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Evaluating the feasibility and perceptions of a senior-friendly tablet among older adults in Singapore: A mixed-methods study

Chew Sim Chee, Jayven Jun Yong Cheo, Kimberly Jia Li Chua, Rico Zhen Jun Chia and Tricia Jiayi Lim - Temasek Polytechnic, Singapore

Gerontechnology (2022) 21:1 · doi.org/10.4017/gt.2022.21.1.597.10

Digital technologies are becoming increasingly pervasive and integrated into our everyday life. This presents innovative opportunities to enhance older adults' independent living and mental well-being. The current study has shown that most participants found the experience of using the SilverPad tablet to be satisfying and positive with demonstrable effects on their level of comfort and well-being.

What participants said

A senior tapping the Bingo tile on a SilverPad home screen
I think quite minimum effort ah [sic]… As long as you know the basic and then you just explain some of the things should be fine.
Participant 14
The user interface is also very simple. It's not complicated…Unlike phones that is more complicated.
Participant 08
…it works your mind, and then you don't feel like you have dementia or things like that because your mind will start working and you're concentrating on what is there on the tablet so you will think that it's quite interesting and you won't just daze off ah, shall I say.
Participant 06
If there are no teachers, then games like bingo are a lot easier to understand. The other games are a lot harder…My memory just not good so I required a lot of effort.
Participant 11
14 healthy older adults completed the study
2 weeks of exposure to SilverPad before the follow-up
60+ the age of every participant
Background
Digital technologies are becoming increasingly pervasive and integrated into our everyday life. This presents innovative opportunities to enhance older adults' independent living and mental well-being. However, many older adults still lag behind in technological use. To enhance older adults' mental well-being, a senior-friendly tablet known as SilverPad has been developed that is localised and multilingual to suit Singaporean older adults and designed to be inclusive for those who are less tech-savvy. SilverPad contains a suite of cognitive games and digital contents specially designed to be engaging and mentally stimulating for the older adults. Hence, this study was motivated to explore older adults' attitudes and acceptance towards the use of digital technologies specifically SilverPad.
Objective
To explore the feasibility, acceptability, and perceptions of a senior-friendly tablet from older adult users in Singapore who are not tech-savvy.
Method
A single-group, mixed-methods, pre-post-study design was employed to assess the feasibility, acceptability, and perceptions towards SilverPad from target older adult users in Singapore. Fourteen healthy older adults, above 60 years of age, completed the study.
Results
Following a 2-week exposure to SilverPad, there was a significant improvement in participants' comfort level with tablet use and mental well-being. Their interest level increased slightly but was marginally significant. However, there was no significant difference in participants' sense of efficacy. Participants' qualitative feedback provided further insights notably on the themes of perceived ease of use, satisfaction, perceived benefits, positive impacts experienced, and motivation to use the tablet, with some individual differences recognized.

Outcome measures before and after 2-week tablet use

Data presented as mean ± standard deviation. n = 14. *p < .05, **p < .01
Measure Before After p (one-tailed) Effect size (Cohen's d)
Comfort with tablet use 16.29 ± 3.95 19.43 ± 4.40 0.01** 0.71
Efficacy 19.14 ± 3.23 19.79 ± 3.68 0.31 0.13
Interest 20.21 ± 2.64 21.29 ± 3.22 0.05 0.47
WHO-5 Well-being Index 15.43 ± 7.29 18.71 ± 5.25 0.04* 0.52

Comfort and well-being both improved significantly, each with a medium effect size. Interest rose slightly and efficacy did not change.

The current study has shown that most participants found the experience of using the SilverPad tablet to be satisfying and positive with demonstrable effects on their level of comfort and well-being. The study has also uncovered further insights on the usability and acceptability of using SilverPad that supports its feasibility to benefit older adults.
The first page of the published paper in Gerontechnology

Read the full paper

The complete study, including the qualitative themes and the pre-post measures, is published open access in Gerontechnology.

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Funded by SilverActivities. Approved by the Ethics Committee of Temasek Polytechnic, Singapore (study code SR5-EXT-2021).