Skip to main content
Elsevier - PMC COVID-19 Collection logoLink to Elsevier - PMC COVID-19 Collection
. 2022 Dec 20;55(39):153–158. doi: 10.1016/j.ifacol.2022.12.027

Digital literacy during the coronavirus pandemic in older adults: Literature Review and Research Agenda

Assist Mihael Nedeljko *, Prof Ddr David Bogataj *, Assist Prof Dr Barbara Toplak Perović *, Assist Prof Dr Boris Miha Kaučič *
PMCID: PMC9764837  PMID: 38620995

Abstract

Demographic change in the developed world is leading to a higher proportion of older adults and longer life expectancy. Measures to control the coronavirus disease have affected older adults the most. Social isolation and access to remote health services has been a problem for many people. We have used the method of scientific literature review. The selection of articles was made in accordance with the following inclusion criteria: accessibility, scientificity, content relevance and topicality. After selection, the results were analysed by qualitative content analysis. With the content analysis of twenty scientific articles, we gained an insight into digital literacy of older adults during the COVID-19 pandemic. Three content categories were identified: (1) poor digital literacy of older adults, (2) inequality in ICT access, (3) use of ICT reduces the negative impact of social isolation. We note that there is a large digital divide in digital literacy and competences among older adults which expanded during the coronavirus disease pandemic. Several factors, including socio-economic status, internet access and the poor adaptation of ICT for older adults affect digital literacy. Rapid development of remote health and social care, poor digital literacy of older adults and the poor adaptation of ICT for older adults dictate that the problem must be tackled systemically.

Keywords: older adults, ICT, digital literacy, COVID-19, digital divide

REFERENCES

  1. Adrien T.V., Kim H.J., Cray H.V., Vahia I.V. Training Older Adults to Use Telemedicine for Mental Health may have Limited Impact. The American Journal of Geriatric Psychiatry. 2022;30(2):262–263. doi: 10.1016/j.jagp.2021.05.017. [DOI] [PubMed] [Google Scholar]
  2. Alkali Y.E., Amichai-Hamburger Y. Experiments in digital literacy. CyberPsychology & Behavior. 2004;7(4):421–429. doi: 10.1089/cpb.2004.7.421. [DOI] [PubMed] [Google Scholar]
  3. Alkureishi M.A., Choo Z.-Y., Rahman A., Ho K., Benning-Shorb J., Lenti G.…Lee W.W. Digitally Disconnected: Qualitative Study of Patient Perspectives on the Digital Divide and Potential Solutions. JMIR human factors. 2021;8(4):e33364. doi: 10.2196/33364. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Antczak E., Lewandowska-Gwarda K. How Fast Is Europe Getting Old? Analysis of Dynamics Applying the Spatial Shift-Share Approach. Sustainability. 2019;11(20):5661. [Google Scholar]
  5. Baudchon H., Brossard O. Citeseer; 2003. Definitions and Measures of ICT Impact of Growth: What is Really at Stake? [Google Scholar]
  6. Chu J.N., Kaplan C, Lee J.S., Livaudais-Toman J., Karliner L. Increasing Telehealth Access to Care for Older Adults During the COVID-19 Pandemic at an Academic Medical Center: Video Visits for Elders Project (VVEP) The Joint Commission Journal on Quality and Patient Safety. 2022;48(3):173–179. doi: 10.1016/j.jcjq.2021.11.006. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Cuffaro L., Di Lorenzo F., Bonavita S., Tedeschi G., Leocani L., Lavorgna L. Dementia care and COVID-19 pandemic: a necessary digital revolution. Neurological Sciences. 2020;41(8):1977–1979. doi: 10.1007/s10072-020-04512-4. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Dolničar V., Mrzel M. Digitalna pismenost in reševanje problemov v tehnološko bogatih okoljih. Andragoška spoznanja. 2015;21(2):65–77. [Google Scholar]
  9. Doraiswamy S., Jithesh A., Mamtani R., Abraham A., Cheema S. Telehealth use in geriatrics care during the COVID-19 pandemic—a scoping review and evidence synthesis. International journal of environmental research and public health. 2021;18(4):1755. doi: 10.3390/ijerph18041755. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Elisabeth A.L., Karlen S.B.-L., Magkos F. The effect of COVID-19-related lockdowns on diet and physical activity in older adults: A systematic review. Aging and disease. 2021;12(8):1935. doi: 10.14336/AD.2021.0606. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Gilson S.F., Umscheid C.A., Laiteerapong N., Ossey G., Nunes K.J., Shah S.D. Growth of ambulatory virtual visits and differential use by patient sociodemographics at one urban academic medical center during the COVID-19 pandemic: retrospective analysis. JMIR Medical Informatics. 2020;8(12):e24544. doi: 10.2196/24544. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Hošnjak A.M, Pavlović A. Older Adults Knowledge about using smart technology during the Covid-19 crisis - a qualitative pilot study. IFAC-PapersOnLine. 2021;54(13):675–679. doi: 10.1016/j.ifacol.2021.10.529. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Karlsen C, Ludvigsen M.S., Moe C.E., Haraldstad K., Thygesen E. Experiences of community-dwelling older adults with the use of telecare in home care services: a qualitative systematic review. JBI Evidence Synthesis. 2017;15(12):2913–2980. doi: 10.11124/JBISRIR-2017-003345. [DOI] [PubMed] [Google Scholar]
  14. Kaučič B.M, Filej B., Ovsenik M. The influence of social factors on life satisfaction in old age. RUO. Revija za Univerzalno Odlicnost. 2016;5(4):300. [Google Scholar]
  15. Kim S., Yao W., Du X. Exploring Older Adults’ Adoption and Use of a Tablet Computer During COVID-19: Longitudinal Qualitative Study. JMIR aging. 2022;5(1):e32957. doi: 10.2196/32957. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Kotwal A.A., Holt-Lunstad J., Newmark R.L., Cenzer I., Smith A.K., Covinsky K.E., Perissinotto C.M. Social isolation and loneliness among San Francisco Bay Area older adults during the COVID- 19 shelter-in-place orders. Journal of the American Geriatrics Society. 2021;69(1):20–29. doi: 10.1111/jgs.16865. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Kravchenko, O., Leshchenko, M, Marushchak, D., Vdovychenko, Y., & Boguslavska, S. (2019). The digitalization as a global trend and growth factor of the modern economy.
  18. Lai J., Widmar N.O. Revisiting the digital divide in the COVID-19 era. Applied economic perspectives and policy. 2021;43(1):458–464. doi: 10.1002/aepp.13104. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Leung A.Y.M, Parial L.L., Tolabing M.C, Sim T., Mo P., Okan O., Dadaczynski K. Sense of coherence mediates the relationship between digital health literacy and anxiety about the future in aging population during the COVID-19 pandemic: A path analysis. Aging & Mental Health. 2022;26(3):544–553. doi: 10.1080/13607863.2020.1870206. [DOI] [PubMed] [Google Scholar]
  20. Li W., Shen S., Yang J., Guo J., Tang Q. Determinants of Satisfaction With Hospital Online Appointment Service Among Older Adults During the COVID-19 Pandemic: A Cross-Sectional Study. Frontiers in Public Health. 2022;10 doi: 10.3389/fpubh.2022.853489. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Lim H.A., Lee J.S.W., Lim M.H., Teo L.P.Z., Sin N.S.W., Lim R.W.…Tey A.J.-Y. Bridging Connectivity Issues in Digital Access and Literacy: Reflections on Empowering Vulnerable Older Adults in Singapore. JMIR aging. 2022;5(2):e34764. doi: 10.2196/34764. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Marston, H. R., Genoe, R., Freeman, S., Kulczycki, C, & Musselwhite, C. (2019). Older adults’ perceptions of ICT: Main findings from the technology in later life (TILL) study. [DOI] [PMC free article] [PubMed]
  23. Martins Van Jaarsveld G. The effects of COVID-19 among the elderly population: a case for closing the digital divide. Frontiers in psychiatry. 2020:1211. doi: 10.3389/fpsyt.2020.577427. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Martínez-Alcalá, C. I., Rosales-Lagarde, A., Pérez-Pérez, Y. M., Lopez-Noguerola, J. S., Bautista-Díaz, M. L., & Agis-Juarez, R. A. (2021). The Effects of Covid-19 on the Digital Literacy of the Elderly: Norms for Digital Inclusion.
  25. Moore R.C, Hancock J.T. Older adults, social technologies, and the coronavirus pandemic: Challenges, strengths, and strategies for support. Social Media+ Society. 2020;6(3) [Google Scholar]
  26. Nadkarni A., Hasler V., AhnAllen C.G., Amonoo H.L., Green D.W., Levy-Carrick N.C, Mittal L. Telehealth during COVID-19—does everyone have equal access? American Journal of Psychiatry. 2020;177(11):1093–1094. doi: 10.1176/appi.ajp.2020.20060867. [DOI] [PubMed] [Google Scholar]
  27. Nedeljko M., Bogataj D., Kaučič B.M. The use of ICT in older adults strengthens their social network and reduces social isolation: Literature Review and Research Agenda. IFAC-PapersOnLine. 2021;54(13):645–650. [Google Scholar]
  28. Nedeljko M., Perović B., Kaučič B. social cohesion and an age-friendly environment determine the life satisfaction of elderly people in rural areas: an integrative review of the literature. Pielegniarstwo XXI wieku /Nursing in the 21st Century. 2022;21(2) [Google Scholar]
  29. Ng B.P., Park C. Peer Reviewed: Accessibility of Telehealth Services During the COVID-19 Pandemic: A Cross-Sectional Survey of Medicare Beneficiaries. Preventing chronic disease. 2021;18 doi: 10.5888/pcd18.210056. [DOI] [PMC free article] [PubMed] [Google Scholar]
  30. Ng B.P., Park C, Silverman C.L., Eckhoff D.O., Guest J.C, Díaz D.A. Accessibility and utilisation of telehealth services among older adults during COVID-19 pandemic in the United States. Health & social care in the community. 2022 doi: 10.1111/hsc.13709. [DOI] [PubMed] [Google Scholar]
  31. Paakkari L., Okan O. COVID-19: health literacy is an underestimated problem. The Lancet. Public Health. 2020;5(5):e249. doi: 10.1016/S2468-2667(20)30086-4. [DOI] [PMC free article] [PubMed] [Google Scholar]
  32. Ramsetty A., Adams C. Impact of the digital divide in the age of COVID-19. Journal of the American Medical Informatics Association. 2020;27(7):1147–1148. doi: 10.1093/jamia/ocaa078. [DOI] [PMC free article] [PubMed] [Google Scholar]
  33. Rogelj V., Bogataj D. Planning and financing the home and facility-based care using the multiple decrement approach. Journal of Decision Systems. 2018;27:132–143. [Google Scholar]
  34. Rogelj V., Bogataj D. Planning the home and facility-based care dynamics using the multiple decrement approach: The case study for Slovenia. IFAC-PapersOnLine. 2018;51(11):1004–1009. [Google Scholar]
  35. Rogelj V., Bogataj D. Smart Lifetime Neighbourhoods: Literature Review and Research Agenda. IFAC-PapersOnLine. 2020;53(2):16902–16907. [Google Scholar]
  36. Agree E.M. The potential for technology to enhance independence for those aging with a disability. Disability and Health Journal. 2014;7(1):S33–S39. doi: 10.1016/j.dhjo.2013.09.004. SUPPL. [DOI] [PMC free article] [PubMed] [Google Scholar]
  37. Rogelj V., Bogataj D. Ambient Assisted Living Technologies and Environments: Literature review and research agenda*. 2020 7th International Conference on Control, Decision and Information Technologies (CoDIT) 2020;1:762–767. b. [Google Scholar]
  38. Savage R.D., Di Nicolo S., Wu W., Li J., Lawson A., Grieve J.…Rochon P.A. Factors Associated with Non-Use of Social Media or Video Communications to Connect with Friends and Family During the COVID-19 Pandemic in Older Adults: Online Survey Study. JMIR aging. 2022 doi: 10.2196/34793. [DOI] [PMC free article] [PubMed] [Google Scholar]
  39. Scott Kruse, C, Karem, P., Shifflett, K., Vegi, L., Ravi, K., & Brooks, M. Evaluating barriers to adopting telemedicine worldwide: A systematic review. (1758-1109 (Electronic)). [DOI] [PMC free article] [PubMed]
  40. Shapira S., Yeshua-Katz D., Goren G., Aharonson-Daniel L., Clarfield A.M., Sarid O. Evaluation of a Short-Term Digital Group Intervention to Relieve Mental Distress and Promote Well-Being Among Community-Dwelling Older Individuals During the COVID-19 Outbreak: A Study Protocol. Frontiers in Public Health. 2021;9:284. doi: 10.3389/fpubh.2021.577079. [DOI] [PMC free article] [PubMed] [Google Scholar]
  41. Sivakumar P.T., Mukku S.S.R., Kar N., Manjunatha N., Phutane V.H., Sinha P.…Math S.B. Geriatric telepsychiatry: Promoting access to geriatric mental health care beyond the physical barriers. Indian Journal of Psychological Medicine. 2020;42(5_suppl):41S–46S. doi: 10.1177/0253717620958380. [DOI] [PMC free article] [PubMed] [Google Scholar]
  42. Song Y., Qian C, Pickard S. Age-Related Digital Divide during the COVID-19 Pandemic in China. International Journal of Environmental Research and Public Health. 2021;18(21):11285. doi: 10.3390/ijerph182111285. [DOI] [PMC free article] [PubMed] [Google Scholar]
  43. Sun Lim S., Ling Tan Y. Old people and new media in wired societies: Exploring the socio-digital divide in Singapore. Media Asia. 2003;30(2):95–102. [Google Scholar]
  44. Tsai H.-y.S., Shillair R., Cotten S.R. Social support and “playing around” an examination of how older adults acquire digital literacy with tablet computers. Journal of Applied Gerontology. 2017;36(1):29–55. doi: 10.1177/0733464815609440. [DOI] [PMC free article] [PubMed] [Google Scholar]
  45. Voljč I., Emonicum I. Inštitut Emonicum, zavod za aktivno in zdravo življenje. Ljubljana; 2015. Staranje v digitalni družbi. [Google Scholar]
  46. Xie B., Charness N., Fingerman K., Kaye J., Kim M.T., Khurshid A. When going digital becomes a necessity: Ensuring older adults’ needs for information, services, and social inclusion during COVID-19. Journal of Aging & Social Policy. 2020;32(4-5):460–470. doi: 10.1080/08959420.2020.1771237. [DOI] [PMC free article] [PubMed] [Google Scholar]
  47. Yeung T.A., Chan F.H., Luk J.K., Mok W.Y. COVID-19 and older adults: experience in Hong Kong. Asian J Gerontol Geriatr. 2020;15:1–6. [Google Scholar]
  48. Yu E., Hagens S. Socioeconomic Disparities in the Demand for and Use of Virtual Visits Among Senior Adults During the COVID-19 Pandemic: Cross-sectional Study. JMIR aging. 2022;5(1):e35221. doi: 10.2196/35221. [DOI] [PMC free article] [PubMed] [Google Scholar]
  49. Zgonec S. Mobile apps supporting people with dementia and their carers: Literature Review and Research Agenda. IFAC-PapersOnLine. 2021;54(13):663–668. [Google Scholar]

Articles from IFAC-PapersOnLine are provided here courtesy of Elsevier

RESOURCES