Abstract:The study’s rationale
The need for home care among older persons is increasing, and mHealth is evolving to help meet the challenge. When developing an app to help maintain their health, it is essential to incorporate older persons’ preferences.
Aims and objectives
To describe and evaluate the experiences of self‐care support and sense of security among older persons using an interactive app to report health concerns.
Methodological design and justification
The study had a descriptive and evaluative design. Qua… Show more
“…13% (n = 11) of the studies reported interventions aimed at increasing the knowledge and self‐management skills of older people living with chronic diseases and thereby helping to decrease the use of health‐care resources and improve QoL among older people 70‐80 . Interventions offered comprised programs of symptom monitoring and testing devices for collecting and sending data to health‐care professionals.…”
Section: Resultsmentioning
confidence: 99%
“…The channels used were videoconference 77,78,80 telephone 70,75 a digital health diary 73 apps with text 71 or message functions 74,79 . Some of the programs generated automatic feedback and risk assessment via algorithms, 71,72 whilst in others, data were audited directly by health care staff 70,77,79,80 …”
Background and aims
There is a growing demand for health and social care services to provide technology‐mediated interventions that promote the health and well‐being of older people with health or care needs and of their informal carers. The objectives of this study were to scope and review the nature and extent of prior intervention studies involving ambient assisted living technology‐mediated interventions for older people and their informal carers, and how and in what ways (if any) the goals and aims of these interventions reflected the domains of the World Health Organization framework for healthy ageing.
Methods
We conducted a scoping review. Data were collected between June and October 2018 with an updated search in October 2020. A total of 85 articles were eligible for inclusion.
Results
Nine categories described the aims and content of the included studies. The healthy ageing domain “Ability to meet basic needs” was mirrored in four categories, whereas “Ability to contribute to society” was not addressed at all.
Conclusion
The ways in which domains of healthy ageing are mirrored suggest that there is an emphasis on individual factors and individual responsibility, and a lack of attention given to broader, environmental factors affecting healthy ageing. Only a few of the studies used a dyadic approach when assessing health outcomes concerning older people and their informal carers.
“…13% (n = 11) of the studies reported interventions aimed at increasing the knowledge and self‐management skills of older people living with chronic diseases and thereby helping to decrease the use of health‐care resources and improve QoL among older people 70‐80 . Interventions offered comprised programs of symptom monitoring and testing devices for collecting and sending data to health‐care professionals.…”
Section: Resultsmentioning
confidence: 99%
“…The channels used were videoconference 77,78,80 telephone 70,75 a digital health diary 73 apps with text 71 or message functions 74,79 . Some of the programs generated automatic feedback and risk assessment via algorithms, 71,72 whilst in others, data were audited directly by health care staff 70,77,79,80 …”
Background and aims
There is a growing demand for health and social care services to provide technology‐mediated interventions that promote the health and well‐being of older people with health or care needs and of their informal carers. The objectives of this study were to scope and review the nature and extent of prior intervention studies involving ambient assisted living technology‐mediated interventions for older people and their informal carers, and how and in what ways (if any) the goals and aims of these interventions reflected the domains of the World Health Organization framework for healthy ageing.
Methods
We conducted a scoping review. Data were collected between June and October 2018 with an updated search in October 2020. A total of 85 articles were eligible for inclusion.
Results
Nine categories described the aims and content of the included studies. The healthy ageing domain “Ability to meet basic needs” was mirrored in four categories, whereas “Ability to contribute to society” was not addressed at all.
Conclusion
The ways in which domains of healthy ageing are mirrored suggest that there is an emphasis on individual factors and individual responsibility, and a lack of attention given to broader, environmental factors affecting healthy ageing. Only a few of the studies used a dyadic approach when assessing health outcomes concerning older people and their informal carers.
“…The procedure of the intervention has been described in detail elsewhere [25]. The older people were provided with a smartphone or tablet on which Interaktor had been installed.…”
Section: Methodsmentioning
confidence: 99%
“…1 ). A more detailed description of the recruitment process for the participants has been published elsewhere [ 24 , 25 ]. Fig.…”
Section: Methodsmentioning
confidence: 99%
“…Finally, the app allowed the older people to view the history of their reported health concerns in graphs over time. A more detailed description of the development of the contents in the Interaktor has been published elsewhere [24,25].…”
Section: The Interaktor App For Older People Receiving Home Carementioning
Background
During the last decade, there has been an increase in studies describing use of mHealth, using smartphones with apps, in the healthcare system by a variety of populations. Despite this, few interventions including apps are targeting older people receiving home care. Developing mobile technology to its full potential of being interactive in real time remains a challenge. The current study is part of a larger project for identifying and managing health concerns via an app by using real-time data. The aim of the study was to describe older people’s usage of an app and to evaluate the impact of usage on aspects of health and health literacy over time.
Methods
A quasi-experimental design was employed. Seventeen older people self-reported health concerns via Interaktor twice a week for 3-months and answered questionnaires at baseline, the end of the intervention and at a 6–month follow-up. Logged data on app usage and data on Sense of Coherence, Health Index, Nutrition Form for the Elderly, Geriatric Depression Scale-20, Swedish Communicative and Critical Health Literacy and Swedish Functional Health Literacy were collected and analysed using descriptive and non-parametric inferential statistics.
Results
The median usage of the app as intended was 96%. Pain was one of the most reported health concerns and was also the health concern that triggered an alert (n = 33). The older people’s communicative and critical health literacy improved significantly over time. Regarding the scores of Sense of Coherence, Health Index, Nutritional Form for the Elderly, Geriatric Depression Scale-20 and Swedish Functional Health Literacy scale, there were no significant differences over time.
Conclusions
The high app usage showed that an app may be a suitable tool for some older people living alone and receiving home care. The results indicate that the usage of Interaktor can support older people by significantly improving their communicative and critical health literacy. Aspects of health were not shown to be affected by the usage of the app. Further research with larger sample is needed for evaluation the effect on health literacy, and which aspects of health of importance to support by an app.
AimParents' postnatal sense of security is often mentioned in recent publications, but there is no consensus on its definitions and measurement. A concept analysis was conducted to clarify the definition, the attributes, antecedents and the consequences of parents' postnatal sense of security and to promote consistency in its usage.DesignWalker and Avant's eight‐step concept analysis model was adopted to define the concept of parents' postnatal sense of security.MethodsA comprehensive search of multiple databases (Sinomed, CNKI, Wanfang database, CINAHL, PubMed, Embase, Web of Science, ProQuest, PsyInfo and Cochrane Library) was conducted to identify relevant articles from the inception of the databases until December 2022. In addition, a manual search was performed to gather any additional papers related to the topic. Ultimately, a total of 48 articles were included in the concept analysis.ResultsThree attributes were identified: perceive one's physical well‐being not being threatened, feel confident and in control of the parenting role, feel confident in one's available relationships. The identified antecedents were: being prepared for child rearing, being in familiar or safe environment, general well‐being of the baby and parents, support from medical staff and family members, being empowered by medical staff. Consequences of parents' postnatal sense of security included successful adaptation to the parental role, decreased postpartum depression symptoms in mothers, successful infant care and the development of parent‐infant relationship.
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