title: Willingness of older adults to share data and privacy concerns after exposure to unobtrusive in-home monitoring.
abstract: Older adult participants in the Intelligent Systems for Assessment of Aging Changes study (ISAAC) carried out by the Oregon Center for Aging and Technology (ORCATECH) were surveyed regarding their attitudes about unobtrusive home monitoring and computer use at baseline and after one year (n=119). The survey was part of a longitudinal study using in-home sensor technology to detect cognitive changes and other health problems. Our primary objective was to measure willingness to share health or activity data with one's doctor or family members and concerns about privacy or security of monitoring over one year of study participation. Differences in attitudes of participants with Mild Cognitive Impairment (MCI) compared to those with normal cognition were also examined. A high proportion (over 72%) of participants reported acceptance of in-home and computer monitoring and willingness to have data shared with their doctor or family members. However, a majority (60%) reported concerns related to privacy or security; these concerns increased after one year of participation. Few differences between participants with MCI and those with normal cognition were identified. Findings suggest that involvement in this unobtrusive in-home monitoring study may have raised awareness about the potential privacy risks of technology. Still, results show high acceptance, stable over time, of sharing information from monitoring systems with family members and doctors. Our findings have important implications for the deployment of technologies among older adults in research studies as well as in the general community.
authors.affiliation: Dept. of Neurology, Oregon Health & Science University, C. Rex & Ruth H. Layton Aging & Alzheimer's Disease Center, Portland, Oregon, USA.
authors.forename: Linda
authors.initials: L
authors.lastname: Boise
authors.forename: Katherine
authors.initials: K
authors.lastname: Wild
authors.forename: Nora
authors.initials: N
authors.lastname: Mattek
authors.forename: Mary
authors.initials: M
authors.lastname: Ruhl
authors.forename: Hiroko H
authors.initials: HH
authors.lastname: Dodge
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Kaye
keywords: activity monitoring; mild cognitive impairment; older adults; technology user receptivity