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November 2013

Online older adults do a better job of managing their health

How did we get people to quit smoking? Do you remember the early days when 'Smoking is bad for your health' ads (based on published research) emerged? In the 1960s, 44% of adults smoked. I thought of the research-based ads this week when Pew Research released an enormous report (94 pages) called The Diagnosis Difference, funded by the California Healthcare Foundation. In its many pages, the report makes two key points: 1) People with chronic diseases are less likely to have Internet access than those without chronic diseases --72% versus 89%, thus described as the "17-point difference." 2) Those with chronic diseases who are online use the Internet to find information as well as other people who share their chronic disease(s).  And – one more thing – 43% of the 65+ surveyed had two or more chronic conditions. Now you know, but what should you do?

Who knows technology adoption of the real seniors -- aged 75+?

Accenture exaggerates wildly -- but what should we think?   Rant on. Accenture, seeing a void of 'information' to use to gain new clients, put out an obfuscating headline in a press release last week that precipitates pause. More than pause -- the need for a willing suspension of disbelief: Tech-Savvy Seniors Seek Digital Tools to Manage their Health.  To generate that headline, they surveyed 9015 adults internationally, including the US -- and, get this, of those, they included 200 aged 65+ Medicare recipients. Of course, 2 percent of the survey responders is what led some PR genius at Accenture to grab attention with that headline. So what's a senior, anyway?  Accenture was pitching global consulting services, naturally, and promoting the report that sat behind the headline -- intended for companies filled with young marketers trying to penetrate the mystique of consumers. But when Accenture foists a fact-like assertion, doesn't this make you want to know -- so what IS the technology adoption rate of the real seniors in the US? In September, Pew's researchers sent this along about those aged 76-80: 8.3% have a smart phone, 60.8 have a regular feature phone and 30.9% have neither type. Odds are that the 30.9% population is not online and thus won't be seeking a digital tool to manage their health.

Social Security and the calculators of our lives

Every day, in every way, see advice about Social Security.  It must be the most frequently asked question of all time. The NY Times ran a Money column this past weekend – probably the thousandth time they’ve run the exact same piece of advice. Wait to take Social Security until you’re 70.  Pay a bit of attention to the nearly 400 comments that wrestle the writer down – pretty much saying to take it when you’re eligible. And that’s so interesting when you look at the data the writer included -- with a deep sigh -- at the end: "Of the 1.4 million men and nearly 1.3 million women who began collecting benefits in 2012, about 1 percent of the men and nearly 2 percent of women were at least 70." Considering that virtually no one heeds it, no wonder the advice must be repeated, ad nauseum. In fact, five days earlier, the Wall Street Journal ran an article with the exact same advice! And AARP ran the same advice on October 24.  Ditto for USA Today on October 13.   

Four Hearing Technology Products Announced During 2013

For those with hearing loss – there’s some new technology in 2013.  Older adults, especially among the older age ranges (47% of those aged 75+), have a greater likelihood of hearing loss. On the positive side, they also have more choices today in terms of technologies (at multiple price points) to cope with various degrees and types of hearing loss. Confronting hearing loss is generally deemed essential to combat the social isolation -- and possible decline in cognitive skills -- that may occur as hearing loss worsens. It seems that only 15% of those with hearing loss mitigate it with some sort of technology assist such as an implant, hearing aids, personal sound amplification device (see FDA thoughts on this), or hearing loop technology in a concert or lecture hall (or senior housing dining hall). Here is a sample of the technologies that have been announced this past year:

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Infographics are everywhere -- is that a good thing?

Organizations love to create infographics – but why? In one click-and-slow-scan, an infographic (information graphic) can tell a story that typically takes 20 slides or a lengthy narrative. Within the past few years they have become so trendy and pervasive, along with the free and/or inexpensive tools to create them, that people are now giving advice about how to create cleaner infographics – a good idea – some are pretty awful.  In 2012, it seemed essential (although not clearly related to any objective, actually) to start collecting those that relate to aging, health,  business and technology.  Now there are quite a few, so let’s look at those from this past year – and perhaps some are useful in age-related businesses -- remember to scroll down past text in a few cases:

Tablets and smartphones, too hard to learn, too hard to use, not just for seniors

An inquiry about an iPad opens the door – to a maze of twisty passages, all alike.  We like to bring our iPad when we visit my 90-year-old mother-in-law. We walk her out of her memory care unit to a quiet living room and my husband shows his mother beautiful images of kittens and cats. As we passed the 40-something concierge at the front desk, she asked us about whether she should get an iPad.  This woman does not own a smart phone and has no Internet service in her house -- and apparently no friends to guide her in this process. If you were asked this question and had just a bit more information about her situation, what would you say?

Using Tech to create Smart Walls and Tables for Dementia Care

Dementia care – it’s 4:00 and what’s happening?  In a nearby memory care unit in an Assisted Living community, the movie has ended, the credits rolled. Next up – visitors hear loud yelling and observe a staff member separating and redirecting an able-bodied resident. Count the number of residents in wheelchairs -- nearly half of the unit -- awaiting some physical care before dinner. These residents seem ever-more frail -- likely because they are delaying move-in until the need is urgent. Often it appears that staff is supplemented with home health or companion services -- note that these providers are assigned to individual residents, not the group -- just like the resident-specific role played by visiting hospice workers. It may appear that there are many staffers around, but minus the one-on-one folks, there aren't enough staffers to keep everyone else occupied. Now consider the dependency on staff to engage these otherwise-bored and idle residents. Soon it will be dinner time and the activities person will have left for the day. Staff members (who earn a national average of $11.10/hour) get busy with ADL-related chores before/after meals and before bed.

Six New Technologies for Aging in Place

The fall is an event extravaganza – and oh, tech products to consider. Taking a look at AgeTech West in November, the mHealth Summit upcoming in December and the recent Health 2.0 and Connected Health Symposium events – and coming in 2014, there will be both Digital Health and Silvers Summit at CES. So as not to miss too many, here are a few selected from the near-term events, as always, hoping to avoid the not-yet-launched as well as including those for caregivers as well as care recipients. And please note – the descriptions of these come from the websites of the companies. Hint to founders – a website that starts with video is a bit lean. Paragraphs of text would help viewers better understand the value proposition – and be searchable!

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