Abstract
The complexity of new information technologies (IT) may limit the access of elderly people to the information society, exacerbating what is known as “the digital divide,” as they appear to be too challenging for elderly citizens regardless of the integrity of their cognitive status. This study is an attempt to clarify how some cognitive functions (such as attention or verbal memory) may determine the interaction of cognitively impaired elderly people with technology. Twenty participants ranging from mild cognitive impairment to moderate Alzheimer’s disease were assessed by means of a neuropsychological and functional battery and were asked to follow simple commands from an avatar appearing on a TV by means of a remote control, such as asking the participant to confirm their presence or to respond Yes/No to a proposal to see a TV program. The number of correct answers and command repetitions required for the user to respond were registered. The results show that participants with a better cognitive and functional state in specific tests show a significantly better performance in the TV task. The derived conclusion is that neuropsychological assessment may be used as a useful complementary tool for assistive technology developers in the adaptation of IT to the elderly with different cognitive and functional profiles. Further studies with larger samples are required to determine to what extent cognitive functions can actually predict older users’ interaction with technology.
Similar content being viewed by others
References
Salmon, D.P., Bondi, M.W.: Neuropsychological assessment of dementia. Ann. Rev. Psychol. 60, 1–26 (2009)
Wu Y., Van Slyke C.: Interface complexity and elderly users: revisited. In: Proceedings of the Eighth Annual Conference of The Southern Association For Information Systems (SAIS 2005), Savannah, Georgia (2005)
Slegers, K., Van Boxtel, M.P., Jolles, J.: The efficiency of using everyday technological devices by older adults: the role of cognitive functions. Ageing Soc. 29, 309–325 (2009)
Hanson, V.L.: Influencing technology adoption by older adults. Interact. Comput. 22, 502–509 (2010)
Topo, P.: Technology studies to meet the needs of people with dementia and their caregivers a literature review. J. Appl. Gerontol. 28, 5–37 (2009)
Nygård, L.: The meaning of everyday technology as experienced by people with dementia who live alone. Dementia 7, 481–502 (2008)
Hanson, E., Magnusson, L., Arvidsson, H., Claesson, A., Keady, J., Nolan, M.: Working together with persons with early stage dementia and their family members to design a user-friendly technology-based support service. Dementia 6, 411–434 (2007)
Bertrand, R.M., Fredman, L., Saczynski, J.: Are all caregivers created equal? Stress in caregivers to adults with and without dementia. J. Aging Health 18, 534–551 (2006)
Etxeberria, I., Yanguas, J.J., Buiza, C., Yanguas, E., Palacios, V., Rodríguez, S.: Effectivity of an early psychosocial intervention program with relative of patients with Alzheimer’s disease on first stages [Article in Spanish]. Rev. Esp. Geriatr. Gerontol. 39, 5–6 (2004)
IMSERSO (Spanish Institute for Elderly and Social Services). 93% of informal caregivers of dependent people show a low quality of life [Report in Spanish]. http://www.imsersodependencia.csic.es/documentacion/dossier-prensa/2008/not-13-06-2008.html (2008). Accessed 12 May 2009
Losada, A., Izal, M., Montorio, I., Marquez, M., Perez, G.: Differential efficacy of two psycho educational interventions for dementia family caregivers [Article in Spanish]. Rev. Neurol. 38, 701–708 (2004)
Lu, Y.Y., Wykle, M.: Relationships between caregiver stress and self-care behaviours in response to symptoms. Clin. Nurs. Res. 16, 29–43 (2007)
Son, J., Erno, A., Shea, D.G., Femia, E.E., Zarit, S.H., Parris, M.A.: The caregiver stress process and health outcomes. J Aging Health 19, 871–887 (2007)
Elliot, R.: Assistive technology for the frail elderly: an introduction and overview. Department of Health and Human Services, Pennsylvannia (1991)
Pilotto, A., D’Onofrio, G., Benelli, E., Zanesco, A., Cabello, A., Margelí, M.C., Wanche-Politis, S., Seferis, K., Sancarlo, D., Kilias, D.: Information and communication technology systems to improve quality of life and safety of Alzheimer’s disease patients: a multicenter international survey. J. Alzheimers Dis. 23, 131–141 (2011)
Blackler, A., Popovic, V., Mahar, D.: Investigating users’ intuitive interaction with complex artefacts. App. Ergon. 41, 72–92 (2010)
Carrasco, E., Göllner, C.M., Ortiz, A., García, I., Buiza, C., Urdaneta, E., Etxaniz, A., Gonzalez, M.F., Laskibar, I.: Enhanced TV for the promotion of active ageing. In: Eizmendi, G., Azkoitia, J.M., Craddock, G.M. (eds.) Challenges for assistive technology, pp. 159–163. IOS Press, Amsterdam (2007)
Buiza C., Urdaneta E., Yanguas J.J., Carrasco E., Göllner C.M., Paloc C: i2home-intuitive interaction for everyone with home appliances based on industry standards. Poster session presented at the 9th European Conference for the Advancement of Assistive Technology, AAATE 2007. San Sebastian, Spain (2007)
Carrasco, E., Epelde, G., Moreno, A., Ortiz, A., Garcia, I., Buiza, C., Urdaneta, E., Etxaniz, A., Gonzalez, M.F., Arruti, A.: Natural interaction between virtual characters and persons with Alzheimer’s disease. In: Miesenberger, K., et al. (eds.) Computers helping people with special needs, pp. 38–45. Springer-Verlag, Berlin-Heildelberg (2008)
Ortiz, A., Carretero, M.P., Oyarzun, D., Yanguas, J.J., Buiza, C., Gonzalez, M.F., Etxeberria, I.: Elderly users in ambient intelligence: does an Avatar improve the interaction? In: Stephanidis, C. (ed.) Universal access in ambient intelligence environments, pp. 99–114. Springer-Verlag, Berlin-Heildelberg (2006)
Dyck, M., Winbeck, M., Leiberg, S., Chen, Y., Gur, R.C., Mathiak, K.: Recognition profile of emotions in natural and virtual faces. PLoS ONE 3, e3628 (2008)
Moser, E., Derntl, B., Robinson, S., Fink, B., Gur, R.C., Grammer, K.: Amygdala activation at 3T in response to human and Avatar facial expressions of emotions. J. Neurosci. Methods 161, 126–133 (2007)
Reisberg, B., Ferris, S.H., de Leon, M.J., Crook, T.: The global deterioration scale for assessment of primary degenerative dementia. Am. J. Psychiatr. 139, 1136–1139 (1982)
Folstein, M.F., Folstein, S.E., McHugh, P.R.: “Mini-mental state”: A practical method for grading the cognitive state of patients for the clinician. J. Psychiatr. Res. 12, 189–198 (1975)
Lobo, A., Ezquerra, J., Gómez-Burgada, F., et al.: The cognoscitive mini exam (a simple, practical ‘test’ to detect intellectual disorders in medical patients [Article in Spanish] Actas Luso Españolas de Neurología. Psiquiatría y Ciencias Afines 7, 189–202 (1979)
Ortiz-Marqués N., Amayra-Caro I., Uterga-Valiente J.M., Martínez-Rodríguez S. (2008) Standardization of a Spanish version of Rey Auditory Verbal Learning Test (RAVLT) [Article in Spanish] V Congress of Neuropsychology in Andalucia Huelva, Spain
Spreen, O., Strauss, E.: A compendium of neuropsychological tests. Administration norms and commentary. Oxford University Press, New York (1998)
Baztán, J.J., Pérez del Molino, J., Alarcón, T., San Cristóbal, E., Izquierdo, G., Manzarbeitia, I.: Barthel index: valid instrument for the functional assessment of patients with cerebrovascular disease [Article in Spanish]. Rev. Esp. Geriatr. Gerontol. 28, 32–40 (1993)
Seisdedos, N., Wechsler, D.: WAIS-III: wechsler adult intelligence scale –third edition technical manual [Book in Spanish]. TEA Ediciones, Madrid (1999)
Goodglass, H., Kaplan, E.: The assessment of aphasia and related disorders. Lea & Febiger, Philadelphia (1983)
García-Albea, J.E., Sánchez, M., del Viso, S.: Test de Boston para el diagnóstico de la afasia. Adaptación española. In: Goodglass, H., Kaplan, E. (eds.) La evaluación de la afasia y trastornos relacionados. Panamericana, Madrid (1986)
Czaja, S.J., Sharit, J., Ownby, D., Roth, D., Nair, S.N.: Examining age differences in performance of a complex information search and retrieval task. Psychol. Aging 16, 564–579 (2001)
Blackler, A., Mahar, D., Popovic, V.: Older adults, interface experience and cognitive decline, pp. 22–26. Paper presented at the OZCHI, Brisbane (2010)
Langdon, P., Lewis, T., Clarkson, J.: The effects of prior experience on the use of consumer products. Univers. Access. Inf. Soc. 6, 179–191 (2007)
Lewis, T., Langdon, P.M., Clarkson, P.J.: Prior experience of domestic microwave cooker interfaces: a user study. Des. Incl. Futur. 2, 3–14 (2008)
Gudur, R.R., Blackler, A., Mahar, D., Popovic, V.: The effects of cognitive ageing on use of complex interfaces, pp. 22–26. Paper presented at the OZCHI, Brisbane (2010)
Gudur R.R., Backler A.L., Popovic V., Mahar D.P.: Ageing and use of complex product interfaces. In: Norbert R., Lin–Lin C., Pieter J.S. (eds) Proceedings of 4th World Conference on Design Research, Delft, the Netherlands, 31 October–4 November (2011)
Acknowledgments
This research is being partially funded by the EU 6th Framework Program under grant FP6-033502 (i2home). The opinions herein are those of the authors and not necessarily those of the funding agencies.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Diaz-Orueta, U., Etxaniz, A., Gonzalez, M.F. et al. Role of cognitive and functional performance in the interactions between elderly people with cognitive decline and an avatar on TV. Univ Access Inf Soc 13, 89–97 (2014). https://doi.org/10.1007/s10209-013-0288-1
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10209-013-0288-1