Evaluating the older adult experience of a web-based, tablet-delivered heart failure self-care program using gerontechnology principles

Buck, Harleah G.; Pinter, Anthony T.; Poole, Erika Shehan; Boehmer, John; Foy, Andrew; Black, S.; Lloyd, Tom

doi:10.1016/j.gerinurse.2017.04.001

Cited by 27 publications

(36 citation statements)

References 13 publications

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“…Table 1 lists the ancillary data extracted from the studies analyzed in reverse chronological order as follows: 2020 [ 26 ], 2019 [ 5 , 26 - 34 ], 2018 [ 4 , 15 , 16 , 35 - 46 ], 2017 [ 14 , 47 - 56 ], 2016 [ 19 , 57 - 63 ], and 2015 [ 64 - 76 ].…”

Section: Resultsmentioning

confidence: 99%

“…Another theme was associated with a decrease in symptoms surrounding diabetes (decrease in HbA 1c , decrease in cholesterol, increase in glucose management, and increase in diabetes health), with 9 of 118 (8%) occurrences [ 28 , 36 , 37 , 51 , 52 , 66 ]. Another theme was associated with an increase in mindfulness of the condition (increase in medical events detected, increase in education exposure, and more awareness of danger areas for falls like outside or stairwells), with 8 of 118 (7%) occurrences [ 21 , 27 , 38 , 43 , 47 , 51 , 63 , 67 ]. The next theme summarized observations of an increase in the sense of safety, security, or comfort , with 7 of 118 (6%) occurrences [ 21 , 23 , 44 , 47 , 53 ].…”

Section: Resultsmentioning

confidence: 99%

“…Another theme was associated with an increase in mindfulness of the condition (increase in medical events detected, increase in education exposure, and more awareness of danger areas for falls like outside or stairwells), with 8 of 118 (7%) occurrences [ 21 , 27 , 38 , 43 , 47 , 51 , 63 , 67 ]. The next theme summarized observations of an increase in the sense of safety, security, or comfort , with 7 of 118 (6%) occurrences [ 21 , 23 , 44 , 47 , 53 ]. The last set of themes comprised 25% of the observations, and they were an increase in health-related quality of life (increase in life satisfaction and increase in the feeling of being understood); increase in activity or coordination (increase in mobility, increase in activity, increase in exercise, decrease in weight, decrease in BMI, increase in balance evaluation, and increase in the feeling of stability); decrease in medical conditions surrounding pain (decrease in alcohol abuse, decrease in cannabis misuse, decrease in cannabis dependence, and decrease in pain); increase in documentation to give to the provider (documentation and communication with the provider); increase in satisfaction (satisfaction with the health care system); and increase in hospital metrics (decrease in readmissions and decrease in hospital visits).…”

Section: Resultsmentioning

confidence: 99%

“…Table 6 lists the barriers with their associated references, number of occurrences, and probability of occurrence in this review. The barrier that was reported most often was technical literacy (I do not understand technology, I cannot navigate menus, I do not know how, etc) [ 14 - 16 , 19 , 27 , 28 , 34 , 35 , 37 - 40 , 46 , 47 , 49 , 56 , 58 , 59 , 63 - 65 , 75 ]. The theme noted the second most often was lack of desire (laziness, I do not want to, I am too busy, etc) [ 19 , 28 , 34 , 37 , 38 , 49 , 57 , 58 , 60 , 63 , 64 , 67 , 74 , 76 ].…”

Section: Resultsmentioning

confidence: 99%

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Utilization Barriers and Medical Outcomes Commensurate With the Use of Telehealth Among Older Adults: Systematic Review

et al. 2020

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Background Rising telehealth capabilities and improving access to older adults can aid in improving health outcomes and quality of life indicators. Telehealth is not being used ubiquitously at present. Objective This review aimed to identify the barriers that prevent ubiquitous use of telehealth and the ways in which telehealth improves health outcomes and quality of life indicators for older adults. Methods This systematic review was conducted and reported in accordance with the Kruse protocol and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Reviewers queried the following four research databases: Cumulative Index of Nursing and Allied Health Literature (CINAHL), PubMed (MEDLINE), Web of Science, and Embase (Science Direct). Reviewers analyzed 57 articles, performed a narrative analysis to identify themes, and identified barriers and reports of health outcomes and quality of life indicators found in the literature. Results Reviewers analyzed 57 studies across the following five interventions of telehealth: eHealth, mobile health (mHealth), telemonitoring, telecare (phone), and telehealth video calls, with a Cohen κ of 0.75. Reviewers identified 14 themes for barriers. The most common of which were technical literacy (25/144 occurrences, 17%), lack of desire (19/144 occurrences, 13%), and cost (11/144 occurrences, 8%). Reviewers identified 13 medical outcomes associated with telehealth interventions. The most common of which were decrease in psychological stress (21/118 occurrences, 18%), increase in autonomy (18/118 occurrences, 15%), and increase in cognitive ability (11/118 occurrences, 9%). Some articles did not report medical outcomes (18/57, 32%) and some did not report barriers (19/57, 33%). Conclusions The literature suggests that the elimination of barriers could increase the prevalence of telehealth use by older adults. By increasing use of telehealth, proximity to care is no longer an issue for access, and thereby care can reach populations with chronic conditions and mobility restrictions. Future research should be conducted on methods for personalizing telehealth in older adults before implementation. Trial Registration PROSPERO CRD42020182162; https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020182162. International Registered Report Identifier (IRRID) RR2-10.2196/15490

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Utilization Barriers and Medical Outcomes Commensurate With the Use of Telehealth Among Older Adults: Systematic Review

et al. 2020

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“…The team then created a 5-minute introductory video that showed an older adult using the tablet at home with voice-over directions. After a successful proof-of-concept trial (Lloyd et al, 2017), participants were interviewed and reported a positive experience with the technology and made suggestions for additional features (Buck et al, 2017). The team was then ready to test the intervention again in a…”

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confidence: 99%

Does Health Care Technology Work for or Against Older Adults?

Buck

2017

J Gerontol Nurs

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Self‐care for coronavirus disease through electronic health technologies: A scoping review

Asadi

Rahimi

Ghaderkhany

et al. 2023

Health Science Reports

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Background and Aims Considering the rapid spread and transmission of COVID‐19 and its high mortality rate, self‐care practices are of special importance during this pandemic to prevent and control the spread of the virus. In this regard, electronic health systems can play a major role in improving self‐care practices related to coronavirus disease. This study aimed to review the electronic health technologies used in each of the constituent elements of the self‐care (self‐care maintenance, self‐care monitoring, and self‐care management) during the COVID‐19 pandemic. Methods This scoping review was conducted based on Arksey and O'Malley's framework. In this study, the specific keywords related to “electronic health,” “self‐care,” and “COVID‐19” were searched on PubMed, Web of Science, Scopus, and Google. Results Of the 47 articles reviewed, most articles (27 articles) were about self‐care monitoring and aimed to monitor the vital signs of patients. The results showed that the use of electronic health tools mainly focuses on training in the control and prevention of coronavirus disease during this pandemic, in the field of self‐care maintenance, and medication management, communication, and consultation with healthcare providers, in the field of self‐care management. Moreover, the most commonly used electronic health technologies were mobile web applications, smart vital signs monitoring devices, and social networks, respectively. Conclusion The study findings suggested that the use of electronic health technologies, such as mobile web applications and social networks, can effectively improve self‐care practices for coronavirus disease. In addition, such technologies can be applied by health policymakers and disease control and prevention centers to better manage the COVID‐19 pandemic.

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Evaluating the older adult experience of a web-based, tablet-delivered heart failure self-care program using gerontechnology principles

Cited by 27 publications

References 13 publications

Utilization Barriers and Medical Outcomes Commensurate With the Use of Telehealth Among Older Adults: Systematic Review

Utilization Barriers and Medical Outcomes Commensurate With the Use of Telehealth Among Older Adults: Systematic Review

Does Health Care Technology Work for or Against Older Adults?

Self‐care for coronavirus disease through electronic health technologies: A scoping review

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