The impact of assistive technologies on formal and informal home care
Abstract
PURPOSE OF THE STUDY: Assistive technologies help people with disabilities compensate for their impairments. This study assessed which of 5 categories of assistive technologies-indoor/outdoor mobility, bed transfer, bathing, toileting, and telephone assistance-were substitutes or complements for human personal assistance by differentiating between total and formal personal assistance service (PAS) hours. DESIGN AND METHODS: The study analyzed 2004 National Long-Term Care Survey community-dwelling respondents receiving assistance with activities of daily living. Ordinary least squares (OLS) on total PAS hours was estimated on the entire sample, and logit and OLS models were estimated on the likelihood and hours of formal PAS, respectively. RESULTS: Assistive technology for indoor/outdoor mobility, bed transfer, and bathing was found to be substitutes for total PAS, whereas assistive technology for bed transfer and toileting was found to be complements for the use of formal PAS. Telephone assistance was not significant for either total or formal PAS hours. IMPLICATIONS: The use of some assistive technologies by older people with disabilities appears to reduce the amount of informal care provided, but not the amount of paid PAS. Thus, this study does not provide support for the hypothesis that the use of assistive technologies will reduce use of paid care and, therefore, spending for long-term care.
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Assistive technologies increase the self-dependencies of patients, encouraging user participation in ICT tools to provide remote care services and information to healthcare professionals.
“Assistive technologies increase the self-dependencies of patients, encouraging user participation in Information and Communication Technology (ICT) tools to provide remote care services type assistance and provide information to the healthcare professionals.”
From The rise of artificial intelligence in healthcare applications (2020) · cites this paper as [51]
Assistive technologies are experiencing rapid growth, especially among people aged 65-74 years.
“Assistive technologies are experiencing rapid growth, especially among people aged 65–74 years [51].”
From The rise of artificial intelligence in healthcare applications (2020) · cites this paper as [51]
Cites
Smearing Estimate: A Nonparametric Retransformation Method
Duan, N.-H. (1983) · Journal of the American Statistical Association · doi:10.1080/01621459.1983.10478017 · Cited by 2,289 · see citing works
Retooling for an aging America: building the health care workforce
(2009) · Choice Reviews Online · doi:10.5860/choice.46-5066 · Cited by 688 · see citing works
Long-Term Care: Who Gets It, Who Provides It, Who Pays, And How Much?
Kaye, H. S., Harrington, C. A., & LaPlante, M. P. (2010) · Health Affairs · doi:10.1377/hlthaff.2009.0535 · Cited by 359 · see citing works
Mantón, K. G., Gu, X., & Lamb, V. L. (2006) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0608483103 · Cited by 358 · see citing works
Resolving inconsistencies in trends in old-age disability: Report from a technical working group
Freedman, V. A., Crimmins, E. M., Schoeni, R. F., et al. (2004) · Demography · doi:10.1353/dem.2004.0022 · Cited by 344 · see citing works
Trends in Late-Life Activity Limitations in the United States: An Update From Five National Surveys
Freedman, V. A., Spillman, B. C., Andreski, P. M., Cornman, J. C., Crimmins, E. M., Kramarow, E. A., Lubitz, J. D., Martin, L. G., Merkin, S. S., Schoeni, R. F., et al. (2012) · Demography · doi:10.1007/s13524-012-0167-z · Cited by 248 · see citing works
Mobility Device Use in the United States
Kang, T., & LaPlante, M. P. (2003) · Cited by 218 · see citing works
Does Assistive Technology Substitute for Personal Assistance Among the Disabled Elderly?
Hoenig, H., Taylor, D. H., & Sloan, F. A. (2003) · American Journal of Public Health · doi:10.2105/ajph.93.2.330 · Cited by 206 · see citing works
Assistive technology devices and home accessibility features: prevalence, payment, need, and trends.
LaPlante, M. P., Hendershot, G. E., & Moss, A. J. (1992) · PubMed · Cited by 176 · see citing works
Improving The Long-Term Care Workforce Serving Older Adults
Stone, R., & Harahan, M. F. (2010) · Health Affairs · doi:10.1377/hlthaff.2009.0554 · Cited by 173 · see citing works
Martin, J. T. (1964) · International Journal of Pest Management Part A · doi:10.1080/04345546409415580 · Cited by 148 · see citing works
Agree, E. M., Freedman, V. A., Cornman, J. C., Wolf, D. A., & Marcotte, J. E. (2005) · The Journals of Gerontology Series B · doi:10.1093/geronb/60.5.s272 · Cited by 134 · see citing works
Trends in the Use of Assistive Technology and Personal Care for Late-Life Disability, 1992–2001
Freedman, V. A., Agree, E. M., Martin, L. G., & Cornman, J. C. (2006) · The Gerontologist · doi:10.1093/geront/46.1.124 · Cited by 131 · see citing works
Mantón, K. G., Corder, L. S., & Stallard, E. (1993) · The Gerontologist · doi:10.1093/geront/33.2.168 · Cited by 130 · see citing works
Incorporating Assistive Devices into Community-Based Long-Term Care
Agree, E. M., & Freedman, V. A. (2000) · Journal of Aging and Health · doi:10.1177/089826430001200307 · Cited by 119 · see citing works
A Comparison of Assistive Technology and Personal Care in Alleviating Disability and Unmet Need
Agree, E. M., & Freedman, V. A. (2003) · The Gerontologist · doi:10.1093/geront/43.3.335 · Cited by 97 · see citing works
A profile of frail older Americans and their caregivers
Johnson, R. W., & Wiener, J. M. (2006) · PsycEXTRA Dataset · doi:10.1037/e725622011-001 · Cited by 96 · see citing works
Self-citationJohnson, R. W., Toohey, D., & Wiener, J. M. (2007) · Cited by 94 · see citing works
Self-citationHow Assistive Technology Use by Individuals with Disabilities Impacts Their Caregivers
Mortenson, W. B., Demers, L., Führer, M. J., Jutai, J. W., Lenker, J., & DeRuyter, F. (2012) · American Journal of Physical Medicine & Rehabilitation · doi:10.1097/phm.0b013e318269eceb · Cited by 88 · see citing works
Receiving Help at Home: The Interplay of Human and Technological Assistance
Allen, S., Foster, A., & Berg, K. (2001) · The Journals of Gerontology Series B · doi:10.1093/geronb/56.6.s374 · Cited by 88 · see citing works
Promoting Independence for Wheelchair Users: The Role of Home Accommodations
Allen, S., Resnik, L. J., & Roy, J. A. (2006) · The Gerontologist · doi:10.1093/geront/46.1.115 · Cited by 54 · see citing works
Use of Paid Home Care by the Chronically Disabled Elderly
Hanley, R. J., & Wiener, J. M. (1991) · Research on Aging · doi:10.1177/0164027591133003 · Cited by 21 · see citing works
Self-citationNational Long-Term Care Survey: 1982, 1984, 1989, 1994, 1999, and 2004
Mantón, K. G. (2004) · ICPSR Data Holdings · doi:10.3886/icpsr09681.v5 · Cited by 16 · see citing works
It's Not Your Grandmother's Long-Term Care Anymore!
Wiener, J. M. (2006) · Public Policy & Aging Report · doi:10.1093/ppar/16.3.28 · Cited by 7 · see citing works
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The rise of artificial intelligence in healthcare applications
Bohr, A., & Memarzadeh, K. (2020) · Artificial Intelligence in Healthcare · doi:10.1016/b978-0-12-818438-7.00002-2 · Cited by 1,636 · see citing works
- Authors
- Anderson, W. L., & Wiener, J. M.
- Affiliations
- RTI International (US)
- Corresponding author
- Anderson, Wayne L.
- Venue
- The Gerontologist
- Publisher
- Oxford University Press (OUP)
- Published
- 2013-12-30
- Volume
- 55
- Issue
- 3
- Pages
- 422-433
- ISSN
- 0016-9013 (ISSN-L)
- 1758-5341
- OpenAlex
- W2123874911
- Cited by
- 41
- References
- 24
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 5 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 4 · 2018: 6 · 2017: 5 · 2016: 5 · 2015: 1
- FWCI
- 6.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Gerontologist (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Occupational Therapy › Assistive Technology in Communication and Mobility
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Keywords
- assistive technology, personal assistance services, home care, informal care, activities of daily living, older adults with disabilities, mobility aids, bed transfer, bathing assistance, toileting assistance, substitutes and complements
- MeSH terms
- Activities of Daily Living, Aged, Aged, 80 and over, Female, Patient Care, Persons with Disabilities, Disabled Persons, Home Care Services, Humans, Long-Term Care, Male, Middle Aged, Surveys and Questionnaires, Self Care, Self-Help Devices
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