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Aging, Cognition, and Technology Systems

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Cognitive Informatics in Health and Biomedicine

Part of the book series: Health Informatics ((HI))

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Abstract

In today’s healthcare environment, patients are increasingly expected to assume more responsibility in managing their health. As technology is becoming ubiquitous in healthcare, self-management of one’s health typically requires the patient to interact with a variety of technologies. These changes in the healthcare system are coupled with a rapid aging of the US population, resulting in a greater need for technologies to assist older adults in managing their health. However, age-related declines in cognitive abilities can impact the success with which older adults are able to use healthcare technologies. To be useful to and useable by older adults, technology must be compatible with the needs, preferences, and abilities of diverse older adult populations. This chapter provides an overview of aging, cognition, and technology systems, with a focus on the implications for use of healthcare technology and the capability of technology to support cognitive aging. We also discuss factors that influence the adoption of technology among older adults and provide a case study on the interdisciplinary collaboration necessary for successful technology development.

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References

  • A Profile of Older Americans: 2015 [Internet]. Washington, DC: U.S. Department of Health and Human Services; 2015 [cited 31 May 2016]. http://www.aoa.acl.gov/aging_statistics/profile/2015/docs/2015-Profile.pdf

  • Blackman S, Matlo C, Bobrovitskiy C, Waldoch A, Fang ML, Jackson P, et al. Ambient assisted living technologies for aging well: a scoping review. J Intell Syst. 2016;25(1):55–69.

    Google Scholar 

  • Blazer DG, Yaffe K, Liverman CT, editors. Cognitive aging: progress in understanding and opportunities for action. Washington, DC: The National Academies Press; 2015.

    Google Scholar 

  • Caregiving in the US 2015 [Internet]. Bethesda: AARP; 2015 [cited 6 May 2016]. http://www.caregiving.org/wp-content/uploads/2015/05/2015_CaregivingintheUS_Final-Report-June-4_WEB.pdf

  • Center for Research and Education on Aging and Technology Enhancement (CREATE) [Online]. Atlanta: Georgia Institute of Technology; 2016 [cited 1 June 2016]. www.create-center.org

  • Chronic Conditions Among Medicare Beneficiaries. Chartbook [Internet]. Baltimore: Centers for Medicare and Medicaid Services; 2012 [cited 17 Aug 2016]. https://www.cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/chronic-conditions/downloads/2012chartbook.pdf

  • Cohn D, Taylor P. Baby boomers retire [Internet]. Washington, DC: Pew Research Center; 2010 [cited 25 May 2016]. http://www.pewsocialtrends.org/2010/12/20/baby-boomers-approach-65-glumly/

  • Czaja SJ. Can technology empower older adults to manage their health? Generations. 2015;39(1):46–51.

    Google Scholar 

  • Czaja SJ. Long-term care services and support systems for older adults: the role of technology. Am Psychol. 2016;71(4):294–301.

    Article  PubMed  Google Scholar 

  • Czaja SJ, Charness N, Fisk AD, Hertzog C, Nair SN, Rogers WA, et al. Factors predicting the use of technology: findings from the Center for Research and Education on Aging and Technology Enhancement (CREATE). Psychol Aging. 2006;21(2):333.

    Article  PubMed  PubMed Central  Google Scholar 

  • Czaja S, Sharit J, Hernandez M, Nair S, Loewenstein D. Variability among older adults in Internet health information-seeking performance. Gerontechnology. 2010;9(1):46–55.

    Article  Google Scholar 

  • Czaja SJ, Lee CC, Schulz R. Quality of life technologies in supporting family caregivers. In: Schulz R, editor. Quality of life technology handbook. Boca Raton: CRC Press; 2012. p. 245–58.

    Google Scholar 

  • Czaja SJ, Loewenstein D, Schulz R, Nair SN, Perdomo D. A videophone psychosocial intervention for dementia caregivers. Am J Geriatr Psychiatry. 2013;21(11):1071–81.

    Article  PubMed  Google Scholar 

  • Dall TM, Gallo PD, Chakrabarti R, West T, Semilla AP, Storm MV. An aging population and growing disease burden will require a large and specialized health care workforce by 2025. Health Aff. 2013;32(11):2013–20.

    Article  Google Scholar 

  • Davis FD. Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quart. 1989;3(3):319–40.

    Article  Google Scholar 

  • Dillon CF, Gu Q, Hoffman HJ, Ko CW. Vision, hearing, balance, and sensory impairment in Americans aged 70 years and over: United States, 1999–2006. NCHS Data Brief. 2010;31:1–8.

    Google Scholar 

  • Ezumi H, Ochiai N, Oda M, Saito S, Ago M, Fukuma N, et al. Peer support via video-telephony among frail elderly people living at home. J Telemed Telecare. 2003;9(1):30–4.

    Article  PubMed  Google Scholar 

  • Fischer SH, David D, Crotty BH, Dierks M, Safran C. Acceptance and use of health information technology by community-dwelling elders. Int J Med Inform. 2014;83(9):624–35.

    Article  PubMed  PubMed Central  Google Scholar 

  • Fisk AD, Rogers WA, Charness N, Czaja SJ, Sharit J. Designing for older adults: principles and creative human factors approaches. Boca Raton: CRC Press; 2009.

    Book  Google Scholar 

  • Flynn KE, Smith MA, Freese J. When do older adults turn to the internet for health information? Findings from the Wisconsin Longitudinal Study. J Gen Intern Med. 2006;21(12):1295–301.

    Article  PubMed  PubMed Central  Google Scholar 

  • Fox S, Duggan M, Purcell K. Family caregivers are wired for health [Internet]. Washington, DC: Pew Research Center; 2013 [cited 5 June 2016]. http://www.pewinternet.org/2013/06/20/family-caregivers-are-wired-for-health/

  • Freese J, Rivas S, Hargittai E. Cognitive ability and Internet use among older adults. Poetics. 2006;34(4):236–49.

    Article  Google Scholar 

  • Hanson VL. Influencing technology adoption by older adults. Interact Comput. 2010;22(6):502–9.

    Article  Google Scholar 

  • Harrabi H, Kergoat M, Rousseau J, Boisjoly H, Schmaltz H, Moghadaszadeh S, et al. Age-related eye disease and cognitive function. Invest Ophthalmol Vis Sci. 2015;56(2):1217–21.

    Article  PubMed  Google Scholar 

  • Healthy Aging. Improving and extending quality of life among older Americans [Internet]. Atlanta: Centers for Disease Control and Prevention; 2009 [cited 25 May 2016]. http://www.cdc.gov/nccdphp/publications/aag/pdf/healthy_aging.pdf

  • Holden RJ, Karsh B. The technology acceptance model: its past and its future in health care. J Biomed Inform. 2010;43(1):159–72.

    Article  PubMed  Google Scholar 

  • van Hoof J, Kort H, Rutten P, Duijnstee M. Ageing-in-place with the use of ambient intelligence technology: perspectives of older users. Int J Med Inform. 2011;80(5):310–31.

    Article  PubMed  Google Scholar 

  • Horn JL, Cattell RB. Age differences in fluid and crystallized intelligence. Acta Psychol. 1967;26:107–29.

    Article  CAS  Google Scholar 

  • Horton K. Falls in older people: the place of telemonitoring in rehabilitation. J Rehabil Res Dev. 2008;45(8):1183–94.

    Article  PubMed  Google Scholar 

  • Insel K, Morrow D, Brewer B, Figueredo A. Executive function, working memory, and medication adherence among older adults. J Gerontol B Psychol Sci Soc Sci. 2006;61(2):P102–7.

    Article  PubMed  Google Scholar 

  • Kanade T. Quality of life technology. Proc IEEE. 2012;100(8):2394–6.

    Article  Google Scholar 

  • King WR, He J. A meta-analysis of the technology acceptance model. Inf Manage. 2006;43(6):740–55.

    Article  Google Scholar 

  • Kujala S. User involvement: a review of the benefits and challenges. Behav Inf Tech. 2003;22(1):1–16.

    Article  Google Scholar 

  • Lee C, Coughlin JF. Perspective: older adults’ adoption of technology: an integrated approach to identifying determinants and barriers. J Prod Innov Manage. 2015;32(5):747–59.

    Article  Google Scholar 

  • Legris P, Ingham J, Collerette P. Why do people use information technology? A critical review of the technology acceptance model. Inf Manage. 2003;40(3):191–204.

    Article  Google Scholar 

  • Lin FR, Ferrucci L. Hearing loss and falls among older adults in the United States. Arch Intern Med. 2012;172(4):369–71.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lin FR, Metter EJ, O’Brien RJ, Resnick SM, Zonderman AB, Ferrucci L. Hearing loss and incident dementia. Arch Neurol. 2011a;68(2):214–20.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lin FR, Thorpe R, Gordon-Salant S, Ferrucci L. Hearing loss prevalence and risk factors among older adults in the United States. J Gerontol A Biol Sci Med Sci. 2011b;66(5):582–90.

    Article  PubMed  Google Scholar 

  • Melenhorst A, Rogers WA, Bouwhuis DG. Older adults’ motivated choice for technological innovation: evidence for benefit-driven selectivity. Psychol Aging. 2006;21(1):190.

    Article  PubMed  Google Scholar 

  • Mitzner TL, McBride SE, Barg-Walkow LH, Rogers WA. Self-management of wellness and illness in an aging population. Rev Hum Factors Ergon. 2013;8(1):277–333.

    Article  Google Scholar 

  • Nielsen J. Usability engineering. Boston: AP Professional; 1993.

    Google Scholar 

  • Peek ST, Wouters EJ, van Hoof J, Luijkx KG, Boeije HR, Vrijhoef HJ. Factors influencing acceptance of technology for aging in place: a systematic review. Int J Med Inform. 2014;83(4):235–48.

    Article  PubMed  Google Scholar 

  • Porter EJ. Wearing and using personal emergency response system buttons. J Gerontol Nurs. 2005;31(10):26–33.

    Article  PubMed  Google Scholar 

  • Rashidi P, Mihailidis A. A survey on ambient-assisted living tools for older adults. IEEE J Biomed Health Inform. 2013;17(3):579–90.

    Article  PubMed  Google Scholar 

  • Rovner BW, Ganguli M. Depression and disability associated with impaired vision: the MoVies Project. J Am Geriatr Soc. 1998;46(5):617–9.

    Article  CAS  PubMed  Google Scholar 

  • Salthouse TA. Decomposing age correlations on neuropsychological and cognitive variables. J Int Neuropsychol Soc. 2009;15(05):650–61.

    Article  PubMed  PubMed Central  Google Scholar 

  • Salthouse TA. Selective review of cognitive aging. J Int Neuropsychol Soc. 2010;16(5):754–60.

    Article  PubMed  PubMed Central  Google Scholar 

  • Schaie KW. Intellectual development in adulthood: the Seattle longitudinal study. New York: Cambridge University Press; 1996.

    Google Scholar 

  • Schulz R, Beach SR, Matthews JT, Courtney KL, De Vito Dabbs AJ. Designing and evaluating quality of life technologies: an interdisciplinary approach. Proc IEEE. 2012;100(8):2397–409.

    Article  Google Scholar 

  • Schulz R, Wahl HW, Matthews JT, De Vito DA, Beach SR, Czaja SJ. Advancing the aging and technology agenda in gerontology. Gerontologist. 2015;55(5):724–34.

    Article  PubMed  Google Scholar 

  • Sharit J, Hernández MA, Czaja SJ, Pirolli P. Investigating the roles of knowledge and cognitive abilities in older adult information seeking on the web. ACM Trans Comput Hum Interact. 2008;15(1):3.

    Article  PubMed  PubMed Central  Google Scholar 

  • Sharit J, Taha J, Berkowsky RW, Profita H, Czaja SJ. Online information search performance and search strategies in a health problem-solving scenario. J Cogn Eng Decis Mak. 2015;9(3):211–28.

    Article  Google Scholar 

  • Smith A. Older adults and technology use [Internet]. Washington, DC: Pew Research Center; 2014 [cited 10 May 2016]. http://www.pewinternet.org/2014/04/03/older-adults-and-technology-use/

  • Spillman BC, Wolff J, Freedman VA, Kasper JD. Informal caregiving for older Americans: an analysis of the 2011 National Study of Caregiving [Internet]. Washington, DC: US Department of Health and Human Services; 2014 [cited 12 May 2016]. https://aspe.hhs.gov/sites/default/files/pdf/77146/NHATS-IC.pdf

  • Taha J, Sharit J, Czaja S. Use of and satisfaction with sources of health information among older Internet users and nonusers. Gerontologist. 2009;49(5):663–73.

    Article  PubMed  Google Scholar 

  • Taha J, Czaja SJ, Sharit J, Morrow DG. Factors affecting usage of a personal health record (PHR) to manage health. Psychol Aging. 2013;28(4):1124.

    Article  PubMed  Google Scholar 

  • Taha J, Sharit J, Czaja SJ. The impact of numeracy ability and technology skills on older adults’ performance of health management tasks using a patient portal. J Appl Gerontol. 2014a;33(4):416–36.

    Article  PubMed  Google Scholar 

  • Taha J, Sharit J, Czaja SJ. Usability of an electronic personal health record (PHR) among a diverse group of adults. In: Proceedings of the human factors and ergonomics Society annual meeting, October 27–31. Chicago: Sage; 2014b [cited 5 June 2016]. p. 619–23. http://pro.sagepub.com/content/58/1/619.short

  • The State of Aging and Health in America [Internet]. Atlanta: Centers for Disease Control and Prevention; 2013 [cited 10 May 2016]. http://www.cdc.gov/features/agingandhealth/state_of_aging_and_health_in_america_2013.pdf

  • Verhaeghen P. Aging and vocabulary score: a meta-analysis. Psychol Aging. 2003;18(2):332.

    Article  PubMed  Google Scholar 

  • Wang JJ, Mitchell P, Simpson JM, Cumming RG, Smith W. Visual impairment, age-related cataract, and mortality. Arch Ophthalmol. 2001;119(8):1186–90.

    Article  CAS  PubMed  Google Scholar 

  • van der Wardt V, Bandelow S, Hogervorst E. The relationship between cognitive abilities, well-being and use of new technologies in older people. Gerontechnology. 2012;10(4):187–207.

    Google Scholar 

  • Wild K, Boise L, Lundell J, Foucek A. Unobtrusive in-home monitoring of cognitive and physical health: reactions and perceptions of older adults. J Appl Gerontol. 2008;27(2):181–200.

    Article  PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. Center on Aging, Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, 1695 NW 9 Ave, Suite 3208, Miami, FL, 33136, USA

    Jessica Taha Ph.D. & Sara J. Czaja Ph.D.

Authors
  1. Jessica Taha Ph.D.
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  2. Sara J. Czaja Ph.D.
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Correspondence to Sara J. Czaja Ph.D. .

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Editors and Affiliations

  1. The New York Academy of Medicine, New York, NY, USA

    Vimla L. Patel

  2. University of Waterloo, Waterloo, ON, Canada

    Jose F. Arocha

  3. Weill Cornell Medical College, New York, NY, USA

    Jessica S. Ancker

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Taha, J., Czaja, S.J. (2017). Aging, Cognition, and Technology Systems. In: Patel, V., Arocha, J., Ancker, J. (eds) Cognitive Informatics in Health and Biomedicine. Health Informatics. Springer, Cham. https://doi.org/10.1007/978-3-319-51732-2_12

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  • DOI: https://doi.org/10.1007/978-3-319-51732-2_12

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