Technology Adoption by Older Adults: Findings From the PRISM Trial
Technology Adoption by Older Adults: Findings From the PRISM Trial
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DOI：
10.1093/geront/gny113
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发表时间：
2019-02-01
期刊：
影响因子：
5.7
通讯作者：
Rogers, Wendy A.
中科院分区：
文献类型：
--
作者：
Mitzner, Tracy L.;Savla, Jyoti;Rogers, Wendy A.
背景和目的越来越多的证据表明，计算机对老年人有好处。然而，与年轻人相比，领养率更低。现有的技术接受理论模型仅限于对老年人的应用，这些模型所依据的研究包括有限的老年人样本或根本没有；没有评估专门为老年人设计的技术的使用情况；大多数只衡量了使用一项技术的意图或短期使用，而不是长期使用(即采用)。研究设计和方法我们分析了150名不同种族的老年人(65-98岁)的档案数据，他们参加了个人提醒信息和社会管理(PRISM)随机对照试验(察加SJ、Boot WR、Charness N、Rogers WA、Sharit J、Fisk AD、...Nair SN)。个性化提醒信息和社会管理系统(PRISM)试验：理论基础、方法和基线特征。仔细考虑临床试验。2015；40：35-46；Chaaja SJ，Boot WR，Charness N，Rogers WA，Sharit J.通过技术改善对老年人的社会支持：PRISM随机对照试验的结果。老年病学家。2017；58：467-477)。我们考察了态度、个人特征(例如，年龄、性别和个性)和认知能力对为老年人设计的计算机系统的中长期采用的预测程度。回归分析表明，早期使用系统、执行功能和计算机效能的个体差异预测了长期使用。讨论和暗示这些数据为更广泛的技术接受模型提供了见解，以指导老年人产品的设计、指导和部署。具体地说，提供提高疗效和获得计算机技术积极经验的机会，可能对老年人采用这种技术的可能性起到关键作用。
Background and Objectives There is growing evidence of the benefits of computers for older adults. Yet, adoption rates are lower compared with younger adults. Extant theoretical models of technology acceptance are limited in their application to older adultsstudies on which these models are based included a limited sample of older adults or none at all; none assessed use of a technology specifically designed for older adults; and most only measured intention to use a technology or short-term use, rather than longer-term use (i.e., adoption). We assessed adoption of a computer system specifically designed for older users, for a diverse sample, over an extended period of time.Research Design and Methods We analyzed archival data from 150 ethnically diverse older adults (65-98 years of age) who participated in the Personal Reminder Information and Social Management (PRISM) randomized controlled trial (Czaja SJ, Boot WR, Charness N, Rogers WA, Sharit J, Fisk AD,...Nair SN. The personalized reminder information and social management system (PRISM) trial: Rationale, methods and baseline characteristics. Contemp Clin Trials. 2015;40:35-46; Czaja SJ, Boot WR, Charness N, Rogers WA, Sharit J. Improving social support for older adults through technology: Findings from the PRISM randomized controlled trial. Gerontologist. 2017;58:467-477). We examined the extent to which attitudes, personal characteristics (e.g., age, gender, and personality), and cognitive abilities predicted mid-term and long-term adoption of a computer system designed for older adults.Results There were individual differences in PRISM use over time. Regression analyses indicated that individual differences in earlier use of the system, executive functioning, and computer efficacy predicted long-term use.Discussion and Implications These data provide insights for broader-based models of technology acceptance to guide design, instruction, and deployment of products for older adults. Specifically, the provision of opportunities to foster efficacy and gain positive experience with computer technologies may play a critical role in the likelihood that older adults adopt such technologies.Trial Registration NCT01497613.