Author ORCID Identifier

Date Available


Year of Publication


Degree Name

Doctor of Philosophy (PhD)

Document Type

Doctoral Dissertation


Public Health



First Advisor

Dr. Graham D. Rowles


The goal of this dissertation was to gain an in depth understanding of intention to use and use of communication technology (CT) by long-term cognitively intact nursing home residents. This study also explored the value of the unified theory of acceptance and use of technology (UTAUT) as a framework for investigating the CT use of long-term cognitively intact nursing home residents. A convergent mixed methods design was used to gather data through semi-structured interviews, a nursing home resident communication technology checklist, a modified UTAUT questionnaire, the UCLA loneliness scale 10 item version, and the self-rated health scale. Participants (n = 40) were recruited from six nursing homes in Kentucky. The majority of the participants (65%) used some type of communication technology more advanced than a landline telephone, twenty percent (20%) of the participants used only a landline telephone, and fifteen percent (15%) did not use any form of communication technology. Findings emphasize the value that communication technology holds with long-term cognitively intact nursing home residents through connection, feeling of security, support, and continued learning. The findings reveal the increased need for research to understand how CT affects the lives of long-term cognitively intact nursing home residents. To add to this research a revised UTAUT model tailored to the cognitively intact long-term nursing home resident is proposed which includes the constructs performance expectancy, effort expectancy, and facilitating conditions moderated by age, functional health, personal communication preferences, and experience.

Digital Object Identifier (DOI)