{"id":"https://openalex.org/W7162004343","doi":"https://doi.org/10.1016/j.ijmedinf.2026.106500","title":"Cognitive adaptability predicts digital health technology use in older adults","display_name":"Cognitive adaptability predicts digital health technology use in older adults","publication_year":2026,"publication_date":"2026-05-21","ids":{"openalex":"https://openalex.org/W7162004343","doi":"https://doi.org/10.1016/j.ijmedinf.2026.106500","pmid":"https://pubmed.ncbi.nlm.nih.gov/42190430"},"language":"en","primary_location":{"id":"doi:10.1016/j.ijmedinf.2026.106500","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ijmedinf.2026.106500","pdf_url":null,"source":{"id":"https://openalex.org/S53142634","display_name":"International Journal of Medical Informatics","issn_l":"1386-5056","issn":["1386-5056","1872-8243"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Medical Informatics","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1016/j.ijmedinf.2026.106500","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5066988875","display_name":"Shamatree Shakya","orcid":"https://orcid.org/0000-0002-3114-6745"},"institutions":[{"id":"https://openalex.org/I153901656","display_name":"University of North Carolina Wilmington","ror":"https://ror.org/02t0qr014","country_code":"US","type":"education","lineage":["https://openalex.org/I153901656"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Shamatree Shakya","raw_affiliation_strings":["School of Nursing, University of North Carolina Wilmington, Wilmington, NC, USA. Electronic address: shakyas@uncw.edu"],"raw_orcid":"https://orcid.org/0000-0002-3114-6745","affiliations":[{"raw_affiliation_string":"School of Nursing, University of North Carolina Wilmington, Wilmington, NC, USA. Electronic address: shakyas@uncw.edu","institution_ids":["https://openalex.org/I153901656"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5082486193","display_name":"Anju Paudel","orcid":"https://orcid.org/0000-0002-1784-5427"},"institutions":[{"id":"https://openalex.org/I130769515","display_name":"Pennsylvania State University","ror":"https://ror.org/04p491231","country_code":"US","type":"education","lineage":["https://openalex.org/I130769515"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Anju Paudel","raw_affiliation_strings":["Pennsylvania State University, Ross and Carol Nese College of Nursing, PA, USA. Electronic address: aqp6003@psu.edu"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Pennsylvania State University, Ross and Carol Nese College of Nursing, PA, USA. Electronic address: aqp6003@psu.edu","institution_ids":["https://openalex.org/I130769515"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5066988875"],"corresponding_institution_ids":["https://openalex.org/I153901656"],"apc_list":{"value":3210,"currency":"USD","value_usd":3210},"apc_paid":{"value":3210,"currency":"USD","value_usd":3210},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.78344562,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"217","issue":null,"first_page":"106500","last_page":"106500"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11977","display_name":"Technology Use by Older Adults","score":0.9039999842643738,"subfield":{"id":"https://openalex.org/subfields/3317","display_name":"Demography"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11977","display_name":"Technology Use by Older Adults","score":0.9039999842643738,"subfield":{"id":"https://openalex.org/subfields/3317","display_name":"Demography"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11519","display_name":"Digital Mental Health Interventions","score":0.01080000028014183,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10009","display_name":"Dementia and Cognitive Impairment Research","score":0.008899999782443047,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/adaptability","display_name":"Adaptability","score":0.6927000284194946},{"id":"https://openalex.org/keywords/cognition","display_name":"Cognition","score":0.6100000143051147},{"id":"https://openalex.org/keywords/digital-health","display_name":"Digital health","score":0.5730000138282776},{"id":"https://openalex.org/keywords/mhealth","display_name":"mHealth","score":0.3626999855041504},{"id":"https://openalex.org/keywords/health-technology","display_name":"Health technology","score":0.30230000615119934},{"id":"https://openalex.org/keywords/cognitive-disabilities","display_name":"Cognitive disabilities","score":0.2962000072002411},{"id":"https://openalex.org/keywords/health-information-technology","display_name":"Health information technology","score":0.2953999936580658}],"concepts":[{"id":"https://openalex.org/C177606310","wikidata":"https://www.wikidata.org/wiki/Q5674297","display_name":"Adaptability","level":2,"score":0.6927000284194946},{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.6100000143051147},{"id":"https://openalex.org/C2780433410","wikidata":"https://www.wikidata.org/wiki/Q5276090","display_name":"Digital health","level":3,"score":0.5730000138282776},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.5120999813079834},{"id":"https://openalex.org/C75630572","wikidata":"https://www.wikidata.org/wiki/Q538904","display_name":"Applied psychology","level":1,"score":0.4672999978065491},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.36419999599456787},{"id":"https://openalex.org/C2779363104","wikidata":"https://www.wikidata.org/wiki/Q17069079","display_name":"mHealth","level":3,"score":0.3626999855041504},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.33390000462532043},{"id":"https://openalex.org/C21333345","wikidata":"https://www.wikidata.org/wiki/Q1519843","display_name":"Health technology","level":3,"score":0.30230000615119934},{"id":"https://openalex.org/C180747234","wikidata":"https://www.wikidata.org/wiki/Q23373","display_name":"Cognitive psychology","level":1,"score":0.2992999851703644},{"id":"https://openalex.org/C2983586703","wikidata":"https://www.wikidata.org/wiki/Q3317827","display_name":"Cognitive disabilities","level":3,"score":0.2962000072002411},{"id":"https://openalex.org/C2776354556","wikidata":"https://www.wikidata.org/wiki/Q10910281","display_name":"Health information technology","level":3,"score":0.2953999936580658},{"id":"https://openalex.org/C202645933","wikidata":"https://www.wikidata.org/wiki/Q4930","display_name":"eHealth","level":3,"score":0.29350000619888306},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.29269999265670776},{"id":"https://openalex.org/C121017731","wikidata":"https://www.wikidata.org/wiki/Q11661","display_name":"Information technology","level":2,"score":0.2921000123023987},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2703000009059906},{"id":"https://openalex.org/C138496976","wikidata":"https://www.wikidata.org/wiki/Q175002","display_name":"Developmental psychology","level":1,"score":0.26919999718666077},{"id":"https://openalex.org/C3017977704","wikidata":"https://www.wikidata.org/wiki/Q18745135","display_name":"Health data","level":3,"score":0.26820001006126404},{"id":"https://openalex.org/C139807058","wikidata":"https://www.wikidata.org/wiki/Q352374","display_name":"Adaptation (eye)","level":2,"score":0.2653000056743622},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.2628999948501587},{"id":"https://openalex.org/C3019887659","wikidata":"https://www.wikidata.org/wiki/Q191089","display_name":"Older people","level":2,"score":0.26030001044273376},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.2572999894618988}],"mesh":[{"descriptor_ui":"D000097103","descriptor_name":"Digital Health","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D000097103","descriptor_name":"Digital Health","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D000098624","descriptor_name":"Digital Media","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000098624","descriptor_name":"Digital Media","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000223","descriptor_name":"Adaptation, Psychological","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000223","descriptor_name":"Adaptation, Psychological","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003071","descriptor_name":"Cognition","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003071","descriptor_name":"Cognition","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017216","descriptor_name":"Telemedicine","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D017216","descriptor_name":"Telemedicine","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1016/j.ijmedinf.2026.106500","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ijmedinf.2026.106500","pdf_url":null,"source":{"id":"https://openalex.org/S53142634","display_name":"International Journal of Medical Informatics","issn_l":"1386-5056","issn":["1386-5056","1872-8243"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Medical Informatics","raw_type":"journal-article"},{"id":"pmid:42190430","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42190430","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International journal of medical informatics","raw_type":null}],"best_oa_location":{"id":"doi:10.1016/j.ijmedinf.2026.106500","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ijmedinf.2026.106500","pdf_url":null,"source":{"id":"https://openalex.org/S53142634","display_name":"International Journal of Medical Informatics","issn_l":"1386-5056","issn":["1386-5056","1872-8243"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Medical Informatics","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":44,"referenced_works":["https://openalex.org/W2014478977","https://openalex.org/W2016465248","https://openalex.org/W2066846507","https://openalex.org/W2097060396","https://openalex.org/W2100379340","https://openalex.org/W2100826189","https://openalex.org/W2122254368","https://openalex.org/W2134621022","https://openalex.org/W2164223719","https://openalex.org/W2605518281","https://openalex.org/W2802043004","https://openalex.org/W2893865483","https://openalex.org/W2896474632","https://openalex.org/W2912646984","https://openalex.org/W2954704436","https://openalex.org/W2957606078","https://openalex.org/W3041291183","https://openalex.org/W3091772787","https://openalex.org/W3110281866","https://openalex.org/W3124788837","https://openalex.org/W3128518091","https://openalex.org/W3154784509","https://openalex.org/W3197519033","https://openalex.org/W4206807262","https://openalex.org/W4292117376","https://openalex.org/W4308055903","https://openalex.org/W4311869171","https://openalex.org/W4315640848","https://openalex.org/W4376641282","https://openalex.org/W4382464316","https://openalex.org/W4400233601","https://openalex.org/W4403293385","https://openalex.org/W4404523182","https://openalex.org/W4405124410","https://openalex.org/W4406385487","https://openalex.org/W4408473891","https://openalex.org/W4409561416","https://openalex.org/W4410075342","https://openalex.org/W4411344162","https://openalex.org/W4412744182","https://openalex.org/W4413452177","https://openalex.org/W4416229039","https://openalex.org/W4417077102","https://openalex.org/W7119522968"],"related_works":[],"abstract_inverted_index":{"PURPOSE:":[0],"Use":[1],"of":[2,18,30,38,66,95,115,141,173,195,205,228,260],"digital":[3,19,42,67,116,142,206,229,250,272,282],"health":[4,20,43,68,72,76,117,143,150,156,161,176,179,207,230,273,283],"technology":[5,21,44,69,118,208,231,274,284],"varies":[6],"among":[7,22,133,210,216,233],"older":[8,23,121,234,261],"adults.":[9,235],"The":[10,28],"psychological":[11,39,110],"factors":[12,40,89],"influencing":[13],"the":[14,36,53,139,217,239,257],"acceptance":[15],"and":[16,83,92,97,112,126,159,186,192,245,248],"use":[17,45,119,140,172,209,232,285],"adults":[24,262],"are":[25],"limitedly":[26],"examined.":[27],"purpose":[29],"this":[31,47,287],"study":[32,214],"was":[33,131,166],"to":[34,62,105,219,241,246],"examine":[35,106],"association":[37],"with":[41,170,202],"in":[46,85,120,138,188,281,286],"population.":[48,288],"METHODS:":[49],"Cross-sectional":[50],"data":[51,152],"from":[52],"National":[54],"Health":[55],"Aging":[56],"Trends":[57],"Study":[58],"(NHATS)":[59],"were":[60,197],"used":[61,101],"investigate":[63],"four":[64],"types":[65],"use:":[70],"seeking":[71,174],"information":[73,162],"online,":[74,82,185],"managing":[75,149,178],"insurance":[77,151,180],"data,":[78,181],"refilling":[79,182],"prescriptions/scheduling":[80,155,183],"appointments":[81,157,184],"participating":[84,187],"telehealth":[86,146,189],"visits.":[87,190],"Psychological":[88],"included":[90],"internal":[91],"external":[93,193],"loci":[94,194],"control":[96,196],"cognitive":[98,222,258],"adaptability.":[99],"We":[100],"multivariable":[102],"logistic":[103],"regressions":[104],"associations":[107],"between":[108],"each":[109,113],"factor":[111],"type":[114,204],"adults,":[122],"adjusting":[123],"for":[124],"sociodemographic":[125],"clinical":[127],"factors.":[128],"RESULTS:":[129],"There":[130],"variation":[132],"participants":[134],"(N":[135],"=":[136],"4651)":[137],"technology:":[144],"making":[145],"visits":[147],"(51.9%),":[148],"(42.4%),":[153],"filling":[154],"(30.3%),":[158],"obtaining":[160],"(25.8%).":[163],"Cognitive":[164],"adaptability":[165,223,259],"statistically":[167,199],"significantly":[168,200],"associated":[169,201],"greater":[171],"online":[175],"information,":[177],"Internal":[191],"not":[198],"any":[203],"participants.":[211],"CONCLUSIONS:":[212],"This":[213],"is":[215,224],"first":[218],"demonstrate":[220],"that":[221,254],"a":[225,264],"significant":[226],"predictor":[227],"These":[236,276],"findings":[237],"highlight":[238],"need":[240],"implement":[242],"user-centered":[243],"design":[244],"develop":[247],"test":[249],"interventions.":[251],"Furthermore,":[252],"interventions":[253],"capitalize":[255],"on":[256],"using":[263],"guided":[265],"or":[266],"problem-solving":[267],"approach":[268],"may":[269],"improve":[270],"their":[271],"usage.":[275],"measures":[277],"can":[278],"mitigate":[279],"disparities":[280]},"counts_by_year":[],"updated_date":"2026-06-18T08:10:14.011955","created_date":"2026-05-22T00:00:00"}