Evaluating an Adaptive, Web-Based Training Program for Teaching Older Adults Experiencing Cognitive Difficulties to...

Area of Science:

• Gerontology
• Human-Computer Interaction
• Digital Health

Background:

• Older adults with cognitive concerns require support for independent functioning.
• In-person technology training is costly and difficult to scale.
• Web-based training offers a scalable solution to improve digital tool access.

Purpose of the Study:

• To describe the iterative development and evaluation of an adaptive, web-based training program.
• To assess the program's effectiveness in helping older adults learn an Electronic Memory and Management Aid.

Main Methods:

• Two pilot studies (Study 1) evaluated user satisfaction and collected data for adaptive algorithm development.
• A clinical trial (Study 2) involved community-dwelling older adults with varying cognitive abilities.
• Qualitative data from interviews identified program successes and barriers.

Main Results:

• Study 1: High user satisfaction reported, with feedback used for iterative refinement.
• Clinician observations informed the adaptive algorithm's development.
• Study 2: Participants valued adaptive features like adjustable pacing, repetition, and practical exercises for daily integration.

Conclusions:

• Web-based training is feasible for scaling technology-based compensatory strategies for older adults.
• Adaptive learning features are crucial for maximizing engagement and effectiveness in digital health interventions.