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Perceived risks, concession travel pass access and everyday technology use for out-of-home participation: Cross-sectional interviews among older people in the UK
Department of Neurobiology, Care Sciences & Society (NVS), Division of Occupational Therapy, Karolinska Institutet, Huddinge, Sweden.ORCID iD: 0000-0001-5804-0433
Department of Neurobiology, Care Sciences & Society (NVS), Division of Occupational Therapy, Karolinska Institutet, Huddinge, Sweden.
Department of Neurobiology, Care Sciences & Society (NVS), Division of Occupational Therapy, Karolinska Institutet, Huddinge, Sweden; Faculty of Health and Society, Malmö University, Malmö, Sweden.
Research Department of Clinical, Educational, and Health Psychology, University College London, London, United Kingdom; Research and Development, North East London NHS Foundation Trust, Ilford, United Kingdom.
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2020 (English)In: BMC Geriatrics, E-ISSN 1471-2318, Vol. 20, no 1, article id 192Article in journal (Refereed) Published
Sustainable development
00. Sustainable Development, 11. Sustainable cities and communities
Abstract [en]

Background: The health-promoting qualities of participation as an opportunity for social and cognitive engagement are well known. Use of Everyday Technology such as Smartphones or ATMs, as enabling or disabling factors for out-of-home participation is however under-researched, particularly among older people with and without dementia. Out-of-home participation involves participation in places and activities outside of a person’s home, in public space. Situated within the context of an increasingly technological society, the study investigated factors such as perceived risks, access to a concession travel pass and use of Everyday Technologies, and their relationship with out-of-home participation, among older people in the UK.

Methods: One hundred twenty-eight older people with and without dementia in urban and rural environments in the UK, were interviewed using the Participation in ACTivities and Places OUTside Home (ACT-OUT) Questionnaire and the Everyday Technology Use Questionnaire (ETUQ). Associations between Everyday Technology use, perceived risk of falling, functional impairment, access to a concession travel pass and out-of-home participation were investigated using ordinal regression.

Results: A higher probability of Everyday Technology use (Odds Ratio [OR] = 1.492; 95% Confidence Interval [CI] = 1.041–1.127), perceived risk of falling outside home (OR = 2.499; 95% CI = 1.235–5.053) and, access to a concession travel pass (OR = 3.943; 95% CI = 1.970–7.893) were associated with a higher level of out-of-home participation. However, other types of risk (getting lost; feeling stressed or embarrassed) were not associated with out-of-home participation. Having a functional impairment was associated with a low probability of a higher level of out-of-home participation (OR = .470; 95% CI = .181–1.223). Across the sample, ‘outside home’ Everyday Technologies were used to a higher degree than ‘portable’ Everyday Technologies which can be used both in and outside home.

Conclusions: The study provides insights into perceived risks, access to a concession travel pass and use of Everyday Technologies, and their relationship with out-of-home participation, among older people in the UK. Increased knowledge about factors associated with out-of-home participation may help to guide targeted health and social care planning. 

Place, publisher, year, edition, pages
BioMed Central (BMC), 2020. Vol. 20, no 1, article id 192
Keywords [en]
Activities of daily living, Dementia, Environment, Older adults, Risk, Social participation, Technology, aged, cross-sectional study, daily life activity, epidemiology, human, questionnaire, United Kingdom, very elderly, Aged, 80 and over, Cross-Sectional Studies, Humans, Surveys and Questionnaires
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Occupational Therapy
Identifiers
URN: urn:nbn:se:hj:diva-64104DOI: 10.1186/s12877-020-01565-0ISI: 000540246300001PubMedID: 32503429Scopus ID: 2-s2.0-85086051718OAI: oai:DiVA.org:hj-64104DiVA, id: diva2:1855655
Available from: 2024-05-02 Created: 2024-05-02 Last updated: 2024-07-04Bibliographically approved

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