“Grandma, You Should Do It—It’s Cool” Older Adults and the Role of Family Members in Their Acceptance of Technology

Despite its potential, the acceptance of technology to support the ability to live independently in one’s own home, also called aging in place, is not optimal. Family members may play a key role in technology acceptance by older adults; however, it is not well understood why and how they exert influence. Based on open interviews with 53 community-dwelling older adults, this paper describes the influence of family members, including spouses, on the use of various types of consumer electronics by older adults as was reported by themselves. Such a broad focus enables understanding the use of technology as was reported by older adults, instead of its intended use. Our study reveals that the influence of each family member has its own characteristics. The influence of technology acceptance is a natural and coincidental part of the interaction with spouses and grandchildren in which entertainment and pleasure are prominent. This is also partly true for the influence of children, but their influence also is intentional and driven by concerns. Our study indicates the importance of including all family members when implementing technology in the lives of older adults. Besides information for children about the use(fullness) of devices, it is worthwhile to give grandchildren an important role, because older adults easily adopt their enthusiasm and it might eventually lighten the burden on children.

[1]  Younghwa Lee,et al.  The Technology Acceptance Model: Past, Present, and Future , 2003, Commun. Assoc. Inf. Syst..

[2]  A. Bandura Self-efficacy: toward a unifying theory of behavioral change. , 1977, Psychological review.

[3]  Kattika Thanakwang,et al.  Perspectives on healthy aging among Thai elderly: a qualitative study. , 2012, Nursing & health sciences.

[4]  Joost van Hoof,et al.  Factors influencing acceptance of technology for aging in place: A systematic review , 2014, Int. J. Medical Informatics.

[5]  Hongwei Du,et al.  Toward a better understanding of behavioral intention and system usage constructs , 2012, Eur. J. Inf. Syst..

[6]  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.

[7]  Viswanath Venkatesh,et al.  Consumer Acceptance and Use of Information Technology: Extending the Unified Theory of Acceptance and Use of Technology , 2012, MIS Q..

[8]  R. Donders,et al.  Comparing the Health State Preferences of Older Persons, Informal Caregivers and Healthcare Professionals: A Vignette Study , 2015, PloS one.

[9]  Richard Gonzalez,et al.  Aid and Influence: Health-Promoting Exchanges of Older Married Partners , 2004 .

[10]  Miquel Doménech,et al.  Care Networking: A Study of Technical Mediations in a Home Telecare Service , 2013, International journal of environmental research and public health.

[11]  E. Rogers,et al.  Diffusion of innovations , 1964, Encyclopedia of Sport Management.

[12]  Karen Renaud,et al.  Predicting technology acceptance and adoption by the elderly: a qualitative study , 2008, SAICSIT '08.

[13]  Richard P. Bagozzi,et al.  The Legacy of the Technology Acceptance Model and a Proposal for a Paradigm Shift , 2007, J. Assoc. Inf. Syst..

[14]  Andrew Steptoe,et al.  The influence of partner's behavior on health behavior change: the English Longitudinal Study of Ageing. , 2015, JAMA internal medicine.

[15]  R. Gobbens,et al.  Determinants of frailty. , 2010, Journal of the American Medical Directors Association.

[16]  Gordon B. Davis,et al.  User Acceptance of Information Technology: Toward a Unified View , 2003, MIS Q..

[17]  Sajay Arthanat,et al.  "Who over 65 is online?" Older adults' dispositions toward information communication technology , 2015, Comput. Hum. Behav..

[18]  L. Lipsitz,et al.  In Situ Monitoring of Health in Older Adults: Technologies and Issues , 2010, Journal of the American Geriatrics Society.

[19]  M. I. Broese Van Groenou,et al.  Mantelzorg, een overzicht van de steun van en aan mantelzorgers in 2007 , 2009 .

[20]  L. J. Camp,et al.  Privacy, Technology, and Aging: A Proposed Framework , 2011 .

[21]  A. Caplan,et al.  Everyday Matters in the Lives of Nursing Home Residents: Wish for and Perception of Choice and Control , 1997, Journal of the American Geriatrics Society.

[22]        577 Mantelzorg: Een Overzicht Van De Steun Van En Aan Mantelzorgers , 2009 .

[23]  A. Duner,et al.  Intentions and strategies among elderly people: Coping in everyday life , 2005 .

[24]  Glenn A. Bowen Grounded Theory and Sensitizing Concepts , 2006 .

[25]  Anita Bengtsson Tops,et al.  Elderly women's experiences of living with fall risk in a fragile body: a reflective lifeworld approach. , 2009, Health & social care in the community.

[26]  Fred D. Davis Perceived Usefulness, Perceived Ease of Use, and User Acceptance of Information Technology , 1989, MIS Q..

[27]  Mira Ahn,et al.  Understanding Older Adults' Attitudes and Adoption of Residential Technologies , 2008 .

[28]  L. Whitmarsh,et al.  Social barriers to the adoption of smart homes , 2013 .

[29]  R. Launois,et al.  [Quality of life]. , 1997, Recherche en soins infirmiers.

[30]  S. Folstein,et al.  "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. , 1975, Journal of psychiatric research.

[31]  Jacquie Eales,et al.  Seniors' experiences of client-centred residential care , 2001, Ageing and Society.

[32]  C. Jonker,et al.  De beleving van beginnende dementie en het gevreesde lijden , 2010 .

[33]  T. H. Holmes,et al.  The Social Readjustment Rating Scale. , 1967, Journal of psychosomatic research.

[34]  H. Hsu Exploring elderly people's perspectives on successful ageing in Taiwan , 2006, Ageing and Society.

[35]  P. Allebeck,et al.  Elderly people's perspectives on quality of life , 2005, Ageing and Society.

[36]  Rose-Marie Dröes,et al.  Quality of life in dementia in perspective , 2006 .

[37]  Jiska Cohen-Mansfield,et al.  The Scope and Future Trends of Gerontechnology: Consumers' Opinions and Literature Survey , 2007 .

[38]  Yvonne Barnard,et al.  Learning to use new technologies by older adults: Perceived difficulties, experimentation behaviour and usability , 2013, Comput. Hum. Behav..

[39]  Trisha Greenhalgh,et al.  The Day-to-Day Co-Production of Ageing in Place , 2014, Computer Supported Cooperative Work (CSCW).

[40]  J. Coresh,et al.  Spousal Influence on Physical Activity in Middle-Aged and Older Adults: The ARIC Study. , 2015, American journal of epidemiology.

[41]  Chuan-Jun Su,et al.  IAServ: An Intelligent Home Care Web Services Platform in a Cloud for Aging-in-Place , 2013, International journal of environmental research and public health.

[42]  D. Gerritsen,et al.  Quality of Life in Dementia: Do Professional Caregivers Focus on the Significant Domains? , 2007, American journal of Alzheimer's disease and other dementias.

[43]  Anne Liveng The vulnerable elderly's need for recognizing relationships – a challenge to Danish home-based care , 2011 .

[44]  Katrien G Luijkx,et al.  The Tilburg Frailty Indicator: psychometric properties. , 2010, Journal of the American Medical Directors Association.

[45]  Sil Aarts,et al.  Older Adults' Reasons for Using Technology while Aging in Place , 2015, Gerontology.

[46]  Jyh-Chong Liang,et al.  Exploring middle-aged and older adults' sources of Internet self-efficacy: A case study , 2013, Comput. Hum. Behav..

[47]  Tsipi Heart,et al.  Older adults: Are they ready to adopt health-related ICT? , 2013, Int. J. Medical Informatics.

[48]  Lin Chen Elderly Residents' Perspectives on Filial Piety and Institutionalization in Shanghai , 2011 .

[49]  Ke Chen,et al.  Gerontechnology acceptance by elderly Hong Kong Chinese: a senior technology acceptance model (STAM) , 2014, Ergonomics.

[50]  Ke Chen,et al.  Use or Non-Use of Gerontechnology—A Qualitative Study , 2013, International journal of environmental research and public health.