Tailoring Digital Technology Implementation for Older Adults in Home Care: The E-TECH Protocol
Tanya Davison

Date and Time

Friday, November 13, 2026, 1:30 PM - 1:45 PM

Theme / Track

Service delivery, workforce and reform

Presentation Format

Concurrent

Introduction Digital technologies can support older adults to live independently at home, but their implementation requires tailoring to meet the individual characteristics of home care recipients. This study aimed to 1) develop a protocol to enable home care providers to tailor implementation, and 2) to investigate its feasibility and face validity in a pilot. Methods An international multidisciplinary expert panel developed the Enhanced Technology Engagement for Care in the Home (E-TECH) protocol. This tool integrates measures of cognitive status, age, education, apathy, and technology experience to stratify home care recipients receive a ‘standard’ or ‘enhanced’ support approach, and was tested in a digital mental health pilot. Outcomes included support time (total and ad hoc minutes), user engagement (logged active days), and intervention satisfaction (CSQ-8). Descriptive statistics were reported. Results Thirteen participants were stratified (n=7 standard, n=6 enhanced support). Total support time was higher in the enhanced group (median=115 minutes, IQR: 85-159.5) than standard (median=60 minutes, IQR: 55-105), but ad hoc support (enhanced median=15 minutes, IQR: 7.5-69.5; standard median=0 minutes, IQR: 0-15) and user engagement were similar (standard median active days=6, IQR: 5-7; enhanced median=6.5, IQR: 5-8). Intervention satisfaction was lower in the enhanced group (median CSQ-8=25, IQR: 21-29) than standard (median CSQ-8=27, IQR: 26-29). Discussion The E-TECH protocol demonstrated feasibility, with face validity partially supported. Refinements and recommendations for further validation of the E-TECH protocol are described, to help support equitable implementation of technologies for older people receiving aged care at home.

Keywords

Home Care, Implementation, Technology

Authors

Dr Thomas Vasey, Silverchain
Dr Marissa Dickins, Silverchain
Dr David Neal, Amsterdam University Medical Centre
Dr Marissa Dickins, Silverchain
Prof Sunil Bhar, Swinburne University of Technology
Prof Tuan Nguyen, National Ageing Research Institute
Prof Sonya Pedell, Swinburne University of Technology
Prof Karen Smith, Silverchain