A-026 Older Adults’ Likelihood of Participation in Home-Based Cognitive Assessment: The Role of Age, Geographic Location, and Income

Abstract

Abstract Objective Recent implementations of teleneuropsychological services allow cognitive assessment to take place within the individual’s home. Geographic location and financial resources may influence older adults’ decision to access these services. Additionally, the likelihood of older adults’ participation in home-based cognitive assessment (HBCA) is unknown. We aimed to examine the relationship between age, geographic location, income, and likelihood of participation in HBCA. Method A nation-wide sample of 483 adults ages 50–79 completed an online survey via the crowdsourcing website Amazon Mechanical Turk. Respondents were asked about age, income and geographic location (e.g. rural, urban, suburban). Income was categorically measured in $20,000 increments. Likelihood of participation in HBCA was measured using 4 likert-scale items. Total likelihood was calculated by summing items. Results Perceived likelihood of participating in HBCA increased with greater household income, B = .087, p = .001 (0-20 K: M = 13.08 ± 4.19; 20-40 K: M = 14.76 ± 3.39; 40-60 K: M = 14.55 ± 3.49; 60–80 K: M = 14.55 ± 3.38; 80-100 K: M = 15.11 ± 2.83 and > 100 K: M = 15.48 ± 2.55). Likelihood decreased with age, B = −.061 p = .025 (50–59: M = 15.03 ± 3.56; 60–69: M = 14.31 ± 3.52, 70–79 M = 14.29 ± 3.27). Likelihood was not related to geographic location B = −.005, p = .933 (rural: M = 14.52 ± 3.84; suburban: M = 14.48 ± 3.31; urban: M = 14.48 ± 3.56). Conclusion Adults aged 50–59 with high income were the group most likely to participate in HBCA. Geographic location does not appear to play a role in acceptance of HBCA. However, this survey was conducted with online respondents. Different results may be obtained with in-person samples.