Testing an app for reporting health concerns—Experiences from older people and home care nurses

Göransson, Carina; Eriksson, Iréne; Ziegert, Kristina; Wengström, Yvonne; Langius‐Eklöf, Ann; Browall, Maria; Kihlgren, Annica; Blomberg, Karin

doi:10.1111/opn.12181

Cited by 34 publications

(106 citation statements)

References 37 publications

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“…The older persons had experienced the app's functions associated with regular self-reporting of health concerns monitored by the homecare nurses and appreciated the access to relevant self-care advice. This is in line with other studies that show self-care skills can be improved with the use of a mobile phone as a tool (9,11) or be seen as good support (28). In other populations, versions of the app were developed for use by persons with pancreatic or prostate cancer.…”

Section: Discussionsupporting

confidence: 86%

“…This quasi-experimental study is a part of the development and optimisation phase that focuses on the outcomes of the intervention before conducting an evaluation in a randomised controlled study (RCT). Other parts of the intervention have been published elsewhere (28).…”

Section: Methodsmentioning

confidence: 99%

“…The development of the different functions included in the app has been described in detail elsewhere (28). The app has been developed for different patient populations and been shown to be feasible and promising when used for the self-reporting of health concerns (32,33).…”

Section: The App For Older Persons With Home Carementioning

confidence: 99%

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Self‐care ability and sense of security among older persons when using an app as a tool for support

Göransson

Wengström

Ziegert

et al. 2019

Scandinavian Caring Sciences

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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. Qualitative and quantitative methods were applied to achieve a broader understanding. Ethical issues and approval Ethical approval was obtained from the Regional Ethical Review Board. The older persons received verbal and oral information about the study and gave written informed consent. Research methods Questionnaires (n = 17 older persons) answered at baseline, end of the intervention and at a 6‐month follow‐up were analysed with statistical analysis. Interviews (n = 17 older persons) conducted at the end of the intervention were analysed using a qualitative directed approach. Measurements and intervention The questionnaire included the Appraisal of Self‐care Agency Scale and a question concerning sense of security. For 3 months, the older persons used an app for regular reporting of health concerns. The app included self‐care advice, graphs and a risk assessment model that generated alerts directly to the nurses. Results The older persons described how self‐care and sense of security increased at the end of intervention, but statistically, it was shown to decrease afterwards. Study limitations The small sample size for statistical analysis. Conclusions This study shows that an app can be a complementary tool to conventional home care that can increase older persons’ sense of security and self‐care ability. The results mirror the older persons’ awareness that the support they received with the app was only temporary. Larger studies are needed for generalisation.

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Section: Discussionsupporting

confidence: 86%

Section: Methodsmentioning

confidence: 99%

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Self‐care ability and sense of security among older persons when using an app as a tool for support

Göransson

Wengström

Ziegert

et al. 2019

Scandinavian Caring Sciences

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“…However, recent surveys point to growth in Internet use by older adults, and studies indicate that age becomes less important if tools are easy to use and training and support is provided when introducing new technologies (Anderson & Perrin, 2017;Göransson et al, 2018;Østensen, Gjevjon, Øderud, & Moen, 2017;Vaportzis, Giatsi Clausen, & Gow, 2017). In this study, a majority of informants reported to use the app regularly for 8 weeks to register their food and beverage consumption.…”

Section: Discussionmentioning

confidence: 74%

Promoting dietary awareness: Home‐dwelling older adults’ perspectives on using a nutrition application

Aure

Kluge

Moen

2020

Int J Older People Nursing

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“…Study results in this category are much less positive than in other technology categories. Only three of the ten studies yielded positive results, all of which are situated in outpatient long-term care [50][51][52]. In contrast to these, there are three studies without any signi cant positive effects [53][54][55], and four studies with ambivalent results [56][57][58][59].…”

Section: Telecarementioning

confidence: 99%

Effectiveness of digital technologies to support nursing care: results of a scoping review

Hüter

Krick

Domhoff

et al. 2020

Preprint

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Background The field of digital technologies being developed or applied to support nursing care is very extensive. The aim of this scoping review is to provide an overview on technologies for which results on positive or negative effects on persons in need of care, caregivers or care institutions are available – and to appraise the reliability of these results. An additional focus is put on the question which care settings and target groups have been addressed by the research so far. Methods A scoping review design has been used to identify studies focussing on the effectiveness of digital technologies in nursing care for persons in need of care, caregivers or care institutions. The screening process included 19.510 scientific publications from 9 databases. Results A total of 123 single studies and 31 reviews were subjected to the analysis. The range of technologies that is researched to support nursing care is wide. The included technologies comprise nursing and health information technologies, such as assistive devices, information and communication technologies (including decision support systems, electronic health records, hospital and nursing home information systems), sensors and robotic technologies. The results show that there are many studies that demonstrate positive effects of the technologies, but the level of evidence is mostly low and study sizes are often small. Hardly any technology has been researched intensively enough to produce conclusive results. Studies on a high level of evidence (RCTs) lack for nearly all technological areas. Heterogeneous results in some areas indicate that effects may depend strongly on the mode and and specific context into which the technologies are introduced. Most studies are situated in inpatient care settings. Conclusion Due to the limited evidence on effectiveness of digital technologies in nursing care, it is not surprising that care institutions are reluctant to put innovative technologies into practice. The scoping review indicates technology areas that should be subject to future research with higher quality studies. Research on outpatient care settings, informal care arrangements and cross-sectoral care should be intensified to further exploit the potential of digital technologies to improve independence of care-recipients and unburden formal an informal carers.

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Testing an app for reporting health concerns—Experiences from older people and home care nurses

Abstract: The use of an app should be considered as a useful information and communication technology innovation that can improve communication and accessibility for older people with home-based health care.

Cited by 34 publications

References 37 publications

Self‐care ability and sense of security among older persons when using an app as a tool for support

Self‐care ability and sense of security among older persons when using an app as a tool for support

Promoting dietary awareness: Home‐dwelling older adults’ perspectives on using a nutrition application

Effectiveness of digital technologies to support nursing care: results of a scoping review

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