Evaluating the psychosocial impacts of e-care use among older people receiving long-term care in Slovenia through the adapted PIADS-10 scale

Lebar, Lea (author), Natek, Izidor (author), Hvalič Touzery, Simona (author), Jutai, Jeffrey William (author), Dolničar, Vesna (author)

Purpose: assistive technologies (ats), including e-care, are increasingly vital in supporting the ageing population’s long-term care; however, there is a scarcity of studies analysing the psychosocial impacts of e-care use among older people. the goal of this paper is twofold: first, to understand the psychosocial impacts of e-care use among older people receiving long-term care, and second, to evaluate the measurement properties of an internationally recognised self-report questionnaire, the Psychosocial impact of assistive Devices scale (PiaDs-10), specifically its multidimensionality and internal consistency of identified subscales. Materials and methods: a one-group post-test-only quasi-experimental intervention design was employed. Psychosocial impacts of e-care use were examined through an intervention study involving 217 older people in Slovenia, who tested e-care over an average period of 310.2 days. Participants were selected using purposive sampling. Results: Findings revealed important enhancements in perceived security, sense of control, independence and overall quality of life among e-care users. exploratory factor analysis of the PiaDs-10 yielded two factors (psychological well-being and adaptability), supporting a reduced 8-item version (si-PiaDs-8), which was further supported through confirmatory factor analysis. Conclusions: these findings indicate that the PiaDs-10 could be refined to an 8-item, two-factor version with improved relevance for assessing psychosocial impacts among older adults using e-care. such insights can help stakeholders design and adapt ats that better support ageing in place.

• Language: English
• Keywords: assistive technology, e-care, psychosocial impacts, long-term care, older people, PiaDs
• Work type: Article
• Typology: 1.01 - Original Scientific Article
• Organization: FDV - Faculty of Social Sciences
• Publication status: In print
• Publication version: Version of Record
• Year: 2025
• Number of pages: 14 str.
• Numbering: Vol. , no.
• PID: 20.500.12556/RUL-177765
• UDC: 364
• ISSN on article: 1748-3115
• DOI: 10.1080/17483107.2025.2607059
• COBISS.SI-ID: 263620611
• Publication date in RUL: 06.01.2026

Record is a part of a journal

• Title: Disability and rehabilitation : Assistive technology
• Shortened title: Disabil. rehabil., Assist. technol.
• Publisher: Taylor & Francis
• ISSN: 1748-3115
• COBISS.SI-ID: 1611113

Licences

• License: CC BY 4.0, Creative Commons Attribution 4.0 International
• Link: http://creativecommons.org/licenses/by/4.0/
• Description: This is the standard Creative Commons license that gives others maximum freedom to do what they want with the work as long as they credit the author.