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Aging, Technology and Health This Page Intentionally Left Blank Aging, Technology and Health Aging, Technology and Health This page intentionally left blank Aging, Technology and Health Edited by Richard Pak Clemson University, Clemson, SC, United States Anne Collins McLaughlin North Carolina State University, Raleigh, NC, United States Academic Press is an imprint of Elsevier 125 London Wall, London EC2Y 5AS, United Kingdom 525 B Street, Suite 1800, San Diego, CA 92101-4495, United States 50 Hampshire Street, 5th Floor, Cambridge, MA 02139, United States The Boulevard, Langford Lane, Kidlington, Oxford OX5 1GB, United Kingdom Copyright © 2018 Elsevier Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions. This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein). Notices Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary. Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility. To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein. British Library Cataloguing-in-Publication Data A catalogue record for this book is available from the British Library Library of Congress Cataloging-in-Publication Data A catalog record for this book is available from the Library of Congress ISBN: 978-0-12-811272-4 For Information on all Academic Press publications visit our website at https://www.elsevier.com/books-and-journals Publisher: Nikki Levy Acquisition Editor: Emily Ekle Editorial Project Manager: Barbara Makinster Production Project Manager: Kiruthika Govindaraju Cover Designer: Limbert Matthew Typeset by MPS Limited, Chennai, India Contents List of contributors ix Preface xi 1 Rethinking technology development for older adults: A responsible research and innovation duty 1 Wiktoria Wilkowska, Philipp Brauner and Martina Ziefle Starting point: Challenges for aging societies 1 Study I: Health assistance at home 6 Study II: Serious exercise games in AAL 14 Discussion and limitations 21 Responsible research and innovation in technology development for older adults 24 Acknowledgments 26 References 26 2 Challenges associated with online health information seeking among older adults 31 Ronald W. Berkowsky and Sara J. Czaja Older adults and ICT use 32 Information search strategies 34 Physical barriers 35 Cognitive ability 37 Literacy 38 Attitudes toward technology 41 Addressing the challenges older adults face 42 References 45 3 Improving older adults’ comprehension and use of patient portal-based health information 49 Renato F. L. Azevedo and Daniel G. Morrow Introduction 49 The role of education, knowledge and health literacy in EHR portal use 52 The role of numeracy skills in EHR portal use 53 Affective responses, gist comprehension and decision making 55 Enhancing EHR portal message formats to support older adult’s self-care 57 Conclusion 70 References 72 vi Contents 4 Bringing older drivers up to speed with technology: Cognitive changes, training, and advances in transportation technology 81 Robert Sall, HeeSun Choi and Jing Feng Introduction 81 Age-related changes in sensory, perceptual, and cognitive functions 82 Countermeasures for increased crash risks among older drivers 89 Summary 100 References 101 5 Technological supports to increase nature contact for older adults 113 Dina Battisto, Ellen Vincent and Cheryl J. Dye Introduction 113 Promoting health is essential for older adults to maintain a high quality of life 114 Growth of the aging population and challenges to maintaining health 114 Quality of life indicators for older adults 116 Technology supports for quality of life 119 Natural environments are therapeutic 120 Health benefits of nature 120 Technological supports connecting older adults to nature are showing promise as vehicles for health promotion 123 Use of simulated natural environments to promote health 123 Technological supports for increasing nature contact 127 References 130 Further reading 133 6 Design and development of an automated fall risk assessment system for older adults 135 Ruopeng Sun, Vignesh R. Paramathayalan, Rama Ratnam, Sanjiv Jain, Daniel G. Morrow and Jacob J. Sosnoff Aging, falls, and technology 135 Automated fall risk assessment system 137 Fall risk assessment 138 Preliminary results 139 User feedback and system refinement 142 Discussion 143 Future directions 143 Acknowledgment 144 References 144 7 Checking-in with my friends: Results from an in-situ deployment of peer-to-peer aging in place technologies 147 Yifang Li, Subina Saini, Kelly Caine and Kay Connelly Introduction 147 Contents vii Related work 149 SOLACE in-home PeerCare technologies for urban low-SES older adults 150 Privacy concerns and “DigiSwitch” 154 Methods 158 Results 160 Discussion 166 Conclusion and future work 173 Acknowledgments 174 References 174 8 Enhancing social engagement of older adults through technology 179 Michael T. Bixter, Kenneth A. Blocker and Wendy A. Rogers Introduction 179 Social engagement 180 The value of social engagement for health outcomes 182 Barriers to social engagement for older adults 187 Using technology to foster social engagement 191 Current dissemination of social engagement technologies 196 Recommendations for social engagement technologies 202 Conclusion 204 References 204 Further reading 214 9 Virtual cognitive training in healthy aging and mild cognitive impairment 215 Chandramallika Basak and Shuo Qin Cognitive declines in healthy aging and MCI 216 Behavioral interventions to enhance cognition 218 Discussion 226 References 229 Further reading 235 10 Social agents for aging-in-place: A focus on health education and communication 237 Jenay M. Beer and Otis L. Owens Introduction 237 Social agents for health education and decision making 240 Social agents for health communication applications 242 Challenges in implementation 245 Social agents for health education and communication: Future opportunities 248 Summary 251 References 252 Further reading 258 viii Contents 11 Design of human centered augmented reality for managing chronic health conditions 261 Anne Collins McLaughlin, Laura A. Matalenas and Maribeth Gandy Coleman The potential role of AR in managing chronic health conditions 261 Definition and examples of augmented reality 262 Type 2 diabetes: A case study for AR, aging, and health 280 Conclusion 285 References 286 Index 297 List of contributors Renato F. L. Azevedo University of Illinois at Urbana-Champaign, Champaign, IL, United States Chandramallika Basak Center for Vital Longevity, University of Texas at Dallas, Richardson, TX, United States Dina Battisto Clemson University, Clemson, SC, United States Jenay M. Beer University of South Carolina, Columbia, SC, United States Ronald W. Berkowsky University of Miami School of Medicine, Miami, FL, United States Michael T. Bixter Arizona State University, Tempe, AZ, United States Kenneth A. Blocker University of Illinois at Urbana-Champaign, Champaign, IL, United States Philipp Brauner RWTH Aachen University, Aachen, Germany Kelly Caine Clemson University, Clemson, SC, United States HeeSun Choi North Carolina State University, Raleigh, NC, United States Maribeth Gandy Coleman Georgia Institute of Technology, Atlanta, GA, United States Kay Connelly Indiana University, Bloomington, IN, United States Sara J. Czaja University of Miami School of Medicine, Miami, FL, United States Cheryl J. Dye Clemson University, Clemson, SC, United States Jing Feng North Carolina State University, Raleigh, NC, United States Sanjiv Jain Carle Foundation Hospital, Urbana, IL, United States x List of contributors Yifang Li Clemson University, Clemson, SC, United States Laura A. Matalenas North Carolina State University, Raleigh, NC, United States Anne Collins McLaughlin North Carolina State University, Raleigh, NC, United States Daniel G. Morrow University of Illinois at Urbana-Champaign, Champaign, IL, United States Otis L. Owens University of South Carolina, Columbia, SC, United States Vignesh R. Paramathayalan Advanced Digital Sciences Center, Illinois at Singapore PTE Ltd, Singapore, Singapore Shuo Qin Center for Vital Longevity, University of Texas at Dallas, Richardson, TX, United States Rama Ratnam University of Illinois at Urbana-Champaign, IL, United States; Advanced Digital Sciences Center, Illinois at Singapore PTE Ltd, Singapore, Singapore Wendy A. Rogers University of Illinois at Urbana-Champaign, Champaign, IL, United States Subina
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