Older adults are mobile too!Identifying the barriers and facilitators to older adults’ use of mHealth for pain management

Parker, Samantha; Jessel, Sonal; Richardson, Joshua E.; Reid, M. Carrington

doi:10.1186/1471-2318-13-43

Cited by 199 publications

(217 citation statements)

References 31 publications

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“…The iPad mini has some advantages regarding (1) proper size and weight to carry; (2) high pixel density in high quality images, which is key for older users to reduce burden due to limited visual difficulty; and (3) opportunities to use diverse types of apps developed internationally [23], as previous literature emphasizes [10,11,20].…”

Section: Methodsmentioning

confidence: 99%

“…After one week for self-practice time, the interventionists evaluated the proficiency of the participants at using the mobile device independently [20]. In addition, participants reported their confidence in using the mobile tablets [20].…”

Section: Methodsmentioning

confidence: 99%

“…After completing the mHealth intervention, prior to equipment being rotated to the next participant, it was sanitized, inspected for safety, and retested per the manufacturer's recommendations and our team's research protocol. When study participants used web pages and apps outside of our mHealth intervention, we did not examine them due to protection of participants' privacy regarding their history of Internet use [13,20].…”

Section: Methodsmentioning

confidence: 99%

“…Procedures regarding participants' anonymity and confidentiality should be carefully designed and described to participants [13,20]. Based on the Association of Internet Research recommendations for ethical conduct for Internet, Computer, and Technology research [24], a unique participant code was assigned to each participant for data collection and entry to the database.…”

Section: Methodsmentioning

confidence: 99%

“…The interventions highly depend on mobile communication using telephone calls and a short message service rather than multi-factorial interventions integrating applications and webbased interactive programs [10]. Moreover, there is limited information of the process how the mHealth intervention protocols were developed, considering the key challenges faced by community-dwelling older adults [10,13,20]. No previous theory-based Korean study aimed to develop specific components of mHealth interventions tailored to older Koreans with diverse types of chronic diseases.…”

Section: Introductionmentioning

confidence: 99%

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Self-Management of Chronic Diseases Among Older Korean Adults: An mHealth Training, Protocol, and Feasibility Study (Preprint)

Kim¹,

Park²,

Lee³

et al. 2018

Preprint

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Background: Although 90% of older Korean adults have at least one chronic disease, most self-management interventions are clinic-based, delivered through face-to-face education, and highly focused on disease information only in South Korea. Therefore, older Koreans living in the community continue to seek an adjunct to manage chronic disease by themselves and expect mobile health (mHealth) to meet their healthcare needs in daily life.Objective: This feasibility study (1) developed an mHealth protocol to empower older adults to manage their chronic diseases at home, (2) examined the feasibility of the mHealth intervention using mobile tablets and applications (apps), and (3) discussed contextual and methodological challenges when applying an mHealth intervention for older Koreans with chronic diseases. Methods:The mHealth intervention protocol was developed based on the eHealth Enhanced Chronic Care Model. Our mHealth intervention included four phases. Phase 1 included mobile tablet training and standardized technology training with guidebooks, demonstrations, and guided practice. Phase 2 included standardized information for disease management retrieved from both governmental and professional healthcare organizations. Phase 3 included training to use the pre-selected high-quality mHealth apps to consider types of individuals' chronic disease. Phase 4 included encouragement to practice self-selected mHealth apps based on their individual needs. Quantitatively descriptive and qualitative content analyses of user evaluation were completed to assess feasibility and user acceptance. Results: Among the 27 older adults, 25 completed mHealth training for 4 weeks. The attrition rate was 7.4% (2/27), due to time conflicts, emotional distress, and/or family discouragement. The men required little or no time for Phase 1, while the women seemed to depend on the interventionists for Phase 3. At least 4 weeks with weekly meetings were required to complete training of the mHealth intervention. Sex, educational level, and previous experience using smartphones were associated with learning speed, confidence, and competence.Conclusions: A highly person-centered approach is required to implement mHealth interventions for older adults. Self-management of chronic diseases via mHealth requires careful consideration regarding the complex nature of human behavior, emotional response, and family influence; therefore, integrating a theoretical-clinical-technical approach is necessary for successful implementation and higher effectiveness among older adults.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Self-Management of Chronic Diseases Among Older Korean Adults: An mHealth Training, Protocol, and Feasibility Study (Preprint)

Kim¹,

Park²,

Lee³

et al. 2018

Preprint

View full text Add to dashboard Cite

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Association Between Psychological Interventions and Chronic Pain Outcomes in Older Adults

et al. 2018

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IMPORTANCE Chronic noncancer pain (hereafter referred to as chronic pain) is common among older adults and managed frequently with pharmacotherapies that produce suboptimal outcomes. Psychological treatments are recommended, but little information is available regarding their efficacy in older adults. OBJECTIVE To determine the efficacy of psychological interventions in older adults with chronic pain and whether treatment effects vary by participant, intervention, and study characteristics. DATA SOURCES MEDLINE, Embase, PsycINFO, and the Cochrane Library were searched from inception to March 29, 2017. STUDY SELECTION Analysis included studies that (1) used a randomized trial design,(2) evaluated a psychological intervention that used cognitive behavioral modalities alone or in combination with another strategy, (3) enrolled individuals with chronic pain (pain ≥3 months) with a sample mean age of 60 years or older, and (4) reported preintervention and postintervention quantitative data. DATA EXTRACTION AND SYNTHESIS Two of the authors independently extracted data. A mixed-model meta-analysis tested the effects of treatment on outcomes. Analyses were performed to investigate the association between participant (eg, age), intervention (eg, treatment mode delivery), and study (eg, methodologic quality) characteristicswith outcomes. MAIN OUTCOMES AND MEASURES Pain intensity was the primary outcome; secondary outcomes included pain interference, depressive symptoms, anxiety, catastrophizing beliefs, self-efficacy for managing pain, physical function, and physical health. RESULTS Twenty-two studies with 2608 participants (1799 [69.0%] women) were analyzed. Participants’ mean (SD) age was 71.9 (7.1) years. Differences of standardized mean differences (dD) at posttreatment were pain intensity (dD = −0.181, P = .006), pain interference (dD = −0.133, P = .12), depressive symptoms (dD = −0.128, P = .14), anxiety (dD = −0.205, P = .09), catastrophizing beliefs (dD = −0.184, P = .046), self-efficacy (dD = 0.193, P = .02), physical function (dD = 0.006, P = .96), and physical health (dD = 0.160, P = .24). There was evidence of effects persisting beyond the posttreatment assessment only for pain(dD = −0.251, P = .002). In moderator analyses, only mode of therapy (group vs individual) demonstrated a consistent effect in favor of group-based therapy. CONCLUSIONS AND RELEVANCE Psychological interventions for the treatment of chronic pain in older adults have small benefits, including reducing pain and catastrophizing beliefs and improving pain self-efficacy for managing pain. These results were strongest when delivered using group-based approaches. Research is needed to develop and test strategies that enhance the efficacy of psychological approaches and sustainability of treatment effects among older adults with chronic pain.

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Use of technology by people with dementia and informal carers during COVID‐19: A cross‐country comparison

Chirico

Giebel

Lion

et al. 2022

Int J Geriat Psychiatry

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Objectives: Considering the adverse outcomes of COVID-19, it is essential to provide adequate support and care for people with dementia and informal carers.Technology can reduce the distress associated with social distancing rules and the decreased access to in-person services. This study aimed to explore the use of technology and its perceived effects across different settings and countries. Methods:The sample was composed of 127 informal carers and 15 people with dementia from the UK, Italy, Australia and Poland. Semi-structured interviews explored participants' experiences of using technology and their perceived effects.Transcripts were analysed by researchers in each country using an inductive approach.Results: Three overarching themes were developed: (1) Technology kept us alive during COVID-19; (2) Remote care was anything but easy; (3) Perceived technology limitations. Many similarities emerged between countries supporting the role of technology for being socially engaged, having a routine, and staying active. However, the benefits of technology for health and psychosocial care were more limited.Across countries, barriers to the access and use of technology included lack of digital literacy, dementia severity, and lack of appropriate digital environments.Help and supervision from carers were also necessary and sometimes perceived as an additional burden. Conclusions:Technology can effectively reduce the shrinking world that may be amplified by the pandemic, thus preserving people with dementia's social skills and maintaining family connections. However, for more extensive and well-adapted use of technology in dementia care, actions should be taken to overcome the barriers to the access and use of technology by older and vulnerable people globally.

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Older adults are mobile too!Identifying the barriers and facilitators to older adults’ use of mHealth for pain management

Cited by 199 publications

References 31 publications

Self-Management of Chronic Diseases Among Older Korean Adults: An mHealth Training, Protocol, and Feasibility Study (Preprint)

Self-Management of Chronic Diseases Among Older Korean Adults: An mHealth Training, Protocol, and Feasibility Study (Preprint)

Association Between Psychological Interventions and Chronic Pain Outcomes in Older Adults

Use of technology by people with dementia and informal carers during COVID‐19: A cross‐country comparison

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