African American Older Adults' Perceived Use of Technology for Hypertension Self-Management

Still, Carolyn H; Jones, Lenette M.; Moss, Karen; Variath, Mary; Wright, Kathy

doi:10.3928/19404921-20180809-02

Cited by 18 publications

(25 citation statements)

References 35 publications

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“…Communication discussions also included the use of technology. Those results are presented in another paper (Harmon Still, Jones, Moss, Variath, & Wright, in press).…”

Section: Resultsmentioning

confidence: 71%

Hypertension Self-Management Perspectives From African American Older Adults

et al. 2018

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African Americans are disproportionately impacted by hypertension, suffering earlier onset and greater severity of the disease, and premature cardiovascular mortality, than the general population. Managing hypertension is an unending concern for African American older adults. A better understanding of the self-management preferences of this vulnerable population will lead to the enhanced design of culturally acceptable interventions. This descriptive study examined focus group participants' perspectives on engaging in hypertension self-management activities with the goal of developing a co-created intervention. This study was part of a mixed methods study for which audio- and graphically-recorded focus groups were conducted with community-dwelling African American older adults ( N = 31) diagnosed with hypertension. The majority of the participants were women (87%); the mean age was 72 years ( SD = 7.53). Themes derived from data analyses centered on primary stressors of communication, healthy eating, and sleep related to blood pressure self-management. Based on these, the researchers co-created educational interventions.

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“…Communication discussions also included the use of technology. Those results are presented in another paper (Harmon Still, Jones, Moss, Variath, & Wright, in press).…”

Section: Resultsmentioning

confidence: 71%

Hypertension Self-Management Perspectives From African American Older Adults

et al. 2018

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“…Unmet expectations [ 37 ]. Lack of need to change [ 34 , 36 , 37 , 39 ]. Fear that traditional services my perish [ 37 ].…”

Section: Methodsmentioning

confidence: 99%

Barriers and facilitators to the use of e-health by older adults: a scoping review

et al. 2021

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Background Limited attention has been paid to how and why older adults choose to engage with technology-facilitated health care (e-health), and the factors that impact on this. This scoping review sought to address this gap. Methods Databases were searched for papers reporting on the use of e-health services by older adults, defined as being aged 60 years or older, with specific reference to barriers and facilitators to e-health use. Result 14 papers were included and synthesised into five thematic categories and related subthemes. Results are discussed with reference to the Unified Theory of Acceptance and Use of Technology2. The most prevalent barriers to e-health engagement were a lack of self-efficacy, knowledge, support, functionality, and information provision about the benefits of e-health for older adults. Key facilitators were active engagement of the target end users in the design and delivery of e-health programs, support for overcoming concerns privacy and enhancing self-efficacy in the use of technology, and integration of e-health programs across health services to accommodate the multi-morbidity with which older adults typically present. Conclusion E-health offers a potential solution to overcome the barriers faced by older adults to access timely, effective, and acceptable health care for physical and mental health. However, unless the barriers and facilitators identified in this review are addressed, this potential will not be realised.

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“…Telemedicine and telemonitoring has also gained exposure for its potential to prevent and/or gauge risk factors associated with CVD [76]. Studies show that self-management via mobile and telehealth technologies can improve outcomes in patients with hypertension, such as the use of mobile blood pressure monitoring [77,78]. Unfortunately, elderly adults show low participation in these technologies [77,78].…”

Section: Management and Treatment Of Cvd In Older Adultsmentioning

confidence: 99%

Cardiovascular Risks Associated with Gender and Aging

Rodgers

Jones

Bolleddu

et al. 2019

JCDD

629

370

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The aging and elderly population are particularly susceptible to cardiovascular disease. Age is an independent risk factor for cardiovascular disease (CVD) in adults, but these risks are compounded by additional factors, including frailty, obesity, and diabetes. These factors are known to complicate and enhance cardiac risk factors that are associated with the onset of advanced age. Sex is another potential risk factor in aging adults, given that older females are reported to be at a greater risk for CVD than age-matched men. However, in both men and women, the risks associated with CVD increase with age, and these correspond to an overall decline in sex hormones, primarily of estrogen and testosterone. Despite this, hormone replacement therapies are largely shown to not improve outcomes in older patients and may also increase the risks of cardiac events in older adults. This review discusses current findings regarding the impacts of age and gender on heart disease.

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African American Older Adults' Perceived Use of Technology for Hypertension Self-Management

Cited by 18 publications

References 35 publications

Hypertension Self-Management Perspectives From African American Older Adults

Hypertension Self-Management Perspectives From African American Older Adults

Barriers and facilitators to the use of e-health by older adults: a scoping review

Cardiovascular Risks Associated with Gender and Aging

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