Information and communicative technology use enhances psychological well-being of older adults: the roles of age, social connectedness, and frailty status

ABSTRACT Objectives: Information and communicative technology (ICT) use is a potential vehicle for improving the psychological well-being (PWB) of older people. We examined the roles of age, frailty, and social connectedness in the relationship between ICT use and PWB. Method: Telephone interviews were conducted in mid-2016 with 1201 participants aged 50 and above (55.7% female) residing in Hong Kong, China. The participants reported PWB, ICT use (frequency of using the Internet and smart devices), frailty status, contact with family, friends, and neighbors, self-rated health, subjective financial sufficiency, education level, and employment status. Results: We found that the association between ICT and PWB was moderated by age: ICT was associated with PWB only among old-olds (75+), but not in other age groups. This moderation was mediated by contact with family, but not with friends or neighbors. The moderation was further qualified by frailty status: the ICT-by-age moderation was found only among frail, but not pre-frail or robust older adults. Conclusion: The findings suggest that ICT use can potentially enhance the PWB of older adults aged 75+ through facilitating their contact with family members. These benefits might be particularly salient for those who were frail. Improving ICT access and literacy among older adults may be promising.

[1]  H. Lentzner,et al.  Unmet need for personal assistance with activities of daily living among older adults. , 2001, The Gerontologist.

[2]  N. Charness,et al.  Aging and Information Technology Use , 2009 .

[3]  J. Morley,et al.  A simple frailty questionnaire (FRAIL) predicts outcomes in middle aged African Americans , 2012, The journal of nutrition, health & aging.

[4]  T. Stockdale,et al.  Population estimates. , 2004, Health statistics quarterly.

[5]  A. Stone,et al.  Subjective wellbeing, health, and ageing , 2015, The Lancet.

[6]  H. Markus,et al.  Culture and the self: Implications for cognition, emotion, and motivation. , 1991 .

[7]  E. Clipp,et al.  Surfing the Net in Later Life: A Review of the Literature and Pilot Study of Computer Use and Quality of Life , 1999 .

[8]  T. Strandberg,et al.  Frailty in elderly people , 2007, The Lancet.

[9]  S. Jang,et al.  Social Support, Social Network, and Frailty in Korean Elderly , 2012 .

[10]  John P. Robinson,et al.  Social Implications of the Internet , 2001 .

[11]  R. Dixon,et al.  Use it or lose it: engaged lifestyle as a buffer of cognitive decline in aging? , 1999, Psychology and aging.

[12]  Eulàlia Hernández-Encuentra,et al.  ICT and Older People: Beyond Usability , 2009 .

[13]  Matthew G. Kirschenbaum,et al.  Tracking the changes: Textual scholarship and the challenge of the born digital , 2012 .

[14]  J. Rowe,et al.  Successful Aging 2.0: Conceptual Expansions for the 21st Century. , 2015, The journals of gerontology. Series B, Psychological sciences and social sciences.

[15]  Neal Krause,et al.  Tracking changes in social relations throughout late life. , 2007, The journals of gerontology. Series B, Psychological sciences and social sciences.

[16]  I. Lang,et al.  Frailty, financial resources and subjective well-being in later life. , 2014, Archives of gerontology and geriatrics.

[17]  R. Nisbett,et al.  Aging, culture, and cognition. , 1999, The journals of gerontology. Series B, Psychological sciences and social sciences.

[18]  M. V. Assen,et al.  The prediction of quality of life by physical, psychological and social components of frailty in community-dwelling older people , 2014, Quality of Life Research.

[19]  L. Carstensen,et al.  Socioemotional Selectivity Theory and the Regulation of Emotion in the Second Half of Life , 2003 .

[20]  Oecd Guidelines on Measuring Subjective Well-being Measuring Subjective Well-being 3. Measuring Subjective Well-being Oecd Guidelines on Measuring Subjective Well-being , 2022 .

[21]  Anja K. Leist,et al.  Social Media Use of Older Adults: A Mini-Review , 2013, Gerontology.

[22]  L. Carstensen,et al.  Taking time seriously. A theory of socioemotional selectivity. , 1999, The American psychologist.

[23]  Jeehoon Kim,et al.  Technology Access and Use, and Their Associations With Social Engagement Among Older Adults: Do Women and Men Differ? , 2016, The journals of gerontology. Series B, Psychological sciences and social sciences.

[24]  P. Baltes,et al.  Selection, optimization, and compensation as strategies of life management: correlations with subjective indicators of successful aging. , 1998, Psychology and aging.

[25]  Kristopher J Preacher,et al.  Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models , 2008, Behavior research methods.

[26]  I. Robertson,et al.  Sustained attention and frailty in the older adult population. , 2014, The journals of gerontology. Series B, Psychological sciences and social sciences.

[27]  Ian Hughes,et al.  Internet Use and Loneliness in Older Adults , 2008, Cyberpsychology Behav. Soc. Netw..

[28]  J. Jolles,et al.  Effects of computer training and Internet usage on the well-being and quality of life of older adults: a randomized, controlled study. , 2008, The journals of gerontology. Series B, Psychological sciences and social sciences.

[29]  A. Barak,et al.  Promoting older adults’ well-being through Internet training and use , 2007, Aging & mental health.

[30]  P. Baltes,et al.  Psychological perspectives on successful aging: The model of selective optimization with compensation. , 1990 .

[31]  Y. Benyamini,et al.  Self-rated health and mortality: a review of twenty-seven community studies. , 1997, Journal of health and social behavior.

[32]  A. Hayes.  PROCESS : A Versatile Computational Tool for Observed Variable Mediation , Moderation , and Conditional Process Modeling 1 , 2012 .

[33]  A. Mitnitski,et al.  Frailty and life satisfaction in Shanghai older adults: The roles of age and social vulnerability. , 2016, Archives of gerontology and geriatrics.

[34]  Paul B. Baltes,et al.  New Frontiers in the Future of Aging: From Successful Aging of the Young Old to the Dilemmas of the Fourth Age , 2003, Gerontology.

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

[36]  Shelia R. Cotten,et al.  Internet use and depression among older adults , 2012, Comput. Hum. Behav..

[37]  Stefan T. Kamin,et al.  Cognitive Functions Buffer Age Differences in Technology Ownership , 2015, Gerontology.

[38]  P. Baltes.  On the incomplete architecture of human ontogeny , 2002 .

[39]  Rong-Sen Yang,et al.  The discrimination of using the short physical performance battery to screen frailty for community-dwelling elderly people. , 2014, Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing.

[40]  R. V. Rikard,et al.  When It Comes to Depression, ICT Use Matters: A Longitudinal Analysis of the Effect of ICT Use and Mattering on Depression Among Older Adults , 2016, HCI.

[41]  Danielle Harari,et al.  Health risk appraisal in older people 1: are older people living alone an "at-risk" group? , 2007, The British journal of general practice : the journal of the Royal College of General Practitioners.

[42]  William J. Chopik,et al.  The Benefits of Social Technology Use Among Older Adults Are Mediated by Reduced Loneliness , 2016, Cyberpsychology Behav. Soc. Netw..

[43]  Bo Xie,et al.  Effects of an eHealth Literacy Intervention for Older Adults , 2011, Journal of medical Internet research.

[44]  J. Woo,et al.  Comparison of Frailty Indicators Based on Clinical Phenotype and the Multiple Deficit Approach in Predicting Mortality and Physical Limitation , 2012, Journal of the American Geriatrics Society.

[45]  H. Fung.  Aging in culture. , 2013, The Gerontologist.

[46]  P. Coleman,et al.  Spirituality and well-being in frail and nonfrail older adults. , 2004, The journals of gerontology. Series B, Psychological sciences and social sciences.

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

[48]  Tamara L. Sims,et al.  Information and Communication Technology Use Is Related to Higher Well-Being Among the Oldest-Old , 2016, The journals of gerontology. Series B, Psychological sciences and social sciences.

[49]  J F Fries,et al.  Aging, health risks, and cumulative disability. , 1998, The New England journal of medicine.

[50]  E. Clipp,et al.  A randomized controlled trial of the psychosocial impact of providing internet training and access to older adults , 2002, Aging & mental health.

[51]  R. Yu,et al.  Frailty Screening in the Community Using the FRAIL Scale. , 2015, Journal of the American Medical Directors Association.

[52]  B. Fredrickson,et al.  Choosing social partners: how old age and anticipated endings make people more selective. , 1990, Psychology and aging.

[53]  L. Fried,et al.  Frailty in older adults: evidence for a phenotype. , 2001, The journals of gerontology. Series A, Biological sciences and medical sciences.

[54]  Martin F. Lynch,et al.  Predictors of older adults' technology use and its relationship to depressive symptoms and well-being. , 2014, The journals of gerontology. Series B, Psychological sciences and social sciences.

[55]  P. S. St John,et al.  Life satisfaction and frailty in community-based older adults: cross-sectional and prospective analyses , 2013, International Psychogeriatrics.

[56]  Ricardo Oliveira Guerra,et al.  Using the Short Physical Performance Battery to screen for frailty in young‐old adults with distinct socioeconomic conditions , 2013, Geriatrics & gerontology international.

[57]  Jan van Dijk,et al.  The Digital Divide as a Complex and Dynamic Phenomenon , 2000, Inf. Soc..