Identifying and evaluating factors influencing technology adoption: A multi-pilot study within the Pharaon project

Introduction: The global increase in the older adult population has amplified interest in supporting aging in place. Age-related physical and cognitive limitations pose significant challenges, for example managing daily tasks such as medication or household activities can become increasingly difficult. This also burdens informal caregivers with emotional stress, time demands and care coordination. Assistive technologies can enhance autonomy, social connection and health management, but their long-term adoption and use remain limited. Methods: Within the Pharaon project, the study explored factors influencing technology use among older adults after 12 months of use. The research focused on the Italian pilot while integrating insights from other European sites. Qualitative data from semi-structured interviews were analyzed thematically and validated through reflection meetings and iterative online questionnaires. Recurring factors were consolidated, prioritized and mapped to explore interconnections affecting adoption. Results: Initial findings revealed 30 factors, including personal characteristics, motivational aspects, technical design, social dynamics, and environmental context. These were rated by participating teams and 25 were retained for deeper analysis. An interconnection analysis explored how these factors influenced one another. Highly interconnected factors, such as social context, personalized training, ease of use, and cognitive changes, were central to understanding and improving technology adoption. In contrast, aspects like education level, internet access, and technical requirements appeared less interconnected, indicating more isolated effects. Discussion: This multi-site, empirical investigation emphasizes the complex and interconnected nature of technology adoption among older adults. Our findings underscore the need for user-centered design, tailored training, and sensitivity to social context. Furthermore, the interactive mapping of interrelated factors provides a practical framework for developers and policymakers to target impactful interventions. To our knowledge, this is the first cross-pilot study to empirically define and score factors affecting older adults' technology use based on multi-pilot data across Europe, offering valuable insights for long-term, meaningful engagement.