Welfare Technology in Practice: A Survey-Based Analysis of User Satisfaction, Expectations, and Needs

There is growing interest in using digital technology like welfare technology (WT) to support older adults (aged 75+) to age in place, particularly in Nordic countries. This cross-sectional survey study (n = 414), conducted in 18 Swedish municipalities, used descriptive statistics and binary logistic regression to examine: user experiences related to satisfaction with WT, as well as users’ expectations and perceived needs for WT related to safety, independence, activity, and participation. Results indicate that appealing aesthetics, user involvement in WT-related decisions, and confidence in use are central to WT satisfaction, yet remain insufficient for many survey respondents. Survey respondents with poorer health reported lower fulfillment expectations for WT, and those with lower economic status expressed less fulfillment of needs. Moreover, the specific WT acquired by participants provided limited support for older adults’ daily activities and participation, pointing to an important area for future research to address. These results reveal a clear misalignment between WT outcomes and Swedish policy objectives, as well as broader digital policy ambitions across the Organisation for Economic Co-operation and Development (OECD) countries. The study highlights the need for targeted improvements to enhance WT’s usability and impact, which should be carefully addressed by policymakers, technology developers, and care providers aiming to strengthen aging-in-place strategies.