{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T16:49:38Z","timestamp":1791478178351,"version":"4.3.4"},"reference-count":74,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Res Protoc"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Although technology usage is steadily increasing among older adults, adoption and confidence greatly lag behind their younger counterparts. Sociocultural and health disparities intersect with aging to present distinct structural and psychosocial barriers to the adoption of newer technologies. Digital health literacy interventions can improve task-specific skills, technological self-efficacy, and use frequency, but most do not systematically incorporate older adults\u2019 values and goals, which are key drivers of sustained behavior change.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n The proposed study aims to develop and evaluate the acceptability and feasibility of a person-directed, values-based, in-home digital literacy intervention for older adults, entitled values-informed solutions for technology adoption (VISTA).<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n VISTA begins with a values and goals discussion rather than a skills test, mapping \u201cWhat Matters Most\u201d to individualized, SMART (specific, measurable, achievable, relevant, and time-bound) technology goals. Over 8 to 12 weeks, interventionists co-developed personalized learning plans with participants, delivering up to 6 in-home biweekly visits and interim phone calls. The study provided a tablet and assistance with obtaining home internet when needed. Outcomes included digital literacy (Mobile Device Proficiency Questionnaire), technology and chronic disease self-efficacy, social networks, multimorbidity, and frailty (Fried Frailty Phenotype). Feasibility was assessed via recruitment, retention or completion, data collection rates, survey administration time, withdrawal, intervention fidelity, and per-person cost; acceptability was assessed via a postintervention satisfaction survey (Likert and open-ended items) and willingness to recommend.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Funding was secured in November 2023. Institutional review board approval, intervention development, and focus groups were completed throughout 2024. Recruitment and baseline assessments occurred from January 2025 to July 2025, enrolling 21 participants and randomizing 11 to immediate intervention and 10 to waitlist control (waitlist participants received the intervention after a 3-month control period). One consented participant was unable to participate early in the intervention and is not included in analyses. Inclusion criteria included being aged 65 years and older, having English proficiency, and demonstrating a willingness to improve digital literacy. Exclusion criteria involved severe cognitive impairment. At baseline, participants had a mean age of 75.7 (SD 7.74) years and were predominantly female (n=13, 65%) and Black (n=19, 95%); most reported having a low income (10\/12, 83%), living alone (12\/14, 85.7%), and multimorbidity (mean disease count 3.95, SD 2.46). Follow-up assessments concluded in March 2026; data cleaning and analysis are ongoing, with primary feasibility and acceptability findings anticipated for fall 2026.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n This protocol offers a unique model centering on the values and goals of older adults to improve access, use, and understanding of technology. Tapping into the motivators of older adults may provide a more beneficial way to encourage older adult technology use. VISTA could be useful in many general contexts, more specifically for older adults who are homebound or have serious illnesses, or as a preintervention for interventions involving advanced technology understanding.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/85257","type":"journal-article","created":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T16:55:07Z","timestamp":1774544107000},"page":"e85257-e85257","source":"Crossref","is-referenced-by-count":1,"title":["Empowering Older Adults Through Values-Informed Solutions for Technology Adoption: Protocol for a Feasibility and Acceptability Randomized Controlled Pilot Trial"],"prefix":"10.2196","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0625-2474","authenticated-orcid":false,"given":"Melissa D","family":"Hladek","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7222-4773","authenticated-orcid":false,"given":"Olivia C","family":"Rubio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3596-7599","authenticated-orcid":false,"given":"Samantha","family":"Curriero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-2317-6870","authenticated-orcid":false,"given":"Samantha","family":"Horn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5724-9066","authenticated-orcid":false,"given":"Avrey","family":"Hughes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3078-1330","authenticated-orcid":false,"given":"Deborah H","family":"Wilson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3013-925X","authenticated-orcid":false,"given":"Mara","family":"McAdams-DeMarco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3425-5776","authenticated-orcid":false,"given":"Deidra C","family":"Crews","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5418-4982","authenticated-orcid":false,"given":"Sarah L","family":"Szanton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2026,5,21]]},"reference":[{"issue":"12","key":"R1","doi-asserted-by":"publisher","first-page":"1102","DOI":"10.1093\/tbm\/ibac070","article-title":"Older adults can use technology: why healthcare professionals must overcome ageism in digital health","volume":"12","author":"Mace","journal-title":"Transl Behav Med"},{"issue":"1","key":"R2","doi-asserted-by":"publisher","first-page":"5","DOI":"10.3928\/19404921-20121222-01","article-title":"The use of health information technology to improve care and outcomes for older adults","volume":"8","author":"Bowles","journal-title":"Res Gerontol Nurs"},{"key":"R3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2016.04.007","article-title":"Smart homes and home health monitoring technologies for older adults: a systematic review","volume":"91","author":"Liu","journal-title":"Int J Med Inform"},{"issue":"1","key":"R4","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-024-18036-5","article-title":"Barriers and facilitators to health technology adoption by older adults with chronic diseases: an integrative systematic review","volume":"24","author":"Bertolazzi","journal-title":"BMC Public Health"},{"issue":"6","key":"R5","doi-asserted-by":"publisher","DOI":"10.1093\/geroni\/igae042","article-title":"The benefits of technology for engaging aging adults: findings from the PRISM 2.0 trial","volume":"8","author":"Czaja","journal-title":"Innov Aging"},{"issue":"8","key":"R6","doi-asserted-by":"publisher","first-page":"1373","DOI":"10.1177\/0898264314543470","article-title":"Aging, place, and technology: toward improving access and wellness in older populations","volume":"26","author":"Satariano","journal-title":"J Aging Health"},{"issue":"6","key":"R7","doi-asserted-by":"publisher","first-page":"442","DOI":"10.1177\/2042753020946291","article-title":"What is digital literacy? 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