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Perceptions of older people in Ireland and Australia about the use of technology to address falls prevention

Published online by Cambridge University Press:  28 August 2018

Lynette Mackenzie Open the ORCID record for Lynette Mackenzie [Opens in a new window]  and
Amanda Clifford
Lynette Mackenzie*
Affiliation:
Ageing Work and Health Research Unit, Faculty of Health Sciences, University of Sydney, Lidcombe, NSW, Australia
Amanda Clifford
Affiliation:
Department of Clinical Therapies, School of Education and Health Sciences, University of Limerick, Limerick, Ireland
*
*Corresponding author. Email: Lynette.Mackenzie@sydney.edu.au
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Abstract

Falls are common events with serious consequences for older people. With an ageing population and increasing health-care costs, information and communication technologies (ICT) will have a potential role in future health-care delivery. However, research on technology acceptance in health care for older people is limited and its application to falls prevention is unknown. The aims of this study were to explore and describe the perceptions of community-dwelling Australian and Irish older people about their current use of technology, and the potential use of technology for falls prevention. Qualitative data were collected from three focus groups conducted in and around Limerick in Ireland, and three in the Sydney area, Australia. A total of 35 older people participated. Data were analysed using thematic analysis. Four themes emerged from the data: (a) perceptions of vulnerability to falls, (b) preferences for exercise interventions, (c) participation in and ownership of technology, and (d) perceptions about applications of technology for falls prevention. As the use of technology is an instrumental activity of daily living, health professionals need to assess the capacity of older people to adopt these technologies, and provide falls prevention interventions to accommodate the technology skills of older people. Some participants were reluctant to embrace technology and barriers to the effective use of technology to assist in preventing falls may conflict with future health service trends.

Keywords

accidental fallstechnologyinternetinstrumental activities of daily livingoccupational therapy
Type
Article
Information
Ageing & Society , Volume 40 , Issue 2 , February 2020 , pp. 369 - 388
Copyright
Copyright © Cambridge University Press 2018 

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References

Age, UK (2013) Technology and Older People Evidence Review. London: Age UK. Available at http://www.ageuk.org.uk/documents/en-gb/for-professionals/computers-and-technology/evidence_review_technology.pdf?dtrk=true.Google Scholar
Alvseike, H and Brønnick, K (2012) Feasibility of the iPad as a hub for smart house technology in the elderly: effects of cognition, self-efficacy, and technology experience. Journal of Multidisciplinary Healthcare 5, 299–306.Google Scholar
American Occupational Therapy Association (2017) Occupational therapy practice framework: domain and process (3rd edition). American Journal of Occupational Therapy 68, S1–S48.Google Scholar
Ammann, R, Vandelanotte, V, de Vries, H and Mummery, K (2012) Can a website-delivered computer-tailored physical activity intervention be acceptable, usable and effective for older people? Health Education & Behaviour 40, 160–170.Google Scholar
Australian Bureau of Statistics (2013) Household Use of Information Technology, Australia, 2010–2011. Canberra: ABS. Available at http://www.abs.gov.au/ausstats/abs@.nsf/0/4E4D83E02F39FC32CA25796600152BF4?opendocument.Google Scholar
Australian Institute of Health and Welfare (2017) Trends in Hospitalisations Due to Falls by Older People, Australia 2002–03 to 2012–13. Injury Research and Statistics Series No. 106 (Catalogue No. INJCAT 182). Canberra: Australian Institute of Health and Welfare.Google Scholar
Bert, F, Giacometti, M, Gualano, M and Siliquini, R (2014) Smartphones and health promotion: a review of the evidence. Journal of Medical Systems 38, 9995.Google Scholar
Blaschke, C, Freddolino, P and Mullen, E (2009) Ageing and technology: a review of the research literature. British Journal of Social Work 39, 641–656.Google Scholar
Boström, M, Kjellström, S and Björklund, A (2013) Older persons have ambivalent feelings about the use of monitoring technologies. Technology and Disability 25, 117–125.Google Scholar
Boulton, E, Hawley-Hague, H, Vereijken, B, Clifford, A, Guldemond, N, Pfeiffer, K, Hall, A, Chesani, F, Mellone, S, Bourke, A and Todd, C (2016) Developing the FARSEEING Taxonomy of Technologies: classification and description of technology use (including ICT) in falls prevention studies. Journal of Biomedical Informatics 61, 132–140.Google Scholar
Braun, V and Clarke, V (2006) Using thematic analysis in psychology. Qualitative Research in Psychology 3, 77–101.Google Scholar
Chesters, J, Ryan, C and Sinning, M (2013) Older Australians and the Take Up of New Technologies. Adelaide: National Centre for Vocational Education Research. Available at https://www.ncver.edu.au/publications/publications/all-publications/older-australians-and-the-take-up-of-new-technologies.Google Scholar
Clemson, L, Mackenzie, L, Ballinger, C, Close, J and Cumming, R (2008) Environmental interventions to prevent falls in community dwelling older people: a meta-analysis. Journal of Ageing and Health 20, 954–971.Google Scholar
Cotton, S, Anderson, W and McCullough, B (2013) Impact of internet use on loneliness and contact with others among older adults: cross sectional analysis. Journal of Medical Internet Research 15, e39.Google Scholar
Culhane, K, O'Connor, M, Lyons, D and Lyons, J (2005) Accelerometers in rehabilitation medicine for older adults. Age and Ageing 34, 556–560.Google Scholar
Day, L, Trotter, M, Donaldson, A, Hill, K and Finch, C (2016) Key factors influencing implementation of falls prevention exercise programs in the community. Journal of Aging and Physical Activity 24, 45–52.Google Scholar
Fan, C, Duggan, J, Rodger, D, Brazil, E and McCarthy, F (2017) Increased number of community-living older adults attending an emergency department with falls and fractures: North Dublin experience. Irish Journal of Medical Science 186, 693–697.Google Scholar
Gillespie, L, Robertson, M, Gillespie, W, Sherrington, C, Gates, S, Clemson, L and Lamb, S (2012) Interventions for preventing falls in older people living in the community. Cochrane Database of Systematic Reviews 9, CD007146.Google Scholar
Gold, D (2012) An examination of instrumental activities of daily living assessment in older adults and mild cognitive impairment. Journal of Clinical and Experimental Neuropsychology 34, 11–34.Google Scholar
González, A, Ramírez, M and Viadel, V (2015) ICT learning by older adults and their attitudes toward computer use. Current Gerontology and Geriatrics Research Article ID 849308.Google Scholar
Graf, C (2008) The Lawton assessment of instrumental activities of daily living. American Journal of Nursing 108, 52–62.Google Scholar
Grandparents and Grandchildren (nd) Digital Literacy Training for Adults: Initiative, Actors, Strategies. Guidelines Concerning Adult Literacy Teaching Strategies for People Aged Over 55. Available at http://www.geengee.eu/geengee/geengee-docs/contenuti/comune/G&G%20Research%20Report.pdf.Google Scholar
Green, R, Burgess, J and Turner, G (2004) The ICT sector, growth and productivity. Australian and Ireland compared. Economic and Labour Relations Review 15, 99–127.Google Scholar
Green, M and Rossall, P (2013) Age UK Digital Inclusion Evidence Report 2013. London: Age UK. Available at http://www.ageuk.org.uk/Documents/EN-GB/For-professionals/Research/Age%20UK%20Digital%20Inclusion%20Evidence%20Review%202013.pdf?dtrk=true.Google Scholar
Hardill, I (2013) E-government and older People in Ireland North and South. Centre for Ageing Research and Development in Ireland. Available at http://www.cardi.ie/sites/default/files/attachments/Final%20EGov%20Full%20Report.pdf.Google Scholar
Hawley-Hague, H, Boulton, E, Hall, A, Pfeiffer, K and Todd, C (2014) Older adults’ perceptions of technologies aimed at falls prevention, detection or monitoring: a systematic review. International Journal of Medical Informatics 83, 416–426.Google Scholar
Heart, T and Kalderon, E (2013) Older adults: are they ready to adopt health-related ICT? International Journal of Medical Informatics 82, e209–e231.Google Scholar
Heinrick, S, Rapp, K, Rissman, U, Becker, C and Konig, H (2010) Cost of falls in old age: a systematic review. Osteoporosis International 21, 891–902.Google Scholar
Heinz, M, Martin, P, Margrett, J, Yearns, M, Franke, W, Yang, H, Wong, J and Chang, C (2013) Perceptions of technology among older adults. Journal of Gerontological Nursing 39, 43–51.Google Scholar
Jarvis, F, Clemson, L and Mackenzie, L (2017) Technology for dementia: attitudes and practices of occupational therapists in providing assistive technology for wayfinding. Disability and Rehabilitation: Assistive Technology 12, 373–377.Google Scholar
Kidd, P and Parshall, M (2000) Getting the focus and the group: enhancing analytical rigor in focus group research. Qualitative Health Research 10, 293–308.Google Scholar
Kim, J, Lee, H, Christensen, C and Merighi, J (2016) Technology access and use, and their associations with social engagement among older adults: do women and men differ? Journals of Gerontology: Social Sciences 72B, 836–845.Google Scholar
Krueger, R and Casey, M (2009) Focus Groups: A Practical Guide for Applied Research, 4th Edn. Thousand Oaks, CA: Sage.Google Scholar
Leist, A (2013) Social media use of older adults: a mini-review. Gerontology 59, 378–384.Google Scholar
Macfarlane, H, Kinrons, M and Bultitude, M (2012) www.Do not forget older people. Age and Ageing 41, 807–810.Google Scholar
Malinowsky, C, Kottorp, A, Patomella, A, Rosenberg, L and Nygård, L (2015) Changes in the technological landscape over time: relevance and difficulty levels of everyday technologies as perceived by older adults with and without cognitive impairment. Technology and Disability 27, 91–101.Google Scholar
Martin, S, Kelly, G, Kernohan, W, McCreight, B and Nugent, C (2008) Smart home technologies for health and social care support. Cochrane Database of Systematic Reviews 4, CD006412.Google Scholar
McMahon, C, Cahir, C, Kenny, R and Bennett, K (2014) Inappropriate prescribing in older fallers presenting to an Irish emergency department. Age and Ageing 43, 44–50.Google Scholar
Melrose, R, Brommelhoff, J, Narvaez, T, Natta, L, Riskin-Jones, H, Sakhai, S, Wong, L, Curtis, S and Horning, S (2016) The use of Information and Communication Technology when completing instrumental activities of daily living. Computers in Human Behavior 63, 471–479.Google Scholar
Merom, D, Pye, V, Macniven, R, van der Ploeg, H, Milat, A, Sherrington, C, Lord, S and Bauman, A (2012) Prevalence and correlates of participation in fall prevention exercise/physical activity by older adults. Preventive Medicine 55, 613–617.Google Scholar
Mira, J, Navarro, I, Botella, F, Borras, F, Nuno-Solinis, R, Orozco, D, Iglesias-Alonso, F, Perez-Perez, P and Lorenzo, S (2014) A Spanish pillbox app for elderly patients taking multiple medications: a randomized controlled trial. Journal of Medical Internet Research 16, e99.Google Scholar
Moller, J (2003) Projected Costs of Fall Related Injury to Older Persons. Canberra: Commonwealth Department of Health and Aging. Available at http://fallsnetwork.neura.edu.au/wp-content/uploads/2015/01/Moller-Report-2003.pdf.Google Scholar
Morris, M, Adair, B, Miller, K, Ozanne, E, Hansen, R, Pearce, A, Santamaria, N, Viegs, L, Long, M and Said, C (2013) Smart-home technologies to assist older people to live well at home. Journal of Aging Science 1, 101.Google Scholar
Morris, M, Ozanne, E, Miller, K, Santamaria, N, Pearce, A, Said, C and Adair, B (2012) Smart Technologies for Older People. University of Melbourne. Available at http://networkedsociety.unimelb.edu.au/__data/assets/pdf_file/0008/1661327/Smart-technologies-for-older-people.pdf.Google Scholar
National Seniors Productive Ageing Centre (2011) Older Australians and the Internet: Bridging the Digital Divide. Available at http://www.nationalseniors.com.au/be-informed/research/publications/bridging-digital-divide.Google Scholar
Neergaard, M, Olesen, F, Andersen, R and Sondergaard, J (2009) Qualitative description – the poor cousin of health research? BMC Medical Research Methodology 9, 52.Google Scholar
Olphert, W and Damodaran, L (2013) Older people and digital disengagement: a fourth digital divide? Gerontology 59, 564–570.Google Scholar
Patomella, A, Kottorp, A, Malinowsky, C and Nygård, L (2011) Factors that impact the level of difficulty of everyday technology in a sample of older adults with and without cognitive impairment. Technology and Disability 23, 243–253.Google Scholar
Pirnejad, H, Huq, G, Basilkis, J and Maeder, A (2014) Monitoring falls in elderly people: lessons from a community-based project. Studies in Health Technology Informatics 206, 50–61.Google Scholar
Plummer-D'Amato, P (2008 a) Focus group methodology part 1: considerations for design. International Journal of Therapy and Rehabilitation 15, 69–73.Google Scholar
Plummer-D'Amato, P (2008 b) Focus group methodology part 2: considerations for analysis. International Journal of Therapy and Rehabilitation 15, 123–129.Google Scholar
Power, V, Van de Ven, P, Nelson, J and Clifford, A (2014) Predicting falls in community-dwelling older adults: a systematic review of task performance-based assessment tools. Physiotherapy Practice and Research 35, 3–15.Google Scholar
Ratzenböck, B (2017) Everyday life interactions of women 60+ with ICTs: creations of meaning and negotiations of identity. In Zhou, J and Salvendy, J (eds), Human Aspects of IT for the Aged Population. Aging, Design and User Experience. New York, NY: Springer, pp. 25–37.Google Scholar
Rios, G (2013) eHealth literacy and older adults. Topics in Geriatric Rehabilitation 29, 116–125.Google Scholar
Sandelowski, M (2000) Whatever happened to qualitative description? Research in Nursing and Health 23, 334–340.Google Scholar
Sanders, M, O'Sullivan, B, DeBurra, K and Fedner, A (2013) Computer training for seniors: an academic–community partnership. Educational Gerontology 39, 179–193.Google Scholar
Sherrington, C, Whitney, J, Lord, S, Herbert, R, Cumming, R and Close, J (2008) Effective approaches to exercise in the prevention of falls: a systematic review and meta-analysis. Journal of the American Geriatrics Society 56, 2234–2243.Google Scholar
Stewart, L and McKinstry, B (2012) Fear of falling and the use of telecare by older people. British Journal of Occupational Therapy 75, 304–312.Google Scholar
Sundewall Thorén, E, Olberg, M, Wanstrom, G, Andersson, G and Lunner, T (2013) Internet access and use in adults with hearing loss. Journal of Medical Internet Research 15, e91.Google Scholar
Tacken, M, Marcellini, F, Mollenkopf, H, Ruopilla, I and Széman, Z (2003) Use and acceptance of new technology by older people. Findings of the international MOBILATE survey: enhancing mobility in later life. Gerontechnology 3, 126–137.Google Scholar
The Irish Longitudinal Study on Ageing (2014) The Over 50s in a Changing Ireland. Economic Circumstances, Health and Well-being. Available at https://tilda.tcd.ie/publications/reports/pdf/w2-key-findings-report/Wave2-Key-Findings-Report.pdf.Google Scholar
Tinker, A (2011) Technology and ageing. In Stuart-Hamilton, I (ed.), An Introduction to Gerontology. Cambridge: Cambridge University Press, pp. 363–388.Google Scholar
Verdonck, M, McCormack, C and Chard, G (2011) Irish occupational therapists’ views of electronic assistive technology. British Journal of Occupational Therapy 74, 185–190.Google Scholar
Verdonck, M and Ryan, S (2008) Mainstream technology as an occupational therapy tool: technophobe or technogeek? British Journal of Occupational Therapy 71, 253–256.Google Scholar
Wales, K, Clemson, L, Lannin, N and Cameron, I (2016) Functional assessments used by occupational therapists with older adults at risk of activity and participation limitations: a systematic review. PLOS ONE 11, e0147980.Google Scholar
Wandke, H, Sengpiel, M and Sönksen, M (2012) Myths about older people's use of information and communication technology. Gerontology 58, 564–570.Google Scholar
World Health Organization (2007) WHO Global Report on Falls Prevention in Older Age. Geneva: World Health Organization. Available at http://www.who.int/ageing/publications/Falls_prevention7March.pdf.Google Scholar
Xavier, A, d'Orsi, E, d'Oliveira, C, Orrell, M, Demakakos, P, Biddulph, J and Marmot, M (2014) English Longitudinal Study of Aging: can internet/e-mail use reduce cognitive decline? Journals of Gerontology: Medical Sciences 69A, 1117–1121.Google Scholar
Xie, B (2003) Older adults, computers, and the Internet: future directions. Gerontechnology 2, 289–305.Google Scholar
Yagil, D, Cohen, M and Beer, J (2016) Older adults’ coping with the stress involved in the use of everyday technologies. Journal of Applied Gerontology 35, 131–149.Google Scholar
Zimmer, Z and Chappell, N (1999) Receptivity to new technology among older adults. Disability and Rehabilitation 21, 222–230.Google Scholar