Abstract
This study examined whether training provided to adults age 60+ would increase the use of information and communication technologies (ICTs), such as email and the Internet, and influence participants’ social support and mental health. Participants were randomly assigned to an experimental (n = 45) or a control group (n = 38). The experimental group participated in a six-month training program. Data were collected before, during, and after training on outcomes related to computer use, social support, and mental health. Mixed regression models were used for multivariate analyses. Compared to the control group, the experimental group reported greater self-efficacy in executing computer-related tasks and used more ICTs, perceived greater social support from friends, and reported significantly higher quality of life. Computer self-efficacy had both a direct and indirect effect on ICT use, but not on other variables. With appropriate training, older adults want to and can learn the skills needed to use ICTs. Older adults with ICT skills can access online sources of information regarding Medicare Part D options and utilize patient portals associated with electronic medical records. Agencies may develop services that build upon this technology sophistication, but policies also will need to address issues of access to equipment and high-speed Internet service.
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References
ABCNews. (2007). Japanese grannies go high-tech. Available at http://www.abc.net.au/news/stories/2007/08/13/2003066.htm. Cited 30 August 2008.
Adams, N., Stubbs, D., & Woods, V. (2005). Psychological barriers to Internet usage among older adults in the UK. Medical Informatics and the Internet in Medicine, 30(1), 3–17. doi:10.1080/14639230500066876.
Adler R. (2006) Older Americans, broadband and the future of the Net. Available via SeniorNet. http://www.seniornet.org/research/SeniorNetNNPaper060606.pdf. Cited 30 August 2008.
Alexopoulous, G. S. (2005). Depression in the elderly. Lancet, 365(9475), 1961–1970. doi:10.1016/S0140-6736(05)66665-2.
Antonucci, T. C. (1986). Social support networks: hierarchical mapping technique. Generations, 10, 10–12.
Blaschke, C. M., Freddolino, P. P., & Mullen, E. E. (2009). Ageing and technology: A review of the research literature. British Journal of Social Work, 39(4), 641–656. doi:10.1093/bjsw/bcp025.
Blazer, D. G. (2003). Depression in late life: Review and commentary. Journals of Gerontology Series B-Psychological Sciences and Social Sciences, 58A(3), 249–265.
Blit-Cohen, E., & Litwin, H. (2004). Elder participation in cyberspace: a qualitative analysis of Israeli retirees. Journal of Aging Studies, 18, 385–398.
Bradley, N., & Poppen, W. (2003). Assistive technology, computers and Internet may decrease sense of isolation for homebound elderly and disabled persons. Technology and Disability, 15, 19–25.
Campbell, R. J. (2004). Older women and the Internet. Journal of Women & Aging, 16(1/2), 161–174. doi:10.1300/J074v16n01_11.
Carpenter, B. D., & Bunday, S. (2007). Computer use among older adults in a naturally occurring retirement community. Computers in Human Behavior, 23(6), 3012–3024. doi:10.1016/j.chb.2006.08.015.
Clark, F., & Straka, S. M. (2000) Internet access for frail seniors: The Connections experience. Available via McGill Centre for Studies in Aging. http://aging.mcgill.ca/pdf/conn_rep_e.pdf. Cited 30 August 2008.
Commission of the European Communities (EU). (2007). Ageing Well in the Information Society. Available from: http://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=COM:2007:0332:FIN:EN:PDF. Cited 30 August 2008.
Cutler, S. J., & Hendricks, J. (2001). Emerging social trends: The information revolution. In R. H. Binstock & L. K. George (Eds.), Handbook of aging and the social sciences (5th ed.). San Diego: Academic.
Czaja, S. J., Charness, N., Fisk, A. D., Hertzog, C., Nair, S. N., Rogers, W. A., et al. (2006). Factors predicting the use of technology: findings from the Center for Research and Education on Aging and Technology Enhancement (CREATE). Psychology and Aging, 21(2), 333–352. doi:10.1037/0882-7974.21.2.333.
Czaja, S. J., & Lee, C. C. (2003). The impact of the Internet on older adults. In N. Charness & K. W. Schaie (Eds.), The impact of technology on successful aging. New York: Springer.
Czaja, S. J., & Lee, C. C. (2007). The impact of aging on access to technology. Universal Access in the Information Society, 5(4), 341–349. doi:10.1007/s10209-006-0060-x.
De Jong Gierveld, J., & Van Tilburg, T. (2006). A 6-item scale for overall, emotional, and social loneliness: confirmatory tests on survey data. Research on Aging, 28(5), 582–598.
Deollos, I., & Morris, D. (2004). The impact of ownership, use of attitudes toward PC's on older adults' feelings of loneliness. Gerontologist, 44(1), 526.
Eastman, J. K., & Iyer, R. (2004). The elderly's use and attitude towards the Internet. Journal of Consumer Marketing, 21(3), 208–220. doi:10.1108/07363760410534759.
Fees, B. S., Martin, P., & Poon, L. W. (1999). A model of loneliness in older adults. Journals of Gerontology Series B-Psychological Sciences and Social Sciences, 54B(4), 231–238.
Flanagan, J. C. (1978). A research approach to improving our quality of life. The American Psychologist, 33(2), 138–147. doi:10.1037/0003-066X.33.2.138.
Fox, S. (2004), Older Americans and the Internet. Available from Pew Internet & American Life Project http://www.pewInternet.org/pdfs/PIP_Seniors_Online_2004.pdf. Cited 30 August 2008.
Fox, S. (2010) Four in ten seniors go online. Available from Pew Internet & American Life Project http://www.pewInternet.org/Commentary/2010/January/38-of-adults-age-65-go-online.aspx. Cited 30 August 2008.
Gilleard, C., Hyde, M., & Higgs, P. (2007). Community and communication in the third age: the impact of Internet and cell phone use on attachment to place in later life in England. Journals of Gerontology Series B-Psychological Sciences and Social Sciences, 62B(4), S276–S283.
Hagberg, J. E. (2004). Old people, new and old artefacts—technology for later life. In B. Oberg, A. L. Narvanen, E. Nasman, & E. Olsson (Eds.), Changing worlds and the ageing subject: Dimensions in the study of ageing and later life. England: Ashgate.
Hickman, J. M., Rogers, W. A., & Fisk, A. D. (2007). Training older adults to use new technology. Journals of Gerontology Series B-Psychological Sciences and Social Sciences, 62B, 77–84.
Irizarry, C., Downing, A., & West, D. (2002). Promoting modern technology and Internet access for under-represented older populations. Journal of Technology in Human Services, 19(4), 13–30. doi:10.1300/J017v19v04_02.
Krause, N. (2001). Social support. In R. H. Binstock & L. K. George (Eds.), Handbook of aging and the social sciences (5th ed., pp. 272–294). San Diego: Academic.
Manna, W. C., Belchior, P., Tomita, M. R., & Kemp, B. J. (2005). Computer use by middle-aged and older adults with disabilities. Technology and Disability, 17(1), 1–9.
Marquie, J. C., Jourdan-Boddaert, L., & Huet, N. (2002). Do older adults underestimate their actual computer knowledge? Behaviour & Information Technology, 21(4), 273–280. doi:10.1080/0144929021000020998.
Marziali, E., & Donahue, P. (2006). Caring for others: Internet video-conferencing group intervention for family caregivers of older adults with neurogenerative disease. Gerontologist, 46(3), 398–403.
Melenhorst, A. S., Rogers, W. A., & Caylor, E. C. (2001). The use of communication technologies by older adults: exploring the benefits from the user's perspective. Paper presented at the Human Factors and Ergonomics Society, 45th Annual Meeting.
Morgan, R. E. (2005). Technology meets the age wave. Gerontologist, 45(5), 704–710.
Morrell, R. W., Mayhorn, C. B., & Bennett, J. (2000). A survey of world wide web use in middle-aged and older adults. Human Factors, 42(2), 175–182. doi:10.1518/001872000779656444.
Murphy, C. A., Coover, D., & Owens, S. V. (1989). Development and validation of the Computer Self-Efficacy Scale. Educational and Psychological Measurement, 49, 893–899. doi:10.1177/001316448904900412.
Nahm, E., & Resnick, B. (2001). Homebound older adults’ experiences with the Internet and e-mail. Computers in Nursing, 19(6), 257–263.
Nair, S. N., Czaja, S. J., & Sharit, J. (2007). A multilevel modeling approach to examining individual differences in skill acquisition for a computer-based task. Journals of Gerontology Series B-Psychological Sciences and Social Sciences, 62B, 85–96.
Namazi, K. H., & McClintic, M. (2003). Computer use among elderly persons in long-term care facilities. Educational Gerontology, 29(6), 535–550. doi:10.1080/713844391.
Novak, M. (2006). Issues in aging. Boston: Pearson.
Osman, A., Poulson, D., & Nicolle, C. (2005). Introducing computers and the Internet to older users: findings from the Care OnLine project. Universal Access in the Information Society, 4(1), 16–23. doi:10.1007/s10209-005-0111-8.
Pew Internet and American Life Project. (2008). Demographics of Internet Users. Available from http://www.pewInternet.org/trends/User_Demo_4.26.06.htm. Cited 30 August 2008.
Pfeil, U., Zaphiris, P., & Wilson, S. (2009). Older adults’ perceptions and experiences of online social support. Interacting with Computers, 21(3), 159–172. doi:10.1016/j.intcom.2008.12.001.
Rabe-Hesketh, S., & Skrondai, A. (2005). Multilevel and longitudinal modeling using stata. College Station: Stata.
Rodriguez, M. D., Gonzalez, V. M., Favela, J., & Santana, P. C. (2009). Home-based communication system for older adults and their remote family. Computers in Human Behavior, 25(3), 609–618. doi:10.1016/j.chb.2008.08.017.
Russell, M. (1999). Online learning communities: implications for adult learning. Adult Learning, 10(4), 28–31.
Saunders, E. J. (2004). Maximizing computer use among the elderly in rural senior centers. Educational Gerontology, 30, 573–585. doi:10.1080/03601270490466967.
Selwyn, N. (2004). The information aged: a qualitative study of older adults' use of information and communications technology. Journal of Aging Studies, 18(4), 369–384. doi:10.1016/j.jaging.2004.06.008.
Selwyn, N., Gorard, S., Furlong, J., & Madden, L. (2003). Older adults' use of information and communications technology in everyday life. Ageing Society, 23, 561–582. doi:10.1017/S0144686X03001302.
Sherer, M. (1997). Introducing computers to frail residents of homes for the aged. Educational Gerontology, 23(4), 345–358. doi:10.1080/0360127970230404.
Slegers, K., van Boxtel, M. P. J., & Jolles, J. (2008). Effects of computer training and Internet usage on the well-being and quality of life of older adults: a randomized, controlled study. Journals of Gerontology Series B-Psychological Sciences and Social Sciences, 63B(3), 176–184.
StataCorp. (2001). Statistical software: release 10.1. College Station: Stata Corporation.
Swindell, R. (2000). A U3A without walls: using the Internet to reach out to isolated older people. Education and Ageing, 15(2), 251–263.
The Economist. (2008). E-readiness rankings 2008: Maintaining momentum. Available from http://a330.g.akamai.net/7/330/25828/20080331202303/graphics.eiu.com/upload/ibm_ereadiness_2008.pdf. Cited 30 August 2008.
United Nations. (2008). The global information society: A statistical view. Available from http://www.uis.unesco.org/template/pdf/cscl/ICT/LCW190_en.pdf. Cited 30 August 2008.
vanBerlo, A., & vanValen, C. (1998). First experiences in using e-mail and Internet by elderly living in sheltered housing. In J. Graafmans, V. Taipale, & N. Charness (Eds.), Gerontechnology: A sustainable investment in the future. Amsterdam: IOS.
Weeks, D. J. (1994). A review of loneliness concepts with particular reference to old age. International Journal of Geriatric PsychiatryInt J Geriatr Psych, 9(5), 345–355. doi:10.1002/gps.930090502.
West, B., Welch, K. B., & Galecki, A. T. (2006). Linear mixed models: A practical guide using statistical software. Boca Raton: Chapman & Hall/CRC.
White, H., McConnell, E., Clipp, E., Branch, L. G., Sloane, R., Pieper, C., et al. (2002). A randomized controlled trial of the psychosocial impact of providing Internet training and access to older adults. Aging & Mental Health, 6(3), 213–221. doi:10.1080/13607860220142422.
White, H., McConnell, E., Clipp, E., Bynum, L., Teague, C., Navas, L., et al. (1999). Surfing the Net in later life: a review of the literature and pilot study of computer use and quality of life. Journal of Applied Gerontology, 18(3), 358–378.
White, J., & Weatherall, A. (2000). A grounded theory analysis of older adults and information technology. Educational Gerontology, 26, 371–386.
Wright, D., & Hill, T. (2009). Prescription for trouble: Medicare Part D and patterns of computer and Internet access among the elderly. Journal of Aging & Social Policy, 21(2), 172–186. doi:10.1080/08959420902732514.
Xie, B. (2007). Information technology education for older adults as a continuing peer-learning process: a Chinese case study. Educational Gerontology, 33, 429–450. doi:10.1080/03601270701252872.
Xie, B., & Bugg, J. M. (2009). Public library computer training for older adults to access high-quality Internet health information. Library & Information Science Research, 31(3), 155–162. doi:10.1016/j.lisr.2009.03.004.
Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., et al. (1982). Development and validation of a geriatric depression screening scale: a preliminary report. Journal of Psychiatric Research, 17(1), 37–49. doi:10.1016/0022-3956(82)90033-4.
Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52(1), 30–41. doi:10.1207/s15327752jpa5201_2.
Acknowledgements
This project was funded by the Michigan State University Families and Communities Together initiative. The authors would like to thank all of the participants as well as Eileen Godek and the other staff at the Otsego County Commission on Aging. Many thanks to UC Gaylord and the Michigan State University Extension for their ongoing support and to the many other community agencies, businesses, and individuals who contributed time, resources, and expertise to the project. Last, but not least, our undying gratitude to Mary Fox. Without her stellar coordination, enthusiasm, and dedication this project would not have become a reality.
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Woodward, A.T., Freddolino, P.P., Blaschke-Thompson, C.M. et al. Technology and Aging Project: Training Outcomes and Efficacy from a Randomized Field Trial. Ageing Int 36, 46–65 (2011). https://doi.org/10.1007/s12126-010-9074-z
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DOI: https://doi.org/10.1007/s12126-010-9074-z