Understanding changes and stability in the long-term use of technologies by seniors who are aging in place: a dynamical framework
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BACKGROUND: If technologies are to support aging in place, then it is important to develop fundamental knowledge on what causes stability and changes in the use of technologies by seniors. However, longitudinal studies on the long-term use of technologies that have been accepted into the home (i.e., post-implementation use) are very scarce. Many factors potentially could influence post-implementation use, including life events, age-related decline, changes in personal goal orientation, and various types of social influences. The aforementioned factors are likely to be interrelated, adding to the complexity. The goal of this study is to better understand changes and stability in the use of technologies by independent-living seniors, by using a dynamical systems theory approach. METHODS: A longitudinal qualitative field study was conducted involving home visits to 33 community-dwelling seniors in the Netherlands, on three occasions (2012-2014). Interviews were held on technology usage patterns, including reasons for stable, increased, declined and stopped use. Technologies were included if they required electric power in order to function, were intended to be used in or around the home, and could support activities of daily living, personal health or safety, mobility, communication, and physical activity. Thematic analysis was employed, using constant case comparison to better understand dynamics and interplay between factors. In total, 148 technology use patterns by 33 participants were analyzed. RESULTS: A core of six interrelated factors was closely linked to the frequency of technology use: emotional attachment, need compatibility, cues to use, proficiency to use, input of resources, and support. Additionally, disruptive forces (e.g., social influences, competition with alternative means, changes of personal needs) could induce change by affecting these six factors. Furthermore, long-term technology use was in some cases more resilient to disruption than in other cases. Findings were accumulated in a new framework: Dynamics In Technology Use by Seniors (DITUS). CONCLUSIONS: Similar to aging, the use of technologies by older people is complex, dynamic and personal. Periods of stability and change both occur naturally. The DITUS framework can aid in understanding stability and instability of technology use, and in developing and implementing sustainable technological solutions for aging in place.
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With adequate support, the older population of various capacities can adapt to using different technologies.
“These findings have aligned with emerging evidence that with adequate support, the older population of various capacities can adapt to using different technologies (Peek et al., 2019; Talbot & Briggs, 2022).”
From Facilitators and Barriers to Using Virtual Reality and its Impact on Social Engagement in Aged Care Settings: A Scoping Review (2023) · cites this paper as Peek et al., 2019
The Results (Shifts to other states of use) say that continued technology use depended in part on how effectively participants and external supporters responded to disruption. The Methods (Sampling) describe participants with varied health and technology experience, but exclude people with cognitive impairment. The paper therefore supports a role for support in adapting technology use, not the broader suggestion that adequate support enables older people across capacities to adapt to different technologies. (LLM, conf=0.86)
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- Authors
- Peek, S. T. M., Luijkx, K. G., Vrijhoef, H. J. M., Nieboer, M. E., Aarts, S., van der Voort, C. S., Rijnaard, M. D., & Wouters, E. J. M.
- Affiliations
- Tilburg University (NL)
- Vrije Universiteit Brussel (BE)
- Fontys University of Applied Sciences (NL)
- Corresponding author
- Peek, S. T. M.
- Venue
- BMC Geriatrics
- Published
- 2019-08-28
- Volume
- 19
- Issue
- 1
- Pages
- 236-236
- ISSN
- 1471-2318 (ISSN-L)
- PMC
- PMC6712781
- OpenAlex
- W2971285830
- Cited by
- 84
- References
- 63
- Citations by year
- 2026: 8 · 2025: 11 · 2024: 8 · 2023: 15 · 2022: 16 · 2021: 17 · 2020: 9
- FWCI
- 23.83
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Geriatrics (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Research portal (Tilburg University) (submittedVersion, other-oa)
- Research Publications (Maastricht University) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- VUBIR (Vrije Universiteit Brussel) (submittedVersion)
- Research Publications (Maastricht University) (submittedVersion, other-oa)
- Funders
- SIA (RAAK PRO-3-37)
- Topics
- Social Sciences › Demography › Technology Use by Older Adults
- 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
- Keywords
- aging in place, older adults, home technology use, technology adoption, technology use patterns, dynamical systems theory, emotional attachment, user proficiency, social influence, resilience, independent living, activities of daily living, assistive technology
- MeSH terms
- Aged, Aged, 80 and over, Aging, Computer User Training, Female, Humans, Longitudinal Studies, Male, Microcomputers, Motivation, Netherlands, Pilot Projects, Prospective Studies, Technology, Qualitative Research, Independent Living
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