Design principles to Increase Technology Self-efficacy for Older Australians with Mild Cognitive Impairment (MCI) and Older Carers

Abstract

The number of people with age related physical or cognitive impairments is increasing due to the worlds ageing population. Technology has the potential to support independent living, and to achieve aged and health service efficiencies, however, there are gaps in our understanding of factors that motivate technology adoption and ongoing use by older adults, especially those with cognitive impairments. This study aims to explore motivators and enablers for technology adoption and ongoing use by older Australians with mild cognitive impairment (MCI) and their carers, to identify technology design principles and guidelines that maximise adoption. Semi structured interviews were used to gather data about individual demographics, needs, priorities, lifestyle, challenges, and experiences with technology. Results of inductive, reflective, thematic analysis indicate that a desire for independence, autonomy and quality of life motivate use of technology, and perceived technology self-efficacy and IT literacy are enablers. The Protection Motivation Theory illustrates that constant technology change is a disabler for technology adoption and sustained use, because it lowers perceived technology self-efficacy and IT literacy, and reduces confidence to use technology. Two high-level technology design principles and related guidelines are proposed, grounded in theory and aligned with Banduras four sources of self-efficacy. These design principles and guidelines are intended to increase feelings of self-efficacy and confident use of technology, while also reducing adverse impacts of technological change and encouraging sustained technology adoption by older adults with MCI to support independent living and quality of life.