PDF(Pubmed)
Abstract：
BACKGROUND: More than one-third of older adults (aged ≥65 y) experience falls every year. The prevalent modifiable risk factors for falling are malnutrition and physical inactivity, among others. The involvement of older adults in the prevention of falls can decrease injuries, hospitalizations, and dependency on health care professionals. In this regard, eHealth can support older adults\' self-management through more physical activity and adequate food intake. eHealth must be tailored to older adults\' needs and preferences so that they can reap its full benefits. Therefore, it is necessary to gain insight into the knowledge, skills, and mindset of older adults living at home who are at risk of falls regarding eHealth.
OBJECTIVE: This qualitative study aims to explore older adults\' use of everyday digital services and technology and how they acquire knowledge about and manage their nutritional intake and physical activity in relation to their health.
METHODS: Semistructured interviews were conducted with 15 older adults (n=9, 60% women; n=6, 40% men; age range 71-87 y) who had all experienced falls or were at risk of falling. These individuals were recruited from a geriatric outpatient clinic. The interviews were analyzed using deductive content analysis based on a modification of the Readiness and Enablement Index for Health Technology framework.
RESULTS: The qualitative data showed that the informants\' social networks had a positive impact on their self-management, use of technology, and mindset toward nutritional intake and physical activity. Although the informants generally lived active lives, they all lacked knowledge about how their food intake influenced their physical health, including their risk of falling. Another finding was the large diversity in the use of technology among the informants, which was related to their mindset toward technology.
CONCLUSIONS: Older adults can use technology for everyday purposes, but some need additional introduction and support to be able to use it for managing their health. They also need to learn about the importance of proper nutritional intake and physical activity in preventing falls. Older adults need a more personalized introduction to technology, nutrition, and physical activity in their contact with health professionals.
OBJECTIVE: This qualitative study aims to explore older adults\' use of everyday digital services and technology and how they acquire knowledge about and manage their nutritional intake and physical activity in relation to their health.
METHODS: Semistructured interviews were conducted with 15 older adults (n=9, 60% women; n=6, 40% men; age range 71-87 y) who had all experienced falls or were at risk of falling. These individuals were recruited from a geriatric outpatient clinic. The interviews were analyzed using deductive content analysis based on a modification of the Readiness and Enablement Index for Health Technology framework.
RESULTS: The qualitative data showed that the informants\' social networks had a positive impact on their self-management, use of technology, and mindset toward nutritional intake and physical activity. Although the informants generally lived active lives, they all lacked knowledge about how their food intake influenced their physical health, including their risk of falling. Another finding was the large diversity in the use of technology among the informants, which was related to their mindset toward technology.
CONCLUSIONS: Older adults can use technology for everyday purposes, but some need additional introduction and support to be able to use it for managing their health. They also need to learn about the importance of proper nutritional intake and physical activity in preventing falls. Older adults need a more personalized introduction to technology, nutrition, and physical activity in their contact with health professionals.
摘要：
背景：每年有超过三分之一的老年人（年龄≥65岁）跌倒。跌倒的普遍可改变的风险因素是营养不良和缺乏身体活动，在其他人中。老年人参与预防跌倒可以减少伤害，住院治疗,以及对医疗保健专业人员的依赖。在这方面,电子健康可以通过更多的体力活动和充足的食物摄入来支持老年人的自我管理。eHealth必须根据老年人的需求和偏好量身定制，以便他们能够充分受益。因此,有必要深入了解知识，技能,以及住在家里的老年人的心态，他们在电子健康方面有跌倒的风险。
目的：这项定性研究旨在探讨老年人对日常数字服务和技术的使用，以及他们如何获取和管理与健康相关的营养摄入和身体活动的知识。
方法：对15名老年人（n=9，60％的女性；n=6，40％的男性；年龄范围71-87岁）进行了半结构化访谈。这些人是从老年门诊诊所招募的。基于对健康技术的准备和能力指数框架的修改，使用演绎内容分析对访谈进行了分析。
结果：定性数据表明，举报人的社交网络对他们的自我管理产生了积极影响，使用技术，以及对营养摄入和体育锻炼的心态。尽管线人普遍过着活跃的生活，他们都缺乏食物摄入如何影响身体健康的知识，包括他们跌倒的风险。另一个发现是线人使用技术的差异很大，这与他们对技术的心态有关。
结论：老年人可以将技术用于日常目的，但有些人需要额外的介绍和支持，以便能够使用它来管理他们的健康。他们还需要了解适当的营养摄入和身体活动在预防跌倒中的重要性。老年人需要更个性化的技术介绍，营养,以及与卫生专业人员接触的身体活动。
目的：这项定性研究旨在探讨老年人对日常数字服务和技术的使用，以及他们如何获取和管理与健康相关的营养摄入和身体活动的知识。
方法：对15名老年人（n=9，60％的女性；n=6，40％的男性；年龄范围71-87岁）进行了半结构化访谈。这些人是从老年门诊诊所招募的。基于对健康技术的准备和能力指数框架的修改，使用演绎内容分析对访谈进行了分析。
结果：定性数据表明，举报人的社交网络对他们的自我管理产生了积极影响，使用技术，以及对营养摄入和体育锻炼的心态。尽管线人普遍过着活跃的生活，他们都缺乏食物摄入如何影响身体健康的知识，包括他们跌倒的风险。另一个发现是线人使用技术的差异很大，这与他们对技术的心态有关。
结论：老年人可以将技术用于日常目的，但有些人需要额外的介绍和支持，以便能够使用它来管理他们的健康。他们还需要了解适当的营养摄入和身体活动在预防跌倒中的重要性。老年人需要更个性化的技术介绍，营养,以及与卫生专业人员接触的身体活动。
