Designing a Web-Based Application to Train Aging Adults to Successfully Use Technologies Important to Independent Living

  • Ronald W. BerkowskyEmail author
  • Sara J. Czaja
  • Philip D. Harvey
Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 9755)


The purpose of this study was to develop and pilot-test a web-based application that could train a diverse group of aging adults to more successfully use technologies vital to functional tasks and independent, everyday living. The training application simulated the use of automatic teller machines (ATMs) and the use of a mobile phone to call and fill a prescription. Thirty-two adults (age range 28–71, 63 % aged 55+) were assessed at baseline on functional task performance by being given an ATM task and a prescription task assessment to complete. Participants then underwent 2 weeks of training before being given a follow-up assessment; informal evaluation interviews were also administered. Overall, participants found it easy to use the training interface and that the presentation of material was favorable, however some would have preferred less repetition in training tasks. Recommendations on application-development and design as well as training structure are discussed.


Aging Functional living Independent living Simulation training technologies 



The project described was supported by the Wallace H. Coulter Center for Translational Research at the University of Miami. The content is solely the responsibility of the authors and does not necessarily represent the official views of the Wallace H. Coulter Center for Translational Research.


  1. 1.
    Broady, T., Chan, A., Caputi, P.: Comparison of older and younger adults’ attitudes towards and abilities with computers: implications for training and learning. Br. J. Educ. Technol. 41, 473–485 (2010)CrossRefGoogle Scholar
  2. 2.
    Berkowsky, R.W., Cotten, S.R., Yost, E.A., Winstead, V.P.: Attitudes towards and limitations to ict use in assisted and independent living communities: findings from a specially-designed technological intervention. Educ. Gerontol. 39, 797–811 (2013)CrossRefGoogle Scholar
  3. 3.
    Czaja, S.J., Charness, N., Fisk, A.D., Hertzog, C., Nair, S.N., Rogers, W.A.: Sharit, J: Factors predicting the use of technology: findings from the center for research and education on aging and technology enhancement (create). Psychol. Aging 21, 333–352 (2006)CrossRefGoogle Scholar
  4. 4.
    Rogers, W.A., Fisk, A.D., Mead, S.E., Walker, N., Cabrera, E.F.: Training older adults to use automatic teller machines. Hum. Factors 38, 425–433 (1996)CrossRefGoogle Scholar
  5. 5.
    Beier, M.E., Ackerman, P.L.: Age, ability, and the role of knowledge on the acquisition of new domain knowledge: promising results in a real-world learning environment. Psychol. Aging 20, 341–355 (2005)CrossRefGoogle Scholar
  6. 6.
    Charness, N., Kelley, C.L., Bosman, E.A., Mottram, M.: Word-processing training and retraining: effects of adult age, experience, and interface. Psychol. Aging 16, 110–127 (2001)CrossRefGoogle Scholar
  7. 7.
    Czaja, S.J., Sharit, J., Ownby, R., Roth, D., Nair, S.: Examining age differences in performance of a complex information search and retrieval task. Psychol. Aging 16, 564–579 (2001)CrossRefGoogle Scholar
  8. 8.
    Dickinson, A., Arnott, J., Prior, S.: Methods for human-computer interaction research with older people. Behav. Inf. Technol. 26, 343–352 (2007)CrossRefGoogle Scholar
  9. 9.
    Gatto, S.L., Tak, S.H.: Computer, internet, and e-mail use among older adults: benefits and barriers. Educ. Gerontol. 34, 800–811 (2008)CrossRefGoogle Scholar
  10. 10.
    Purdie, N., Boulton-Lewis, G.: The learning needs of older adults. Educ. Gerontol. 29, 129–149 (2003)CrossRefGoogle Scholar
  11. 11.
    Renaud, K., Ramsay, J.: Now what was that password again? a more flexible way of identifying and authenticating our seniors. Behav. Inf. Technol. 26, 309–322 (2007)CrossRefGoogle Scholar
  12. 12.
    Sharit, J., Czaja, S.J., Nair, S., Lee, C.C.: Effects of age, speech rate and environmental support in using telephone voice menu systems. Hum. Factors 45, 234–251 (2003)CrossRefGoogle Scholar
  13. 13.
    Umemuro, H.: Computer attitude, cognitive abilities, and technology use among older japanese adults. Gerontechnology 3, 64–76 (2004)CrossRefGoogle Scholar
  14. 14.
    Boulton-Lewis, G.M., Buys, L., Lovie-Kitchin, J., Barnett, K., David, L.N.: Ageing, learning, and computer technology in australia. Educ. Gerontol. 33, 253–270 (2007)CrossRefGoogle Scholar
  15. 15.
    Hanson, V.L.: Influencing technology adoption by older adults. Interact. Comput. 22, 502–509 (2010)CrossRefGoogle Scholar
  16. 16.
    Winstead, V., Anderson, W.A., Yost, E.A., Cotten, S.R., Warr, A., Berkowsky, R.W.: You can teach an old dog new tricks: a qualitative analysis of how residents of senior living communities may use the web to overcome spatial and social barriers. J. Appl. Gerontol. 32, 540–560 (2013)CrossRefGoogle Scholar
  17. 17.
    Greyson, S.R., Garcia, C.C., Sudore, R.L., Cenzer, I.S., Covinsky, K.E.: Functional impairment and internet use among older adults: implications for meaningful use of patient portals. JAMA Intern. Med. 174, 1188–1190 (2014)CrossRefGoogle Scholar
  18. 18.
    Rodríguez, V., Andrade, A.D., García-Retamero, R., Anam, R., Rodríguez, R., Lisigurski, M., Sharit, J., Ruiz, J.G.: Health literacy, numeracy, and graphical literacy among veterans in primary care and their effect on shared decision making and trust in physicians. J. Health Commun. 18, 273–289 (2013)CrossRefGoogle Scholar
  19. 19.
    Taha, J., Czaja, S.J., Sharit, J., Morrow, D.G.: Factors affecting usage of a personal health record (PHR) to manage health. Psychol. Aging 28, 1124–1139 (2013)CrossRefGoogle Scholar
  20. 20.
    Taha, J., Sharit, J., Czaja, S.J.: The impact of numeracy ability and technology skills on older adults’ performance of health management tasks using a patient portal. J. Appl. Gerontol. 33, 416–436 (2014)CrossRefGoogle Scholar
  21. 21.
    Czaja, S.J., Sharit, J.: Designing Training and Instructional Programs for Older Adults. CRC Press, Boca Raton (2013)Google Scholar
  22. 22.
    Fisk, A.D., Rogers, W.A., Charness, N., Czaja, S.J., Sharit, J.: Designing for Older Adults: Principles and Creative Human Factors Approaches. CRC Press, Boca Raton (2009)CrossRefGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Ronald W. Berkowsky
    • 1
    Email author
  • Sara J. Czaja
    • 1
  • Philip D. Harvey
    • 1
  1. 1.University of Miami Miller School of MedicineMiamiUSA

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