Does assistive technology substitute for personal assistance among the disabled elderly?
OBJECTIVE
This study examined whether use of equipment (technological assistance) to cope with disability was associated with use of fewer hours of help from another person (personal assistance).


METHODS
In a cross-sectional study of 2368 community dwellers older than 65 years with 1 or more limitations in basic activities of daily living (ADLs) from the 1994 National Long Term Care Survey, the relation between technological assistance and personal assistance was examined.


RESULTS
Among people with ADL limitations, multivariate models showed a strong and consistent relation between technological assistance and personal assistance, whereby use of equipment was associated with fewer hours of help.


CONCLUSIONS
Among people with disability, use of assistive technology was associated with use of fewer hours of personal assistance.
Hoenig
Helen
H
Department of Medicine/Geriatrics, Duke University Medical Center, Durham, NC, USA. helen.hoenig@duke.edu
Taylor
Donald H
DH
Sloan
Frank A
FA
D000203:Activities of Daily Living; D000223:Adaptation, Psychological / Q000145:classification*; D000368:Aged; D000369:Aged, 80 and over; D003072:Cognition Disorders; D003430:Cross-Sectional Studies; D005260:Female; D016330:Frail Elderly / Q000523:psychology* / Q000706:statistics & numerical data; D019538:Health Care Surveys; D006704:Homemaker Services / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008603:Mental Health; D012656:Self-Help Devices / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors; D014481:United States; D014600:Utilization Review