Table 3.

Barriers to engagement in computer activities

Personal factors

Environmental factors

Physical disability: vision, mobility, hand/finger function Cognitive status: disorientated, confused, distracted Pain/ Fatigue/ Depressive mood: lethargic, tired, not feeling well, quieter than usual, distant, withdrawn, sad mood Emotional status: frustrated, upset, agitated Physiological needs: hungry, thirsty, sleepy/nap, short of breath, incontinent of feces or urine Social needs: talkative, desire for attention/social interaction Unanticipated incidents: hospitalization

Room issues: room temperature, noise(e.g., Intercom), room change, plumbing problem Schedule issues: medication/primary care time, lunch time, participation in nursing home’s activities, doctor’s appointment, family visit, State office audit visit, holidays Interruptions:  nursing home staff/people popping in/out Computer problems: frozen screen, defects in software/hardware, broken computer, power outage Unanticipated incidents: weather (e.g., roads closed due to snowy day)