Considering the differences in cognitive aging among older adults, this study examined how older adults process different types of graphic icons in visual search tasks. Fifty-four medical-related icons, including flat icons (FIs), FIs plus text (FIs + text), skeuomorphic icons (SIs), and SIs plus text (SIs + text), were created. The participants were divided into two groups—cognitively normal (CN) and mild cognitive impairment (MCI)—to complete a visual search task. According to the eye-tracking data of the participants, the search performance of the CN group was significantly better than that of the MCI group. In terms of icon types, all older adults performed better at searching for the combinations of icon and text, especially SI + text, which showed the smallest difference in the search performance between the MCI and CN groups. All older adults performed poorly when searching for FIs. The findings of this study considered the differences in cognitive aging among older adults and provided a useful reference for the icon and interface design of graphical user interfaces.

Older people in China have a poor understanding of hospital signage. To address this problem, in this study, we combined the theories of situated cognition and cognitive commonness in order to introduce the three main factors that affect the generation of situational cognitive commonness: composition of the situation, familiarity, and concreteness. We used these theories to construct a methodological framework for the design of geriatric hospital wayfinding signs that were based on situational cognitive commonness. The design of nine healthcare signs for Chinese national standards were used as examples in the study. First, users who were familiar with medical scenarios were asked to draw concrete cognitive conception graphics for the purposes of individual wayfinding targets from both physical and social situations. Next, we coded and grouped the generated graphics based on their situational features in order to extract groups of representative common graphics. Finally, we reorganized the common graphics and developed concrete designs, which were tested by the judgment test. The wayfinding signs designed according to the methodological framework of this study effectively improved the understanding of hospital signage among older Chinese people. This study took geriatric hospital wayfinding signs as the examples to provide a feasible theoretical basis and research reference for symbol design.