A qualitative meta-synthesis of reasons for the use or non-use of assistive technologies in the aging population

Models of the use of assistive technologies (ATs) have only moderate value for predicting older people´s use of ATs. To find further predictors we performed a systematic literature review and – applying an action-theoretical approach – a meta-synthesis of seven qualitative studies about older people´s reasons for use or non-use of ATs. We found 25 reasons referring to user´s beliefs and desires (e.g., about demand, act of using ATs, its consequences) of which 18 were not contained in existing AT use models. Some reasons generalized across ATs (e.g., perceived unreliability), whereas others (e.g., privacy concerns, desire to avoid burden to others) appeared specific to tele-alarm or smart home technology. We discuss findings with respect to improving AT use models and developmental counseling.