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Kyaw MY, Aung MN, Koyanagi Y, Moolphate S, Aung TNN, Ma HKC, Lee H, Nam HK, Nam EW, Yuasa M. Sociodigital Determinants of eHealth Literacy and Related Impact on Health Outcomes and eHealth Use in Korean Older Adults: Community-Based Cross-Sectional Survey. JMIR Aging 2024; 7:e56061. [PMID: 39140239 PMCID: PMC11336493 DOI: 10.2196/56061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2024] [Revised: 05/06/2024] [Accepted: 05/23/2024] [Indexed: 08/15/2024] Open
Abstract
Background eHealth literacy is an essential skill for pursuing electronic health information, particularly for older people whose health needs increase with age. South Korea is now at the intersection of a rapidly digitalizing society and an increasingly aged population. eHealth literacy enables older people to maximize the effective use of emerging digital technology for their health and quality of life. Understanding the eHealth literacy of Korean older adults is critical to eliminating the gray digital divide and inequity in health information access. Objective This study aims to investigate factors influencing eHealth literacy in older Korean adults and its impact on health outcomes and eHealth use. Methods This was a cross-sectional survey. Community-dwelling older adults 65 years and older in 2 urban cities in South Korea were included. eHealth literacy was measured by the eHealth Literacy Scale. Ordinal logistic regression was used to analyze factors associated with eHealth literacy and multivariate ANOVA for the impact of eHealth literacy on health outcomes and eHealth use. Results In total, 434 participants were analyzed. A total of 22.3% (97/434) of participants had high eHealth literacy skills. Increasing age, higher monthly income, and time spent on the internet were significantly associated with eHealth literacy (P<.001), and social media users were 3.97 times (adjusted odds ratio 3.97, 95% CI 1.02-15.43; P=.04) more likely to have higher skill. Higher eHealth literacy was associated with better self-perceived health and frequent use of digital technologies for accessing health and care services (P<.001). Conclusions Disparity in socioeconomic status and engagement on the internet and social media can result in different levels of eHealth literacy skills, which can have consequential impacts on health outcomes and eHealth use. Tailored eHealth interventions, grounded on the social and digital determinants of eHealth literacy, could facilitate eHealth information access among older adults and foster a digitally inclusive healthy aging community.
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Affiliation(s)
- Myat Yadana Kyaw
- Department of Global Health Research, Graduate School of Medicine, Juntendo University, Hongo-2-1-1 , Bunkyo Ku, Tokyo, 113-8421, Japan, 81 338133111 ext 2994, 81 338181168
| | - Myo Nyein Aung
- Department of Global Health Research, Graduate School of Medicine, Juntendo University, Hongo-2-1-1 , Bunkyo Ku, Tokyo, 113-8421, Japan, 81 338133111 ext 2994, 81 338181168
- Faculty of International Liberal Arts, Juntendo University, Tokyo, Japan
- Advanced Research Institute for Health Sciences, Juntendo University, Tokyo, Japan
| | - Yuka Koyanagi
- Department of Global Health Research, Graduate School of Medicine, Juntendo University, Hongo-2-1-1 , Bunkyo Ku, Tokyo, 113-8421, Japan, 81 338133111 ext 2994, 81 338181168
- Department of Judo Therapy, Faculty of Health Sciences, Tokyo Ariake University of Medical and Health Sciences, Tokyo, Japan
| | - Saiyud Moolphate
- Department of Public Health, Faculty of Science and Technology, Chiang Mai Rajabhat University, Chiang Mai, Thailand
| | - Thin Nyein Nyein Aung
- Department of Global Health Research, Graduate School of Medicine, Juntendo University, Hongo-2-1-1 , Bunkyo Ku, Tokyo, 113-8421, Japan, 81 338133111 ext 2994, 81 338181168
- Department of Family Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
| | - Hok Ka Carol Ma
- S R Nathan School of Human Development, Singapore University of Social Sciences, Singapore, Singapore
| | - Hocheol Lee
- Department of Health Administration, Yonsei University Graduate School, Wonju, Republic of Korea
| | - Hae-Kweun Nam
- Department of Preventive Medicine, Wonju College of Medicine Yonsei University, Wonju, Republic of Korea
| | - Eun Woo Nam
- Department of Health Administration, Software Digital Healthcare Convergence College, Yonsei University, Wonju, Republic of Korea
| | - Motoyuki Yuasa
- Department of Global Health Research, Graduate School of Medicine, Juntendo University, Hongo-2-1-1 , Bunkyo Ku, Tokyo, 113-8421, Japan, 81 338133111 ext 2994, 81 338181168
- Faculty of International Liberal Arts, Juntendo University, Tokyo, Japan
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Cipolletta S, Signorello D, Zuppiroli S, Hering A, Ballhausen N, Mioni G, Kliegel M, Gaspari M, Stablum F. A focus group study for the design of a web-based tool for improving problem-solving in older adults. Eur J Ageing 2024; 21:19. [PMID: 38869644 DOI: 10.1007/s10433-024-00814-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/28/2024] [Indexed: 06/14/2024] Open
Abstract
The development of easily accessible and usable social and cognitive enhancement trainings is becoming a priority to reduce the impact of aging on quality of life. Since most activities of daily living (e.g., making a meal) require problem-solving skills, problem-solving interventions could be used to improve and/or maintain functional abilities in aging to prolong independence. To design an effective problem-solving training and increase older adults' adherence to the training, this study examined older adults' perceptions of their challenges in activities of daily living, their skills and difficulties in using information technology (IT), and their motivations and expectations for participating in a web-based problem-solving training activity. Four focus groups (two in Italy and two in the Netherlands) were conducted with older adults aged between 65 and 84 years, a total of 27 participants. The data were analyzed using the Atlas.ti 8 software for the thematic analysis. The analysis identified five thematic areas: interests and activities, difficulties and concerns, experiences and motivations for training, expertise and resources, suggestions for the design of the new training. The results were used to develop a first prototype of a Shared, Web-based, Intelligent Flexible Thinking Training (SWIFT), adapted to future user needs. The participation of older adults in this design phase was critical to understanding their needs, motivations, and expectations regarding the implementation and use of a cognitive enhancement training.
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Affiliation(s)
| | - Dario Signorello
- Department of General Psychology, University of Padova, Padua, Italy
| | - Sara Zuppiroli
- Department of Computer Science and Engineering, University of Bologna, Bologna, Italy
| | - Alexandra Hering
- Department of Developmental Psychology, Tilburg University, Tilburg, Netherlands
- Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland
| | - Nicola Ballhausen
- Department of Developmental Psychology, Tilburg University, Tilburg, Netherlands
| | - Giovanna Mioni
- Department of General Psychology, University of Padova, Padua, Italy
| | - Matthias Kliegel
- Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland
| | - Mauro Gaspari
- Department of Computer Science and Engineering, University of Bologna, Bologna, Italy
| | - Franca Stablum
- Department of General Psychology, University of Padova, Padua, Italy
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Bytautas J, Grigorovich A, Carson J, Fowler J, Goldman I, Harris B, Kerr A, Marcotte AA, O'Doherty K, Jenkins A, Kirkland S, Kontos P. Conversation for change: engaging older adults as partners in research on gerotechnology. RESEARCH INVOLVEMENT AND ENGAGEMENT 2024; 10:27. [PMID: 38378634 PMCID: PMC10877865 DOI: 10.1186/s40900-024-00557-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/24/2023] [Accepted: 02/09/2024] [Indexed: 02/22/2024]
Abstract
There is increasing research and public policy investment in the development of technologies to support healthy aging and age-friendly services in Canada. Yet adoption and use of technologies by older adults is limited and rates of abandonment remain high. In response to this, there is growing interest within the field of gerotechnology in fostering greater participation of older adults in research and design. The nature of participation ranges from passive information gathering to more active involvement in research activities, such as those informed by participatory design or participatory action research (PAR). However, participatory approaches are rare with identified barriers including ageism and ableism. This stigma contributes to the limited involvement of older adults in gerotechnology research and design, which in turn reinforces negative stereotypes, such as lack of ability and interest in technology. While the full involvement of older adults in gerotechnology remains rare, the Older Adults' Active Involvement in Ageing & Technology Research and Development (OA-INVOLVE) project aims to develop models of best practice for engaging older adults in these research projects. In this comment paper, we employ an unconventional, conversational-style format between academic researchers and older adult research contributors to provide new perspectives, understandings, and insights into: (i) motivations to engage in participatory research; (ii) understandings of roles and expectations as research contributors; (iii) challenges encountered in contributing to gerotechnology research; (iv) perceived benefits of participation; and (v) advice for academic researchers.
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Affiliation(s)
- Jessica Bytautas
- Dalla Lana School of Public Health, University of Toronto, Toronto, Canada
- KITE Research Institute, Toronto Rehabilitation Institute - University Health Network, Toronto, Canada
| | - Alisa Grigorovich
- Recreation and Leisure Studies, Brock University, St. Catharines, Canada
| | | | | | | | | | | | - Ashley-Ann Marcotte
- Department of Community Health and Epidemiology, Dalhousie University, Halifax, Canada
| | | | - Amanda Jenkins
- Department of Community Health and Epidemiology, Dalhousie University, Halifax, Canada
| | - Susan Kirkland
- Department of Community Health and Epidemiology, Dalhousie University, Halifax, Canada
| | - Pia Kontos
- Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
- KITE Research Institute, Toronto Rehabilitation Institute - University Health Network, Toronto, Canada.
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Stara V, Rampioni M, Moșoi AA, Kristaly DM, Moraru SA, Paciaroni L, Paolini S, Raccichini A, Felici E, Cucchieri G, Antognoli L, Millevolte A, Antici M, di Rosa M. The Impact of a Multicomponent Platform Intervention on the Daily Lives of Older Adults. Healthcare (Basel) 2023; 11:3102. [PMID: 38131995 PMCID: PMC10742799 DOI: 10.3390/healthcare11243102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2023] [Revised: 11/30/2023] [Accepted: 12/01/2023] [Indexed: 12/23/2023] Open
Abstract
Gerontechnology is an interdisciplinary field of research involving gerontology and technology in order to help older adults identify and slow down the effects of age-related physical and cognitive decline. It has enormous potential to allow individuals to remain in their own homes and improve their quality of life. This study aims to assess the impact of a multicomponent platform, consisting of an ambient sensor, wearable devices, and a cloud application, as an intervention in terms of usability and acceptance as primary outcomes and well-being, quality of life, and self-efficacy as secondary outcomes in a sample of 25 older adults aged over 65 after 21 days of non-supervised usage at home. This research involved the use of a mixed-methods approach, in which both qualitative and quantitative data were collected in three different measurements. Overall, the participants shared good engagement with the integrated platform. The system achieved positive results in terms of both usability and acceptance, especially the smartwatch. The state of complete well-being slightly improved over the period, whereas self-efficacy remained stable. This study demonstrates the ability of target users to use technology independently in their home environment: it strengthens the idea that this technology is ready for mainstream use and offers food for thought for developers who create products for the aging population.
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Affiliation(s)
- Vera Stara
- Model of Care and New Technologies, IRCCS INRCA-National Institute of Health and Science on Aging, Via Santa Margherita 5, 60124 Ancona, Italy; (V.S.); (E.F.); (G.C.); (L.A.)
| | - Margherita Rampioni
- Model of Care and New Technologies, IRCCS INRCA-National Institute of Health and Science on Aging, Via Santa Margherita 5, 60124 Ancona, Italy; (V.S.); (E.F.); (G.C.); (L.A.)
| | - Adrian Alexandru Moșoi
- Department of Psychology, Education and Teacher Training, Transilvania University of Brasov, B-dul Eroilor 29, 500036 Brașov, Romania;
| | - Dominic M. Kristaly
- Department of Automatics and Information Technology, Transilvania University of Brasov, B-dul Eroilor 29, 500036 Brașov, Romania; (D.M.K.); (S.-A.M.)
| | - Sorin-Aurel Moraru
- Department of Automatics and Information Technology, Transilvania University of Brasov, B-dul Eroilor 29, 500036 Brașov, Romania; (D.M.K.); (S.-A.M.)
| | - Lucia Paciaroni
- Neurology Department, IRCCS INRCA-National Institute of Health and Science on Aging, Via della Monta-gnola 81, 60100 Ancona, Italy; (L.P.); (S.P.); (A.R.)
| | - Susy Paolini
- Neurology Department, IRCCS INRCA-National Institute of Health and Science on Aging, Via della Monta-gnola 81, 60100 Ancona, Italy; (L.P.); (S.P.); (A.R.)
| | - Alessandra Raccichini
- Neurology Department, IRCCS INRCA-National Institute of Health and Science on Aging, Via della Monta-gnola 81, 60100 Ancona, Italy; (L.P.); (S.P.); (A.R.)
| | - Elisa Felici
- Model of Care and New Technologies, IRCCS INRCA-National Institute of Health and Science on Aging, Via Santa Margherita 5, 60124 Ancona, Italy; (V.S.); (E.F.); (G.C.); (L.A.)
| | - Giacomo Cucchieri
- Model of Care and New Technologies, IRCCS INRCA-National Institute of Health and Science on Aging, Via Santa Margherita 5, 60124 Ancona, Italy; (V.S.); (E.F.); (G.C.); (L.A.)
| | - Luca Antognoli
- Model of Care and New Technologies, IRCCS INRCA-National Institute of Health and Science on Aging, Via Santa Margherita 5, 60124 Ancona, Italy; (V.S.); (E.F.); (G.C.); (L.A.)
| | | | - Marina Antici
- Laboratorio delle Idee, Via G.B. Miliani 36, 60044 Fabriano, Italy; (A.M.); (M.A.)
| | - Mirko di Rosa
- Unit of Geriatric Pharmacoepidemiology and Biostatistics, IRCCS INRCA-National Institute of Health and Science on Aging, 60124 Ancona, Italy;
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