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Predicting Internet Use and Digital Competence Among Older Adults Using Performance Tests of Visual, Physical, and
Tarja Heponiemi1, Emma Kainiemi1, Lotta Virtanen1
1Finnish Institute for Health and Welfare, Helsinki, Finland.
Journal of Medical Internet Research
|May 5, 2023
Summary
Physical and cognitive impairments in older adults are linked to difficulties using internet services. Digital health solutions must accommodate those with limitations, ensuring access for all seniors.
Area of Science:
- Gerontology
- Digital Health
- Public Health
Background:
- The increasing reliance on internet services presents challenges for older adults.
- Understanding predictors of internet use and digital competence is crucial due to aging populations.
Purpose of the Study:
- To investigate the association between objective physical and cognitive impairments and internet non-use for services among older adults.
- To examine the relationship between physical and cognitive impairments and low digital competence in the elderly population.
Main Methods:
- Longitudinal population-based study in Finland (2017-2020) with 1426 participants aged 70-100.
- Utilized performance tests and self-rated questionnaires to gather data.
- Logistic regression analyses were employed to determine associations.
Main Results:
- Impaired near/distant vision, upper arm abduction, and memory recall were associated with higher odds of internet non-use.
- Poor vision, reduced physical function (chair stand test), upper arm mobility issues, and memory deficits correlated with low digital competence.
Conclusions:
- Physical and cognitive impairments can hinder older adults' access to essential internet services, including digital healthcare.
- Digital health services must be designed to be accessible for older adults with impairments.
- Alternative face-to-face services are necessary for individuals unable to utilize digital options.
Keywords:
digital exclusiondigital skillsinternet servicesmobile phoneolder adultsphysical and cognitive decline
