Does assistive technology substitute for personal assistance among the disabled elderly

Objectives. This study examined whether use of equipment (technological assistance) to cope with disability was associated with use of fewer hours of help from another per-son (personal assistance). Methods. In a cross-sectional study of 2368 community dwellers older than 65 years with 1 or more limitations in basic activities of daily living (ADLs) from the 1994 National Long Term Care Survey, the relation between technological assistance and personal assistance was examined. Results. Among people with ADL limitations, multivariate models showed a strong and consistent relation between technological assistance and personal assistance, whereby use of equipment was associated with fewer hours of help. Conclusions. Among people with disability, use of assistive technology was associated with use of fewer hours of personal assistance. (Am J Public Health. 2003;93:330–337