JMIR Publications

ABSTRACT

Background:

Older age, low socioeconomic status, living alone, and low English proficiency are independent factors associated with low information communication technology (ICT) use. Evidence-based interventions are needed to increase digital access and literacy among underrepresented groups.

Objective:

Increase understanding of factors influencing ICT adoption and sustainable resources for training and support in affordable senior housing.

Methods:

Broadband, tablet computers, training, and support were offered at one affordable senior housing community. Three, 60-minute classes covered device basics, Google Translate, YouTube, and Zoom; in-language user guides were provided. Resident Ambassadors offered weekly in-language tech support. Mixed-methods evaluation included surveys at entry, 30, and 90 days, and key informant interviews.

Results:

Overall, 72% of residents participated (N=76). Average age was 78 (SD=8); participants were primarily Asian (62%), lived alone (68%), and had low English proficiency (65%). About half of participants (49%) had less than a high school degree. Reasons to decline initial participation included: already owned another device; visual or cognitive challenges; or unwillingness to complete surveys. Of participants, 89% attended at least one class and 37% attended all three classes. Over 90% of participants found the classes helpful, 87% found the user guide helpful, and 49% received help from a neighbor. At 30- and 90-days, 82% of participants reported using their tablet at least twice per week for various activities. However, over half of participants reported the tablet was difficult to learn, and, from 30- to 90- days, confusion and fear of making mistakes when using the tablet slightly increased.

Conclusions:

Overall, participants reported high satisfaction with devices and tech support, though decreasing comfort with technology over time indicates a need for additional training and/or ongoing support. This case study provides a model to increase ICT use among older adults in affordable senior housing communities.