Computer Use among Patients with Age-Related Macular Degeneration

Brody, Barbara L.; Field, Linda; Roch‐Levecq, Anne‐Catherine; Depp, Colin A.; Edland, Steven D.; Minasyan, Lilit; Brown, Stuart I.

doi:10.3109/09286586.2012.672618

Cited by 10 publications

(6 citation statements)

References 19 publications

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“…These changes cause a mismatch between the capabilities and materiality of technology. Meanwhile, greater subjective well-being, "good" physical function, and higher cognitive function facilitate better initial technological engagement [51,[67][68][69][70].…”

Section: Initial Adoptionmentioning

confidence: 99%

Digital Engagement of Older Adults: Scoping Review

Kebede¹,

Ozolins²,

Holst³

et al. 2022

J Med Internet Res

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Background Digital technologies facilitate everyday life, social connectedness, aging at home, well-being, and dignified care. However, older adults are disproportionately excluded from these benefits. Equal digital opportunities, access, and meaningful engagement require an understanding of older adults’ experience across different stages of the technological engagement life cycle from nonuse and initial adoption to sustained use, factors influencing their decisions, and how the experience changes over time. Objective Our objectives were to identify the extent and breadth of existing literature on older adults’ perspective on digital engagement and summarize the barriers to and facilitators for technological nonuse, initial adoption, and sustained digital technology engagement. Methods We used the Arksey and O’Malley framework for the scoping review process. We searched MEDLINE, PsycINFO, CINAHL, Web of Science, and ACM digital library for primary studies published between 2005 and 2021. The inclusion and exclusion criteria were developed based on the Joanna Briggs Institute (participants, content, and context) framework. Studies that investigated the digital engagement experience as well as barriers to and facilitators of older adults’ digital technology engagement were included. The characteristics of the study, types of digital technology, and digital engagement levels were analyzed descriptively. Content analysis was used to generate tentative elements using a congruent theme, and barriers and facilitators were mapped over the capability, opportunity, and motivation behavior change model (COM-B) and the theoretical domain framework. The findings were reported in accordance with the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews). Results In total, 96 publications were eligible for the final charting and synthesis. Most of the studies were published over the past 5 years, investigated the initial adoption stage of digital engagement, and focused on everyday technologies. The most cited barriers and facilitators across the engagement stages from each COM-B component were capability (eg, physical and psychological changes and lack of skill), opportunity (eg, technological features, environmental context, and resources), and motivation (eg, optimism from perceived usefulness and beliefs about capability). Conclusions The COM-B model and theoretical domain framework provide a guide for identifying multiple and intertwined barriers and facilitators at each stage of digital engagement. There are limited studies looking into the whole spectrum of older adults’ digital technology experience; in particular, studies on technological nonuse and sustained use stages are rare. Future research and practice should focus on tailored interventions accounting for the barriers to older adults’ digital engagement and addressing capabilities, motivation, and opportunities; affordable, usable, and useful digital technologies, which address the changes and capability requirements of older adults and are cocreated with a value framework; and lifelong learning and empowerment to develop older adults’ knowledge and skills to cope with digital technology development. International Registered Report Identifier (IRRID) RR2-10.2196/25616

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Section: Initial Adoptionmentioning

confidence: 99%

Digital Engagement of Older Adults: Scoping Review

Kebede¹,

Ozolins²,

Holst³

et al. 2022

J Med Internet Res

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“…Designing IT specifically for people with AMD, however, is a relatively under-researched area and individuals with AMD have not traditionally been directly involved in the design of technology to support their needs and abilities, despite its potential to have a positive impact on their quality of life [4].…”

Section: Introductionmentioning

confidence: 99%

A longitudinal evaluation of the acceptability and impact of a diet diary app for older adults with age-related macular degeneration

Hakobyan

Lumsden

Shaw

et al. 2016

Proceedings of the 18th International Conference on Human-Computer Interaction With Mobile Devices and Services

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This is the accepted version of the paper.This version of the publication may differ from the final published version. Permanent repository link ABSTRACTOngoing advances in technology are increasing the scope for enhancing and supporting older adults' daily living. The digital divide between older and younger adults raises concerns, however, about the suitability of technological solutions for older adults, especially for those with impairments. Taking older adults with Age-Related Macular Degeneration (AMD) as a case study, we used user-centred and participatory design approaches to develop an assistive mobile app for self-monitoring their intake of food [12,13]. In this paper we report on findings of a longitudinal field evaluation of our app that was conducted to investigate how it was received and adopted by older adults with AMD and its impact on their lives. Demonstrating the benefit of applying inclusive design methods for technology for older adults, our findings reveal how the use of the app raises participants' awareness and facilitates self-monitoring of diet, encourages positive (diet) behaviour change, and encourages learning.

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“…Many programmes have been developed for eye care, disease screening, monitoring, diagnosis and management. 6 To our knowledge, there are no specific programmes using anti-VEGF therapy for AMD.…”

Section: Introductionmentioning

confidence: 99%

A teleconsultation network improves the efficacy of anti-VEGF therapy in retinal diseases

Azzolini

Torreggiani²,

Eandi

et al. 2013

J Telemed Telecare

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We investigated the care of patients with age-related macular degeneration (AMD) managed via a physician-to-physician teleconsultation network for ophthalmology. Eleven groups of ophthalmologists took part in the study. The groups were located in 10 cities across Italy. Each group was based on a Retina Centre located at a university or hospital, with one or two expert ophthalmologists (20 expert ophthalmologists in total). In each region containing a Retina Centre, 6-10 general ophthalmologists (94 ophthalmologists in total) referred patients via the network for a period of three months between June 2011 and December 2012. An automatic grading system quantified the risk of disease progression, and a remote booking system allowed the referring ophthalmologist to make appointments directly with the appropriate Retina Centre. There were 360 network patients and 318 control patients (consecutive patients undergoing usual care during the previous three months). The time delay before therapy was significantly shorter in the network patients (mean 5.5 days) compared with the usual care patients (mean 28.7 days; P < 0.0001). There was a significant improvement in visual acuity in the network patients after treatment (first visit = 0.29 logMAR; after treatment = 0.22 logMAR; P < 0.05). In contrast, there was no improvement in the usual care patients (first visit = 0.29 logMAR; after treatment = 0.27 logMAR; P > 0.05). The telemedicine network allows regional ophthalmologists to quantify the risk of disease progression, and to send patients to a Retina Centre quickly and easily, when required.

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Computer Use among Patients with Age-Related Macular Degeneration

Cited by 10 publications

References 19 publications

Digital Engagement of Older Adults: Scoping Review

Digital Engagement of Older Adults: Scoping Review

A longitudinal evaluation of the acceptability and impact of a diet diary app for older adults with age-related macular degeneration

A teleconsultation network improves the efficacy of anti-VEGF therapy in retinal diseases

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