Age differences in trust and reliance of a medication management system

The present study examined age differences in trust and reliance of an automated decision aid. In Experiment 1, older and younger participants performed a simple mathematical task concurrent with a simulated medication management task. The decision aid was designed to facilitate medication management, but with varying reliability. Trust, self-confidence and usage of the aid were measured. The results indicated that older adults had greater trust in the aid and were less confident in their performance, but they did not calibrate trust differently than younger adults. In Experiment 2, a variant of the same task was used to investigate whether older adults are subject to over-reliance on the automation. Differences in omission and commission errors were examined. The results indicated that older adults were more reliant on the decision aid and committed more automation-related errors. A signal detection analyses indicated that older adults were less sensitive to automation failures. Results are discussed with respect to the perceptual and cognitive factors that influence age differences in the use of fallible automation.