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Mannheim I, Köttl H. Ageism and (Successful) Digital Engagement: A Proposed Theoretical Model. THE GERONTOLOGIST 2024; 64:gnae078. [PMID: 38874215 PMCID: PMC11308187 DOI: 10.1093/geront/gnae078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2024] [Indexed: 06/15/2024] Open
Abstract
Recently, scholars have highlighted the detrimental consequences of technology-based ageism. Digital technology (DT) is commonly discoursed as an opportunity to promote Successful Aging. Nevertheless, the theoretical implications of ageism, DT, and Successful Aging are underexplored. This paper presents a new theoretical model of Digital Engagement and Ageism (D-EngAge), which elaborates on the potential impacts of ageism on digital engagement and participation in later life and explains how ageism may pose a threat to realizing the potential of DT to promote Successful Aging. The D-EngAge model was developed based on a synthesis of findings from 12 recent studies we conducted on the intersection of ageism and DT. Findings were synthesized through Iversen's clasification of four dimensions of ageism, demonstrating how ageism as a multifaceted construct has a reciprocal relationship with digital engagement on the micro- (individual), meso- (social interaction), and macro-levels (discourses and societal practices). Consequently, digital engagement on these levels may exacerbate or reduce technology-based ageism. This forum paper identifies ageism as a barrier to utilizing DT, critically discusses power imbalances, and deconstructs Successful Aging discourses regarding digital engagement. Theoretical implications and recommendations for future interventions and policy measures to mitigate ageism and promote digital engagement and participation in later life are presented.
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Affiliation(s)
- Ittay Mannheim
- Department of Communication Studies, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - Hanna Köttl
- Department of Health Sciences, IMC University of Applied Sciences Krems, Krems an der Donau, Austria
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Park Y, Chang SJ. The impact of ageism experiences on social participation among community-dwelling older adults: Exploring the moderating role of digital literacy. Geriatr Nurs 2024; 59:372-378. [PMID: 39127013 DOI: 10.1016/j.gerinurse.2024.07.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2024] [Revised: 07/05/2024] [Accepted: 07/30/2024] [Indexed: 08/12/2024]
Abstract
OBJECTIVES This study examined how digital literacy moderates the relationship between ageism experiences and social participation among community-dwelling older adults. METHODS Regression analysis of data from the 2020 National Survey of Older Koreans with 9,920 participants was conducted to identify the association of ageism experiences with social participation in model 1. The moderating effects of digital literacy were examined by adding an interaction term in model 2. RESULTS In model 1, both ageism experiences and digital literacy were significant predictors of social participation. However, in model 2, the interaction term of digital literacy rendered the association between ageism experiences and social participation non-significant. Model 2 explained approximately 18.4 % of the total variance in social participation. CONCLUSIONS By highlighting the importance of digital literacy in increasing social participation among older adults, this study offers valuable insights for interventions aimed at improving digital literacy to promote successful aging in a technology-dependent society.
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Affiliation(s)
- Yujin Park
- Doctoral Student, College of Nursing, Seoul National University, Seoul, South Korea
| | - Sun Ju Chang
- Professor, College of Nursing Research Institute of Nursing Science, Seoul National University, Seoul, South Korea.
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Rasset P, Mange J, Augustinova M. What do we really know about age-related stereotypes and well-being of older adults? A commentary on the state of the art. Front Psychol 2024; 15:1358403. [PMID: 38807961 PMCID: PMC11130559 DOI: 10.3389/fpsyg.2024.1358403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2023] [Accepted: 04/24/2024] [Indexed: 05/30/2024] Open
Abstract
There is a considerable body of literature on harmful consequences of age-related stereotypes-including consequences on physical and mental health. However, this commentary critically argues that the current state of the art disregards consequences of these stereotypes specifically for the well-being of older adults (i.e., outcome that is not to be confounded with mental health). To this end, the content of age-related stereotypes and the mechanisms through which they operate on physical and mental health are first outlined. The commentary then focuses on the very scarce evidence documenting how and when the well-being of older adults (as assessed directly and not as inferred from other indicators) is influenced by self-directed stereotypes. After setting out possible ways well-being may be involved in the relationship between self-directed stereotypes and physical and mental health of older adults, the present commentary argues that a better understanding of well-being would benefit strategies targeting the reduction of age-related stereotypes. Overall, this commentary on the state of the art highlights that future research is still needed to better understand both the direct and indirect relationships between age-related stereotypes and well-being that is not reducible to positive experiences of life (or hedonic well-being) but also comprises an eudaimonic component.
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Affiliation(s)
- Pauline Rasset
- Univ Rennes, Université Rennes 2, LP3C (Laboratoire de Psychologie: Cognition, Comportement, Communication)-UR1285, Rennes, France
| | - Jessica Mange
- Laboratoire de Psychologie de Caen Normandie (LPCN UR7452), Psychology Department, Université de Caen Normandie, Caen, France
| | - Maria Augustinova
- Centre de Recherche sur les Fonctionnements et Dysfonctionnements Psychologiques (CRFDP UR7475), Université de Rouen Normandie, Rouen, France
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Ferizaj D, Perotti L, Dahms R, Heimann-Steinert A. [Use of technology in old age: associations between acceptance, competence, control, interest and social indicators in individuals over 60 years old]. Z Gerontol Geriatr 2024; 57:227-234. [PMID: 37668693 PMCID: PMC11078788 DOI: 10.1007/s00391-023-02225-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Accepted: 07/20/2023] [Indexed: 09/06/2023]
Abstract
BACKGROUND In addition to sociodemographic factors, action-theoretical constructs, such as technology acceptance and competence play an important role in technology use. OBJECTIVE This study aimed to examine the associations between technology use, sociodemographic factors, action-theoretical constructs, and technology interest. MATERIAL AND METHODS Data were collected from 585 study participants aged over 60 years from 14 surveys conducted between 2014 and 2020. A structural equation model was used to explain the relationships. RESULTS The structural equation model with covariates of survey year, age, gender, and education (n = 585) yielded the following fit indices: comparative fit index (CFI) = 0.918, Tucker-Lewis index (TLI) = 0.894, Root Mean Square Error of Approximation (RMSEA) = 0.056 [95 % confidence interval: 0.050-0.063], Standardized Root Mean Square Residual (SRMR) = 0.079, χ2 = 3051.936 (p < 0.001), χ2/degrees of freedom (df) = 18.499. The strongest associations with technology use were found for technology acceptance and competence. Additionally, technology competence showed a significant association with technology interest. Gender and technology interest were not related to technology use but it was observed that men had higher levels of technology acceptance, control, competence, and interest. DISCUSSION Taking technology competence beliefs into account plays a crucial role in understanding the technology usage and interest of older individuals. Additionally, gender-specific differences in the theoretical constructs of action and interest in technology have been revealed in the context of the digital divide.
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Affiliation(s)
- Drin Ferizaj
- Department of Geriatrics and Medical Gerontology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Deutschland.
| | - Luis Perotti
- Department of Geriatrics and Medical Gerontology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Deutschland
| | - Rebecca Dahms
- Department of Geriatrics and Medical Gerontology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Deutschland
| | - Anika Heimann-Steinert
- Department of Geriatrics and Medical Gerontology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Deutschland
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Kamp K, Yang PL, Friedman E, Lopez A, Iribarren S, Barney P, Munson S, Heitkemper M, Levy R. Formative Evaluation of a Comprehensive Self-Management Intervention for Irritable Bowel Syndrome, Comorbid Anxiety, and Depression: Mixed Methods Study. JMIR Form Res 2024; 8:e43286. [PMID: 38294871 PMCID: PMC10867748 DOI: 10.2196/43286] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Revised: 09/28/2023] [Accepted: 12/13/2023] [Indexed: 02/01/2024] Open
Abstract
BACKGROUND Irritable bowel syndrome (IBS) is a disorder of the gut-brain interaction that is associated with abdominal pain, altered bowel patterns, and reduced quality of life. Up to 50% of patients with IBS also report anxiety or depressive symptoms. Although effective self-management interventions exist for individuals with IBS, few have been effectively implemented, and most do not consider the unique needs of patients with comorbid IBS and anxiety or depression. OBJECTIVE This study aimed to determine the anticipated acceptability, appropriateness, feasibility, and usability of a comprehensive self-management intervention using an implementation science and human-centered design approach among individuals with comorbid IBS and anxiety or depression and health care providers. METHODS A convergent mixed methods design was used to elicit feedback on the comprehensive self-management intervention outline and content to identify refinement needs before testing. Patients with IBS and moderate to severe anxiety or depression and health care providers were purposefully sampled from primary care and gastroenterology settings. Participants completed semistructured interviews and surveys on anticipated acceptability, appropriateness, feasibility, and usability. RESULTS Patient participants (n=12) were on average 36.8 (SD 12.2) years of age, and 42% (5/12) were currently receiving psychological therapy. Health care providers (n=14) were from primary care (n=7) and gastroenterology (n=7) settings. The mean usability scores (out of 100) were 52.5 (SD 14.5) for patients and 45.6 (SD 11.6) for providers. For patients and providers, qualitative data expanded the quantitative findings for acceptability and appropriateness. Acceptability findings were the comprehensive nature of the intervention and discussion of the gut-brain interaction. For appropriateness, participants reported that the intervention provided structure, accountability, and support. Feasibility was confirmed for patients, but there was a divergence of findings between quantitative and qualitative measures for providers. Patients focused on intervention feasibility, while providers focused on implementation feasibility in the clinic. Identified usability issues to address before implementation included the intervention delivery format, length, and lack of integration into health care settings that, if not addressed, may limit the reach of the intervention. CONCLUSIONS Patients and health care providers found the intervention acceptable and appropriate. Several feasibility and usability issues were identified, including intervention delivery methods, length of intervention, and the best methods to implement in the clinic setting. The next steps are to refine the intervention to address the identified issues and test in a pilot study whether addressing usability issues leads to the anticipated improvements in implementation and uptake.
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Affiliation(s)
- Kendra Kamp
- Department of Biobehavioral Nursing and Health Informatics, School of Nursing, University of Washington, Seattle, WA, United States
| | | | - Emily Friedman
- Alacrity Center, University of Washington, Seattle, WA, United States
| | - Alejandra Lopez
- Alacrity Center, University of Washington, Seattle, WA, United States
| | - Sarah Iribarren
- Department of Biobehavioral Nursing and Health Informatics, School of Nursing, University of Washington, Seattle, WA, United States
| | - Pamela Barney
- Department of Biobehavioral Nursing and Health Informatics, School of Nursing, University of Washington, Seattle, WA, United States
| | - Sean Munson
- Human Centered Design and Engineering, University of Washington, Seattle, WA, United States
| | - Margaret Heitkemper
- Department of Biobehavioral Nursing and Health Informatics, School of Nursing, University of Washington, Seattle, WA, United States
| | - Rona Levy
- School of Social Work, University of Washington, Seattle, WA, United States
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Martin W, Collett G, Bell C, Prescott A. Ageing, the digital and everyday life during and since the Covid-19 pandemic. Front Psychol 2023; 14:1168340. [PMID: 37829072 PMCID: PMC10564992 DOI: 10.3389/fpsyg.2023.1168340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2023] [Accepted: 06/15/2023] [Indexed: 10/14/2023] Open
Abstract
Introduction During and since the Covid-19 pandemic there has been an intensified integration of digital technologies into the everyday lives of older people. We do, however, know little about the ways in which older people incorporate digital technologies and communications into their daily lives and their own meanings, embodiment and experiences of the digital during and since the Covid-19 pandemic. Method The aim of our research was to explore the use of digital devices during and since the Covid-19 pandemic and to identify facilitators and barriers to incorporating digital devices into everyday life. The research involved a series of online focus groups with people aged between 63 and 86 years living in the United Kingdom and were conducted in 2022. Each focus group lasted around 90 min and data was audio-recorded and transcribed. The data was analysed thematically. Results From the analysis, three interconnecting whilst analytically distinct themes around the meaning and experiences of using digital devices in everyday life during and since the pandemic, are thematically presented as: (1) Incorporating the digital into everyday life; (2) Social and digital connectivity; and (3) Challenges and limitations of the digital in everyday life. Discussion The research has provided insights into the way digital devices were used by older people during and since the Covid-19 pandemic. In particular, we highlight the increasing importance of digital connectivity and the ways in which older people actively engage (and resist) technologies of communication in their daily lives; and the significance of embodied co-presence and the immediacy of shared space and/or time is highlighted.
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Affiliation(s)
- Wendy Martin
- College of Health, Medicine and Life Sciences, Brunel University London, Uxbridge, United Kingdom
| | - George Collett
- William Harvey Research Institute, Queen Mary University of London, London, United Kingdom
| | - Chris Bell
- College of Health, Medicine and Life Sciences, Brunel University London, Uxbridge, United Kingdom
| | - Amy Prescott
- College of Health, Medicine and Life Sciences, Brunel University London, Uxbridge, United Kingdom
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Mannheim I, Wouters EJM, Köttl H, van Boekel LC, Brankaert R, van Zaalen Y. Ageism in the Discourse and Practice of Designing Digital Technology for Older Persons: A Scoping Review. THE GERONTOLOGIST 2023; 63:1188-1200. [PMID: 36130318 PMCID: PMC10448991 DOI: 10.1093/geront/gnac144] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2022] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND AND OBJECTIVES Involving older persons in the design process of digital technology (DT) promotes the development of technologies that are appealing, beneficial, and used. However, negative discourse on aging and ageism are potential underlying factors that could influence which and how DTs are designed and how older persons are involved in the design process. This scoping review investigates the explicit and implicit manifestations of ageism in the design process of DT. RESEARCH DESIGN AND METHODS Seven databases were screened for studies reporting on the design of DT with older persons between January 2015 and January 2020. Data regarding study and DT characteristics, discourse about older persons, and their involvement in the design process were extracted, coded, and analyzed using critical discourse analysis. RESULTS Sixty articles met the inclusion criteria and were included in the analysis. Various forms of exclusion of older persons from the design process were identified, such as no or low involvement, upper-age limits, and sample biases toward relatively "active," healthy and "tech-savvy" older persons. Critical discourse analysis revealed the use of outdated language, stereotypical categorizations, and/or design decisions based on ageism in 71.7% of the studies. DISCUSSION AND IMPLICATIONS A discrepancy was found between an "ideal" discourse regarding the involvement of older persons throughout the design process and actual practice. Manifestations of ageism, errors, and biases of designing DT with older persons are discussed. This article calls for more authentic inclusion of older persons and higher awareness toward the implications of ageism in the design process of DT.
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Affiliation(s)
- Ittay Mannheim
- School of Allied Health Professions, Fontys University of Applied Science, Eindhoven, the Netherlands
- Tranzo, School of Social and Behavioral Sciences, Tilburg University, Tilburg, the Netherlands
| | - Eveline J M Wouters
- School of Allied Health Professions, Fontys University of Applied Science, Eindhoven, the Netherlands
- Tranzo, School of Social and Behavioral Sciences, Tilburg University, Tilburg, the Netherlands
| | - Hanna Köttl
- Louis and Gabi Weisfeld School of Social Work, Faculty of Social Sciences, Bar-Ilan University, Ramat Gan, Israel
- Department of Health Sciences, IMC University of Applied Sciences Krems, Krems an der Donau, Austria
| | - Leonieke C van Boekel
- Tranzo, School of Social and Behavioral Sciences, Tilburg University, Tilburg, the Netherlands
| | - Rens Brankaert
- School of Allied Health Professions, Fontys University of Applied Science, Eindhoven, the Netherlands
- Expertise Centre Dementia and Technology, University of Technology Eindhoven, Eindhoven, the Netherlands
| | - Yvonne van Zaalen
- School of Allied Health Professions, Fontys University of Applied Science, Eindhoven, the Netherlands
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Köttl H, Allen LD, Mannheim I, Ayalon L. Associations Between Everyday ICT Usage and (Self-)Ageism: A Systematic Literature Review. THE GERONTOLOGIST 2023; 63:1172-1187. [PMID: 35670751 DOI: 10.1093/geront/gnac075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2022] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND AND OBJECTIVES Both rapid technological changes and (self-)ageism are pervasive challenges of the 21st century, potentially affecting older adults' everyday functioning, health, and well-being. This systematic literature review aimed to synthesize scholarly evidence to determine the associations between everyday information and communication technology (EICT) usage and (self-)ageism as well as potential moderators. RESEARCH DESIGN AND METHODS A systematic search was performed in 8 academic databases, covering the time frame from January 1995 to January 2021. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a total of 15 articles met the inclusion criteria and were involved in the analysis. The standardized National Heart, Lung, and Blood Institute's quality assessment tools were used for risk bias. RESULTS Several studies demonstrated significant associations between EICT usage and stereotype embodiment (n = 8), stereotype threat (n = 2), and age discrimination (n = 3). Age (group), gender, and motivation were examined as potential moderators. DISCUSSION AND IMPLICATIONS This review provides initial evidence on the associations between (self-)ageism and EICT usage. It highlights the importance of positive subjective aging perceptions for active EICT usage in older adults, but also emphasizes the detrimental consequences of ageism in EICT learning settings and technology design on older persons' willingness and ability to use EICT. Further ecologically valid and methodologically sound research is needed to better understand both the nature and direction of the association between EICT usage and (self-)ageism.
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Affiliation(s)
- Hanna Köttl
- Faculty of Social Sciences, Bar-Ilan University, Ramat Gan, Israel
- Department of Health Sciences, IMC University of Applied Sciences Krems, Krems an der Donau, Austria
| | - Laura D Allen
- Faculty of Social Sciences, Bar-Ilan University, Ramat Gan, Israel
| | - Ittay Mannheim
- School of Allied Health Professions, Fontys University of Applied Science, Eindhoven, The Netherlands
- Tranzo, School of Social and Behavioral Sciences, Tilburg University, Tilburg, The Netherlands
| | - Liat Ayalon
- Faculty of Social Sciences, Bar-Ilan University, Ramat Gan, Israel
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Kornblith E, Schweizer S, Abrams G, Gardner R, Barnes D, Yaffe K, Novakovic-Agopian T. Telehealth delivery of group-format cognitive rehabilitation to older veterans with TBI: a mixed-methods pilot study. APPLIED NEUROPSYCHOLOGY. ADULT 2023:1-13. [PMID: 37044120 DOI: 10.1080/23279095.2023.2199160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/14/2023]
Abstract
Traumatic brain injury (TBI) is common among Veterans and may interact with aging, increasing risk for negative cognitive, emotional, and functional outcomes. However, no accessible (i.e., in-home) group interventions for TBI targeted to older adults exist. Goal Oriented Attentional Self-Regulation (GOALS) is a manualized, group cognitive rehabilitation training that improves executive function and emotional regulation among Veterans with TBI and healthy older adults. Our objectives were to adapt GOALS for delivery to older Veterans via in-home video telehealth (IVT) and evaluate feasibility and participant-rated acceptability of the telehealth GOALS intervention (TeleGOALS). Six Veterans 69+, with multiple TBIs completed the 10-session intervention in groups of 2. One participant withdrew, and another completed the remaining sessions alone (total n enrolled = 8). Required adaptations were noted; questionnaire responses were quantified; and feedback was analyzed and coded to identify themes. Quantitative and qualitative methods were used to examine feasibility (i.e., recruitment and retention) and participant-rated acceptability. Minimal adaptations were required for IVT delivery. Key themes emerged: (a) the importance of telehealth logistics, (b) facilitators' roles in prioritizing interpersonal connection, and (c) telehealth's capability to create opportunities for community reintegration. Thematic saturation (the point at which feedback from respondents is consistent and no further adaptations are required) was achieved. Participants stated they would likely recommend TeleGOALS to other Veterans. Although further study with a larger, more diverse sample is required, the adapted TeleGOALS intervention appears highly feasible and acceptable for older Veterans with TBI able and willing to participate in a group-format IVT intervention.
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Affiliation(s)
- Erica Kornblith
- San Francisco Veterans Affairs Medical Center, San Francisco, CA, USA
- Department of Psychiatry, University of California San Francisco (UCSF), San Francisco, CA, USA
| | - Sara Schweizer
- Northern California Institute for Research and Education, San Francisco, CA, USA
| | - Gary Abrams
- San Francisco Veterans Affairs Medical Center, San Francisco, CA, USA
- Department of Neurology, UCSF, San Francisco, CA, USA
| | - Raquel Gardner
- San Francisco Veterans Affairs Medical Center, San Francisco, CA, USA
- Department of Neurology, UCSF, San Francisco, CA, USA
| | - Deborah Barnes
- Department of Psychiatry, University of California San Francisco (UCSF), San Francisco, CA, USA
- Department of Epidemiology & Biostatistics, UCSF, San Francisco, CA, USA
| | - Kristine Yaffe
- San Francisco Veterans Affairs Medical Center, San Francisco, CA, USA
- Department of Psychiatry, University of California San Francisco (UCSF), San Francisco, CA, USA
- Northern California Institute for Research and Education, San Francisco, CA, USA
- Department of Neurology, UCSF, San Francisco, CA, USA
- Department of Epidemiology & Biostatistics, UCSF, San Francisco, CA, USA
| | - Tatjana Novakovic-Agopian
- San Francisco Veterans Affairs Medical Center, San Francisco, CA, USA
- Department of Psychiatry, University of California San Francisco (UCSF), San Francisco, CA, USA
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Mannheim I, Varlamova M, van Zaalen Y, Wouters EJM. The Role of Ageism in the Acceptance and Use of Digital Technology. J Appl Gerontol 2023; 42:1283-1294. [PMID: 36917039 DOI: 10.1177/07334648231163426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/16/2023] Open
Abstract
Technology acceptance models associate older age with lower intention to use digital technology although this assumption is often stereotypically-based and not sufficiently tested with older persons. This study investigated the association of ageism (rather than chronological age) with behavioral intention and actual use of technology within the theoretical framework of the Unified Theory of Acceptance and Use of Technology (UTAUT-2) model. 374 Dutch-speaking participants aged 50-97 completed the UTAUT-2 questionnaire, Expectations Regarding Aging, Attitudes Toward Older Adults Using Technology (ATOAUT-11) and experienced ageism scales. A path analysis found that expectations regarding aging partially mediated the association of age with negative attitudes. Mixed results were found regarding the fit of the new UTAUT-2-Ageism model. Negative ATOAUT moderated the associations of Effort Expectancy, Facilitating Conditions, and Habit with Behavioral Intention to use technology, and the explained variance increased. Further research is warranted to fully identify the potential role of ageism in technology acceptance.
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Affiliation(s)
- Ittay Mannheim
- School for Allied Health Professions, 3170Fontys University of Applied Science, Eindhoven, Netherlands.,Tranzo, Tilburg School of Social and Behavioral Sciences, 7899Tilburg University, Tilburg, Netherlands
| | - Maria Varlamova
- Institute of the Sociology, 37799Jagiellonian University, Kraków, Poland
| | - Yvonne van Zaalen
- School for Allied Health Professions, 3170Fontys University of Applied Science, Eindhoven, Netherlands
| | - Eveline J M Wouters
- School for Allied Health Professions, 3170Fontys University of Applied Science, Eindhoven, Netherlands.,Tranzo, Tilburg School of Social and Behavioral Sciences, 7899Tilburg University, Tilburg, Netherlands
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11
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McLean E, Cornwell MA, Bender HA, Sacks-Zimmerman A, Mandelbaum S, Koay JM, Raja N, Kohn A, Meli G, Spat-Lemus J. Innovations in Neuropsychology: Future Applications in Neurosurgical Patient Care. World Neurosurg 2023; 170:286-295. [PMID: 36782427 DOI: 10.1016/j.wneu.2022.09.103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2022] [Accepted: 09/22/2022] [Indexed: 02/11/2023]
Abstract
Over the last century, collaboration between clinical neuropsychologists and neurosurgeons has advanced the state of the science in both disciplines. These advances have provided the field of neuropsychology with many opportunities for innovation in the care of patients prior to, during, and following neurosurgical intervention. Beyond giving a general overview of how present-day advances in technology are being applied in the practice of neuropsychology within a neurological surgery department, this article outlines new developments that are currently unfolding. Improvements in remote platform, computer interface, "real-time" analytics, mobile devices, and immersive virtual reality have the capacity to increase the customization, precision, and accessibility of neuropsychological services. In doing so, such innovations have the potential to improve outcomes and ameliorate health care disparities.
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Affiliation(s)
- Erin McLean
- Department of Psychology, Hofstra University, Hempstead, New York, USA; Department of Neurological Surgery, Weill Cornell Medicine, New York, New York, USA
| | - Melinda A Cornwell
- Department of Neurological Surgery, Weill Cornell Medicine, New York, New York, USA
| | - H Allison Bender
- Department of Neurological Surgery, Weill Cornell Medicine, New York, New York, USA.
| | | | - Sarah Mandelbaum
- Department of Neurological Surgery, Weill Cornell Medicine, New York, New York, USA; Department of Clinical Psychology with Health Emphasis, Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, New York, USA
| | - Jun Min Koay
- Department of Neurological Surgery, Weill Cornell Medicine, New York, New York, USA; Department of Psychiatry and Psychology, Mayo Clinic, Jacksonville, Florida, USA
| | - Noreen Raja
- Department of Neurological Surgery, Weill Cornell Medicine, New York, New York, USA; Graduate School of Applied and Professional Psychology, Rutgers University, Piscataway, New Jersey, USA
| | - Aviva Kohn
- Department of Neurological Surgery, Weill Cornell Medicine, New York, New York, USA; Department of Clinical Psychology with Health Emphasis, Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, New York, USA
| | - Gabrielle Meli
- Department of Neurological Surgery, Weill Cornell Medicine, New York, New York, USA; Department of Human Ecology, Cornell University, Ithaca, New York, USA
| | - Jessica Spat-Lemus
- Department of Neurological Surgery, Weill Cornell Medicine, New York, New York, USA
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eSports Participation among Hong Kong Middle-Aged and Older Adults: A Qualitative Study. HUMAN BEHAVIOR AND EMERGING TECHNOLOGIES 2023. [DOI: 10.1155/2023/6798748] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
The HK Special Administrative Region Government has been making efforts to promote active aging among older adults. This qualitative study is aimed at gaining an understanding of the perception of and experiences in eSports among middle-aged and older adults in HK, China, using the Theory of Planned Behavior. Thirty-nine adults aged >45 years were stratified by (a) whether they had experience of participating in eSports and (b) age (i.e., 45–64 years vs. ≥65 years). In addition, 10 administrators working in community centres for middle-aged and older adults were invited for a semistructured interview. The results revealed the pertinent themes of (a) behavioral beliefs (physical benefits (enhanced physical activity levels, body coordination, and cognition), social benefits (increased interactions and team communication and enlarged social circle), psychological benefits (stereotype breaking, sense of recognition, enjoyment, and improved mood), and adverse health effects (psychological intensity, frustration, obsession with winning, overuse strain, and sleep disturbance)), (b) normative beliefs (support and encouragement from family and nonfamily members), and (c) control beliefs (game content, program personnel attitude, resource availability (venue, equipment, and manpower), administrators’ perspectives, and support from the industry). The study results will be instrumental to the development of related interventions and instruments for middle-aged and older adults, will enable researchers to explore the benefits of eSports programs for the studied population, and will promote healthy and active aging in the long term.
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When less intergenerational closeness helps: The influence of intergenerational physical proximity and technology attributes on technophobia among older adults. COMPUTERS IN HUMAN BEHAVIOR 2022. [DOI: 10.1016/j.chb.2022.107234] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Liberatore MJ, Wagner WP. The Impact of Age on User Performance: A Field Experiment. JOURNAL OF COMPUTER INFORMATION SYSTEMS 2022. [DOI: 10.1080/08874417.2022.2065552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Rosell J, Vergés A, Miranda-Castillo C, Sepúlveda-Caro S, Gómez M. Predictors, types of Internet use, and the psychological well-being of older adults: A comprehensive model. J Gerontol B Psychol Sci Soc Sci 2022; 77:1186-1196. [PMID: 35286369 DOI: 10.1093/geronb/gbac054] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2021] [Indexed: 11/14/2022] Open
Abstract
OBJECTIVES This study aims to evaluate a comprehensive model that includes predictors of use, types of internet use, and psychological well-being outcomes in the older population. METHODS The total sample comprised 650 older Internet users. Structural equation modeling was used to estimate the effect of predictors (i.e., effort expectancy, performance expectancy, social influence, and ageism) on types of Internet use (i.e., information seeking, communication, instrumental use, and leisure) and the impact of the type of use on the psychological well-being of older adults (i.e., depressive and anxious symptomatology). In addition, the indirect effect of different types of Internet use was evaluated, that is, they were considered as mediator variables. RESULTS Effort expectancy, social influence, and ageism predicted different types of Internet use. The relationship between effort expectancy and anxious symptomatology had an indirect effect via information seeking, whereas the relationship between ageism and anxious symptomatology showed an indirect effect via leisure. DISCUSSION The findings support the importance of differentiating the types of Internet use to understand its impact on psychological well-being. Information seeking is associated with anxious symptomatology and is predicted by effort expectancy. On the contrary, leisure is crucial because of its relationship with anxious symptomatology, and less ageism can promote it. This information is useful for developing effective interventions that promote the well-being of older adults through the Internet, including strategies to cope with some online challenges that could lead to negative consequences, such as overload information.
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Affiliation(s)
- Javiera Rosell
- Escuela de Psicología, Facultad de Ciencias Sociales, Pontificia Universidad Católica de Chile.,Instituto Milenio para la Investigación del Cuidado (MICARE)
| | - Alvaro Vergés
- Escuela de Psicología, Facultad de Ciencias Sociales, Pontificia Universidad Católica de Chile
| | - Claudia Miranda-Castillo
- Instituto Milenio para la Investigación del Cuidado (MICARE).,Facultad de Enfermería, Universidad Andres Bello.,Instituto Milenio para la Investigación en Depresión y Personalidad (MIDAP)
| | - Sofía Sepúlveda-Caro
- Escuela de Psicología, Facultad de Ciencias Sociales, Pontificia Universidad Católica de Chile
| | - Macarena Gómez
- Escuela de Psicología, Facultad de Ciencias Sociales, Pontificia Universidad Católica de Chile
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Köttl H, Gallistl V, Rohner R, Ayalon L. "But at the age of 85? Forget it!": Internalized ageism, a barrier to technology use. J Aging Stud 2021; 59:100971. [PMID: 34794716 PMCID: PMC9757993 DOI: 10.1016/j.jaging.2021.100971] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2020] [Revised: 09/04/2021] [Accepted: 09/09/2021] [Indexed: 12/19/2022]
Abstract
The COVID-19 pandemic has underscored how everyday information and communication technology (EICT), such as online banking, e-shopping, or e-mail, are essential for individuals of all ages to maintain activity engagement, health, and well-being. Yet, older adults are often stereotypically portrayed as incapable, technophobic, or unwilling to engage in EICT. This may further contribute to the digital divide, as age stereotypes have the power to act like self-fulfilling prophecies and impede older adults' engagement in complex everyday life tasks. This study aimed to shed light on internalized ageism as manifested in older non-users' narrations about EICT use. It further explored how age stereotypes in the context of EICT are constructed and perpetuated through disempowering and ageist environments. A qualitative approach was applied, performing semi-structured interviews in participants' homes (N = 15). Data were analyzed following the principles of qualitative content analysis, applying both deductive categorization and inductive coding. Internalized ageism appeared to be an omnipresent element in older adults' narrations about EICT non-use. This was reflected in the four subcategories "competence and learning", "relevance and use", "technology design", and "intergenerational contact". Ageism, as manifested in the social environment and the design of technology, seemingly contributed to the internalization of age stereotypes and low EICT engagement. This research calls for inclusive technology designs, ageism-free EICT learning settings, and awareness campaigns about lifelong learning to help close the digital divide and ensure optimal aging experiences for older people.
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Affiliation(s)
- Hanna Köttl
- Faculty of Social Sciences, Louis and Gabi Weisfeld School of Social Work, Bar-Ilan University, 52900 Ramat Gan, Israel.
| | - Vera Gallistl
- Department of Sociology, University of Vienna, Rooseveltplatz 2, 1090 Wien, Austria.
| | - Rebekka Rohner
- Department of Sociology, University of Vienna, Rooseveltplatz 2, 1090 Wien, Austria.
| | - Liat Ayalon
- Faculty of Social Sciences, Louis and Gabi Weisfeld School of Social Work, Bar-Ilan University, 52900 Ramat Gan, Israel.
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Xi W, Zhang X, Ayalon L. The Framing Effect of Intergenerational Comparison of Technologies on Technophobia Among Older Adults. J Gerontol B Psychol Sci Soc Sci 2021; 77:1179-1185. [PMID: 34687290 DOI: 10.1093/geronb/gbab199] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2021] [Indexed: 11/14/2022] Open
Abstract
OBJECTIVES Sharing similar negative age-stereotypes (e.g., outdated, unfashionable), older adults and older technologies are stereotypically associated with each other. This also was found to be internalized by older adults. Recent research has suggested that internalized negative age-stereotypes may be one of the reasons for technophobia among older adults. Therefore, considering the pervasiveness of intergenerational comparison of technologies (e.g., computer vs. tablet) in which older-generation technologies are negatively portrayed, we aim to investigate whether a mere intergenerational comparison of technologies would affect technophobia via negative self-stereotypes activation among older adults. Specifically, two commonly-seen framings of intergenerational comparison of technologies are examined: contrast framing, which describes opposing intergenerational relationship of technologies; and connect framing, which describes continuous intergenerational relationship of technologies. METHOD We designed three advertisements for a made-up new technological product using contrast framing, connect framing, and neutral framing (where intergenerational comparison was absent). A sample of 284 participants (age 27-83) was gathered online and randomly assigned into the three experimental conditions. Self-perception of aging (SPA), technophobia, and potential covariates were measured. RESULTS The results showed a significant framing×age×gender effect on psychosocial loss dimension of SPA and technophobia. Men were significantly affected by the framing effect as they age, but women were not affected. Contrast framing (vs. connect vs. neutral framing) led to significantly higher technophobia via psychosocial loss dimension of SPA among older men aged 49 and over. DISCUSSION The findings have important implications for how to better convey persuasive information to promote new technology adoption among older adults.
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Affiliation(s)
- Wanyu Xi
- Louis and Gabi Weisfeld School of Social Work, Bar-Ilan University, Ramat Gan, Israel
| | - Xin Zhang
- School of Psychological and Cognitive Sciences, Peking University, Beijing, China.,Beijing Key Laboratory of Behavior and Mental Health, Peking University, Beijing, China
| | - Liat Ayalon
- Louis and Gabi Weisfeld School of Social Work, Bar-Ilan University, Ramat Gan, Israel
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Mariano J, Marques S, Ramos MR, de Vries H. Cognitive functioning mediates the relationship between self-perceptions of aging and computer use behavior in late adulthood: Evidence from two longitudinal studies. COMPUTERS IN HUMAN BEHAVIOR 2021. [DOI: 10.1016/j.chb.2021.106807] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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Melchers KG, Basch JM. Fair play? Sex‐, age‐, and job‐related correlates of performance in a computer‐based simulation game. INTERNATIONAL JOURNAL OF SELECTION AND ASSESSMENT 2021. [DOI: 10.1111/ijsa.12337] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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