in Sweden and Japan: A comparative study. Scand J Occup Ther 2017; 25:446-456. [DOI: 10.1080/11038128.2017.1321684] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Camilla Malinowsky
- Division of Occupational Therapy, Department of Neurobiology, Care Science and Society (NVS), Karolinska Institutet, Stockholm, Sweden
| | - Louise Nygård
- Division of Occupational Therapy, Department of Neurobiology, Care Science and Society (NVS), Karolinska Institutet, Stockholm, Sweden
| | - Rumi Tanemura
- Graduate School of Health Sciences, Kobe University, Kobe, Japan
| | - Toru Nagao
- Graduate School of Health Sciences, Kobe University, Kobe, Japan
| | - Kazue Noda
- Graduate School of Health Sciences, Kobe University, Kobe, Japan
| | - Osamu Nakata
- Graduate School of Health Sciences, Kobe University, Kobe, Japan
| | - Jiro Sagara
- Department of Product Design, Kobe Design University, Kobe, Japan
| | - Lena Rosenberg
- Division of Occupational Therapy, Department of Neurobiology, Care Science and Society (NVS), Karolinska Institutet, Stockholm, Sweden
| | - Eric Asaba
- Division of Occupational Therapy, Department of Neurobiology, Care Science and Society (NVS), Karolinska Institutet, Stockholm, Sweden
- Stockholms Sjukhem Foundation, Unit for Research, Education, and Development, Stockholm, Sweden
- Department of Occupational Therapy, Tokyo Metropolitan University, Tokyo, Japan
| | - Anders Kottorp
- Division of Occupational Therapy, Department of Neurobiology, Care Science and Society (NVS), Karolinska Institutet, Stockholm, Sweden
- Department of Occupational Therapy, University of Illinois at Chicago, Chicago, IL, USA
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Patomella AH, Kottorp A, Ferreira M, Rosenberg L, Uppgard B, Nygård L. Everyday technology use among older adults in Sweden and Portugal. Scand J Occup Ther 2017; 25:436-445. [PMID: 28385092 DOI: 10.1080/11038128.2017.1311940] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
BACKGROUND Technology use is relevant for engaging in everyday occupations and aging in place and difficulties might limit participation. AIM The aim of the present study was two-fold: to investigate the internal scale validity of the Everyday Technology Use Questionnaire (ETUQ) in a matched Portuguese and a Swedish sample of older adults without known cognitive impairments and to compare everyday technology use (i.e., the relevance of Everyday Technology (ET) and perceived difficulty of using ET). METHODS The Rasch rating scale model was used to investigate the psychometric properties of the data from the two countries. Analyses were then used to compare the samples. RESULTS There is evidence of internal scale and person response validity in the Swedish and Portuguese ETUQ datasets. The Swedish sample demonstrated almost 25% more ETs to be relevant, as compared to the Portuguese sample (p < .05). The samples' means of perceived difficulty in using ETs were similar. CONCLUSIONS The results support that the ETUQ is a valid assessment for measuring the relevance of and perceived difficulty of ET use and is able to detect differences and similarities between older adults in these European countries in relation to ET use in the home and society.
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Affiliation(s)
- Ann-Helen Patomella
- a Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy , Karolinska Institutet , Stockholm , Sweden
| | - Anders Kottorp
- a Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy , Karolinska Institutet , Stockholm , Sweden.,b College of Applied Health Sciences, Department of Occupational Therapy , University of Illinois at Chicago , Chicago , IL , US
| | - Manuela Ferreira
- c Occupational Therapy Department , Escola Superior de Saúde do Alcoitão (Health High School of Alcoitão) , Alcabideche , Portugal
| | - Lena Rosenberg
- a Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy , Karolinska Institutet , Stockholm , Sweden
| | - Brittmari Uppgard
- a Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy , Karolinska Institutet , Stockholm , Sweden
| | - Louise Nygård
- a Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy , Karolinska Institutet , Stockholm , Sweden
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Stow J, England S. The rise of inclusive mainstream technology: Implications for occupational therapists. Br J Occup Ther 2016. [DOI: 10.1177/0308022616657110] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Jay Stow
- Innovation and Research Consultant, Thomas Pocklington Trust, London, UK
| | - Suzy England
- Associate Lecturer, Brunel University, London, UK
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