AUTHOR=Li Sheng , Yunus Marzudi Md , Hussain Rosila Bee Binti Mohd , Lin Wenyuan 

TITLE=Cultural adaptation to aging: a study on digital cultural adaptation needs of Chinese older adults based on KANO model

JOURNAL=Frontiers in Public Health

VOLUME=Volume 13 - 2025

YEAR=2025

URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2025.1554552

DOI=10.3389/fpubh.2025.1554552

ISSN=2296-2565

ABSTRACT=IntroductionWith the rapid advancement of digitalization and an aging population, China faces unprecedented challenges in older adults’ digital cultural adaptation. The “54th Statistical Report on China’s Internet Development” reveals that individuals aged 60 and above constitute 14.3% of total internet users. However, significant barriers persist in their digital participation, necessitating a deeper understanding of their adaptation process and needs.MethodsThis study employs the KANO model to assess older adults’ digital cultural adaptation. A total of 205 respondents participated in a questionnaire survey, with data analyzed using the highest frequency method and the Better-Worse coefficient. The study categorizes digital cultural needs into three dimensions: must-be requirements, one-dimensional requirements, and attractive requirements.ResultsThe findings indicate that: 1. Older adults’ digital cultural needs comprise must-be requirements (basic functional design, 47.8%), one-dimensional requirements (social participation, 36.1%), and attractive requirements (innovative experiences, 66.8%). 2. Intergenerational cultural cognitive differences, digital skill levels, and the urban–rural digital divide significantly impact their adaptation process. 3. While respondents positively evaluate digital life satisfaction, personal adaptation, and digital content diversity, they express dissatisfaction and expectations regarding family guidance, age-friendly digital services, and the role of digital content in improving life quality.DiscussionThe results highlight the need for targeted strategies in technical support, content design, and service provision to enhance older adults’ digital cultural adaptation. Addressing group-specific needs and preferences through coordinated measures can improve digital inclusion, foster intergenerational cultural integration, and optimize digital cultural service systems. This study offers valuable theoretical insights and practical implications for advancing policies and initiatives that support older adults in the digital era.