Journal of Korean Public Health Nursing (한국보건간호학회지)

Korean Society of public Health Nursing (한국보건간호학회)
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The Effects of Information Communication Technology on Cognitive Function in Old Age: Verification of the Serial Mediation Effects of Social Participation and Depression

후기 노인의 정보통신기술 활용이 인지기능에 미치는 영향: 사회적 참여와 우울의 직렬매개효과

  • Received : 2022.05.15
  • Accepted : 2022.08.13
  • Published : 2022.08.31
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Abstract

Purpose: The purpose of this study was to draw practical implications applicable to the field by analyzing a double-mediator model of social participation and depression in relation to the utilization of Information Communication Technology (ICT) and cognitive function. Methods: The data from the Fifth Living Profiles of Older People Survey in Korea was used, and the sample included 3,925 people, 75 years of age or older. Descriptive statistics, correlation analysis, and the PROCESS macro test were used for verification of the double mediator model. Results: The results were as follows: First, ICT utilization was rated at an average of 1.4 out of 10, social participation at an average of 1.1 out of 7, depression at an average of 3.72 out of 15, and cognitive function at an average of 22.42 out of 30. Second, ICT utilization has a significant effect on cognitive function. Third, the mediating effects of social participation between ICT utilization and cognitive function were significant. Fourth, the mediating effects of depression between ICT utilization and cognitive function were not significant. Fifth, the serial double mediator effects leading to ICT utilization, social participation, depression, and cognitive function were significant. Conclusion: The study discussed the implications of maintaining and protecting cognitive function in the vulnerable elderly through the utilization of ICT.

Keywords

Acknowledgement

본 연구는 상명대학교 교내연구비 지원을 받았음

References

  1. Bobillier Chaumon, M. E., Michel, C., Tarpin, Bernard, F., & Croisile, B. (2014). Can ICT improve the quality of life of elderly adults living in residential home care units? From actual impacts to hidden artefacts. Behaviour & Information Technology, 33(6), 574-590. https://doi.org/10.1080/0144929X.2013.832382
  2. Chen, Y. R., & Schulz, P. J. (2016). The effect of information communication technology interventions on reducing social isolation in the elderly: A systematic review. Journal of Medical Internet Research, 18(1), e18. https://doi.org/10.2196/jmir.4596
  3. Cho, M. J., Bae, J. N., Suh, G. H., Hahm, B. J., Kim, J. K., Lee, D. W., & Kang, M. H. (1999). Validation of geriatric depression scale, Korean version (GDS) in the assessment of DSM-III-R major depression. Journal of Korean Neuropsychiatric Association, 36(1), 48-62.
  4. Cotten, S. R., Ford, G., Ford, S., & Hale, T. M. (2014). Internet use and depression among retired old adults in the United States: A longitudinal analysis. The Journals of Gerontology: Series B, 69(5), 763-771. https://doi.org/10.1093/geronb/gbu018
  5. Friemel, T. N. (2016). The digital divide has grown old: Determinants of a digital divide among seniors. New Media & Society, 18(2), 313-331. https://doi.org/10.1177/1461444814538648
  6. Han, J. W., Kim, T. H., Jhoo, J. H., Park, J. H., Kim, J. L., Ryu, S. H., Moon, S. W., Choo, I. H., Lee, D. W., Yoon, J. C., Do, Y. J., Lee, S. B., Kim, M. D., & Kim, K. W. (2010). A normative study of the mini-mental state examination for dementia screening (MMSE-DS) and its short form (SMMSE-DS) in the Korean elderly. Journal of Korean Geriatric Psychiatry, 14(1), 27-37.
  7. Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Press.
  8. Hurt, C., Bhattacharyya, S., Burns, A., Camus, V., Liperoti, R., Marriott, A., Nobili, F., Robert, P., Tsolaki, M., Vellas, B., Verhey, F., & Byrne, E. J. (2008). Patient and caregiver perspectives of quality of life in dementia. Dementia and Geriatric Cognitive Disorders, 26(2), 138-146. https://doi.org/10.1159/000149584
  9. Ihle, A., Bavelier, D., Maurer, J., Oris, M., & Kliegel, M. (2020). Internet use in old age predicts smaller cognitive decline only in men. Scientific Reports, 10:8969. https://doi.org/10.1038/s41598-020-65846-9
  10. Jun, H. J. & Kim, M. Y. (2015). The influence of internet use on satisfaction with social relationships and depression among older adults. Korean Journal of Social Welfare Research, 43, 73-98.
  11. Kang, S., Ju, J., Lee, Y. M., Yun, J., & Jang, H. Y. (2019). An study on the digital literacy of elderly people and IT education system (2019-004). Seoul: Seoul 50 Plus Foundation.
  12. Kawachi, I. & Berkman, L. F. (2001). Social ties and mental health. Journal of Urban Health, 78(3), 458-467. https://doi.org/10.1093/jurban/78.3.458
  13. Kim, D. H., Lee, S. R., & Kim, H. K. (2020). The moderating effect of social activities on the relationship between physical health and depression among the rural elderly. Korean Journal of Local Government & Administration Studies, 34(4), 153-173. https://doi.org/10.18398/kjlgas.2020.34.4.153
  14. Kim, J., Lee, H. Y., Christensen, M. C., & Merighi, J. R. (2017). Technology access and use, and their associations with social engagement among older adults: Do women and men differ? The Journals of Gerontology: Series B, 72(5), 836-845. https://doi.org/10.1093/geronb/gbw123
  15. Kim, M. Y. & Jun, H. J. (2016). The influences of IT use and satisfaction with IT use on depression among older adults. Korean Journal of Gerontological Social Welfare, 71(1), 85-110. https://doi.org/10.21194/KJGSW.71.1.201603.85
  16. Kim, M. Y. & Jun, H. J. (2017). The effects of smartphone use on life satisfaction in older adults: The mediating role of participation in social activities. Korean Journal of Gerontological Social Welfare, 72(3), 343-370. https://doi.org/10.21194/KJGSW.72.3.201709.343
  17. Kim, S. J., Kwack, Y. H., & Nam, S. I. (2020). Research on information device usage type in older adults: Focusing on the comparison of young-old and old-old. Korean Journal of Gerontological Social Welfare, 75(2), 217-254. https://doi.org/10.21194/kjgsw.75.2.202006.217
  18. Korean Geriatrics Society (2015). Textbook of Geriatric Medicine. Seoul: Panmun Education.
  19. Lee, A. & Ko, K. (2018). The effect of retirement on mental- health and cognitive function (2018-43). Seoul: Korea Institute for Health and Social Affairs.
  20. Lee, B. & Myeong, S. (2010). Exploration study on the relationship between internet use and social network of elderly people: Focusing metropolitan cities. The Korean Journal of Local Government Studies, 14(3), 269-293.
  21. Lee, J. & Tak, S. H. (2020). The effects of digital literacy and the frequency of contact with children or grandchildren via ICT on the cognitive function of the elderly. Journal of the Korean Gerontological Society, 40(3), 413-428. https://doi.org/10.31888/JKGS.2020.40.3.413
  22. Lee Y., Kim, S. Hwang, N., Im, J., Joo, B., Namgung, E., Lee, S., Jeong, K., Kang, E., & Kim, K. (2020). 2020 National older Koreans survey (2020-35). Sejong: Korea Institute for Health and Social Welfare.
  23. Meo, S. A., Alhowikan, A., M., Al-Khlaiwi, T., Meo, I. M., Halepoto, D. M., Iqbal, M., Usmani, A. M., Hajjar, W., & Ahmed, N. (2020). Novel coronavirus 2019-nCoV: Prevalence, biological and clinical characteristics comparison with SARS-CoV and MERS-CoV. European Review for Medical and Pharmacological Sciences, 24(4), 2012-2019. https://doi.org/10.26355/eurrev_202002_20379
  24. Ministry of Science and ICT & National Information Society Agency (2021). The Report on the Digital Divide (NIA VIII-RSE-C-21050). Daegu: National Information Society Agency.
  25. Morris, M. E., Adair, B., Ozanne, E., William, K., Miller, K. J., Pearce, A., Santamaria, N., Long, M., Ventura, C., & Said, C. (2014). Smart technologies to enhance social connectedness in older people who live at home. Australian Journal of Aging, 33(3), 142-152. https://doi.org/10.1111/ajag.12154
  26. Oh, I. M., Cho, M. J., Hahm, B. J., Kim, B. S., Sohn, J. H., Suk, H. W., Jung, B. Y., Kim, H. J., Kim, A. A., Choi, K. B., You, D. H., Lim, A. R., Park, I. O., Ahn, J. H., Lee, H., Kim, Y. H., Kim, M. R., & Park, J. E. (2020). Effectiveness of a village-based intervention for depression in community-dwelling older adults: A randomised feasibility study. BMC Geriatrics, 20, 89. https://doi.org/10.1186/s12877-020-1495-2
  27. Park, S. Y. & Chung, S. (2019). The effect of digital information access on depressive symptoms among middle-aged and elderly groups: Focusing on the mediating effects of digital information competency and social networks. Health and Social Welfare Review. 39(3), 179-214. https://doi.org/10.15709/hswr.2019.39.3.179
  28. Schlomann, A., Seifert, A., Zank, S., Woopen, C., & Rietz, C. (2020). Use of Information and Communication Technology (ICT) devices among the oldest-old: Loneliness, anomie, and Autonomy. Innovation in Aging, 4(2), 1-10. https://doi.org/10.1093/geroni/igz050
  29. Shankar, A., Hamer, M., McMunn, A., & Steptoe, A. (2013). Social isolation and loneliness: Relationships with cognitive function during 4 years of follow-up in the English longitudinal study of ageing. Psychosomatic Medicine, 75(2), 161-170. https://doi.org/10.1097/PSY.0b013e31827f09cd
  30. Shin, H. R., Yoon, T. Y., Kim, S. K., & Kim, Y. S. (2020). An exploratory study on changes in daily life of the elderly amid COVID-19-Focusing on technology use and restrictions on participation in elderly welfare centers-. Korean Journal of Gerontological Social Welfare, 75(4), 207-232. https://doi.org/10.21194/KJGSW.75.4.202012.207
  31. Tsai, H. S., Shillair, R., Cotten, S. R., Winstead, V., & Yost, E. (2015). Getting grandma online: Are tablets the answer for increasing digital inclusion for older adults in the U.S.? Educational Gerontology, 41(10), 695-709. https://doi.org/10.1080/03601277.2015.1048165
  32. Um, S. R., Kim, S. K., Kim, J. W., Shin, H. R., & Kim, Y. S. (2020). The relationship between retirement and depression of elderly men: Analysis of mediating effect of social contact and mediated moderation effect of utilizing electronic devices. Health and Social Welfare Review, 40(3), 248-285. https://doi.org/10.15709/hswr.2020.40.3.248
  33. Vahira, I. V., Blazer, D. G., Smith, G. S., Karp, J. F., Steffens, D. C., Forester, B. P., Tampi, R., Agronin, M., Jeste, D. V., & Reynolds, C. F. (2020). COVID-19, mental health and aging: A need for new knowledge to bridge sciences and service. The American Journal of Geriatric Psychiatry, 28(7), 695-697. https://doi.org/10.1016/j.jagp.2020.03.007