{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:38:27Z","timestamp":1789691907441,"version":"4.0.1"},"reference-count":22,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T00:00:00Z","timestamp":1728432000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Appl Gerontol"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:p>\n                    This paper describes a technology program aimed at developing technical skills and confidence, reducing social isolation and loneliness, and increasing healthcare self-management and self-efficacy among older adults. We conducted a mixed-methods study using surveys collected at baseline and 12\u00a0months from 90 older adults. Focus group data (\n                    <jats:italic>n<\/jats:italic>\n                    = 7) collected at 12\u00a0months were examined for convergence with key quantitative outcomes, emergent value-related themes, and evaluation of program structure and staff. Outcome data showed improvements in loneliness (Cohen\u2019s d = \u22120.24,\n                    <jats:italic>p<\/jats:italic>\n                    = .004) (validated by qualitative data), self-rated health (d = 0.23,\n                    <jats:italic>p<\/jats:italic>\n                    = .011), and healthcare self-efficacy (d = 0.31,\n                    <jats:italic>p<\/jats:italic>\n                    = .004). Participants with higher healthcare self-efficacy (\u03b2 = 0.24,\n                    <jats:italic>p<\/jats:italic>\n                    = .03) and higher negative emotions (\u03b2 = 0.28,\n                    <jats:italic>p<\/jats:italic>\n                    = .01) had greater frequency of internet use to search for health information. Qualitative findings described program mechanisms supporting increases in self-efficacy, including increased technology use and confidence, and values statements demonstrating the meaningfulness of learning technology and its impact on multiple domains of quality of life.\n                  <\/jats:p>","DOI":"10.1177\/07334648241289928","type":"journal-article","created":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T16:06:18Z","timestamp":1728489978000},"page":"825-837","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["A Technology-Based Intervention Impacts Quality of Life for Low-Income Older Adults by Reducing Loneliness and Improving Healthcare Self-Efficacy and Self-Rated Health"],"prefix":"10.1177","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7788-7146","authenticated-orcid":false,"given":"T. Anne","family":"Richards","sequence":"first","affiliation":[{"name":"Curry Senior Center, San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doug","family":"Oman","sequence":"additional","affiliation":[{"name":"University of California, Berkeley, Berkeley, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"DiMartino","sequence":"additional","affiliation":[{"name":"Curry Senior Center, San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashwin A.","family":"Kotwal","sequence":"additional","affiliation":[{"name":"University of California, San Francisco, San Francisco, CA, USA"},{"name":"San Francisco Veterans Affairs Medical Center, San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,10,9]]},"reference":[{"key":"e_1_3_5_2_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1463423620000584"},{"key":"e_1_3_5_3_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2022.31.2.86"},{"key":"e_1_3_5_4_1","unstructured":"Caplan Z. (2023). U.S. population grew from 2010 to 2020 at fastest rate since 1880 to 1890. United States Census Bureau. Retrieved February 19 2024 from. https:\/\/www.census.gov\/library\/stories\/2023\/05\/2020-census-united-states-older-population-grew.html"},{"key":"e_1_3_5_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0733464815589985"},{"key":"e_1_3_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.explore.2020.06.008"},{"key":"e_1_3_5_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0733464820910028"},{"key":"e_1_3_5_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/07334648221120458"},{"key":"e_1_3_5_9_1","volume-title":"A changing landscape: Food security and services in San Francisco\u2019s Tenderloin","author":"Harder Company","year":"2013","unstructured":"Harder Company. (2013). A changing landscape: Food security and services in San Francisco\u2019s Tenderloin. Harder Company. https:\/\/www.sfdph.org\/dph\/files\/mtgsGrps\/FoodSecTaskFrc\/docs\/AChangingLandscape-FoodSecurityintheTenderloin.pdf"},{"key":"e_1_3_5_10_1","volume-title":"How serious is the Tenderloin\u2019s drug problem?","author":"Kupfer M.","year":"2022","unstructured":"Kupfer M. (2022, October 20). How serious is the Tenderloin\u2019s drug problem? The San Francisco Standard. Retrieved January 15, 2024 from. https:\/\/sfstandard.com\/2022\/10\/20\/how-serious-is-tenderloins-drug-problem-heres-what-city-data-says\/"},{"key":"e_1_3_5_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0093650208315962"},{"key":"e_1_3_5_12_1","doi-asserted-by":"publisher","DOI":"10.1057\/sth.2013.10"},{"key":"e_1_3_5_13_1","volume-title":"Chronic inequities: Measuring disease cost burden among older adults in the U.S. A health and retirement study analysis. Page 5, Figure 2","author":"National Council on Aging","year":"2022","unstructured":"National Council on Aging. (2022, April). Chronic inequities: Measuring disease cost burden among older adults in the U.S. A health and retirement study analysis. Page 5, Figure 2. National Council on Aging. https:\/\/ncoa.org\/article\/the-inequities-in-the-cost-of-chronic-disease-why-it-matters-for-older-adults"},{"key":"e_1_3_5_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/07334648231190228"},{"key":"e_1_3_5_15_1","volume-title":"Hierarchical linear models: Applications and data analysis methods","author":"Raudenbush S. W.","year":"2002","unstructured":"Raudenbush S. W., Bryk A. S. (2002). Hierarchical linear models: Applications and data analysis methods (2nd ed.). Sage.","edition":"2"},{"key":"e_1_3_5_16_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.39.3.472"},{"key":"e_1_3_5_17_1","volume-title":"Performance scorecard \u2013 traffic fatalities","author":"San Francisco City Government","year":"2018","unstructured":"San Francisco City Government. (2018). Performance scorecard \u2013 traffic fatalities. San Francisco City Government. Retrieved January 15, 2024 from. https:\/\/sfgov.org\/scorecards\/transportation\/traffic-fatalities"},{"key":"e_1_3_5_18_1","volume-title":"Crime data","author":"San Francisco Police Department","year":"2018","unstructured":"San Francisco Police Department. (2018). Crime data. San Francisco Police Department. Retrieved January 15, 2024 from. https:\/\/www.sanfranciscopolice.org\/stay-safe\/crime-data\/crime-dashboard"},{"key":"e_1_3_5_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssmph.2021.101020"},{"key":"e_1_3_5_20_1","doi-asserted-by":"crossref","unstructured":"Siette J. Knaggs G. T. Zurynski Y. Ratcliffe J. Dodds L. Westbrook J. (2021). Systematic review of 29 self-report instruments for assessing quality of life in older adults receiving aged care services. BMJ Open 11 Article e050892. https:\/\/doi.org\/10.1136\/bmjopen-2021-050892","DOI":"10.1136\/bmjopen-2021-050892"},{"key":"e_1_3_5_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/073346489901800306"},{"key":"e_1_3_5_22_1","volume-title":"Home is a hotel [Film]","author":"Wong K. D.","year":"2023","unstructured":"Wong K. D.(Director) (2023). Home is a hotel [Film]. KQED."},{"key":"e_1_3_5_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e31824642fd"}],"container-title":["Journal of Applied Gerontology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/07334648241289928","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/07334648241289928","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/07334648241289928","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T19:32:52Z","timestamp":1777491172000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/07334648241289928"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,9]]},"references-count":22,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1177\/07334648241289928"],"URL":"https:\/\/doi.org\/10.1177\/07334648241289928","relation":{},"ISSN":["0733-4648","1552-4523"],"issn-type":[{"value":"0733-4648","type":"print"},{"value":"1552-4523","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,9]]}}}