Evidence also suggests that people are capable of mastering new skills even after they start experiencing declines in memory, attention, executive function, and other areas associated with mild cognitive impairment. In a recent study, older adults with and without mild cognitive impairment received in-person training on how to use a tablet, followed by online training 2 hours a week for 8 weeks to learn online banking and medication management (Innovation in Aging, Vol. 8, No. 7, 2024opens in new window). The intervention utilized effective learning strategies by breaking the tasks into steps and allowing people to practice what they had learned. “Processing speed tends to slow with age, and there may be changes in vision and hearing, so the intervention allowed people to go at their own pace,” said Sara Czaja, PhD, director of the Center on Aging and Behavioral Research at Weill Cornell Medicine.
When people made an error, they received feedback that became increasingly helpful as they attempted to complete the task again. Task performance improved significantly for people with and without mild cognitive impairment, and participants reported greater confidence with online banking and medication management in the real world. “We found that the participants were not technophobic,” Czaja said. “They were very adherent, and there was a low dropout rate.”
Now her team is launching an intervention that will help older adults learn how to use Uber and Google Maps. They predict that participants who learn to use these apps will have better access to community resources. “We know that people who are socially isolated have poorer cognitive outcomes, and through technology we can reduce the risk of loneliness,” said Walter Boot, PhD, associate director of the Center on Aging and Behavioral Research at Weill Cornell Medicine. A recent study of more than 13,500 adults age 50 and older revealed that increased isolation was associated with increased risk of mortality, disability, and dementia (Lyu, C. et al., JAMA Network Open, Vol. 7, No. 7, 2024opens in new window).
Boot and Czaja are also part of a team that developed an intervention for people with minimal tablet proficiency. In a recent study, participants learned how to use tablets to video chat with friends, find community events through a calendar feature, search for information, and engage in online learning. They reported less loneliness and social isolation and greater social support and quality of life 6 months after the study (Innovation in Aging, Vol. 8, No. 6, 2024opens in new window).
Now Boot and Czaja are exploring interventions that use virtual reality to help older adults connect with others while boosting cognitive and physical skills. Their team trained people who were older than 60 on how to use a headset, controller, and VR program to communicate with a partner in a different state (Innovation in Aging, Vol. 7, No. 4, 2023opens in new window). Together, the pairs then chose a city anywhere in the world to tour virtually and created a collage with photos displaying their virtual travels. “People reported that they really enjoyed the experience,” said Czaja. “And it was easy to find participants because they thought it sounded fun, so this busts the myth that older people are not interested in technology.”