Impact of Information Computer Technology on Quality of Life Social Support and Psychological Well-Being among Middle-aged and Older Adults Living in Long-term Care Facilities

  • 吳 琦慧

Student thesis: Master's Thesis


Background: Increasing literature indicated that the usage of information computer technology has positive results in decreasing older adults’ isolation and increasing the quality of life along with psychological well-being However few studies have evaluated the impact of ICT (Information and Computer Technology) for older adults living in long-term care facility Objective: This study evaluated the extent to which quality of life social support and psychological well-being changed for participants receiving ICT intervention Methods: This study was conducted a quasi-experimental research design using ICT teaching intervention to 54 institutionalized residents 50 years and older able to comply clear consciousness and not agitated from three comparable long-term care facilities located in Southern Taiwan This research assessment constituted randomizing three long-term care facilities into groups Group 1 recruited 19 participants and received communication technology instructional training using the program Line teaching them how to make video phone calls send out text messages with attached emoticon stickers Group 2 had 18 participants and received multi-media instructional training using the program YouTube teaching how to search for their favorite karaoke song news or television soap opera then how to view them Group 3 consisted of 17 participants recruited as an observation group with usual care Groups using Line and YouTube received intervention instructions once a week for 90 minutes each group teaching and twice a week for 20-30 minutes/per person one on one tutorship for four weeks Instructional sessions included visual demonstrations with hands on intervention where needed The participants were evaluated on the measures of health-related factors such as quality of life well-being social support depression CES-D cognitive functioning SPMSQ physical functioning ADL and IADL at pre- and post-interventions along with post-test satisfaction survey and an open questionnaire SPSS vision 23 was selected to conduct Kruskal Wallis test Mann-Whiney test and Wilcoxon Signed Ranks for descriptive and inferential statistical analyses Results: Enrolled were 57 participants three participants dropped out (Completed rate 94 74%) The remaining 54 participants who completed the study had a mean age of 73 years (SD=11 4) 50% were male 70 4% had below elementary school education 53 7% were the average financial status 87% never obtained any computer training the average length of stay in a long term care facility was 36 2% the average ADL Score was 40 2 IADL Score was 6 6 cognitive score was 9 6 the average chronic disease count was 2 3 diabetes had the highest incident rate of 44 4% the second was hypertension 16 7% and 61% had an average self-rate health status Comparing the Kruskal Wallis test of the three groups data the YouTube group was rated as the most significant on the QOL SF12 in physical component summary (PCS P= 002) mental component summary (MCS P= 000) social support in health care worker related (P= 002) satisfaction in social support (P= 008) happiness (P= 033) along with depression CES-D (P= 000) were illustrated significant positive changes Mann-Whiney test post hoc at pre- and post-test changes revealed positive increasing in YouTube > Line > Usual Care Happiness and Quality of life along with psychological well-being were significant improving the Information Computer Technology usage among residents living in long-term care facilities Especially searching a reminiscence song using YouTube as a karaoke sing along Conclusion: The communication application Line was not as significant as the entertainment application YouTube among long-term care residents However Line is positively increasing in health related quality of life in mental component summary (MCS) social support in family/friend related and psychological well-being Our findings demonstrated that using YouTube’s simple operation and groups or an individualized entertainment features as a karaoke sing along could be an excellent stimulus for reminiscence and social support Singing with family friends other residents and health care workers through this entertainment application produces a profound effect on their quality of life and the residents mingling among each other helps maintain their social support and psychological well-being
Date of Award2016 Feb 2
Original languageEnglish
SupervisorChing-Ju Chiu (Supervisor)

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