Things Are Changing so Fast

Integrative Technology for Preserving Cognitive Health and Community History

Raina L. Croff, Phelps Witter Iv, Miya L. Walker, Edline Francois, Charlie Quinn, Thomas C. Riley, Nicole F. Sharma, Jeffrey Kaye

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background and Objectives: Multimodal interventions are increasingly targeting multiple cognitive decline risk factors. However, technology remains mostly adjunctive, largely prioritizes age relevancy over cultural relevancy, and often targets individual health without lasting, community-wide deliverables. Meanwhile, African Americans remain overburdened by cognitive risk factors yet underrepresented in cognitive health and technology studies. The Sharing History through Active Reminiscence and Photo-imagery (SHARP) program increases physical, social, and cognitive activity within a culturally meaningful context that produces community deliverables-an oral history archive and cognitive health education. Design and Methods: The SHARP application was tested with 19 African Americans ≥55 years, aiming for an easy, integrative, and culturally meaningful experience. The application guided triads in walks 3 times weekly for 6 months in Portland, Oregon's historically Black neighborhoods; local historical images prompted recorded conversational reminiscence. Focus groups evaluated factors influencing technology acceptance-attitudes about technology, usefulness, usability, and relevance to integrating program goals. Thematic analysis guided qualitative interpretation. Results: Technology acceptance was influenced by group learning, paper-copy replicas for reluctant users, ease of navigation, usefulness for integrating and engaging in health behaviors, relevance to integrating individual benefit and the community priority of preserving history amidst gentrification, and flexibility in how the community uses deliverables. Perceived community benefits sustained acceptance despite intermittent technology failure. Discussion and Implications: We offer applicable considerations for brain health technology design, implementation, and deliverables that integrate modalities, age, and cultural relevance, and individual and community benefit for more meaningful, and thus more motivated community engagement.

Original languageEnglish (US)
Pages (from-to)147-157
Number of pages11
JournalThe Gerontologist
Volume59
Issue number1
DOIs
StatePublished - Jan 9 2019

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Technology
Health
Biomedical Technology
History
Imagery (Psychotherapy)
African Americans
Health Behavior
Focus Groups
Health Education
Learning
Interviews
Brain

ASJC Scopus subject areas

  • Gerontology
  • Geriatrics and Gerontology

Cite this

Things Are Changing so Fast : Integrative Technology for Preserving Cognitive Health and Community History. / Croff, Raina L.; Witter Iv, Phelps; Walker, Miya L.; Francois, Edline; Quinn, Charlie; Riley, Thomas C.; Sharma, Nicole F.; Kaye, Jeffrey.

In: The Gerontologist, Vol. 59, No. 1, 09.01.2019, p. 147-157.

Research output: Contribution to journalArticle

Croff, RL, Witter Iv, P, Walker, ML, Francois, E, Quinn, C, Riley, TC, Sharma, NF & Kaye, J 2019, 'Things Are Changing so Fast: Integrative Technology for Preserving Cognitive Health and Community History', The Gerontologist, vol. 59, no. 1, pp. 147-157. https://doi.org/10.1093/geront/gny069
Croff, Raina L. ; Witter Iv, Phelps ; Walker, Miya L. ; Francois, Edline ; Quinn, Charlie ; Riley, Thomas C. ; Sharma, Nicole F. ; Kaye, Jeffrey. / Things Are Changing so Fast : Integrative Technology for Preserving Cognitive Health and Community History. In: The Gerontologist. 2019 ; Vol. 59, No. 1. pp. 147-157.
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