Older Adults and Smart Technology: Facilitators and Barriers to Use

Harris, Maurita T.; Blocker, Kenneth A.; Rogers, Wendy A.

doi:10.3389/fcomp.2022.835927

Cited by 48 publications

(21 citation statements)

References 25 publications

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“…Our findings are partially consistent with the literature that generally report that younger age groups share more information and are less concerned about information privacy, e.g., Miltgen and Peyrat-Guillard (2014) and Van den Broeck et al (2015). It is also consistent with the literature that privacy is the most common barrier for older people to use smart technologies (Harris et al, 2022).…”

Section: Influences Of User Factors On Perceived Sensitivity (Ro2)supporting

confidence: 92%

An Investigation Into the Sensitivity of Personal Information and Implications for Disclosure: A UK Perspective

Belen-Saglam¹,

Nurse²,

Hodges³

2022

Front. Comput. Sci.

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The perceived sensitivity of information is a crucial factor in both security and privacy concerns and the behaviors of individuals. Furthermore, such perceptions motivate how people disclose and share information with others. We study this topic by using an online questionnaire where a representative sample of 491 British citizens rated the sensitivity of different data items in a variety of scenarios. The sensitivity evaluations revealed in this study are compared to prior results from the US, Brazil and Germany, allowing us to examine the impact of culture. In addition to discovering similarities across cultures, we also identify new factors overlooked in the current research, including concerns about reactions from others, personal safety or mental health and finally, consequences of disclosure on others. We also highlight a difference between the regulatory perspective and the citizen perspective on information sensitivity. We then operationalized this understanding within several example use-cases exploring disclosures in the healthcare and finance industry, two areas where security is paramount. We explored the disclosures being made through two different interaction means: directly to a human or chatbot mediated (given that an increasing amount of personal data is shared with these agents in industry). We also explored the effect of anonymity in these contexts. Participants showed a significant reluctance to disclose information they considered “irrelevant” or “out of context” information disregarding other factors such as interaction means or anonymity. We also observed that chatbots proved detrimental to eliciting sensitive disclosures in the healthcare domain; however, within the finance domain, there was less effect. This article's findings provide new insights for those developing online systems intended to elicit sensitive personal information from users.

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Section: Influences Of User Factors On Perceived Sensitivity (Ro2)supporting

confidence: 92%

An Investigation Into the Sensitivity of Personal Information and Implications for Disclosure: A UK Perspective

Belen-Saglam¹,

Nurse²,

Hodges³

2022

Front. Comput. Sci.

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“…When compared with the only other standalone multi‐session smartphone‐delivered ApBM study to date [57], overall training adherence rates were broadly similar. These findings counter earlier negative stereotypes pertaining to older adults and technology, supporting recent work which emphasises the value of mHealth across the lifespan [81–83].…”

Section: Discussionsupporting

confidence: 79%

Smartphone‐delivered approach bias modification for reducing harmful drinking amongst middle–older age adults: Secondary analyses of a single‐arm pilot study

Bolt,

Piercy,

Bradshaw

et al. 2024

Drug and Alcohol Review

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IntroductionNovel, scalable, low‐cost interventions are needed to reduce harmful drinking amongst middle–older adults. Approach bias modification (ApBM) is a promising form of cognitive training for preventing/reducing alcohol use that can be delivered via smartphone. This study explored the acceptability and preliminary effectiveness of smartphone delivered and personalised ApBM amongst Australians ≥55 years, an age cohort at risk of alcohol‐related harms.MethodsSecondary analyses in a middle–older adult subsample (≥55 years, n = 289) of an open‐label pilot study using a retrospective, repeated measures design. We explored acceptability (adherence, user mobile acceptability ratings, free‐text responses) and preliminary effectiveness (changes in drinking quantity and frequency, craving, dependence and proportion drinking within government‐recommended guidelines) of two sessions/week over 4 weeks of evidence‐based ApBM training, adapted to include personalisation and smartphone delivery amongst Australians ≥55 years.ResultsAlthough minor adaptations to training were suggested, the intervention was acceptable amongst survey completers, with 72% training adherence. Relative to baseline, there was a significant increase in the proportion of drinking within recommended single‐session and weekly guidelines post‐training (from 25% to 41% and 6% to 28%, respectively, p < 0.001), with past‐week standard drinks significantly decreasing by 18% (p < 0.001) and significant reductions in drinking days, mean craving and dependence scores (p < 0.001).Discussion and ConclusionsFindings suggest smartphone ApBM is acceptable amongst middle‐to‐older aged Australians and may support this ‘at risk’ cohort to remain within government‐recommended alcohol consumption guidelines to optimise healthy aging, although, in the context of a single‐arm study, preliminary results should be interpreted cautiously.

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“…The TAM factors were confirmed and, in addition, technic-specific factors such as advice acceptance, compatibility, convenience, facilitating conditions, subjective norm, trust, and privacy issues were also relevant for acceptance. Also from a more general perspective on smart technologies, privacy concerns are among the most common barriers preventing older adults from using digital devices and services ( 19 ).…”

Section: Introductionmentioning

confidence: 99%

Acceptance of digital health services among older adults: Findings on perceived usefulness, self-efficacy, privacy concerns, ICT knowledge, and support seeking

Jokisch

Schmidt

Doh

2022

Front. Public Health

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BackgroundOver the last decade, the rapid advancements in information and communication technologies (ICTs) have also driven the development of digital health services and applications. Older adults could particularly benefit from these technologies, but they still have less access to the Internet and less competence in using it. Based on the empirical literature on technology acceptance among older adults, this study examines the relations of perceived usefulness, self-efficacy, privacy concerns, ICT knowledge, and support seeking (family, informal, formal/institutional) with older adults' intention to adopt new digital health services.MethodsThe study included 478 older adults who participated in an online or paper/pencil questionnaire (M = 70.1 years, SD = 7.8; 38% male). Sociodemographic characteristics, subjective health status, and variables related to technology acceptance were assessed.ResultsLatent structural equation modeling revealed that higher perceived usefulness, higher self-efficacy regarding digital health technologies, and lower privacy concerns contributed to a higher intention to use digital health services among older adults. Contrary to our expectations, general ICT knowledge was not a significant predictor. Older adults who reported seeking more support regarding technology problems from family members and formal/institutional settings also reported higher usage intentions, whereas informal support was not as relevant. Furthermore, higher age was associated with higher perceived usefulness and lower self-efficacy.DiscussionFuture studies should further explore mediating factors for intention and actual use of digital health services and develop educational programs including follow-up assessments.

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Older Adults and Smart Technology: Facilitators and Barriers to Use

Cited by 48 publications

References 25 publications

An Investigation Into the Sensitivity of Personal Information and Implications for Disclosure: A UK Perspective

An Investigation Into the Sensitivity of Personal Information and Implications for Disclosure: A UK Perspective

Smartphone‐delivered approach bias modification for reducing harmful drinking amongst middle–older age adults: Secondary analyses of a single‐arm pilot study

Acceptance of digital health services among older adults: Findings on perceived usefulness, self-efficacy, privacy concerns, ICT knowledge, and support seeking

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