The DOI matches its Crossref record, with a small difference in title or year; 35 of the 35 references it cites were found in a registry or an index.
Patterns of Technology Use Among Older Adults With and Without Disabilities
Open accessAbstract
PURPOSE OF THE STUDY: The purpose of this study was to describe prevalence of technology use among adults ages 65 and older, particularly for those with disability and activity-limiting symptoms and impairments. DESIGN AND METHODS: Data from the 2011 National Health and Aging Trends Study, a nationally representative sample of community-dwelling Medicare beneficiaries (N = 7,609), were analyzed. Analysis consisted of technology use (use of e-mail/text messages and the internet) by sociodemographic and health characteristics and prevalence ratios for technology usage by disability status. RESULTS: Forty percent of older adults used e-mail or text messaging and 42.7% used the internet. Higher prevalence of technology use was associated with younger age, male sex, white race, higher education level, and being married (all p values <.001). After adjustment for sociodemographic and health characteristics, technology use decreased significantly with greater limitations in physical capacity and greater disability. Vision impairment and memory limitations were also associated with lower likelihood of technology use. IMPLICATIONS: Technology usage in U.S. older adults varied significantly by sociodemographic and health status. Prevalence of technology use differed by the type of disability and activity-limiting impairments. The internet, e-mail, and text messaging might be viable mediums for health promotion and communication, particularly for younger cohorts of older adults and those with certain types of impairment and less severe disability.
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“research shows that older adults, people with cognitive problems or disabilities are less likely to use technologies,87”
From Development, evaluation and implementation of a digital behavioural health treatment for chronic pain: study protocol of the multiphase DAHLIA project (2022) · cites this paper as [87]
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“Many older Black Americans experience intersectional barriers to technology use such as inexperience arising from age-related preferences or disability [20,40] or financial constraints related to structural inequities [41].”
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“In addition, a number of studies have reported a correlation between technology use from older adults and a general negative assessment of their own skills (Gitlow, 2014; Gell et al., 2015), as well as greater fear and anxiety when using computers and technology in general (Marquié et al., 2002).”
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InfluentialFrom Digital Divide to Technostress during the COVID-19 Pandemic: A Scoping Review
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“, educational level), and physical capacity and disability status in the older population; younger, more educated older adults are more likely to use technology to communicate and have more access to the internet.(32) Not surprisingly, older adults with vision or/and memory impairment reported decreased use of technol…”
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“The Technology Acceptance Model (TAM; Davis, 1989) offers a powerful explanation of the relationship among client perception, behavioral preferences, socio-demographic factors, and system use (Davis, 1989; Fetscherin & Lattemann, 2008; Gell, Rosenberg, Demiris, Lacroix, & Patel, 2013).”
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“…of life; improved executive function, working memory, event memory, and social support (Chopik, 2016); prevention (Nadal et al., 2019); broad access of older adults to health education and support (Gell et al., 2015); and the reduction of depression and feelings of loneliness (Chopik, 2016).”
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“Although gender and comorbidities could influence the use of technology (Gell et al., 2015), it was not explored because it was not the focus of the study.”
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Activity Engagement and Everyday Technology Use Among Older Adults in an Urban Area
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“In contrast, Gell et al. (2015) found that elderly individuals with higher levels of physical impairment were less likely to use the Internet for health-related purposes.”
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“Indeed, older adults with higher educational levels are more likely to access the internet (Anderson & Perrin, 2017; Gell et al., 2015) and have better internet skills (Hargittai & Dobransky, 2017).”
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Critical Factors Influencing the Intention to Adopt m-Government Services by the Elderly
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“…adults continue to rely on technology to compensate for age-related changes (e.g., increased vulnerability and limitations in health) (Gell et al., 2015), it is of increasing interest to examine whether age differences are present in the relationship between frequency of…”
BackgroundGesture-Driven Computing: Pioneering Control with Eye Tracking and Computer Vision
Rekha, K. B., Sampreeth, R., Sai, Y. Y., Navatha, M., & Nayak, R. (2024) · International Conference for Innovation in Technology (INOCON) · doi:10.1109/inocon60754.2024.10511619 · Cited by 6
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BackgroundIDOSOS E INCLUSÃO DIGITAL COM TABLET-PC: UMA REVISÃO SISTEMÁTICA DA LITERATURA
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“Particularly among older adults with certain disabilities or activity-limiting impairments, the use of email, texting, and the internet is lower than for those without these impairments [7].”
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Factors associated with the non-use of mobile health applications among adults in the United States
Tundealao, S. T., Titiloye, T., Sajja, A., Egab, I., Odole, I. P., Alufa, O., & Olarewaju, O. K. (2023) · Journal of Public Health · doi:10.1007/s10389-023-02132-8 · Cited by 5
“However, they are less likely to utilize mHealth apps due to their inability to keep up with the rapidly evolving technology, the lack of support when they run into technical difficulties, their health, lack of interest, and the expense (Gell et al. 2015; Vaportzis et al. 2017).”
Portfolio Allocation, Risk Aversion, and Digital Literacy Among the European Elderly
Enescu, A.-G., & Szeles, M. R. (2024) · Economics · doi:10.1515/econ-2022-0072 · Cited by 5
MacPherson, E., Dhaliwal, C., & Richardson, J. A. (2014) · Current Geriatrics Reports · doi:10.1007/s13670-014-0094-5 · Cited by 5
Inequality in Internet Use across Areas and Older Adults in Taiwan
Hsu, H. C. (2017) · Journal of Healthcare Communications · doi:10.4172/2472-1654.100096 · Cited by 5
Kanstrup, A. M., & Bygholm, A. (2019) · Springer eBooks · doi:10.1007/978-981-13-3693-5_2 · Cited by 5
Internet Use and Loneliness Among Older Adults: The Moderating Role of Self-perceptions of Ageing
Xu, W., & Köttl, H. (2020) · Lecture notes in computer science · doi:10.1007/978-3-030-50232-4_26 · Cited by 9
Innovativeness of Senior Consumers’ Attitudes – An Attempt to Conduct Segmentation
Olejniczak, T. (2021) · Folia Oeconomica Stetinensia · doi:10.2478/foli-2021-0006 · Cited by 5
Identifying Consumers Who Search for Long-Term Care on the Web: Latent Class Analysis
Liu, D., Yamashita, T., & Burston, B. (2018) · JMIR Aging · doi:10.2196/10763 · Cited by 5
“Citing data from the Pew Internet Report, this research confirms that although internet use has been increasing among older adults, usage levels continue to remain below those of younger adults [27].”
MethodOlder Adults’ Response Strategies to Misinformation on Social Media
Baines, A. F., Hargittai, E., & Palfrey, J. (2025) · Social Media + Society · doi:10.1177/20563051251386360 · Cited by 5
“Research highlights the complex, bidirectional relationship between cognitive performance and technology use in later life (E. Y. Choi et al., 2021; Gell et al., 2015).”
Murdock, P., Wu, Y., & Senteio, C. R. (2026) · Interactive Journal of Medical Research · doi:10.2196/60542 · Cited by 4
Verma, S. R., Gupta, A. K., & Kashive, N. (2025) · Services Marketing Quarterly · doi:10.1080/15332969.2025.2503084 · Cited by 4
Mathew, J., Mehawej, J., Wang, Z., Orwig, T. A., Ding, E., Filippaios, A., Naeem, S. S., Otabil, E. M., Hamel, A. P., Noorishirazi, K., et al. (2024) · 老年心脏病学杂志:英文版 · doi:10.26599/1671-5411.2024.03.005 · Cited by 5
Yang, J., & Wang, X. (2024) · INQUIRY The Journal of Health Care Organization Provision and Financing · doi:10.1177/00469580241282050 · Cited by 4
Yeo, H., Kim, E., & Emerson, K. G. (2024) · Journal of Technology in Human Services · doi:10.1080/15228835.2024.2426103 · Cited by 5
“Higher levels of technology use in older adults have been associated with comparatively younger age, being married, male, or White, higher education levels, higher income, and lower prevalence of disability (Anderson & Perrin, 2017; Gell et al., 2015; N. G. Choi & DiNitto, 2013; Yu et al., 2016).”
Hu, A., Chen, B., Liu, S., & Zhang, J. (2024) · Behavioral Sciences · doi:10.3390/bs14121187 · Cited by 7
“…the use of digital display technologies among older adults is associated with internal factors, including but not limited to age, level of education [37,38], physical health [39], social economic status [40], internet skills [41], motivation [42], self-efficacy [43], and sense of happiness [44].”
Yaşlı Bireylerde E-Sağlık Okuryazarlığı ve Polifarmasi Arasındaki İlişki
Deniz, E., & Duman, İ. (2024) · Geriatrik Bilimler Dergisi · doi:10.47141/geriatrik.1537080 · Cited by 4
Lin, X. Y., Boot, W. R., Charness, N. H., Czaja, S. J., & Rogers, W. A. (2025) · Disability and Rehabilitation Assistive Technology · doi:10.1080/17483107.2025.2460104 · Cited by 4
“…such as smart home technology and wearable devices, help ensure the well-being of older adults by detecting falls or irregular activities and alerting caregivers when needed [15]. additionally, navigation apps aid in wayfinding and navigation, promoting independence and safety when travelling [16].”
Rice, L. A., Mitzner, T. L., Sanford, J. A., Remillard, E. T., & Rogers, W. A. (2025) · The Gerontologist · doi:10.1093/geront/gnaf109 · Cited by 7
Godier-McBard, L. R., Castle, C. L., Heinze, N., Hussain, S. F., Borowski, S. C., Vogt, D. S., Gomes, R. S. M., & Fossey, M. J. (2020) · British Journal of Visual Impairment · doi:10.1177/0264619620973683 · Cited by 4
“Furthermore, older adults with VI are less likely to engage with technology and the internet than those who do not have a VI (Gell et al., 2015).”
BackgroundMartinez, P. D., Tancredi, D. J., Misha Pavel, C., García, L., & Young, H. M. (2024) · JMIR Formative Research · doi:10.2196/57009 · Cited by 4
“…an analysis of the National Health and Aging Trends Study, self-reported memory problems were associated with decreased email, SMS text message, and internet use even when adjusting for age, sex, race and ethnicity, educational attainment, marital status, multimorbidity, and self-rated health [28].”
Chérrez-Ojeda, I., Mata, V. L., Vanegas, E., Félix, M., Bernstein, J. A., Jiménez, F., Calderón, J. C., Chedraui, P. A., & Gavilanes, A. W. D. (2020) · International Journal of Telemedicine and Applications · doi:10.1155/2020/2489890 · Cited by 6
Müller, A. M., BLANDFORD, A. E., & Yardley, L. (2017) · SSRN Electronic Journal · doi:10.2139/ssrn.3044368 · Cited by 4
Lange, A., Lange, N., Jagiełło, K., Wojtyniak, B., & Zdrojewski, T. R. (2025) · Journal of Medical Internet Research · doi:10.2196/68947 · Cited by 4
“Moreover, our findings were consistent with international research, demonstrating that older adults, especially those with disabilities, encounter substantial obstacles in accessing digital technology [2-4 , 20 ].”
InfluentialAssessing the Ability to Use eHealth Resources Among Older Adults: Cross-Sectional Survey Study
Aoun, B., Ebbert, J. O., Ramar, P., Roellinger, D. L., & Philpot, L. M. (2025) · JMIR Formative Research · doi:10.2196/70672 · Cited by 6
Wang, Y., Shao, Z., Tian, Z., & Chen, J. (2025) · Healthcare · doi:10.3390/healthcare13131628 · Cited by 8
“The Gerontologist primarily focuses on the biological changes in older people [109] and involves research on social, psychological, and economic factors in the aging process [60,110].”
Metadata
- Authors
- Gell, N. M., Rosenberg, D. E., Demiris, G., LaCroix, A. Z., & Patel, K. V.
- Affiliations
- Kaiser Permanente Washington Health Research Institute (US)
- University of Washington (US)
- Corresponding author
- Gell, Nancy M.
- Venue
- The Gerontologist
- Publisher
- Oxford University Press (OUP)
- Published
- 2013-12-30
- Volume
- 55
- Issue
- 3
- Pages
- 412-421
- ISSN
- 0016-9013 (ISSN-L)
- 1758-5341
- PMC
- PMC4542705
- OpenAlex
- W2114661329
- Cited by
- 450
- References
- 35
- Citations by year
- 2026: 34 · 2025: 51 · 2024: 55 · 2023: 35 · 2022: 44 · 2021: 45 · 2020: 45 · 2019: 28 · 2018: 36 · 2017: 31 · 2016: 18 · 2015: 21 · 2014: 6
- FWCI
- 40.35
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Gerontologist (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- Johns Hopkins University
- National Health and Aging Trends Study (U01AG32947)
- National Institute on Aging (T32AG027677, NIA U01AG32947, U01AG032947)
- Topics
- Health Sciences › Medicine › Geriatrics and Gerontology › Technology Use by Older Adults
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Social Sciences › Psychology › Developmental and Educational Psychology › Aging and Gerontology Research
- Keywords
- technology use, older adults, disability, internet use, email, text messaging, visual impairment, memory constraints, physical capacity, sociodemographic differences, health communication, health promotion
- MeSH terms
- Activities of Daily Living, Aged, Aged, 80 and over, Aging, Attitude to Computers, Female, Persons with Disabilities, Health Promotion, Humans, Male, Technology, Prevalence, Internet, Electronic Mail, White People, Text Messaging
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