Dataset Information

Older adults' technology use and its association with health and depressive symptoms: Findings from the 2011 National Health and Aging Trends Study.

ABSTRACT: Background:Information and communication technology (ICT) provides older adults with access to information and resources that benefit their health. Purpose:To explore ICT use among older adults and examine the influence of information technology (IT), communication technology (CT), or ICT use on older adults' self-rated health status and depressive symptoms. Method:A sample of community-dwelling Medicare beneficiaries aged 65 and older in the United States (N = 4,976) from the 2011 National Health and Aging Trends Study. Findings:Older adults who embraced ICT and used this technology for a variety of purposes were more likely to report better health status, and were less likely to experience major depressive symptoms than nonusers. Discussion:In accordance with the Health Information Technology for Economic and Clinical Health Act, nursing professional can play an important role by responding to older adults' diverse technology preferences and effectively incorporating them into nursing practice.

SUBMITTER: Kim J

PROVIDER: S-EPMC7205676 | biostudies-literature | 2020 Sep-Oct

REPOSITORIES: biostudies-literature

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Older adults' technology use and its association with health and depressive symptoms: Findings from the 2011 National Health and Aging Trends Study.

Kim Jeehoon J Lee Hee Yun HY Won Cho Rong CR Barr Tina T Merighi Joseph R JR

Nursing outlook 20200508 5

<h4>Background</h4>Information and communication technology (ICT) provides older adults with access to information and resources that benefit their health.<h4>Purpose</h4>To explore ICT use among older adults and examine the influence of information technology (IT), communication technology (CT), or ICT use on older adults' self-rated health status and depressive symptoms.<h4>Method</h4>A sample of community-dwelling Medicare beneficiaries aged 65 and older in the United States (<i>N</i> = 4,976 ...[more]

PMID: 32527596

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Project description:The identification of modifiable risk factors is crucial for the prevention and/or reversal of frailty, which is associated with significant morbidity and mortality. Hearing loss affects two-thirds of older adults in the United States (U.S.) and is associated with physical and cognitive decline which may increase frailty risk. We investigated the association of hearing loss and hearing aid use with frailty and pre-frailty in a nationally representative sample of older adults in the U.S. Cross-sectional analysis of the National Health and Aging Trends Study (2021 round). The better-hearing ear pure-tone average (BPTA) at speech-frequencies (0.5-4 kHz) was modeled continuously (per 10 dB) and categorically (no ≤ 25 dB, mild 26-40 dB, moderate or greater > 40 dB hearing loss). Hearing aid use was self-reported. The physical frailty phenotype (frail, pre-frail, robust) was determined based on Fried criteria: unintentional weight loss, exhaustion, low physical activity, weakness, slow walking speed. We used multinomial multivariable regression adjusted for sociodemographic and health characteristics (odds ratios [95% Confidence Intervals]). Among 2,361 participants (mean age = 81 years, 56% female, 19% Black), 860 (36%) had mild and 864 (37%) had moderate or greater hearing loss. Worse hearing was associated with greater odds of being frail versus robust (OR = 1.20 [1.05-1.38] per 10 dB difference). Categorically, moderate or greater hearing loss was associated with greater odds of being frail (OR = 1.84 [1.01-3.08]) and pre-frail (OR = 1.46 [1.01-2.10]) versus robust. Among 1,724 participants with hearing loss, compared to hearing aid users (N = 522), nonusers had greater odds of being frail (OR = 2.54 [1.54-4.18]) and pre-frail (OR = 1.51 [1.05-2.17]) versus robust, and frail versus pre-frail (OR = 1.68 [1.04-2.72]). In a nationally representative sample of older adults in the U.S., using gold-standard hearing measures and a validated frailty phenotype, hearing loss and lack of hearing aid use was cross-sectionally associated with frailty and pre-frailty. Future longitudinal studies are needed to establish if hearing loss is a risk factor for frailty, which may have significant clinical importance.

Dataset Information

Older adults' technology use and its association with health and depressive symptoms: Findings from the 2011 National Health and Aging Trends Study.

Publications

Older adults' technology use and its association with health and depressive symptoms: Findings from the 2011 National Health and Aging Trends Study.

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