Use of Information and Communication Technologies Among Older People With and Without Frailty: A Population-Based Survey

Niina Keränen (Corresponding Author), Maarit Kangas, Milla Immonen, Heidi Similä, Heidi Enwald, Raija Korpelainen, Timo Jämsä

Research output: Contribution to journalArticleScientificpeer-review

18 Citations (Scopus)

Abstract

Background: Use of information and communication technologies (ICT) among seniors is increasing; however, studies on the use of ICT by seniors at the highest risk of health impairment are lacking. Frail and prefrail seniors are a group that would likely benefit from preventive nutrition and exercise interventions, both of which can take advantage of ICT. Objective: The objective of the study was to quantify the differences in ICT use, attitudes, and reasons for nonuse among physically frail, prefrail, and nonfrail home-dwelling seniors. Methods: This was a population-based questionnaire study on people aged 65-98 years living in Northern Finland. A total of 794 eligible individuals responded out of a contacted random sample of 1500. Results: In this study, 29.8% (237/794) of the respondents were classified as frail or prefrail. The ICT use of frail persons was lower than that of the nonfrail ones. In multivariable logistic regression analysis, age and education level were associated with both the use of Internet and advanced mobile ICT such as smartphones or tablets. Controlling for age and education, frailty or prefrailty was independently related to the nonuse of advanced mobile ICT (odds ratio, OR=0.61, P=.01), and frailty with use of the Internet (OR=0.45, P=.03). The frail or prefrail ICT nonusers also held the most negative opinions on the usefulness or usability of mobile ICT. When opinion variables were included in the model, frailty status remained a significant predictor of ICT use. Conclusions: Physical frailty status is associated with older peoples' ICT use independent of age, education, and opinions on ICT use. This should be taken into consideration when designing preventive and assistive technologies and interventions for older people at risk of health impairment.

Original languageEnglish
Article numbere29
Pages (from-to)e29
JournalJournal of Medical Internet Research
Volume19
Issue number2
DOIs
Publication statusPublished - 14 Feb 2017
MoE publication typeA1 Journal article-refereed

Fingerprint

Communication
Technology
Population
Education
Internet
Surveys and Questionnaires
Self-Help Devices
Health
Finland
Tablets
Logistic Models
Odds Ratio
Regression Analysis

Keywords

  • frail elderly
  • Internet
  • smartphone
  • population characteristics
  • logistic regression
  • aged
  • Logistic regression
  • Frail elderly
  • Population characteristics
  • Aged
  • Smartphone
  • Smartphone/statistics & numerical data
  • Humans
  • Telecommunications/statistics & numerical data
  • Male
  • Computers, Handheld/statistics & numerical data
  • Finland/epidemiology
  • Frail Elderly/statistics & numerical data
  • Medical Informatics/statistics & numerical data
  • Aged, 80 and over
  • Female
  • Surveys and Questionnaires

Cite this

Keränen, Niina ; Kangas, Maarit ; Immonen, Milla ; Similä, Heidi ; Enwald, Heidi ; Korpelainen, Raija ; Jämsä, Timo. / Use of Information and Communication Technologies Among Older People With and Without Frailty: A Population-Based Survey. In: Journal of Medical Internet Research. 2017 ; Vol. 19, No. 2. pp. e29.
@article{785e4b65896146858cebe3bfe1846d7f,
title = "Use of Information and Communication Technologies Among Older People With and Without Frailty: A Population-Based Survey",
abstract = "Background: Use of information and communication technologies (ICT) among seniors is increasing; however, studies on the use of ICT by seniors at the highest risk of health impairment are lacking. Frail and prefrail seniors are a group that would likely benefit from preventive nutrition and exercise interventions, both of which can take advantage of ICT. Objective: The objective of the study was to quantify the differences in ICT use, attitudes, and reasons for nonuse among physically frail, prefrail, and nonfrail home-dwelling seniors. Methods: This was a population-based questionnaire study on people aged 65-98 years living in Northern Finland. A total of 794 eligible individuals responded out of a contacted random sample of 1500. Results: In this study, 29.8{\%} (237/794) of the respondents were classified as frail or prefrail. The ICT use of frail persons was lower than that of the nonfrail ones. In multivariable logistic regression analysis, age and education level were associated with both the use of Internet and advanced mobile ICT such as smartphones or tablets. Controlling for age and education, frailty or prefrailty was independently related to the nonuse of advanced mobile ICT (odds ratio, OR=0.61, P=.01), and frailty with use of the Internet (OR=0.45, P=.03). The frail or prefrail ICT nonusers also held the most negative opinions on the usefulness or usability of mobile ICT. When opinion variables were included in the model, frailty status remained a significant predictor of ICT use. Conclusions: Physical frailty status is associated with older peoples' ICT use independent of age, education, and opinions on ICT use. This should be taken into consideration when designing preventive and assistive technologies and interventions for older people at risk of health impairment.",
keywords = "frail elderly, Internet, smartphone, population characteristics, logistic regression, aged, Logistic regression, Frail elderly, Population characteristics, Aged, Smartphone, Smartphone/statistics & numerical data, Humans, Telecommunications/statistics & numerical data, Male, Computers, Handheld/statistics & numerical data, Finland/epidemiology, Frail Elderly/statistics & numerical data, Medical Informatics/statistics & numerical data, Aged, 80 and over, Female, Surveys and Questionnaires",
author = "Niina Ker{\"a}nen and Maarit Kangas and Milla Immonen and Heidi Simil{\"a} and Heidi Enwald and Raija Korpelainen and Timo J{\"a}ms{\"a}",
year = "2017",
month = "2",
day = "14",
doi = "10.2196/jmir.5507",
language = "English",
volume = "19",
pages = "e29",
journal = "Journal of Medical Internet Research",
issn = "1439-4456",
publisher = "JMIR",
number = "2",

}

Use of Information and Communication Technologies Among Older People With and Without Frailty: A Population-Based Survey. / Keränen, Niina (Corresponding Author); Kangas, Maarit; Immonen, Milla; Similä, Heidi; Enwald, Heidi; Korpelainen, Raija; Jämsä, Timo.

In: Journal of Medical Internet Research, Vol. 19, No. 2, e29, 14.02.2017, p. e29.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Use of Information and Communication Technologies Among Older People With and Without Frailty: A Population-Based Survey

AU - Keränen, Niina

AU - Kangas, Maarit

AU - Immonen, Milla

AU - Similä, Heidi

AU - Enwald, Heidi

AU - Korpelainen, Raija

AU - Jämsä, Timo

PY - 2017/2/14

Y1 - 2017/2/14

N2 - Background: Use of information and communication technologies (ICT) among seniors is increasing; however, studies on the use of ICT by seniors at the highest risk of health impairment are lacking. Frail and prefrail seniors are a group that would likely benefit from preventive nutrition and exercise interventions, both of which can take advantage of ICT. Objective: The objective of the study was to quantify the differences in ICT use, attitudes, and reasons for nonuse among physically frail, prefrail, and nonfrail home-dwelling seniors. Methods: This was a population-based questionnaire study on people aged 65-98 years living in Northern Finland. A total of 794 eligible individuals responded out of a contacted random sample of 1500. Results: In this study, 29.8% (237/794) of the respondents were classified as frail or prefrail. The ICT use of frail persons was lower than that of the nonfrail ones. In multivariable logistic regression analysis, age and education level were associated with both the use of Internet and advanced mobile ICT such as smartphones or tablets. Controlling for age and education, frailty or prefrailty was independently related to the nonuse of advanced mobile ICT (odds ratio, OR=0.61, P=.01), and frailty with use of the Internet (OR=0.45, P=.03). The frail or prefrail ICT nonusers also held the most negative opinions on the usefulness or usability of mobile ICT. When opinion variables were included in the model, frailty status remained a significant predictor of ICT use. Conclusions: Physical frailty status is associated with older peoples' ICT use independent of age, education, and opinions on ICT use. This should be taken into consideration when designing preventive and assistive technologies and interventions for older people at risk of health impairment.

AB - Background: Use of information and communication technologies (ICT) among seniors is increasing; however, studies on the use of ICT by seniors at the highest risk of health impairment are lacking. Frail and prefrail seniors are a group that would likely benefit from preventive nutrition and exercise interventions, both of which can take advantage of ICT. Objective: The objective of the study was to quantify the differences in ICT use, attitudes, and reasons for nonuse among physically frail, prefrail, and nonfrail home-dwelling seniors. Methods: This was a population-based questionnaire study on people aged 65-98 years living in Northern Finland. A total of 794 eligible individuals responded out of a contacted random sample of 1500. Results: In this study, 29.8% (237/794) of the respondents were classified as frail or prefrail. The ICT use of frail persons was lower than that of the nonfrail ones. In multivariable logistic regression analysis, age and education level were associated with both the use of Internet and advanced mobile ICT such as smartphones or tablets. Controlling for age and education, frailty or prefrailty was independently related to the nonuse of advanced mobile ICT (odds ratio, OR=0.61, P=.01), and frailty with use of the Internet (OR=0.45, P=.03). The frail or prefrail ICT nonusers also held the most negative opinions on the usefulness or usability of mobile ICT. When opinion variables were included in the model, frailty status remained a significant predictor of ICT use. Conclusions: Physical frailty status is associated with older peoples' ICT use independent of age, education, and opinions on ICT use. This should be taken into consideration when designing preventive and assistive technologies and interventions for older people at risk of health impairment.

KW - frail elderly

KW - Internet

KW - smartphone

KW - population characteristics

KW - logistic regression

KW - aged

KW - Logistic regression

KW - Frail elderly

KW - Population characteristics

KW - Aged

KW - Smartphone

KW - Smartphone/statistics & numerical data

KW - Humans

KW - Telecommunications/statistics & numerical data

KW - Male

KW - Computers, Handheld/statistics & numerical data

KW - Finland/epidemiology

KW - Frail Elderly/statistics & numerical data

KW - Medical Informatics/statistics & numerical data

KW - Aged, 80 and over

KW - Female

KW - Surveys and Questionnaires

UR - http://www.scopus.com/inward/record.url?scp=85014864459&partnerID=8YFLogxK

U2 - 10.2196/jmir.5507

DO - 10.2196/jmir.5507

M3 - Article

VL - 19

SP - e29

JO - Journal of Medical Internet Research

JF - Journal of Medical Internet Research

SN - 1439-4456

IS - 2

M1 - e29

ER -