Internet usage among the oldest-old: does functional health moderate the relationship between internet usage and autonomy?

Oswald, Veronica; Wagner, Michael

doi:10.1007/s10433-023-00748-z

Cited by 7 publications

(2 citation statements)

References 42 publications

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“…Wahl and Gerstorf (2018) as well as Chaudhury and Oswald (2019) have emphasized the importance of contextual factors for well-being and autonomy in old and especially very old age. Numerous studies also suggest an association between internet use and the (psychological) well-being (e.g., Rennoch et al, 2023; Szabo et al, 2019) or autonomy (e.g., Oswald & Wagner, 2023) in old age. However, our findings regarding internet use do only partially confirm the theoretical assumptions of the frameworks.…”

Section: Discussionmentioning

confidence: 99%

Internet Use in Very Old Age: The Role of the Social Context and Individual Characteristics

Rennoch,

Schlomann,

Zank

2023

J Appl Gerontol

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The social context plays an important role in very old age. However, little is known about its relationship with internet use, whereas individual characteristics (e.g., sociodemographic variables, and health status) are better studied. Still, representative studies for the oldest old are missing. Therefore, this study analyzes the relationship between social context variables and individual characteristics with internet use in a representative sample of oldest old from North Rhine-Westphalia, Germany ( N = 1,862; Mage = 85.43, SDage = 4.15). Descriptive statistics reveal differences between oldest old onliners and offliners regarding their social context and individual characteristics. Logistic regression analyses show that the significant role of the social context (family and living situation, social contacts and activities) diminishes after adding individual characteristics to the model, which appear to be significantly related to internet use. The results indicate an association of social context variables and individual characteristics with internet use in very old age.

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Section: Discussionmentioning

confidence: 99%

Internet Use in Very Old Age: The Role of the Social Context and Individual Characteristics

Rennoch,

Schlomann,

Zank

2023

J Appl Gerontol

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“…This could facilitate health promotion and illness prevention, greater autonomy and independence for ageing people [21,22]. The internet also provides a means of communication and greater degree of social connectivity for this age group, reducing isolation and increasing well-being, meaning greater autonomy and social connectedness [23,24].…”

Section: Introductionmentioning

confidence: 99%

Older adults in the digital health era: insights on the digital health related knowledge, habits and attitudes of the 65 year and older population

Győrffy,

Boros,

Döbrössy

et al. 2023

BMC Geriatr

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Background The COVID-19 pandemic has increased internet use by older age groups to an unprecedented level in Hungary mirroring the general tendency in the total population. Nevertheless, international trends indicate that this group is less likely to use digital health technologies than younger ones. The aging population raises the question of successfully integrating elderly people into the digital health ecosystem. Our research aim is to investigate the digital health usage patterns and attitudes of the population aged 65 and over through a representative sample. Methods A national representative questionnaire survey was conducted by telephone (CATI), interviewing 1723 respondents. Within this sample we examined 428 people in the over-65 age group, 246 in the 65–74 age group and 182 in the over-75 age group. Predictors of demand for digital solutions were tested using binary logistic regression model. Results 50.8% of people aged 65–74 and 37.1. % of people aged 75 + use the internet for health-related purposes, mostly to access websites. 85% of respondents in 65–74 and 74% in 75 + age group have used more than one digital health device and around 70% of both age groups have a need for more than one digital solution. 90.2% (64–75 age group) and 85.7% (75 + age group) of respondents are familiar with e-prescription, 86.4% and 81.4% of them use it. 77.1% of 65–74-year-olds have heard of and nearly half 45.5% have used online appointment. More than half (52.7%) of the respondents in this age group have heard of and used electronic transmission of medical records and data. A similar proportion has heard about and used apps: 54.3% has heard of them, but only 17.3% has used them. The multivariate analyses emphasized that the need for digital solutions increases with the level of education and the more benefits one perceives in using digital solutions. Conclusion Our research has shown that the senior age group has measurable needs in the field of digital health, so helping them on this journey is in the interest of the whole health ecosystem. Their high level of interest is indicated by the fact that more than a fifth of older adults would like to have access to between 7 and 10 of the maximum number of digital devices available. The differences between the two age groups - with younger people being more open to digital solutions and using them more - and the fact that the under 65s are better adapted digitally in all respects, raises the possibility that the specific trends in digital health for older people may virtually disappear in 10 years’ time (when the under 65s now enter this age group).

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A European survey of older peoples’ preferences, and perceived barriers and facilitators to inform development of a medication-related fall-prevention patient portal

Ploegmakers,

Linn,

Medlock

et al. 2024

Eur Geriatr Med

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Purpose Falls are a major and growing health care problem in older adults. A patient portal has the potential to provide older adults with fall-prevention advice to reduce fall-risk. However, to date, the needs and preferences regarding a patient portal in older people who have experienced falls have not been explored. This study assesses content preferences, potential barriers and facilitators with regard to using a patient portal, as perceived by older people who have experienced falls, and explores regional differences between European participants. Methods We conducted a survey of older adults attending an outpatient clinic due to a fall or fall-related injury, to explore their content preferences, perceived barriers, and facilitators with respect to a fall-prevention patient portal. Older adults (N = 121, 69.4% female, mean age: 77.9) were recruited from seven European countries. Results Almost two-thirds of respondents indicated they would use a fall-prevention patient portal. The portal would preferably include information on Fall-Risk-Increasing Drugs (FRIDs), and ways to manage other related/relevant medical conditions. Facilitators included a user-friendly portal, with easily accessible information and physician recommendations to use the portal. The most-commonly-selected barriers were privacy issues and usage fees. A family member’s recommendation to use the portal was seemingly more important for Southern and Eastern European participants compared to the other regions. Conclusion The majority of older people with lived falls experience expressed an interest in a fall-prevention patient portal providing personalized treatment advice to prevent further falls. The results will be used to inform the development of a fall-prevention patient portal. The fall-prevention patient portal is intended to be used in addition to a consultation with a physician. Future research is needed to explore how to prevent falls in older patients who are not interested in a fall-prevention patient portal.

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Internet usage among the oldest-old: does functional health moderate the relationship between internet usage and autonomy?

Cited by 7 publications

References 42 publications

Internet Use in Very Old Age: The Role of the Social Context and Individual Characteristics

Internet Use in Very Old Age: The Role of the Social Context and Individual Characteristics

Older adults in the digital health era: insights on the digital health related knowledge, habits and attitudes of the 65 year and older population

A European survey of older peoples’ preferences, and perceived barriers and facilitators to inform development of a medication-related fall-prevention patient portal

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