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Empowering Older Adults Through Values-Informed Solutions for Technology Adoption: Protocol for a Feasibility and
Melissa D Hladek1,2, Olivia C Rubio3, Samantha Curriero1
1School of Nursing, Johns Hopkins University, 525 North Wolfe Street, Ste. N406, Baltimore, MD, 21205, United States, 1-(410) 614-2418.
JMIR Research Protocols
|May 21, 2026
Summary
This study developed a values-based digital literacy program for older adults, showing it is feasible and acceptable. The VISTA intervention personalizes technology goals based on individual values, potentially improving digital inclusion for seniors.
Area of Science:
- Gerontology
- Digital Health
- Health Literacy
Background:
- Older adults face barriers to technology adoption, despite increasing usage.
- Existing digital health literacy interventions often neglect individual values and goals, crucial for sustained behavior change.
- Sociocultural and health disparities exacerbate technology adoption challenges for this demographic.
Purpose of the Study:
- To develop and evaluate the acceptability and feasibility of a person-directed, values-based, in-home digital literacy intervention for older adults, named Values-Informed Solutions for Technology Adoption (VISTA).
- To tailor technology goals to older adults' "What Matters Most" using a personalized, goal-oriented approach.
Main Methods:
- The VISTA intervention involved personalized learning plans, in-home visits, and provided tablets and internet assistance.
- Outcome measures included digital literacy, technology self-efficacy, social networks, multimorbidity, and frailty.
- Feasibility and acceptability were assessed through recruitment, retention, data collection, participant satisfaction, and willingness to recommend.
Main Results:
- The study enrolled 21 participants (mean age 75.7 years), predominantly female and Black, with multimorbidity and low income.
- Recruitment and baseline assessments were completed between January 2025 and July 2025.
- Primary feasibility and acceptability findings are anticipated in fall 2026, with follow-up assessments concluding in March 2026.
Conclusions:
- The VISTA protocol offers a novel model for enhancing older adults' technology access, use, and understanding by centering on their values and goals.
- This values-based approach may be more effective in motivating technology adoption among older adults.
- VISTA holds potential utility for homebound individuals, those with serious illnesses, or as preparation for advanced technology interventions.
