The use of information and communication technologies with cognitive impairments: from barriers to benefits

Inspired by both classical theories on technology adoption and gerontological theories on social and emotional ageing, we aim to better understand barriers and benefits in ICT use among older people with cognitive impairments. Through qualitative interviews (N = 35) among this population as well as important network members, we obtained a detailed picture of the role of ICTs in their everyday lives. First, we find that older individuals with cognitive impairments perceive ICTs as useful when these contribute to the satisfaction of social and emotional needs in terms of relationships, hobbies or daily activities. Second, ICT use among our group is jointly determined by perceived usefulness (PU), and perceived ease of use (PEU), with PU motivating individuals to increase PEU. Third, the social network plays an important role in encouraging and discouraging ICT use: by providing assistance, taking the first step, restricting access or indirect use. The latter refers to shared use, where devices are operated by others. Fourth, we point out the importance of voluntariness in using ICT: some participants were so restricted by others in their ICT use that this reduced their perception of control. We conclude by providing recommendations for family members, caregivers, and ICT developers.