Digital technology usage among older adults with cognitive frailty: A survey during COVID-19 pandemic

Nurul Hidayah Md Fadzil · Suzana Shahar · Roslee Rajikan · Divya Vanoh · Nazlena Mohamad Ali · Shahrul Azman Mohd Noah

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Technology Use by Older Adults Aging, Elder Care, and Social Issues Frailty in Older Adults

Abstract

Objective: The research aimed to study digital divide by determining the usage of digital technology among older adults with cognitive frailty (CF) in Malaysia. Methods: The dataset was obtained from the AGELESS trial screening phase conducted from October 2021 to March 2022, involving 476 community-dwelling Malaysian older adults (67.7 years old ± 6.1). Digital technology usage was assessed and CF was determined using Fried's criteria and Clinical Dementia Rating. A binary logistic regression was used to determine the sociodemographic factors associated with digital technology use among older adults with CF. Results: The findings suggest a digital divide between older adults with CF and robust in Malaysia. CF individuals (72.1%) were less likely to utilise digital technology, mainly smartphone than robust older adults (89.6%). More than 70% of older people owned social media on their smartphones, namely, WhatsApp. The most frequent online activities in both groups were family interaction and obtaining current news. CF older adults were less likely to play games on their smart devices. Usage of digital technology was more common among male, younger age, attained formal education more than 6 years, had a higher monthly household income, and robust participants. Conclusions: The usage of digital technology was inversely related to CF status. CF older adults were less likely to integrate digital technology into their daily living compared to robust even though they were familiar with it. The use of digital technology should be reinforced among female, advanced age, widowers/divorcees without formal education and those from lower- or middle-income statuses, and cognitively frail older people.

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2013The Digital Divide Among Low-Income Homebound Older Adults: Internet Use Patterns, eHealth Literacy, and Attitudes Toward Computer/Internet Use 2014PERSPECTIVE: Older Adults' Adoption of Technology: An Integrated Approach to Identifying Determinants and Barriers 2013Patterns of Technology Use Among Older Adults With and Without Disabilities 2018Older Adults’ Internet Use for Health Information: Digital Divide by Race/Ethnicity and Socioeconomic Status 2017Old Dogs, New Clicks: Digital Inequality in Skills and Uses among Older Adults 2021Older Adults’ Experiences With Using Technology for Socialization During the COVID-19 Pandemic: Cross-sectional Survey Study 2015Mapping the two levels of digital divide: Internet access and social network site adoption among older adults in the USA 2022Older People’s Use of Digital Technology During the COVID-19 Pandemic

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