Creative Pathways: Understanding the Acceptance of Technology for Digital Arts-Based Activities Among Older Chinese Adults with Mild Cognitive Impairment

As cognitive impairment among older adults becomes more prevalent, digital arts-based activities have emerged as a promising non-pharmacological intervention, yet their acceptance among those with mild cognitive impairment (MCI) remains underexplored. This study employed a mixed-methods approach to investigate acceptance and feasibility of related technologies. We interviewed 36 older adults, 3 caregivers, and 1 art therapist to examine perceptions, preferences, and willingness to engage. Participants showed positive attitudes, especially toward personalized content and user-friendly interfaces. Key factors influencing acceptance included user characteristics, environmental support, and product requirements. We then surveyed 204 older adults using the Senior Technology Acceptance Model (STAM). Structural equation modeling showed that perceived usefulness, ease of use, and enjoyment significantly predicted adoption intention, while cognitive ability and facilitating conditions positively affected these perceptions. This research advances understanding of technology acceptance for digital art-based activities among this group and informs design of interventions supporting cognitive and emotional well-being.