Increased Use of Asocial Technologies Is Associated with Reduced Well-being Among Older Adults

Aging-Friendly Technology DesignUniversal & Inclusive DesignElderly Care WorkersFamily Caregivers

Research Background and Issues

  • Identified Problems or Challenges: The authors introduce the concept of "asocial technologies," referring to technologies that digitize traditional face-to-face activities (e.g., online shopping, online payments). While these technologies offer convenience, they reduce opportunities for face-to-face interactions, which is particularly detrimental to older adults (65+), who are more prone to isolation. The key issue is whether "asocial technologies" have long-term negative impacts on the mental health and overall well-being of older adults.
  • Importance of the Issue: Face-to-face interactions are critical for the emotional and mental health of older adults. Due to factors like retirement, the loss of loved ones, and mobility limitations, older adults already face a higher risk of social isolation. "Asocial technologies" may exacerbate this trend, profoundly affecting the health and well-being of this demographic.
  • Research Motivation and Related Work:
    • The study contributes to the ongoing debate in existing literature on the relationship between technology use and the health of older adults. Some studies suggest that technology use alleviates loneliness and depression among older adults, while others find no significant positive or negative effects.
    • The research aims to fill a gap by exploring how the use of "asocial technologies" (which shift face-to-face activities online) impacts the mental health and well-being of older adults, using longitudinal data to uncover long-term consequences.

Proposed Solution

  • Proposed Solution: The authors conducted a longitudinal study analyzing data from the National Health and Aging Trends Study (NHATS) in the U.S. from 2015 to 2022. The study examines the relationship between older adults' use of "asocial technologies" and their mental health (depression, anxiety) and overall well-being.
  • Innovative Aspects:
    • Introduced the novel concept of "asocial technologies," focusing specifically on their impact on the social and mental health of older adults.
    • Employed a "within-between-level analytical framework," which captures both individual-level behavioral changes (within-level) and overall population trends (between-level).
  • Implementation Steps and Key Techniques:
    1. Used longitudinal data from NHATS to track older adults' use of key technologies (e.g., online shopping, telemedicine).
    2. Measured mental health and well-being using the PHQ-2 depression scale, GAD-2 anxiety scale, and self-rated overall health.
    3. Controlled for confounding variables (e.g., social tendencies, functional limitations, demographic data) to minimize bias in the results.
    4. Applied path modeling to distinguish individual-level effects (within-level) from group-level effects (between-level), revealing both short-term and long-term associations.

Research Findings

  • Specific Findings:
    • At the individual level (within-level): Increased use of "asocial technologies" was significantly associated with higher levels of anxiety and depression and a decline in overall health over time.
    • At the group level (between-level): On average, individuals who used "asocial technologies" more frequently exhibited better well-being (lower depression and anxiety, better overall health) compared to those who used them less.
    • The authors explained this "non-homologous relationship," where short-term individual effects and long-term average trends may diverge.
  • Advantages Compared to Existing Solutions:
    • Longitudinal analysis reveals causal relationships over time, unlike cross-sectional studies.
    • The within-between analytical framework separately considers short-term individual behavioral fluctuations and long-term population-level trends, offering more comprehensive insights.
  • Experimental or Evaluation Results:
    • The data model explained 1.1% of the variance in depression, 1.6% in anxiety, and 2.5% in overall health.
    • Autoregressive effects were observed between PHQ and GAD, indicating inertia in older adults' mental health and behaviors.
    • Social interaction had a positive effect on health, while aging was associated with health decline.
  • Limitations and Future Directions:
    • The data is limited to older adults in the U.S. and reflects a highly individualistic cultural context, raising questions about its applicability to other cultures.
    • The study lacks a detailed categorization of "asocial technologies" (e.g., whether online shopping and telemedicine have different effects).
    • Future research could explore the potential impact of the COVID-19 pandemic on these technology usage patterns and well-being.
    • Higher-frequency and more granular measurements could improve model predictive power.
    • Qualitative participatory design methods should involve older adults in technology development to ensure designs meet their complex personal and social needs.

Conclusion

This study introduces the concept of "asocial technologies" for the first time and validates their negative impact on the mental health and overall well-being of older adults using robust longitudinal data and analytical frameworks. The authors emphasize the need to go beyond functional requirements when designing digital technologies for older adults and to incorporate socialization value into the design to mitigate potential risks of social isolation. This research provides significant theoretical and methodological contributions to the field of Human-Computer Interaction (HCI) in designing technologies for older adults and highlights key directions for future research.

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https://hci.top/en/papers/chi/189489/2025

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DOI: https://dl.acm.org/doi/10.1145/3706598.3713135
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CHI
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2025
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Aging-Friendly Technology Design, Universal & Inclusive Design
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Elderly Care Workers, Family Caregivers
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