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Social isolation and loneliness are common, often alongside multiple chronic diseases. Strengthening digital health literacy—digital skills and awareness of telehealth resources—offers a promising pathway, supported by a four-year development and testing effort. Three community-based strategies improve digital literacy and telehealth awareness, with trust shown as central to engaging technology-resistant learners.",{"@graph":69,"@context":127},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/three-community-tested-strategies-to-increase-hard-to-reach-older-adults-digital-health-literacy/425666/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/three-community-tested-strategies-to-increase-hard-to-reach-older-adults-digital-health-literacy/425666.png","ImageObject",300,407,{"name":92,"@type":93},"\tJames","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-06","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",14,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119,123],{"name":110,"@type":111,"acceptedAnswer":112},"Which older adult groups have the lowest technology use rates?","Question",{"text":113,"@type":114},"The lowest user rates occur among the oldest old and among older adults who are less affluent and less educated.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What is digital health literacy in this study?",{"text":118,"@type":114},"Digital health literacy includes improving digital skills and increasing awareness of telehealth resources.",{"name":120,"@type":111,"acceptedAnswer":121},"What are the three tested community strategies?",{"text":122,"@type":114},"(1) Trained volunteer coaches visit home-delivered meal recipients for coaching; (2) coaches work at congregate meal sites and senior center programs; (3) local groups develop tailored approaches using freely shared manuals and videos.",{"name":124,"@type":111,"acceptedAnswer":125},"Why didn’t loneliness and isolation improve significantly?",{"text":126,"@type":114},"Results may require longer-term effects, and baseline loneliness/isolation scores were relatively positive, while intervention intensity was relatively low.","https://schema.org",{"og:url":83,"og:type":129,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":131,"canonical":83},"index,follow",{"doc_id":133,"site_id":62},425666,1791021998,{"code":4,"msg":5,"data":136},{"doc_id":133,"user_id":137,"nickname":92,"user_avatar":138,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":139,"file_id":140,"file_url":141,"file_type":142,"file_size":143,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":144,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":145,"faqs":146,"seo_title":147,"seo_description":67,"update_tm":148,"read_time":24,"preview_page_count":4},2336474466412,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Innovation in Aging, 2025, Vol. 9, No. S2 391  \nAbstract citation ID: igaf122.1331  \nTHREE COMMUNITY-TESTED STRATEGIES TO  \nINCREASE HARD-TO-REACH OLDER ADULTS’  \nDIGITAL HEALTH LITERACY  \nPaul Freddolino, Fei Sun, Ha-Neul Kim, Ayaka Lingard, and AnnMarie Schneider, Michigan State University, East Lansing, Michigan, United States  \nIn most parts of the world, technology use among older adults is increasing, yet remains low. Lowest user rates are among the oldest old, less affluent, and less educated groups of older adults.  \n392 Innovation in Aging, 2025, Vol. 9, No. S2  \nMany older adults suffer from social isolation and loneliness, often alongside multiple chronic diseases. Enhancing digital health literacy, which includes improving digital skills and awareness of the resources available through telehealth, presents a promising strategy to address these issues. This session will highlight the results of a four-year effort to develop and test models designed to increase hard-to-reach older adults’ digital health literacy. Three successful strategies have emerged: 1) Trained volunteer coaches go directly to home delivered meals recipients’ homes for coaching; 2) Coaches present at congregate meal sites and senior center special programs; and 3) Local groups develop unique strategies that fit their preferences and resources, using manuals and videos freely shared with agencies. Process evaluation points to the role of trust in getting technology resistant older adults to be willing to learn about devices and telehealth. Preliminary outcome data from trials using all three models show improved digital literacy and increased telehealth awareness. However, results on loneliness and isolation measures have not shown statistically significant improvement, likely due to relatively positive scores on these measures at baseline and the relatively low intensity of the interventions.  \nLong-term effects may be more likely to appear. Resources developed for the models to support digital literacy among the aging population will be illustrated.","cbCaisRLNgEND49r","https://ap.wps.com/l/cbCaisRLNgEND49r","pdf",748470,"English","# Overview\n## Problem context\n## Digital health literacy approach\n# Four-year effort\n## Tested models and strategies\n## Role of trust\n## Outcomes and limitations\n# Resources and future considerations","[{\"question\":\"Which older adult groups have the lowest technology use rates?\",\"answer\":\"The lowest user rates occur among the oldest old and among older adults who are less affluent and less educated.\"},{\"question\":\"What is digital health literacy in this study?\",\"answer\":\"Digital health literacy includes improving digital skills and increasing awareness of telehealth resources.\"},{\"question\":\"What are the three tested community strategies?\",\"answer\":\"(1) Trained volunteer coaches visit home-delivered meal recipients for coaching; (2) coaches work at congregate meal sites and senior center programs; (3) local groups develop tailored approaches using freely shared manuals and videos.\"},{\"question\":\"Why didn’t loneliness and isolation improve significantly?\",\"answer\":\"Results may require longer-term effects, and baseline loneliness/isolation scores were relatively positive, while intervention intensity was relatively low.\"}]","THREE COMMUNITY-TESTED STRATEGIES TO INCREASE HARD-TO-REACH OLDER ADULTS’ DIGITAL HEALTH LITERACY | PDF",1790637968]