Overcoming the digital divide with a modern approach to learning digital skills for the elderly adults

Blažič, Borka Jerman; Blažič, Andrej Jerman

doi:10.1007/s10639-019-09961-9

Cited by 124 publications

(93 citation statements)

References 23 publications

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“…The results showed that the older adult participants demonstrated significantly poorer performance in many of the temporal and accuracy measures, including longer reaction and task duration times, more taps to achieve the desired goal, and more frequent taps outside the target zones. These results support those of prior studies indicating that older adults are less proficient in using computer input devices such as a mouse or a touchpad [ 25 , 33 ]. These differences appear to be linked to an age-related decline in motor skills, since opportunities for practice as provided by prior smartphone ownership and usage did not affect the current between-group differences.…”

Section: Discussionsupporting

confidence: 91%

Effect of Age on the Touchscreen Manipulation Ability of Community-Dwelling Adults

Elboim-Gabyzon

Weiss

Danial-Saad

2021

IJERPH

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Assessment of touchscreen manipulation skills is essential for determining the abilities of older individuals and the extent to which they may benefit from this technology as a means to enhance participation, self-esteem, and quality of life. The aim of this study was to compare the touchscreen manipulation ability between community-dwelling older adults and middle-aged adults using a newly developed Touchscreen Assessment Tool (TATOO) and to determine the usability of this instrument. Convenience samples of two age groups were considered, one including 28 independent community-living older adults aged 81.9 ± 4.2 years with intact or corrected vision and with the abilities to walk independently with or without a walking aid and to understand and follow simple commands, and the other including 25 healthy middle-age adults aged 53.4 ± 5.9 years. The usability assessment was conducted during a single session using the System Usability Scale (SUS). Older adults demonstrated poorer touchscreen skills compared to middle-aged adults. Previous experience in manipulating a smartphone by the older adults did not affect their performance. The SUS results indicated good usability of the TATOO by both age groups. The TATOO shows promise as a user-friendly tool for assessing the specific skills needed to operate touchscreens. The outcomes of this study support the suitability of touchscreen devices and applications as well as the need for adapted accessibility for older adults. Researchers and clinicians will benefit from the availability of a rapid, low-cost, and objective tool to assess the skills required for touchscreen use.

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Section: Discussionsupporting

confidence: 91%

Effect of Age on the Touchscreen Manipulation Ability of Community-Dwelling Adults

Elboim-Gabyzon

Weiss

Danial-Saad

2021

IJERPH

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“…Self-management support in chronic care could be enhanced by mobile communication tools such as telephone or online applications as indicated by accumulated evidence from randomized controlled-trials or systematic reviews. 25,26 Our study provided evidence indicating the bene t of mobile telephone to support self-management of chronic care in a large scale ( 27 Based on our ndings, it is implicated that mobile phone should be the rst choice for the application of mobile information and communications technology; ICT to support self-management in chronic care.…”

Section: Mobile Communication Tools…a System Enablermentioning

confidence: 65%

Assessing a national policy on strengthening chronic care in primary care settings of a middle-income country using patients’ perspectives.

Aekplakorn

Suriyawongpaisal

Srithamrongsaw

et al. 2020

Preprint

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Background To improve care for patients with chronic diseases, a recent policy initiative in Thailand focuses on strengthening primary care including training of the team to deliver healthcare based on the concept of Chronic Care Model (CCM). This study aimed to assess the perception of patients on the health care services after the implementation. Methods We conducted a cross-sectional survey of 4,071 patients with hypertension and/or diabetes registered to 27 primary care units and 11 hospital Non-communicable diseases (NCDs) clinics in 11 provinces.The patients were interviewed at home using a validated questionnaire of the Patient Assessment of Chronic Illness Care (PACIC+). It contains 20 items from the original PACIC, which measure different parts of the CCM, and an additional 6 items assess the 5A Model including assess, advise, agree, assist, and arrange subscales. Upgraded primary care unit (PCUs) were ordinary PCUs with the multi-professional team including a physician. Trained upgraded PCUs were upgraded PCUs with the training input. Structural equation modeling was used to create subscale scores for CCM and 5 A model characteristics. Mixed effect models were employed to compare subscale of patient perception of the care quality between trained upgraded PCUs, upgraded PCUs, ordinary PCUs and NCD clinics.Results There was an independent association between every PACIC subscale (as a measure of CCM) and facility type with the maximum likelihood for patients of ordinary PCU reporting high to highest scores (ORs: 1.46-1.85; p<0.05) compared to hospital NCD clinics. This is also the case for patients: seeing the same doctor on repeated visits (ORs: 1.82-2.17; p<0.05) or having phone contacts of the providers (ORs:1.53-1.99; p<0.05). Similarly, across all of the 5A model subscales, ORs for patients attending ordinary PCU responded with high to highest scores were 1.48-2.10 times compared to those for patients attending hospital NCD clinics (p<0.05). Conclusions The training and allocation of family physician approach in PCU may not satisfy the patients’ perception on quality of chronic care. Further studies might focus on other factors such as mismatch between health workforce and workload as a key factor influencing the success of the policy implementation.

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“…Self-management support in chronic care could be enhanced by mobile communication tools such as telephone or online applications as indicated by accumulated evidence from randomized controlled-trials or systematic reviews. 25,26 Our study provided evidence indicating the bene t of mobile telephone to support self-management of chronic care in a large scale (Table 2 & 27 Based on our ndings, it is implicated that mobile phone should be the rst choice for the application of mobile information and communications technology; ICT to support self-management in chronic care.…”

Section: Mobile Communication Tools…a System Enablermentioning

confidence: 66%

Assessing a national policy on strengthening chronic care in primary care settings of a middle-income country using patients’ perspectives.

Aekplakorn

Suriyawongpaisal

Srithamrongsaw

et al. 2021

Preprint

View full text Add to dashboard Cite

Background To improve care for patients with chronic diseases, a recent policy initiative in Thailand focused on strengthening primary care based on the concept of Chronic Care Model (CCM). This study aimed to assess the perception of patients about the health care services after the implementation. Methods We conducted a cross-sectional survey of 4,071 patients with hypertension and/or diabetes registered with 27 primary care units and 11 hospital non-communicable diseases (NCDs) clinics in 11 provinces.The patients were interviewed using a validated questionnaire of the Patient Assessment of Chronic Illness Care. Upgraded primary care units (PCUs) were ordinary PCUs with the multi-professional team including a physician. Trained upgraded PCUs were upgraded PCUs with the training input. Structural equation modeling was used to create subscale scores for CCM and 5 A model characteristics. Mixed effect logistic models were employed to examine the association of subscales (high vs low score) of patient perception of the care quality with type of PCUs.Results Compared to hospital NCD clinics, ordinary PCUs were the best in the odds of receiving high score for every CCM subscale (ORs: 1.46-1.85; p<0.05), whereas the trained upgraded PCUs were better in terms of follow-up (ORs:1.37; p <0.05), and the upgraded PCU did not differ in all domains. According to the 5 A model subscales, patient assessment also revealed better performance of ordinary PCUs in all domains compared to hospital NCD clinics whereas upgraded PCUs and trained upgraded PCUs did so in some domains. Seeing the same doctor on repeated visits (ORs: 1.82-2.17; p<0.05) or having phone contacts with the providers (ORs:1.53-1.99; p<0.05) were found beneficial using CCM subscales and the 5A model subscales. However, patient assessment by both subscales did not demonstrate a statistically significant association across health insurance status.Conclusions The policy implementation might not satisfy the patients’ perception on quality of chronic care according to the CCM and the 5A model subscale. However, the arrangement of chronic care with patients seeing the same doctors or patients having telephone contact with healthcare providers may satisfy the patients’ perceived needs.

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Overcoming the digital divide with a modern approach to learning digital skills for the elderly adults

Cited by 124 publications

References 23 publications

Effect of Age on the Touchscreen Manipulation Ability of Community-Dwelling Adults

Effect of Age on the Touchscreen Manipulation Ability of Community-Dwelling Adults

Assessing a national policy on strengthening chronic care in primary care settings of a middle-income country using patients’ perspectives.

Assessing a national policy on strengthening chronic care in primary care settings of a middle-income country using patients’ perspectives.

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