Digital interactive television offers an increasing wealth of possibilities in terms of the types of applications, services, and interactions available. At the same time, many older adults face significant barriers to access. Through conducting a literature review of related research areas, this chapter summarizes some of the
practical challenges and opportunities of designing digital interactive television for older adults. This includes how age-related changes and generational differences can affect television experiences. In this work, application areas focusing on the needs of older adults are highlighted, in addition to further research directions. These range from the use of adaptive systems to modify interface parameters for improved accessibility, to the use of television as a platform for a range of health and lifestyle support applications. The representation and inclusion of the older population in the design process are also discussed.