“…Paradoxically, over the past decade health care organizations have defaulted to the use of IT for patient communication, in the absence of any data supporting patient utilization of IT for the purpose of communication with health care providers. With one exception [18,60,69,72], health care protocols, especially for working with older adults, have not included frequency of internet or IT utilization as a specific area of assessment or treatment [18,55,60,61,69,[72][73][74]. In fact, the American Psychological Association's (APA's) 21 Guidelines for psychologists working with older adults [75] do not specifically include familiarity with the assessment and treatment of technology challenges or barriers for older adults as a guideline [18,55,60,61,69].…”