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The Role of Technology in Clinical Neuropsychology$
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Robert L. Kane and Thomas D. Parsons

Print publication date: 2017

Print ISBN-13: 9780190234737

Published to Oxford Scholarship Online: November 2020

DOI: 10.1093/oso/9780190234737.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 24 October 2021

Factors Affecting Aging Services Technology Use in the Aging Population

Factors Affecting Aging Services Technology Use in the Aging Population

(p.263) 10 Factors Affecting Aging Services Technology Use in the Aging Population
The Role of Technology in Clinical Neuropsychology

Joyce W. Tam

Maureen Schmitter-Edgecombe

Oxford University Press

Age-related changes in physical health and cognitive functions can negatively affect quality of life as well as increase caregiver burden and societal healthcare costs. While aging services technologies (ASTs) have the potential to facilitate functional independence, they have been underutilized in the aging population due to various factors, including awareness and access. ASTs were defined in the 2009 American Recovery and Reinvestment Act as “health technology that meets the health-care needs of seniors, individuals with disabilities, and the caregivers of such seniors and individuals” (Public Law 111-5). For the purpose of this chapter, tools or devices not discussed in the context of older adult use are referred to as assistive technologies (ATs). Both ATs and ASTs span a spectrum from low-tech to high-tech devices. Low-tech devices are often simple, easy to operate, and economical. Magnifying glasses, pill boxes, daily planners, and canes are all considered low-tech devices. In contrast, high-tech devices are computerized, often require additional training to learn and to operate, and are more costly. Computers, tablets, smartphone software or assistive apps, wearable sensors, and smart homes are some examples of high-tech tools. An assortment of ASTs are available to address both physical changes (e.g., changes in vision or mobility) and cognitive limitations (e.g., memory decline). The devices can be used to address issues that arise from normal aging as well as symptoms associated with neurological disorders, including memory, motor, and autoimmune disorders (Cattaneo, de Nuzzo, Fascia, Macalli, Pisoni, Cardini, 2002; Constantinescu, Leonard, Deeley, & Kurlan, 2007; Padilla, 2011). In a randomized controlled study, Mann and colleagues (1999) recruited older adults who were in need of ASTs (e.g., receiving in-home services, participating in a hospital rehabilitation program) and assigned them to usual standard of care or treatment. Participants in the treatment group received an 18-month intervention that included ongoing functional assessment as well as recommendations for ASTs and home modifications.

Keywords:   Caucasians, Functional Independence Measure, National Health Survey, Theory of Planned Behavior, anxiety, assistive technologies (ATs), computer self-efficacy, data collection, demographic variables, depression, early adopters, future directions, innovators, medical diagnoses, psychiatric disorders, self-beliefs, technology acceptance model (TAM)

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