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how is technology changing our brains

How Is Technology Changing Our Brains? The Neuroscience Behind It

This piece asks a central question: what do contemporary neuroscience and peer‑reviewed work say about the human brain’s adaptability under sustained exposure to digital media and devices?

Emerging research shows mixed effects. Some studies link frequent digital media use with attention shifts, altered sleep and social changes. Other findings note neural gains from internet search, cognitive training and digital therapeutics.

We define the term broadly to include smartphones, social platforms, videogames and online tools. The brain responds to patterns of use, content and context over time.

This article will prioritise data-led analysis, drawing on neuroimaging and behavioural studies, including work at UCLA and a review in Dialogues in Clinical Neuroscience (2020).

Expect a clear guide: we will separate short‑term effects such as distraction from longer‑term development and consider practical implications for daily life.

Table of Contents

Executive overview: a data-led look at technology’s impact on the human brain

Large-scale evidence shows both gains and costs from modern media use. Population reports note very high smartphone penetration among younger adults and an estimated 20% of adults online 40+ hours weekly. WHO guidance on children’s screen time further signals public health concern.

Across lab and cohort studies, robust findings include attention costs from multitasking, poorer comprehension for complex texts read on screens, and sleep disruption tied to evening screen time. Some structured cognitive training and select games produce measurable benefits for working memory and executive skills.

Effects vary by age, content and context. Children show stronger sensitivity in language networks and executive development, while heavy multitaskers display reduced working memory capacity and greater distractibility. Simply having a smartphone visible can lower short-term memory performance.

Policy responses now reflect these patterns. Schools and public health bodies aim to limit phone use and guide daily screen habits. Yet many studies rely on self-report, so causal claims remain tentative.

Bottom line: small, everyday choices about screen time, multitasking and device presence can shift attention, behaviour and health. Later sections will separate where the evidence is strongest from areas that need firmer causal data.

User intent and scope: what readers mean by “how is technology changing our brains”

Search queries often hide several concrete worries about attention, memory and sleep when people ask about device use. Readers want to know whether everyday media use causes lasting shifts in attention, emotion, social behaviour or learning.

For this report, technology means consumer devices and platforms: phones, tablets, social media, games and the wider online information space. We focus on neuroscience and behavioural studies that quantify media use and its impact over time.

People often ask about children, adult ageing and lifespan effects. Many also seek evidence about social media: connection versus isolation, empathy and quality of interaction.

  1. We mark scope: peer‑reviewed studies, neuroimaging and longitudinal cohorts.
  2. We separate mechanisms (cognitive control limits, reward systems) from outcomes (sleep, attention, behaviour).
  3. “Use” here covers frequency, duration, content type and context—factors studies capture differently.
Reader intent Typical question Evidence strength What we report
Attention & productivity Do notifications harm deep work? Moderate Multitask costs, practical tips
Social effects Does social media reduce empathy? Mixed Connection vs isolation nuances
Health & sleep Does evening screen time worsen sleep? Strong Sleep disruption and downstream cognition

media use brain

Foundations: brain plasticity, cognitive control and the digital environment

At root, the brain adapts: repeated patterns of attention and action reshape neural wiring.

Cognitive control, attention and working memory under digital load

Cognitive control refers to processes that enable focus, goal management and short-term memory. It governs when to switch tasks and when to sustain effort.

Working memory acts as a limited-capacity mental workbench. Rapid task switching and frequent notifications overload it and lower performance.

Synaptic plasticity: “use it or lose it” in a connected world

Synaptic plasticity means repeated practice strengthens circuits, while disuse leads to pruning. Classic studies of taxi drivers and musicians show real cortical change.

In the digital environment, fast, shallow attention patterns can train the brain toward scanning and reactivity. Some studies report gains, such as faster visual shifts, while others show reduced deep reading and recall.

Mechanism Typical effect Implication
Cognitive control limits Multitask costs, lower accuracy Design for single-task focus
Synaptic plasticity Strengthening with practice Choose learning contexts over passive media
Cortical space competition Expansion of used circuits Protect developmental stages with guided use

Development stage matters: heightened plasticity in childhood and adolescence can amplify these effects. Measured choices—notification management and task context—help protect attention and memory.

how is technology changing our brains: key trends and research findings

Recent research maps clear benefits and clear costs tied to routine digital media use. This section summarises main findings so readers can see where evidence is strongest and where uncertainty remains.

Positive outcomes appear when use is structured. Targeted games and cognitive tasks show gains in working memory, fluid intelligence and multitasking in defined labs. Internet search can activate decision and reasoning circuits in older adults, offering mental stimulation.

Negative effects link heavier media exposure to attention problems, sleep disruption and social‑emotional recognition costs. Longitudinal surveys report adolescent heavy use predicting later ADHD‑like symptoms, while violent games delayed happy‑face recognition in brief experiments.

Where evidence is strongest — and where uncertainty remains

Evidence is strongest for sleep disruption from evening screens and for attention costs during multitasking. Training‑induced gains are reliable when tasks match tested skills.

Uncertainty persists about causal pathways from general media use to ADHD symptoms and about social‑empathy changes. Study methods vary, effect sizes differ, and context (co‑use, content, dose and timing) moderates outcomes.

brain impact

Implication: interpret multitasking benefits cautiously; perceived productivity often exceeds measured performance. More ecologically valid studies are needed to capture real‑world exposure and lifespan differences in these effects.

Attention, multitasking and ADHD-related symptoms in the age of screens

Large cohort studies link higher daily device engagement with increased attention lapses across ages. Prospective work finds adolescents with heavier media use often show greater ADHD-like symptoms at 24 months. These correlations appear in adult samples too, though causality remains unsettled.

Media use and attention problems across youth and adults

Meta-analyses report consistent associations between greater media use and poor attention. Symptoms such as inattention, impulsivity and restlessness occur more often in heavy users. Individual differences matter: anxiety about connectivity increases vulnerability.

Multitasking costs vs perceived productivity

People often feel productive when switching tasks, yet measured performance falls. Switch costs raise error rates and slow completion times. Multitasking can give the illusion of speed while reducing accuracy.

Working memory load from ever-present devices

Simply seeing a screen or notification consumes working memory and shrinks available attentional space. Constant micro-switching fragments the day and erodes cognitive control.

Phenomenon Observed effect Practical step
High media use More attention difficulties and ADHD-like symptoms Limit leisure screen time; monitor adolescents
Multitasking Higher errors; slower task-switching Batch tasks and silence notifications
Device presence Reduced working memory capacity Create device-free intervals for deep work

Simple strategies—single-tasking by default, scheduled notification batches and short device-free periods—help protect attention and memory. Targeted attention training and working memory exercises can mitigate some costs for susceptible individuals.

Emotion, social cognition and empathy: signals from social media and gaming research

New evidence suggests that some forms of play and brief screen absence can alter how quickly people read faces.

Facial emotion recognition after videogame exposure

Controlled studies report that playing violent videogames delayed recognition of happy expressions in university students. These shifts were small and temporary, yet consistent across similar tasks.

Proposed mechanisms include displacement of face-to-face practice, heightened arousal from content and less practice reading subtle nonverbal cues. The net effect may be a short-term tuning of social processing networks in the brain.

social media

Screen restriction and improved nonverbal cue detection

In one field study, preteens who spent five days at a nature camp without screens improved notably in recognising emotions versus peers who kept ~4 hours daily screen use. This suggests brief abstinence can restore practice reading faces.

Social media plays a mixed role: it can foster connection, yet some interactions are shallow and do not train deep social cognition or empathetic behaviour. Youth appear especially sensitive to these patterns.

Exposure Observed effect Practical takeaway
Violent videogames Slower recognition of positive faces (temporary) Limit high-arousal play before social activities
Short screen-free camp Improved nonverbal cue detection in children Encourage periodic device breaks for youth
Social media Mixed social gains; shallow interactions possible Prioritise rich, synchronous contact (video, in-person)
Chronic heavy use Potential longer-term modulation of social skills Balance online time with collaborative play and family routines

Implication: transient effects from specific games differ from patterns formed by daily media use. More objective, longitudinal studies are needed to map which content, intensity and synchronous signals shape lasting social-emotional change.

From compulsion to addiction: understanding problematic digital media use

Problematic digital use can slide from casual checking into patterns that resemble clinical addiction. Clinicians distinguish compulsion — repetitive checking driven by anxiety — from formal addiction, which adds tolerance, withdrawal and clear functional impairment.

Internet and gaming patterns

Global estimates place internet addiction at roughly 6% overall, higher in some regions. Typical symptoms include preoccupation, failed attempts to cut back, and impaired work or study.

Anxiety, compulsion and pressure to connect

Many compulsive behaviours reflect social pressure, fear of missing out and notification design that exploits attention. Students and adults with problematic use often report more inattention, hyperactivity and impulsivity; the causal direction with ADHD remains unresolved.

addiction

Feature Observed pattern Practical step
Prevalence ~6% globally; higher in youth samples Screen for risk in clinics and schools
Symptoms Tolerance, withdrawal, functional harm Behavioural therapy; app limits
Health impact Poorer sleep, mood disturbance, stress Night-time device curfews; grayscale mode

Reduce harm with scheduled check-ins, switched-off non-essential alerts and workplace norms that avoid 24/7 availability. Where impairment is clear, refer for evidence-based treatment; digital therapeutics are emerging for attention and mood.

Social media and perceived social isolation: paradoxes of connectivity

Spending long stretches on social platforms can leave people feeling lonelier, not closer. Large surveys report that young adults with social media use ≥2 hours per day had roughly double the odds of perceived social isolation versus those with

The pattern appears across middle-aged and older adults too. Studies point to several mechanisms: offline time displaced by screen time, upward social comparison with curated feeds, and a shift from deep exchanges to shallow interactions.

Not all use is equal. Active messaging and supportive groups often reduce isolation, while passive scrolling raises it. Effects vary by person and platform, and platform design—such as visible like counts—can amplify comparison.

Factor Observed effect Practical step
High passive use Greater perceived isolation Limit scrolling; schedule offline social time
Active engagement Lower isolation for many people Prioritise direct messages and video calls
Platform design Comparison and stress Curate feeds; mute accounts that trigger negativity

social media

Track screen time to find personal thresholds. Supportive online communities can buffer isolation for people with limited mobility or distance from others. Still, more longitudinal work is needed to separate selection effects from causal impact on health.

Sleep, circadian rhythms and blue light: downstream effects on cognition and health

Night-time screen exposure reliably shortens sleep and fragments rest across age groups. Research links evening device use with later sleep onset, shorter duration and more night awakenings.

Infants, adolescents and adults: what late exposure does to rest

Touchscreen use in infants and toddlers correlates with delayed sleep onset and more awakenings. Adolescents who spend evening time on smartphones or tablets report worse sleep quality.

Adults with high night use show shorter, less efficient sleep and next‑day tiredness.

Melatonin, LED screens and next-day performance

LED displays emit blue light that suppresses melatonin and shifts circadian timing. This biological effect combines with exciting content to raise arousal and delay bedtime.

The next day, curtailed or fragmented sleep reduces attention, working memory and decision-making ability — measurable impacts on learning and workplace performance.

  • Practical steps: enable night modes and blue‑light filters, dim displays and charge devices outside the bedroom.
  • Silence non-essential notifications and set device curfews to protect sleep onset.
  • For children, parental routines and limits make a large difference to sleep health.

Sleep is a foundational health behaviour. Monitor cumulative late-night screen use and align school or work schedules to protect next‑day ability and cognitive resilience.

The developing brain: language, literacy and executive function in early screen use

Early exposure to screens coincides with measurable shifts in language pathways and attention in young children.

White-matter integrity and ScreenQ results

Neuroimaging data link higher ScreenQ scores — indicating greater digital media use and poorer adherence to paediatric guidance — with lower microstructural integrity in white-matter tracts that connect Broca’s and Wernicke’s areas.

These neural differences align with lower scores on executive function and early literacy in preschool cohorts. The pattern suggests that early screen time can affect key pathways for language and learning during sensitive stages of brain development.

Print versus screens: reading and deep comprehension

Multiple studies show children achieve better comprehension and integrative recall for complex texts read in print than on a screen.

Possible mechanisms include richer sensory-spatial cues from books, more parent–child dialogue during shared reading, and stronger practice sustaining attention. Reduced practice with sustained focus may blunt working memory and emergent executive skills.

“Higher early media use predicts subtle delays in language and self-control, but co‑use with caregivers reduces harm and can support learning.”

  • Protective steps: prioritise interactive reading, limit passive screen exposure and favour high-quality educational content with adult co-use.
  • Track time and context: choose play, conversation and sleep over background media during key learning windows.
  • Age-specific tip: for toddlers, prefer joint book reading; for preschoolers, use short, guided digital activities that prompt talk and follow-up.

Conclusion: balanced, intentional habits let digital tools support—not supplant—foundational language, literacy and executive development in young children.

Adolescence and the social brain: amygdala, reward and peer effects online

Adolescence marks a window when social signals carry outsized weight for decision making and affect. During these years the amygdala and reward circuits undergo rapid refinement. That makes youth especially sensitive to peer approval and online feedback.

Social network intensity and emotional processing

Recent studies link heavier social media use in teens with differences in amygdala grey matter volume and altered emotional responses. Functional work shows stronger reactivity to social cues and reward‑linked patterns when online networks are intense.

Behavioural effects include greater social comparison, faster shifts in mood after feedback, and elevated risk‑taking in peer contexts. Notifications capture attention, reducing study focus and fragmenting sleep.

  1. Time budgeting: set daily limits and scheduled check‑ins to protect attention and rest.
  2. Family and school dialogue: agree norms on privacy, respectful conduct and device‑free study times.
  3. Supportive communities: moderated groups can aid identity exploration and belonging.

Longitudinal studies are needed to map lasting developmental trajectories. For now, framing adolescence as an opportunity to teach reflective media habits will better support healthy social and emotional development.

Feature Observed effect Practical step
Amygdala/reward sensitivity Heightened emotional reactivity Limit high‑arousal content before social events
Notification frequency Attention capture; study disruption Disable non‑essential alerts; schedule focus blocks
Peer evaluation online Increased comparison and risk behaviour Promote media literacy and privacy norms

Sensorimotor and visual systems: what touchscreens and digital content teach the cortex

Frequent fingertip interactions with phones reshape the sensory maps that sit in the cortex.

EEG work shows larger somatosensory responses for the thumb and index finger in regular touchscreen users. The increase scales with day-to-day intensity of use, signalling rapid plasticity in adult somatosensory maps.

Touchscreen use and fingertip cortical maps

Habitual tapping concentrates representational space for the most used digits. Changes can appear within days of altered use patterns, which highlights how responsive the brain is to repeated action.

Practical implication: early and intensive screen use may bias motor skill development toward device-specific dexterity at the expense of other fine-motor practice.

Pokémon studies and lasting visual representations

Longitudinal work with adults who played Pokémon in childhood finds distinct object-category maps in the ventral visual stream. These representations sit near face areas, showing that childhood digital content can leave lasting traces in visual cortex.

Open question: do such expansions compete with other categories (for example faces), or do they reflect additive specialisation? Current studies suggest both possibilities and call for direct tests.

Finding Observed effect Implication
EEG fingertip response Greater signals for thumb/index Device-driven somatosensory bias
Rapid day-to-day plasticity Maps track recent use Brain reflects current habits
Childhood Pokémon exposure Lasting ventral stream maps Early content shapes visual categories

Designers should weigh these effects when creating interfaces and media for children. Encourage varied motor play and tasks that build non-screen skills alongside digital practice.

  • Positive: improved dexterity, faster visual categorisation for trained items.
  • Concern: potential trade-offs for other representational domains during sensitive years.
  • Research need: longitudinal, comparative studies to test competition versus addition in cortical maps.

Bottom line: the brain learns what we practise. Thoughtful design and balanced activities can harness beneficial effects while reducing developmental risk.

Neural exercise and cognitive training: when technology benefits brain function

Targeted digital tasks can act as focused mental workouts that shape neural circuits. Functional MRI shows that internet‑naive older adults increase frontal and cingulate activation during internet searching, suggesting search tasks engage decision‑making and complex reasoning networks.

Structured training offers domain‑specific gains. Computerised protocols such as n‑back improve working memory and sometimes fluid intelligence. Action videogames speed visual attention, reaction time and task switching, though transfer to untrained tasks is limited.

Games and task training for attention and multitasking

Driving simulators with distractors and targeted dual‑task drills raise multitasking ability in lab studies. Short, frequent sessions produce steadier gains than occasional long practice.

Digital therapeutics and clinical applications

Regulated digital therapeutics now target mood, sleep and ADHD with measurable outcomes. Trials show symptom reduction when digital programmes are used with clinician oversight and good adherence.

Intervention Observed effect Practical note
Internet search tasks Frontal and cingulate engagement Use for cognitive stimulation in older adults
n‑back / working memory drills Improved working memory and some transfer Short, regular practice works best
Action games / multitask training Faster attention and switching Limit expectations of broad transfer

Dosage and alignment matter: match programmes to learning goals and daily ability, schedule sessions when alert (often mornings) and avoid late evening use that harms sleep. Seek evidence‑based apps and clinician guidance rather than unverified commercial offerings.

“Digital training can bolster cognitive control and memory in targeted ways, but benefits are specific rather than universal.”

Methodological challenges: measuring digital media use with precision

Accurate measurement remains the weak link in much of this field. Many neuroscientific findings rely on self-reported media use that misstates duration, content and timing.

Why self-report falls short: recall bias and social desirability skew answers. Surveys often collapse varied activity into a single number, which limits interpretation.

Better data and study design

Objective telemetry — device logs, app-level analytics and passive sensing — captures fine-grained exposure: what apps are used, at what time, and for how long.

  • Measure content categories, late-night screen patterns and social context (alone versus co-use).
  • Track cumulative time across development stages to link exposure to brain and behaviour outcomes.
  • Use preregistered, longitudinal cohorts and randomised interventions to support causal claims.

Ethics & collaboration: privacy-preserving methods, platform–research partnerships and regulator oversight are essential to collect telemetry safely.

Analytic advances, such as within-person designs, sharpen effect estimates and reveal subgroups at risk or benefit. Better measurement lets research inform precise guidance for families, schools and employers.

Equity, exposure and context: not all screen time is created equal

Equity matters. Children with stable broadband, up‑to‑date devices and adult guidance gain more from digital media use than peers who lack these supports.

Quality and co‑use distinguish helpful from harmful screen time. Educational digital media paired with parental interaction boosts language and problem‑solving. Passive, unaccompanied content offers fewer benefits and greater developmental risk.

Cultural norms and family routines shape daily lives. House rules on bedtime screens, joint viewing and active discussion reduce sleep disruption and support learning.

Digital tools can also close gaps. Telehealth, online tutoring and accessible learning apps extend services to families in remote or under‑resourced areas when implemented with training and safeguards.

Risks to note: concentrated exposure to low‑quality content without interaction harms younger children most. Accessibility and inclusive design must be central so benefits reach people with diverse needs.

  • Measure beyond minutes: record content type, co‑use and timing rather than total screen time.
  • Support families: schools and community groups should provide guidance, device loans and digital‑literacy resources.
  • Protect basic health: policies should guard sleep, physical play and offline social time while promoting high‑quality educational media.

“The brain responds to enriched, scaffolded experiences regardless of medium.”

Factor Implication Practical step
Content quality Shapes learning gains Prioritise interactive educational media with co‑use
Access & guidance Drives equity in outcomes Provide broadband support and caregiver training
Context (timing & routines) Modulates sleep and attention Enforce device curfews and device‑free play

Practical implications: healthier digital media use across the lifespan

Simple daily choices around device routines can shift attention, sleep and long‑term ability.

Children and youth: co‑use, content curation and sleep hygiene

Prioritise co‑use. Caregivers should watch, talk and extend learning during play and apps. Curate content that prompts language and problem solving.

Set consistent bedtimes and device curfews to protect sleep and next‑day attention.

Adults: design for focus, monotasking and circadian‑friendly habits

Move unnecessary devices out of reach during focused work. Use website blockers, scheduled notification batches and single‑task routines to reduce multitasking costs.

Limit evening screen exposure and enable night modes to protect sleep and daily ability.

Older adults: leverage digital tools for engagement

Encourage internet search, video calls and structured training to stimulate decision networks and social ties. Choose evidence‑based apps that build memory and executive ability without excess use.

Group Key step Benefit
Children Co‑use, curate content, device curfew Better language, sleep, attention
Adolescents Disable non‑essential alerts; study blocks Fewer symptoms of distraction; improved focus
Adults Batch communications; focus modes Higher productivity; reduced multitasking
Older adults Structured search & training Improved cognitive engagement

Address early signs of problematic use and anxiety: track symptoms, set app limits and seek help when needed. For evidence summaries and clinical context see digital media and mental health review.

Small, sustained changes in media use translate into measurable gains in attention, sleep and overall health.

Conclusion

Research now shows that repeated media habits sculpt neural circuits with both gains and costs.

Robust findings point to three consistent effects: evening screen exposure harms sleep, multitasking reduces attention and task accuracy, and targeted digital training can improve specific memory and control skills.

Development matters: the developing brain requires age‑appropriate limits and co‑use to protect language and executive growth, while adults can harness structured tools for cognitive engagement.

Measure limits remain. Better longitudinal telemetry and cross‑discipline collaboration will sharpen causal claims and guide policy. For a concise summary of clinical context see the digital media and mental health review.

Practical takeaway: manage multitasking, protect evening routines for sleep, use evidence‑based apps, and seek help for addiction‑like patterns. Mindful media use—not abstinence—lets people align digital habits with brain health and development as research advances over the next years.

FAQ

What does current research say about how digital media use affects attention and working memory?

Studies indicate that frequent switching between apps and tasks reduces sustained attention and raises working-memory load. Neuroimaging shows altered activation in frontal and parietal networks during heavy multitasking, while behavioural tests reveal slower response times and more distractibility. Effects vary by age, context and content; focused, single-task use poses fewer risks than fragmented, rapid-switching patterns.

Can screen exposure in early childhood harm language and literacy development?

Excessive passive screen time in infancy and toddlerhood correlates with weaker language outcomes and lower emergent literacy scores. Interactive, age-appropriate content used with an adult (co‑use) can support learning, but high ScreenQ metrics and prolonged solo viewing link to reduced parent–child interaction and delayed language milestones.

Do social media platforms reduce empathy and social cognition?

Evidence is mixed. Some studies associate heavy social-feed use with blunted nonverbal cue recognition and increased perceived loneliness, while others find that moderated, meaningful interaction supports social ties. Platform design, comparison behaviour and the balance of online versus offline contact determine outcomes for empathy and social brain circuits.

Is there a link between problematic gaming or internet use and ADHD symptoms?

Research documents overlap: excessive gaming and compulsive internet use can mimic or exacerbate inattention, impulsivity and emotional dysregulation. Longitudinal data suggest bidirectional relations—pre‑existing attentional difficulties raise risk of problematic use, and heavy digital engagement can worsen executive‑function complaints in susceptible individuals.

How does screen time affect sleep and next‑day cognition?

Evening screen exposure, especially from LED devices, suppresses melatonin and delays sleep onset, reducing total sleep and impairing next‑day attention and memory. Adolescents are particularly vulnerable; shifting device use earlier and using night‑shift settings or blue‑light filters can partially mitigate effects but do not replace good sleep hygiene.

Are there cognitive benefits from certain types of digital interaction?

Yes. Targeted digital training, strategy games and complex, goal‑directed tasks can strengthen specific skills such as spatial reasoning, processing speed and working memory. Internet search and problem‑solving activities also engage decision circuits. Benefits depend on task design, dose and transfer to real‑world skills.

How reliable are studies measuring media use and brain effects?

Measurement challenges are substantial. Self‑report tends to underestimate real use; passive logging and fine‑grained telemetry yield better precision. Heterogeneous designs, small samples and short follow‑ups limit causal claims. The field increasingly favours longitudinal cohorts and objective usage metrics to improve validity.

What practical steps reduce negative cognitive effects of digital media?

Strategies include prioritising monotasking, enforcing device‑free periods (especially before bedtime), curating content, co‑using screens with children, and scheduling focused blocks for demanding work. For adolescents and children, limits on unsupervised night use and emphasis on offline socialising help protect sleep and executive function.

Do touchscreens and frequent device use change sensorimotor brain maps?

Repetitive touchscreen interactions influence somatosensory cortical representation of fingertips and fine motor control. Neuroplastic changes reflect learned, frequent actions; similar principles underlie skill acquisition in musical instruments or typing. These adaptations are generally neutral or beneficial for specific tasks, but habitual tiny‑gesture use may alter hand posture and ergonomics.

How does digital inequality shape cognitive outcomes?

Access, supervision and content quality matter. Children in resource‑rich environments who receive guided, educational digital experiences gain benefits, while those with high passive exposure and limited adult mediation face greater developmental risk. Equity issues extend to device access for older adults seeking cognitive engagement and to disparities in data‑driven health interventions.

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