Digital Social Interaction in Older Adults During the COVID-19 Pandemic

Throughout the COVID-19 pandemic, older adults have been encouraged to stay indoors and isolated, leading to potential disruptions in their social activities and interpersonal relationships. This interview study ($N=24$) provides a close examination of older adults' communication technology adoption and usage in light of the pandemic. Our interviews revealed that the pandemic motivated many older adults to learn new technology and become more tech-savvy in an effort to stay connected with others. However, older adults also reported challenges related to the pandemic that were major impediments to technology adoption. These were: (1) lack of access to in-person technology support under physical distancing mandates, (2) lack of opportunities for online participation due to negative age stereotypes and assumptions, and (3) increased apprehension to seek help from family members and friends who were suffering from pandemic-related stresses. This study extends technology adoption literature and contributes an up-to-date examination of the "grey digital divide" (the gap between older adults who use technology and those who do not). Our findings demonstrate that despite the rapidly increasing number of tech-savvy seniors, a digital divide not only persists, but has been exacerbated by the transition to virtual-only offerings. We reveal the challenges and coping strategies of older adults who remain separated from technology and propose actionable solutions to increase digital access during the COVID-19 pandemic and beyond.

[1]  N. Selwyn,et al.  Older adults' use of information and communications technology in everyday life , 2003, Ageing and Society.

[2]  Vanessa Thomas,et al.  Disableism and constrained computing: checking privilege and power in a future of limits , 2018, LIMITS.

[3]  Anabel Quan-Haase,et al.  Interviews with digital seniors: ICT use in the context of everyday life , 2016 .

[4]  S. Cotten,et al.  Impact of Internet Use on Loneliness and Contact with Others Among Older Adults: Cross-Sectional Analysis , 2013, Journal of medical Internet research.

[5]  E. Laumann,et al.  The Social Connectedness of Older Adults: A National Profile , 2008, American sociological review.

[6]  Bran Knowles,et al.  Older Adults’ Deployment of ‘Distrust’ , 2018, ACM Trans. Comput. Hum. Interact..

[7]  Lisa M. Baumgartner,et al.  Informal Learning of Older Adults in Using Mobile Devices: A Review of the Literature , 2019, Adult Education Quarterly.

[8]  Aqueasha Martin-Hammond,et al.  "Alexa is a Toy": Exploring Older Adults' Reasons for Using, Limiting, and Abandoning Echo , 2020, CHI.

[9]  Bran Knowles,et al.  The wisdom of older technology (non)users , 2018, Commun. ACM.

[10]  P. Martínez-Martín,et al.  Self‐perceived health and quality of life by activity status in community‐dwelling older adults , 2014, Geriatrics & gerontology international.

[11]  Pamela J. Wisniewski,et al.  To Disclose or Not to Disclose: Examining the Privacy Decision-Making Processes of Older vs. Younger Adults , 2021, CHI.

[12]  Cara Bailey Fausset,et al.  Older Adults' Training Preferences for Learning to Use Technology , 2008, Proceedings of the Human Factors and Ergonomics Society ... Annual Meeting. Human Factors and Ergonomics Society. Annual Meeting.

[13]  Eszter Hargittai,et al.  A review of Internet use among older adults , 2018, New Media Soc..

[14]  Morgan G. Ames,et al.  Making love in the network closet: the benefits and work of family videochat , 2010, CSCW '10.

[15]  G. Boulton‐Lewis,et al.  Learning and Active Aging , 2006 .

[16]  Anabel Quan-Haase,et al.  Problematizing the Digital Literacy Paradox in the Context of Older Adults’ ICT Use: Aging, Media Discourse, and Self-Determination , 2017 .

[17]  Krzysztof Z. Gajos,et al.  Acceptance of mobile technology by older adults: a preliminary study , 2016, MobileHCI.

[18]  Irina Shklovski,et al.  Exploring technology adoption and use through the lens of residential mobility , 2005, CHI.

[19]  J. Morley,et al.  Loneliness and Social Isolation in Older Adults during the COVID-19 Pandemic: Implications for Gerontological Social Work , 2020, The journal of nutrition, health & aging.

[20]  B. Glaser The Constant Comparative Method of Qualitative Analysis , 1965 .

[21]  John M. Carroll,et al.  Ordinary Innovations of Older Adults: An Interview Study to Understand Interest Development in Aging , 2018, CSCW Companion.

[22]  Carman Neustaedter,et al.  Moving from talking heads to newlyweds: exploring video chat use during major life events , 2014, Conference on Designing Interactive Systems.

[23]  C. Annweiler,et al.  Communication Technology Preferences of Hospitalized and Institutionalized Frail Older Adults During COVID-19 Confinement: Cross-Sectional Survey Study , 2020, JMIR mHealth and uHealth.

[24]  Peter Gregor,et al.  Designing a portal for older users: A case study of an industrial/academic collaboration , 2006, TCHI.

[25]  Yun Huang,et al.  "I was afraid, but now I enjoy being a streamer!" , 2021, Proc. ACM Hum. Comput. Interact..

[26]  A. Chasteen,et al.  Ageism in the time of COVID-19 , 2021, Group processes & intergroup relations : GPIR.

[27]  M. Luszcz,et al.  An Examination of Resilience and Coping in the Oldest Old Using Life Narrative Method , 2015, The Gerontologist.

[28]  Anne Marie Piper,et al.  Technology learning and use among older adults with late-life vision impairments , 2017, Universal Access in the Information Society.

[29]  N. Morrow-Howell,et al.  Recovering from the COVID-19 Pandemic: A Focus on Older Adults , 2020, Journal of aging & social policy.

[30]  Shaowen Bardzell,et al.  Rethinking Age in HCI Through Anti-Ageist Playful Interactions , 2017, Interact. Comput..

[31]  Leo C. Ureel,et al.  Breaking Digital Barriers: A Social-Cognitive Approach to Improving Digital Literacy in Older Adults , 2016, HCI.

[32]  T. Goergen Stress, Conflict, Elder Abuse and Neglect in German Nursing Homes: A Pilot Study Among Professional Caregivers , 2001 .

[33]  R. Armitage,et al.  COVID-19 and the consequences of isolating the elderly , 2020, The Lancet Public Health.

[34]  B. Meisner Are You OK, Boomer? Intensification of Ageism and Intergenerational Tensions on Social Media Amid COVID-19 , 2020, Leisure Sciences.

[35]  Nazanin Andalibi Testing Waters, Sending Clues: Indirect Disclosures of Socially Stigmatized Experiences on Social Media , 2022 .

[36]  Serge Egelman,et al.  Privacy and Security Threat Models and Mitigation Strategies of Older Adults , 2019, SOUPS @ USENIX Security Symposium.

[37]  Alison McKay,et al.  Engaging the disengaged: how do we design technology for digitally excluded older adults? , 2010, Conference on Designing Interactive Systems.

[38]  Elisabeth Beaunoyer,et al.  COVID-19 and digital inequalities: Reciprocal impacts and mitigation strategies , 2020, Computers in Human Behavior.

[39]  F. Amaro,et al.  Coming of (Old) Age in the Digital Age: ICT Usage and Non-Usage among Older Adults , 2013 .

[40]  Yunan Chen,et al.  Older Adults with Dementia in an Online Forum: A Preliminary Analysis , 2019, CSCW Companion.

[41]  R. Khalaila,et al.  Internet use, social networks, loneliness, and quality of life among adults aged 50 and older: mediating and moderating effects , 2018, Quality of Life Research.

[42]  Vicki L. Hanson Influencing technology adoption by older adults , 2010, Interact. Comput..

[43]  Eileen Cahill,et al.  “You Don't Want to Burden Them” , 2009, Journal of family nursing.

[44]  Thomas N Friemel,et al.  The digital divide has grown old: Determinants of a digital divide among seniors , 2016, New Media Soc..

[45]  Glen T. Cameron,et al.  “Willing but Unwilling”: Attitudinal barriers to adoption of home-based health information technology among older adults , 2014, Health Informatics J..

[46]  Ruth Shillair,et al.  Social Support and “Playing Around” , 2017, Journal of applied gerontology : the official journal of the Southern Gerontological Society.

[47]  J. Jones,et al.  Elder abuse and neglect: understanding the causes and potential risk factors. , 1997, The American journal of emergency medicine.

[48]  F. Godlee Covid-19: A wake-up call , 2020, BMJ.

[49]  Anne Marie Piper,et al.  Rethinking the Design of Robotic Pets for Older Adults , 2016, Conference on Designing Interactive Systems.

[50]  Katie Brittain,et al.  An Age-Old Problem: Examining the Discourses of Ageing in HCI and Strategies for Future Research , 2015, TCHI.

[51]  Sheri R. Levy,et al.  Reducing Ageism: PEACE (Positive Education about Aging and Contact Experiences) Model , 2020, Innovation in Aging.

[52]  Carolyn Pang,et al.  Technology Adoption and Learning Preferences for Older Adults:: Evolving Perceptions, Ongoing Challenges, and Emerging Design Opportunities , 2021, CHI.

[53]  Trisha Greenhalgh,et al.  What matters to older people with assisted living needs? A phenomenological analysis of the use and non-use of telehealth and telecare. , 2013, Social science & medicine.

[54]  Abigail Sellen,et al.  Desiring to be in touch in a changing communications landscape: attitudes of older adults , 2009, CHI.

[55]  S. Cotten,et al.  A Double Burden of Exclusion? Digital and Social Exclusion of Older Adults in Times of COVID-19 , 2020, The journals of gerontology. Series B, Psychological sciences and social sciences.

[56]  R. Butler,et al.  Age-ism: another form of bigotry. , 1969, The Gerontologist.

[57]  Andrea L Huseth-Zosel,et al.  Lessons in Resilience: Initial Coping among Older Adults during the COVID-19 Pandemic , 2020, The Gerontologist.

[58]  Aaron C. T. Smith Older adults and technology use , 2014 .

[59]  Peter Graf,et al.  How Older Adults Learn to Use Mobile Devices: Survey and Field Investigations , 2012, TACC.

[60]  Robin Brewer Connecting Older Adults through Voice-Based Interfaces , 2016, CSCW '16 Companion.

[61]  Robin N. Brewer,et al.  xPress: Rethinking Design for Aging and Accessibility through a Voice-based Online Blogging Community , 2017 .

[62]  C. Wrzus,et al.  Social network changes and life events across the life span: a meta-analysis. , 2013, Psychological bulletin.

[63]  Sara J. Czaja,et al.  The impact of aging on access to technology , 2005, ASAC.

[64]  A. Strauss,et al.  The discovery of grounded theory: strategies for qualitative research aldine de gruyter , 1968 .

[65]  Z. Hildon,et al.  Understanding adversity and resilience at older ages. , 2008, Sociology of health & illness.

[66]  Sheri R. Levy,et al.  Reducing Ageism with Brief Videos about Aging Education, Ageism, and Intergenerational Contact. , 2020, The Gerontologist.

[67]  D. Klein,et al.  Aging Education: A National Imperative , 2005 .

[68]  A. Chasteen,et al.  Aging in Times of the COVID-19 Pandemic: Avoiding Ageism and Fostering Intergenerational Solidarity , 2020, The journals of gerontology. Series B, Psychological sciences and social sciences.

[69]  Ban Al-Ani,et al.  Resilience through technology adoption: merging the old and the new in Iraq , 2009, CHI.

[70]  Anne Marie Piper,et al.  Understanding digital and material social communications for older adults , 2014, CHI.

[71]  A. Krendl,et al.  The Impact of Sheltering in Place During the COVID-19 Pandemic on Older Adults’ Social and Mental Well-Being , 2020, The journals of gerontology. Series B, Psychological sciences and social sciences.

[72]  Paula J. Gardner,et al.  "Getting Turned On": Using ICT Training To Promote Active Ageing In New York City , 2012, J. Community Informatics.

[73]  Bei Wu Social isolation and loneliness among older adults in the context of COVID-19: a global challenge , 2020, Global Health Research and Policy.

[74]  Zhenke Wu,et al.  Modern Senicide in the Face of a Pandemic: An Examination of Public Discourse and Sentiment about Older Adults and COVID-19 Using Machine Learning , 2020, The journals of gerontology. Series B, Psychological sciences and social sciences.

[75]  Matthew Lee Smith,et al.  Combatting Social Isolation Among Older Adults in a Time of Physical Distancing: The COVID-19 Social Connectivity Paradox , 2020, Frontiers in Public Health.

[76]  Yi-Ru Regina Chen,et al.  The Effect of Information Communication Technology Interventions on Reducing Social Isolation in the Elderly: A Systematic Review , 2016, Journal of medical Internet research.

[77]  Hyung Nam Kim,et al.  Characteristics of Technology Adoption by Older Adults with Visual Disabilities , 2021, Int. J. Hum. Comput. Interact..

[78]  Azadeh Rezvani,et al.  The impact of technology on older adults' social isolation , 2016, Comput. Hum. Behav..

[79]  E. Helsper,et al.  A nuanced understanding of Internet use and non-use among the elderly , 2015 .

[80]  Anne Marie Piper,et al.  Going Gray, Failure to Hire, and the Ick Factor: Analyzing How Older Bloggers Talk about Ageism , 2017, CSCW.

[81]  Margot Brereton,et al.  Dispelling ageing myths in technology design , 2013, OZCHI.