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Hao A, Sadrolashrafi K, Kikuchi R, Guo L, Yamamoto RK, Tolson HC, Bilimoria S, Yee D, Hu JC, Armstrong AW. Teledermatology Use in the Elderly: An Analysis of Teledermatology Utilization Patterns Across Age Groups. Telemed J E Health 2024. [PMID: 39119704 DOI: 10.1089/tmj.2024.0169] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/10/2024] Open
Abstract
Introduction: Telehealth is an emerging tool used to improve access to care for patients. However, there is a lack of literature comparing the use of telehealth between patients of different age groups in dermatology. Our study aims to determine whether differences exist in teledermatology usage between elderly and younger dermatology patients. Methods: We conducted a cross-sectional study using the 2020-2021 Medical Expenditure Panel Survey. Our study population included a weighted total of 150,290,604 patients: Of these, 16.35% were young adults (18-44 years old), 26.32% were midlife adults (45-64 years old), and 57.33% were elderly (65+ years old). Results: Our results showed that elderly patients had significantly lower rates of teledermatology use than young adults (odds ratio [OR] = 0.184, (confidence interval [CI]: 0.081-0.421)), p < 0.000) and midlife adults (OR = 0.193, [CI: 0.091-0.406], p < 0.000). Midlife adults had similar rates of telehealth use when compared with young adults (OR = 1.044, [CI: 0.508-2.145], p = 0.907). Our results were adjusted for sex, race, ethnicity, insurance type, education level, income, travel time, and medical comorbidities. Discussion: We found that elderly patients seeking dermatology care are less likely to use telehealth than younger dermatology patients. Our results demonstrate that barriers to telehealth use for the elderly may be more prohibitive than expected. Understanding these differences in teledermatology use is essential for improving teledermatology delivery across all age groups.
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Affiliation(s)
- Audrey Hao
- Keck School of Medicine of the University of Southern California, Los Angeles, California, USA
| | | | - Robin Kikuchi
- Keck School of Medicine of the University of Southern California, Los Angeles, California, USA
| | - Lily Guo
- Duke University School of Medicine, Durham, North Carolina, USA
| | - Rebecca K Yamamoto
- Georgetown University School of Medicine, Washington, District of Columbia, USA
| | - Hannah C Tolson
- University of Arizona College of Medicine, Phoenix, Arizona, USA
| | - Sara Bilimoria
- Division of Dermatology, Department of Medicine, David Geffen School of Medicine at the University of California, Los Angeles, California, USA
| | - Danielle Yee
- Division of Dermatology, Department of Medicine, David Geffen School of Medicine at the University of California, Los Angeles, California, USA
| | - Jenny C Hu
- Department of Dermatology, Keck School of Medicine of the University of Southern California, Los Angeles, California, USA
| | - April W Armstrong
- Division of Dermatology, Department of Medicine, David Geffen School of Medicine at the University of California, Los Angeles, California, USA
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Money A, Hall A, Harris D, Eost-Telling C, McDermott J, Todd C. Barriers to and Facilitators of Older People's Engagement With Web-Based Services: Qualitative Study of Adults Aged >75 Years. JMIR Aging 2024; 7:e46522. [PMID: 38416543 PMCID: PMC10938227 DOI: 10.2196/46522] [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: 02/14/2023] [Revised: 05/22/2023] [Accepted: 12/05/2023] [Indexed: 02/29/2024] Open
Abstract
BACKGROUND The COVID-19 pandemic has accelerated the shift toward the digital provision of many public services, including health and social care, public administration, and financial and leisure services. COVID-19 services including test appointments, results, vaccination appointments and more were primarily delivered through digital channels to the public. Many social, cultural, and economic activities (appointments, ticket bookings, tax and utility payments, shopping, etc) have transitioned to web-based platforms. To use web-based public services, individuals must be digitally included. This is influenced by 3 main factors: access (whether individuals have access to the internet), ability (having the requisite skills and confidence to participate over the web), and affordability (ability to pay for infrastructure [equipment] and data packages). Many older adults, especially those aged >75 years, are still digitally excluded. OBJECTIVE This study aims to explore the views of adults aged >75 years on accessing public services digitally. METHODS We conducted semistructured qualitative interviews with a variety of adults aged ≥75 years residing in Greater Manchester, United Kingdom. We also interviewed community support workers. Thematic analysis was used to identify the key themes from the data. RESULTS Overall, 24 older adults (mean age 81, SD 4.54 y; 14/24, 58% female; 23/24, 96% White British; and 18/24, 75% digitally engaged to some extent) and 2 support workers participated. A total of five themes were identified as key in understanding issues around motivation, engagement, and participation: (1) "initial motivation to participate digitally"-for example, maintaining social connections and gaining skills to be able to connect with family and friends; (2) "narrow use and restricted activity on the web"-undertaking limited tasks on the web and in a modified manner, for example, limited use of web-based public services and selected use of specific services, such as checking but never transferring funds during web-based banking; (3) "impact of digital participation on well-being"-choosing to go to the shops or general practitioner's surgery to get out of the house and get some exercise; (4) "the last generation?"-respondents feeling that there were generational barriers to adapting to new technology and change; and (5) "making digital accessible"-understanding the support needed to keep those engaged on the web. CONCLUSIONS As we transition toward greater digitalization of public services, it is crucial to incorporate the perspectives of older people. Failing to do so risks excluding them from accessing services they greatly rely on and need.
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Affiliation(s)
- Annemarie Money
- School of Health Sciences, University of Manchester, Manchester, United Kingdom
- National Institute for Health and Care Research, Applied Research Collaboration Greater Manchester, Division of Nursing Midwifery and Social Work, Faculty of Biology, Medicine and Health, Manchester, United Kingdom
| | - Alex Hall
- School of Health Sciences, University of Manchester, Manchester, United Kingdom
| | - Danielle Harris
- School of Health Sciences, University of Manchester, Manchester, United Kingdom
- National Institute for Health and Care Research, Applied Research Collaboration Greater Manchester, Division of Nursing Midwifery and Social Work, Faculty of Biology, Medicine and Health, Manchester, United Kingdom
| | - Charlotte Eost-Telling
- School of Health Sciences, University of Manchester, Manchester, United Kingdom
- National Institute for Health and Care Research, Applied Research Collaboration Greater Manchester, Division of Nursing Midwifery and Social Work, Faculty of Biology, Medicine and Health, Manchester, United Kingdom
| | - Jane McDermott
- School of Health Sciences, University of Manchester, Manchester, United Kingdom
| | - Chris Todd
- School of Health Sciences, University of Manchester, Manchester, United Kingdom
- National Institute for Health and Care Research, Applied Research Collaboration Greater Manchester, Division of Nursing Midwifery and Social Work, Faculty of Biology, Medicine and Health, Manchester, United Kingdom
- Manchester Institute for Collaborative Research on Ageing, The University of Manchester, Manchester, United Kingdom
- Manchester University NHS Foundation Trust, Manchester, United Kingdom
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Zhang S, Song J. An empirical investigation into the preferences of the elderly for user interface design in personal electronic health record systems. Front Digit Health 2024; 5:1289904. [PMID: 38348367 PMCID: PMC10859482 DOI: 10.3389/fdgth.2023.1289904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Accepted: 12/26/2023] [Indexed: 02/15/2024] Open
Abstract
Background With the continuous advancement of digital technologies, electronic Personal Health Records (ePHR) offer end-users greater control and convenience over their health data. Although ePHR are perceived as innovative tools in medical services that provide patient-centered care and disease prevention, many system interfaces are inclined toward younger users, overlooking investigations pertinent to elderly users. Our objective is to uncover the preferences of the elderly for an ideal ePHR system interface. Materials and methods Relying on a literature review, we identified six interface attributes. Utilizing conjoint analysis, we constructed 16 representative design scenarios based on orthogonal design by combining different attribute levels. We invited 187 elderly participants to evaluate these scenarios. Data analysis was performed using SPSS 26.0. The results indicate that among the ePHR interface design attributes, the elderly prioritize color attributes, followed by the notification method. Designs with contrasting color schemes, skeuomorphic design approaches, and icon-centric menu navigation with segmented layouts, and voice notifications when a message is received, are the most preferred interface design choices. Discussion This research elucidates the ideal interface design elements for ePHR as perceived by the elderly, offering valuable references for age-friendly design considerations in ePHR systems. Results Implementing these insights can aid in promoting mobile health services among the elderly demographic, enhancing their user experience in health management interfaces. This, in turn, fosters the widespread adoption of mobile health service technologies, further advancing the development of a healthy aging society.
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Affiliation(s)
| | - Jisung Song
- Graduate School of Communication Design, Hanyang University, Ansan, Republic of Korea
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Newmark RL, Allison TA, Smith AK, Perissinotto CM, Tha SH, Kotwal AA. The Role of Digital Technologies in Facilitating Psychosocial Resilience to Sudden Social Isolation Among Older Adults: Lessons Learned from the COVID-19 Pandemic. J Appl Gerontol 2023; 42:2348-2359. [PMID: 37536316 PMCID: PMC11056268 DOI: 10.1177/07334648231190228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/05/2023] Open
Abstract
This study investigated how older adults adopted new technologies in response to sudden social isolation caused by the COVID-19 pandemic and how this adoption was related to their long-term psychosocial well-being. The study involved a 6-month longitudinal survey of 151 older adults and two phone-based focus groups, which informed a semi-structured interview guide and purposive sampling of diverse community-dwelling older adults. We then conducted twenty qualitative interviews and thematic analysis and mapped themes to 6-month quantitative trajectories of psychosocial health. Three themes emerged: first, most participants adopted multiple technologies to maintain social connection and psychosocial well-being. Second, participants felt left behind by certain technologies due to complicated systems or ageist societal norms. Third, pandemic-related community resources promoted technology independence among isolated older adults and those wanting to avoid "burdening" family. Results challenge ageist stereotypes and provide a framework for encouraging access and comfort with multiple technologies to adapt to sudden health crises or disruptive events.
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Affiliation(s)
- Rebecca L Newmark
- Division of Geriatrics, Department of Medicine, University of California, San Francisco, CA, USA
- Department of Humanities and Social Sciences, University of California, San Francisco, CA, USA
- School of Medicine, University of California, San Francisco, CA, USA
| | - Theresa A Allison
- Division of Geriatrics, Department of Medicine, University of California, San Francisco, CA, USA
- Geriatrics, Palliative, and Extended Care Service Line, San Francisco Veterans Affairs Medical Center, San Francisco, CA, USA
| | - Alexander K Smith
- Division of Geriatrics, Department of Medicine, University of California, San Francisco, CA, USA
- Geriatrics, Palliative, and Extended Care Service Line, San Francisco Veterans Affairs Medical Center, San Francisco, CA, USA
| | - Carla M Perissinotto
- Division of Geriatrics, Department of Medicine, University of California, San Francisco, CA, USA
| | - Soe Han Tha
- Division of Geriatrics, Department of Medicine, University of California, San Francisco, CA, USA
| | - Ashwin A Kotwal
- Division of Geriatrics, Department of Medicine, University of California, San Francisco, CA, USA
- Geriatrics, Palliative, and Extended Care Service Line, San Francisco Veterans Affairs Medical Center, San Francisco, CA, USA
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5
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Ba Z, Li Y, Ma J, Qin Y, Tian J, Meng Y, Yi J, Zhang Y, Chen F. Reflections on the dynamic zero-COVID policy in China. Prev Med Rep 2023; 36:102466. [PMID: 38116286 PMCID: PMC10728318 DOI: 10.1016/j.pmedr.2023.102466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2022] [Revised: 10/07/2023] [Accepted: 10/07/2023] [Indexed: 12/21/2023] Open
Abstract
The coronavirus disease 2019 (COVID-19) pandemic has posed a serious threat to global healthcare and economy. In order to curb its spread, China adopted the dynamic zero-COVID policy, aiming to diagnose and isolate cases and close contacts as soon as possible. However, there is a controversy about the impact of isolation measures on social order, including the economy, personal employment and public mental health. Therefore, this review discusses and analyzes in detail the advantages and challenges of implementing dynamic zero-COVID policy. Although this public health policy might cause a shock to the economy in the short term, China still achieved a continued healthy economic performance with stable unemployment and strong export growth. Moreover, the rates of infection and mortality in China were lower than those in the United States and the European Union. However, due to the high transmissibility and low pathogenicity of the Omicron variant and prolonged lockdown-induced psychological damage, people questioned the effectiveness and necessity of this policy. Now that China has adjusted its policy in a timely manner, but many problems still remain unsolved. Some practical suggestions in terms of mental health, vaccine development, drugs supply, and economic recovery are put forward at the end of our paper to minimize negative impacts and provide a reference for future efforts.
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Affiliation(s)
- Zaihua Ba
- Jining Medical University, 133 Hehua Rd, Jining 272067, China
| | - Yuqi Li
- Jining Medical University, 133 Hehua Rd, Jining 272067, China
| | - Jiao Ma
- Jining Medical University, 133 Hehua Rd, Jining 272067, China
| | - Yining Qin
- Jining Medical University, 133 Hehua Rd, Jining 272067, China
| | - Jinzhu Tian
- Jining Medical University, 133 Hehua Rd, Jining 272067, China
| | - Yixiang Meng
- Jining Medical University, 133 Hehua Rd, Jining 272067, China
| | - Jiarong Yi
- Jining Medical University, 133 Hehua Rd, Jining 272067, China
| | - Yingze Zhang
- Jining Medical University, 133 Hehua Rd, Jining 272067, China
| | - Fei Chen
- Jining Medical University, 133 Hehua Rd, Jining 272067, China
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Zhou YL, Chen CL, Chang SJ, Wu BS. Home-Based Intelligent Exercise System for Seniors' Healthcare: The Example of Golf Croquet. Sports (Basel) 2023; 11:207. [PMID: 37999424 PMCID: PMC10674598 DOI: 10.3390/sports11110207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2023] [Revised: 09/14/2023] [Accepted: 10/24/2023] [Indexed: 11/25/2023] Open
Abstract
In 2020, the world experienced the threat of the COVID-19 epidemic, and seniors and chronic disease patients generally reduced their exercise and social activities to avoid increasing the risk of infection, which could lead to increased loneliness and even many diseases. Combining golf croquet games with a mobile application (App) and AIoT companion robots, this research constructs a home-based intelligent exercise system, uses the technology acceptance model (TAM), deduces users' intention to use this system based on perceived usefulness and perceived ease of use, and adds the needs of love and belonging, esteem, cognitive, aesthetic, and self-actualization in Maslow's hierarchy of needs theory (HNT) to conduct an analysis of system needs. This study collected empirical data, totaling 320 participants including seniors and their caregivers, from elderly care centers in northern Taiwan using a cross-sectional survey and purposive sampling. Based on regression and variance analysis, the results show that participants have a high level of acceptance of this system, believing that it is easy to learn and operate and can increase interaction with others, improve self-confirmation, satisfy the thirst for knowledge, increase the feeling of happiness, and fulfill self-actualization needs. In the future, by collecting and recording the process of seniors using the App, so as to find out their health problems as soon as possible, expand their daily life through this exercise, and achieve the goal of happy living and better healthcare.
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Affiliation(s)
- Yu-Li Zhou
- Taiwan Economy and Industry Association, Taipei 100008, Taiwan;
| | - Chia-Li Chen
- Department of Information Management, Lunghwa University of Science and Technology, Taoyuan 333326, Taiwan; (C.-L.C.); (B.-S.W.)
| | - Shih-Jui Chang
- Center for Professional Competency Certification, Lunghwa University of Science and Technology, Taoyuan 333326, Taiwan
| | - Bo-Sheng Wu
- Department of Information Management, Lunghwa University of Science and Technology, Taoyuan 333326, Taiwan; (C.-L.C.); (B.-S.W.)
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7
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Osaili TM, Al-Nabulsi AA, Taybeh AO, Cheikh Ismail L, Saleh ST. Healthy food and determinants of food choice on online food delivery applications. PLoS One 2023; 18:e0293004. [PMID: 37856479 PMCID: PMC10586623 DOI: 10.1371/journal.pone.0293004] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Accepted: 09/21/2023] [Indexed: 10/21/2023] Open
Abstract
Online food delivery applications (OFD apps) provide consumers with a wide range of options to choose from. The present study aimed to assess the usage of OFD apps and investigate the factors that affect food choices with a special emphasis on healthy food choices and hygiene. A cross-sectional study among food delivery application users in Jordan was conducted using an online questionnaire between March and May 2022. A total of 675 eligible subjects participated in the study. Consumers' demographic characteristics, data on consumers' use of OFD apps, consumers' perceptions of healthy food availability in OFD apps, and consumers' attitudes toward food safety and delivery hygiene were collected and analyzed. About 64% of the studied sample used OFD apps weekly. Fast food was the most popular option for ordering (87.1%) and lunchtime was the most preferred time to order food (67.3%) for most of the respondents. Respondents' perceptions of a "healthy meal" was associated with the presence of a variety of vegetables in the meal. Food price, food appearance, time of delivery, macronutrient content information, the availability of healthy options, and considering vegetables as part of a healthy meal were determinants of consumer food choice (p<0.05). The findings suggest that the online food environment in Jordan was perceived to be unhealthy. Nevertheless, the convenient nature and the popularity of OFD apps hold great potential to promote healthy eating among consumers.
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Affiliation(s)
- Tareq M. Osaili
- Department of Nutrition and Food Technology, Faculty of Agriculture, Jordan University of Science and Technology, Irbid, Jordan
- Department of Clinical Nutrition and Dietetics, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
| | - Anas A. Al-Nabulsi
- Department of Nutrition and Food Technology, Faculty of Agriculture, Jordan University of Science and Technology, Irbid, Jordan
| | - Asma’ O. Taybeh
- Department of Nutrition and Food Technology, Faculty of Agriculture, Jordan University of Science and Technology, Irbid, Jordan
| | - Leila Cheikh Ismail
- Department of Clinical Nutrition and Dietetics, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
| | - Sheima T. Saleh
- Department of Clinical Nutrition and Dietetics, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
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8
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Schirmer M, Dalko K, Stoevesandt D, Paulicke D, Jahn P. Educational Concepts of Digital Competence Development for Older Adults-A Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6269. [PMID: 37444116 PMCID: PMC10341140 DOI: 10.3390/ijerph20136269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/12/2023] [Revised: 06/23/2023] [Accepted: 06/28/2023] [Indexed: 07/15/2023]
Abstract
The digital transformation of healthcare and nursing is becoming increasingly important due to demographic change and the growing shortage of skilled workers. In order to ensure the participation of senior citizens in digital assistive technologies, educational concepts and support services are needed to promote digital skills in older adults. Therefore, the specific needs and prerequisites of this target group have to be taken into consideration. This paper asks how educational programs for the support of digital competences of older adults are designed and implemented. A scoping review was conducted to systematically extract existing findings from the literature. Four databases (Cinahl, PubMed, Web of Science Social Sciences Citation Index (SSCI), ERIC) were searched using an exploratory strategy to identify studies that address educational concepts promoting digital competences for older adults. A total of 47 publications were included in the qualitative analysis and show a variety of strategies to deal with the promotion of digital competences for elderly people. In conclusion, programs dealing with the promotion of digital competences for elderly people should be flexibly adapted to the target group with its specific needs and challenges such as fears, lack of previous experience, or physical limitations. For successful implementation, social support is of outstanding importance.
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Affiliation(s)
- Marielle Schirmer
- Faculty of Medicine, Martin-Luther-University Halle-Wittenberg, Dorothea-Erxleben-Lernzentrum-Halle (DELH), Magdeburger Straße 12, 06112 Halle (Saale), Germany;
- Health Service Research Working Group|Acute Care, Department of Internal Medicine, Faculty of Medicine Martin-Luther-University Halle-Wittenberg, University Medicine Halle (Saale), Ernst-Grube-Str. 40, 06120 Halle (Saale), Germany; (D.P.); (P.J.)
| | - Katharina Dalko
- Faculty of Medicine, Martin-Luther-University Halle-Wittenberg, Dorothea-Erxleben-Lernzentrum-Halle (DELH), Magdeburger Straße 12, 06112 Halle (Saale), Germany;
| | - Dietrich Stoevesandt
- Faculty of Medicine, Martin-Luther-University Halle-Wittenberg, Dorothea-Erxleben-Lernzentrum-Halle (DELH), Magdeburger Straße 12, 06112 Halle (Saale), Germany;
| | - Denny Paulicke
- Health Service Research Working Group|Acute Care, Department of Internal Medicine, Faculty of Medicine Martin-Luther-University Halle-Wittenberg, University Medicine Halle (Saale), Ernst-Grube-Str. 40, 06120 Halle (Saale), Germany; (D.P.); (P.J.)
- Department of Medical Education, Akkon University of Human Sciences, Colditzstraße 34–36, 12099 Berlin, Germany
| | - Patrick Jahn
- Health Service Research Working Group|Acute Care, Department of Internal Medicine, Faculty of Medicine Martin-Luther-University Halle-Wittenberg, University Medicine Halle (Saale), Ernst-Grube-Str. 40, 06120 Halle (Saale), Germany; (D.P.); (P.J.)
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Morrison BA, Nicholson J, Wood B, Briggs P. Life after lockdown: The experiences of older adults in a contactless digital world. Front Psychol 2023; 13:1100521. [PMID: 36710727 PMCID: PMC9880547 DOI: 10.3389/fpsyg.2022.1100521] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2022] [Accepted: 12/13/2022] [Indexed: 01/15/2023] Open
Abstract
Introduction The digital response to the Coronavirus (COVID-19) pandemic and its effects on the lives of older adults has been well-documented, but less is known about how they experienced the post-lockdown re-emergence into a relatively contactless digital society. Methods We report the findings from a qualitative survey (n = 93) and subsequent interviews (n = 9) with older adults aged 50+, where they describe their struggles with some of the newly implemented digital interactions. These struggles cover a range of settings but include using contactless payments, QR codes and apps to facilitate transactions in cafes, bars, and restaurants. Results A thematic analysis of our data revealed the intrinsic (e.g. digital literacy) and extrinsic (e.g. malfunctioning technology) factors that limited social inclusion for these participants, and that sometimes even led to moments of public humiliation. Discussion Our findings shed light on some of the motivational factors that underpin the age-related digital divide, whilst also highlighting the role of self-directed agism in limiting motivations to learn new digital routines.
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Affiliation(s)
- Benjamin A. Morrison
- Psychology and Communication Technology Lab, Department of Psychology, Northumbria University, Newcastle upon Tyne, United Kingdom,*Correspondence: Benjamin A. Morrison, ✉
| | - James Nicholson
- Psychology and Communication Technology Lab, Department of Psychology, Northumbria University, Newcastle upon Tyne, United Kingdom
| | - Becca Wood
- School of Criminology, Simon Fraser University, Burnaby, BC, Canada
| | - Pam Briggs
- Psychology and Communication Technology Lab, Department of Psychology, Northumbria University, Newcastle upon Tyne, United Kingdom
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Kong D, Liu S, Hong Y, Chen K, Luo Y. Perspectives on the popularization of smart senior care to meet the demands of older adults living alone in communities of Southwest China: A qualitative study. Front Public Health 2023; 11:1094745. [PMID: 36908438 PMCID: PMC9998995 DOI: 10.3389/fpubh.2023.1094745] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Accepted: 01/31/2023] [Indexed: 03/14/2023] Open
Abstract
Background Older adults who live alone face challenges in daily life and in maintaining their health status quo. Currently, however, their growing demands cannot be satisfied with high quality; therefore, these demands expressed by elders may be settled in the form of smart senior care. Hence, the improvement in smart senior care may produce more positive meanings in promoting the health and sense of happiness among this elderly population. This study aimed to explore the perceptions of demands and satisfaction with regard to the provision of senior care services to the community-dwelling older adults who live alone in Southwest China, thus providing a reference for the popularization of smart senior care. Methods This study adopted a qualitative descriptive approach on demands and the popularization of smart senior care. Semi-structured and in-depth individual interviews were conducted with 15 community-dwelling older adults who lived alone in Southwest China between March and May 2021. Thematic analysis was applied to analyze the data. Results Through data analysis, three major themes and subcategories were generated: "necessities" (contradiction: more meticulous daily life care and higher psychological needs vs. the current lower satisfaction status quo; conflict: higher demands for medical and emergency care against less access at present), "feasibility" (objectively feasible: the popularization of smart devices and applications; subjectively feasible: interests in obtaining health information), and "existing obstacles" (insufficient publicity; technophobia; patterned living habits; and concerns). Conclusions Smart senior care may resolve the contradiction that prevails between the shortage of medical resources and the increasing demands for eldercare. Despite several obstacles that stand in the way of the popularization of smart senior care, the necessities and feasibility lay the preliminary foundation for its development and popularization. Decision-makers, communities, developers, and providers should cooperate to make smart senior care more popular and available to seniors living alone, facilitating independence while realizing aging in place by promoting healthy aging.
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Affiliation(s)
- Dehui Kong
- School of Nursing, Army Medical University (Third Military Medical University), Shapingba, Chongqing, China
| | - Siqi Liu
- School of Nursing, Army Medical University (Third Military Medical University), Shapingba, Chongqing, China
| | - Yan Hong
- School of Nursing, Army Medical University (Third Military Medical University), Shapingba, Chongqing, China
| | - Kun Chen
- School of Nursing, Army Medical University (Third Military Medical University), Shapingba, Chongqing, China
| | - Yu Luo
- School of Nursing, Army Medical University (Third Military Medical University), Shapingba, Chongqing, China
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Nedeljko AM, Bogataj PDD, Perović APDBT, Kaučič APDBM. Digital literacy during the coronavirus pandemic in older adults: Literature Review and Research Agenda. IFAC-PAPERSONLINE 2022; 55:153-158. [PMID: 38620995 PMCID: PMC9764837 DOI: 10.1016/j.ifacol.2022.12.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Demographic change in the developed world is leading to a higher proportion of older adults and longer life expectancy. Measures to control the coronavirus disease have affected older adults the most. Social isolation and access to remote health services has been a problem for many people. We have used the method of scientific literature review. The selection of articles was made in accordance with the following inclusion criteria: accessibility, scientificity, content relevance and topicality. After selection, the results were analysed by qualitative content analysis. With the content analysis of twenty scientific articles, we gained an insight into digital literacy of older adults during the COVID-19 pandemic. Three content categories were identified: (1) poor digital literacy of older adults, (2) inequality in ICT access, (3) use of ICT reduces the negative impact of social isolation. We note that there is a large digital divide in digital literacy and competences among older adults which expanded during the coronavirus disease pandemic. Several factors, including socio-economic status, internet access and the poor adaptation of ICT for older adults affect digital literacy. Rapid development of remote health and social care, poor digital literacy of older adults and the poor adaptation of ICT for older adults dictate that the problem must be tackled systemically.
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Affiliation(s)
- Assist Mihael Nedeljko
- Alma Mater Europaea - ECM, Research Institute of Social Gerontology, Slovenska ulica 17, 2000 Maribor, Slovenia
| | - Prof Ddr David Bogataj
- Alma Mater Europaea - ECM, Research Institute of Social Gerontology, Slovenska ulica 17, 2000 Maribor, Slovenia
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Sghaier S, Asiamah N, Danquah E, Opuni FF, Hatsu S. Information technology ability mediates the association between older adults' subjective age and social activity: A STROBE-compliant cross-sectional analysis. Arch Gerontol Geriatr 2022; 103:104790. [PMID: 35987033 DOI: 10.1016/j.archger.2022.104790] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2022] [Revised: 08/09/2022] [Accepted: 08/11/2022] [Indexed: 11/02/2022]
Abstract
BACKGROUND The association between subjective age and social activity has been reported in the extant literature, but whether this association is mediated by information technology ability and its domains (i.e., internet use assessment, packaged software use assessment, and innovativeness attitude) has not been examined. AIM To assess the association between subjective age and social activity and to ascertain whether this association is mediated by information technology ability. METHODS This study adopted a cross-sectional design characterising sensitivity analyses and common methods bias. The participants were 895 community-dwelling older adults aged 60 years or higher in Accra, Ghana. We measured subjective age, information technology ability, and social activity with previously validated Likert scales, each of which was internally consistent at a Cronbach's α ≥0.7. The data were analysed with partial least squares structural equation modelling (PLS-SEM) and hierarchical linear regression (HLR) analysis. RESULTS Subjective age was positively associated with social activity, and this association was partially mediated by information technology ability but none of the three domains of information technology ability mediated this relationship. Subjective age was positively associated with information technology ability and its three domains. Information technology ability (but not its domains) was positively associated with social activity. CONCLUSION Older subjective age was associated with higher social activity through information technology ability. Social activity and information technology ability levels among older adults depend on subjective age, which has implications for ageing and gerontology as reported in this paper.
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Affiliation(s)
- Sarra Sghaier
- Department of Geriatrics and Gerontology, Africa Centre for Epidemiology, Accra Ghana, P. O. Box AN 16284, Accra, Ghana
| | - Nestor Asiamah
- Department of Geriatrics and Gerontology, Africa Centre for Epidemiology, Accra Ghana, P. O. Box AN 16284, Accra, Ghana; Division of Interdisciplinary Research and Practice, School of Health and Social Care, University of Essex, Colchester, Wivenhoe Park, CO4 3SQ, United Kingdom.
| | - Emelia Danquah
- Department of Geriatrics and Gerontology, Africa Centre for Epidemiology, Accra Ghana, P. O. Box AN 16284, Accra, Ghana; Department of Procurement and Supply Science, Koforidua Technical University, Koforidua, Eastern Region, Ghana
| | - Frank Frimpong Opuni
- Department of Geriatrics and Gerontology, Africa Centre for Epidemiology, Accra Ghana, P. O. Box AN 16284, Accra, Ghana; Department of Marketing, Accra Technical University, Accra Metro, Accra, Ghana
| | - Sylvester Hatsu
- Department of Geriatrics and Gerontology, Africa Centre for Epidemiology, Accra Ghana, P. O. Box AN 16284, Accra, Ghana; Department of Computer Science, Accra Technical University, Accra, Ghana
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Behavioral Patterns of Supply and Demand Sides of Health Services for the Elderly in Sustainable Digital Transformation: A Mixed Methods Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19138221. [PMID: 35805878 PMCID: PMC9266778 DOI: 10.3390/ijerph19138221] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/05/2022] [Revised: 06/22/2022] [Accepted: 07/04/2022] [Indexed: 02/04/2023]
Abstract
The aging transformation of digital health services faces issues of how to distinguish influencing factors, redesign services, and effectively promote measures and policies. In this study, in-depth interviews were conducted, and grounded theory applied to open coding, main axis coding, and selective coding to form concepts and categories. Trajectory equifinality modeling clarified the evolution logic of digital transformation. Based on the theory of service ecology, a digital health service aging model was constructed from the “macro–medium–micro” stages and includes governance, service, and technology transformation paths. The macro stage relies on organizational elements to promote the institutionalization of management and guide the transformation of governance for value realization, including the construction of three categories: mechanism, indemnification, and decision-making. The meso stage relies on service elements to promote service design and realize service transformation that is suitable for aging design, including the construction of three categories: organization, resources, and processes. The micro stage relies on technical elements to practice experiencing humanization, including the construction of three categories: target, methods, and evaluation. These results deepen the understanding of the main behaviors and roles of macro-organizational, meso-service, and micro-technical elements in digital transformation practice and have positive significance for health administrative agencies to implement action strategies.
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