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Everyday Challenges for Individuals Aging With Vision Impairment: Technology Implications
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Issue Date
2023-12-20Author
Remillard, Elena T
Koon, Lyndsie M
Mitzner, Tracy L
Rogers, Wendy A
Publisher
Oxford University Press
Type
Article
Article Version
Scholarly/refereed, publisher version
Rights
Copyright © The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
Metadata
Show full item recordAbstract
Background and Objectives
There are growing numbers of older adults with long-term vision impairment who are likely to experience everyday activity challenges from their impairment in conjunction with age-related changes. Technology has potential to support activity engagement. To develop effective technologies and interventions, we need to understand the context of activity challenges and identify unmet support needs.Research Design and Methods
The Aging Concerns, Challenges, and Everyday Solution Strategies (ACCESS) study is a mixed-method approach to explore everyday challenges of people aging with long-term disabilities. Participants included 60 adults aging with long-term vision impairment (63% female; M age = 67, SD = 4.6) who completed in-depth, structured interviews exploring the nature of everyday challenges and their unmet support needs for activity engagement. We conducted a content analysis using a deductive and inductive approach to build a detailed coding scheme of challenge codes and subcodes.Results
The analyses provided detailed insights about the nature of challenges people aging with vision impairment experience when performing specific instrumental activities of daily living (IADLs) in the context of home maintenance, transportation, shopping/finance, and managing health. Vision-related challenges and participation restrictions were identified for several activities that require reading, navigation, and identification (e.g., shopping, medication management, public transportation). Emergent challenge themes for performing IADLs included personal limitations (e.g., physical, cognitive, financial) and environmental barriers (e.g., accessibility, technology, transportation).Discussion and Implications
Contextual examples of IADL challenges among individuals aging with vision impairment highlight opportunities for technology design and innovation to support participation in everyday activities.
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Citation
Remillard ET, Koon LM, Mitzner TL, Rogers WA. Everyday Challenges for Individuals Aging With Vision Impairment: Technology Implications. Gerontologist. 2024 Jun 1;64(6):gnad169. doi: 10.1093/geront/gnad169. PMID: 38124344; PMCID: PMC11102008
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