Access and use of information technology by persons with cognitive disabilities: Perspectives of older adults and their caregivers

Information technology (IT) embodies great promise in improving independence and overall quality of life of older Canadians with cognitive disabilities (CD). Nevertheless, these users often struggle to access and use IT. Thus, they may be prevented from fully participating in daily activities and are at risk of social isolation. Caregivers play an important support role in interventions for older adults, including assisting with access and use of IT. However, less is known about this topic with regards to persons with CD. This short paper aims to explore the perspectives of older adults with CD and their caregivers on their access and use of IT, and the role that caregivers' support and attitudes play in this matter. We used a qualitative descriptive approach that draws on data from 15 semi-structured interviews conducted with six older adults with CD and nine caregivers. Our findings revealed three interrelated themes: (1) limited IT access and use by older adults with CD, (2) older adults with CD's clear and unmet needs in accessible design and support for access and use, and (3) the central role of caregivers in providing this support. We conclude that all concerned stakeholders designing or delivering technology-based solutions targeting older adults with CD must account for the importance of caregivers' role in older adults with CD's access and use of technology. They need to engage and consider the needs of both groups, while not undermining older adults' autonomy.