Laurie Orlov's blog

Older adults will adapt to change and adopt new technology. When an 88-year-old neighbor is filming fireworks with his smartphone, it is easy to see that times have changed. If an affordable technology can be found that meets a personal need (or answers a compelling question with AI), people will find it and get it to work. Remember encyclopedias – we now cannot imagine any process that would again make them useful. Could training be more readily found? Will all devices default to ‘Accessibility’ and security options that you must undo? 

Touch screens are an unending aggravation. Study the iPhone commands, for example.  Push up to get the display, pull down to select ‘Do not disturb’, but not too hard, because many other options appear. Push sideways, to change screens, move an icon around the screen, and, well, you know what happens then. Of course, knowing these choices is based on experience (and experimentation over time), not based on any training.  So what if you encounter the device for the first time?  Your hands shake just a bit, and you remember how much you liked having a keyboard…You wonder, are there ways to train new (and older) users on how to use touch screens – and for that matter, the essentials of the device? And will Siri’s voice commands overcome the touch screen’s limitations? Yes, actually.

Maybe it really is time for the 'virtual' AgeTech suite. As HLTH 2024 wrapped up this month, including its plethora of small-scope, standalone AgeTech offerings, look over at the world of Digital Health. A drop in funding precipitated a rethink on the part of some companies – causing them to acquire functionality rather than build it themselves – and saving time and money. Duh.  Looking at the 58 companies that made up the AgeTech exhibit hall at HLTH, they are prime candidates as well for combination into 'virtual' suites. No integration required, just marketing awareness that in the eyes of the ultimate user, family member or reseller, one offering is complementary to another.  And more to the point, that user may need all of them at one point or another, as physical wellbeing, mental capacity, and social connections -- will likely evolve over time.   

HLTH 2024 wrapped up last week in Las Vegas – where else?  AI was a big topic – transformational, embedded in health tech, capitalizing on the buzz. Or growing caution, concern about regulation, data quality issues, depending on the perspective. Others fretted about the state of healthcare in the US (not good), physician burnout (not good) and the health status of Americans, especially the mental health of young people (not good).  All these despite the promise of AI-enablement of laborious processes, hospital at home, conversational AI, new drugs, and many tech innovations. Looking through the exhibitor list, fifty-eight companies self-identified as AgeTech at HLTH.

The tech user experience – still flawed and in need of fixing.  As noted in the May report, The User Experience Needs an Upgrade, the requirement to use smartphones and other tech is growing exponentially – in-person and by-telephone experiences have disappeared or deteriorated.  Yet there are few useful ways to help older adults navigate the thicket of user interfaces, and this only becomes more obvious as AI capabilities emerge that could be extremely useful, but finding and understanding them is, well, work.  Frustration bubbles up here and there – AARP’s 2024 Tech Trends and Adults 50+ noted that only 61% of adults aged 70+ felt they had the digital skills to fully take advantage of being online. 

Concerns about AI are all around, but its future role is inevitable.  There it is, one consumer well-publicized survey after another, whether it is the WSJ,  Pew Research or AARP,  even as adoption in business, healthcare and other industries grows.  Consumers continue to express worry – but in the meantime…82% of companies are either using or exploring use of AI today. That parallels the senior living and care organizations interviewed for this new report – there is a combination of evaluating, limited use, and actually in use with benefit. Interviewees contributed ideas, actual projects and concerns, helping to shape the new report, The Future of AI in Senior Living and Care.

A new study offers a conundrum, or maybe a marketing problem.  Most Americans 50 and older don’t trust AI-generated health information, says a new poll published by the University of Michigan. But they do trust their own ability to figure out what information is good and what isn’t when they look for it.  They say they trust WebMD, Healthline. And yet only 32% said it was easy to find accurate health advice.  But how would you know what is accurate? And the 84% who said they got health information from a health care provider, pharmacist, friend or family member in the past year. A friend or family member?  Really?

It’s that awful time – the hurricane season. The time when the national hurricane center forecasts, repeated ad nauseum, are destined to frighten everyone, no matter how far from affected regions. The same broadcast can dwell on cones and paths, shout at those in beach areas that the evacuation instructions are meant for them – “IF YOU STAY, YOU WILL DIE!” Mapping the cone of the hurricane and talking constantly about evacuation sounds like a plan – but some observe that the distance required to evacuate to safety could be long – and thus talking about availability of shelters makes more sense. So residents who will 'shelter in place' stock up before stores begin closing, and gas stations run out of gas . Then they watch the 24-hour source of all fear – cable news, looking for guidance from Jim Cantore, that icon among storm trackers.

No surprise – AI tools are already part of senior living operations and planning. The research phase is nearly complete for the report on AI in Senior Living and Care.  It is increasingly apparent that AI is not a future for many. it is already solving vexing problems that proprietary or existing apps could not effectively tackle, whether in senior living or skilled nursing home environments. Although a few interviewees felt that AI tools were 'not quite ready for prime time' all saw that the future benefit, particularly in terms of more effective use of data, optimizing workloads of staff, and proactive monitoring of the wellbeing of residents. The report will quote specific executives about their experiences, but here are insights from the 20 conversations held to date:

Is aging in place a smart strategy? Here we go again.  In a brand new and similarly rosy article in the Wall Street Journal, more of the same mediocre advice is offered about how to prepare. Have a frank talk with family members. Maybe do some home modifications (those rickety stairs? Or a $20,000+ elevator), or address that lengthy distance from a supermarket? Maybe the 3-4% of older adults with long-term care insurance will pay for home care that averages $24,000/month for round-the-clock care.  Hmmm. Or voice-activated devices, says an AARP exec, will be helpful for his long-distance aging parents. Says a family, we want Mom to stay in her house, and so we pay $4000 per month for care, because staying in her house is keeping her alive. Really.