关键词: DigiAdherence ICT adherence application compliance engagement falls mHealth mobile app nutrition older adults patient-centered physical activity pilot study prevention technology tool treatment usability utility

来  源:   DOI:10.2196/46151   PDF(Pubmed)

Abstract:
BACKGROUND: Digital patient-centered interventions may be important tools for improving and promoting social interaction, health, and well-being among older adults. In this regard, we developed a mobile app called DigiAdherence for an older adult population, which consisted of easy-to-access short videos and messages, to improve health-related knowledge among them and prevent common health conditions, such as falls, polypharmacy, treatment adherence, nutritional problems, and physical inactivity.
OBJECTIVE: This study aimed to assess the usability and utility of the DigiAdherence app among Portuguese older adults 65 years or older.
METHODS: In this pilot noncontrolled quasi-experimental study, older adults who were patients at the primary health care center in Portimão, Portugal, and owned a smartphone or tablet were recruited. Participants were assessed at baseline, given access to the DigiAdherence app for 1 month, and assessed again immediately after 30 days (first assessment) and 60 days after stopping the use of the app (second assessment). App usability and utility (primary outcomes) were analyzed in the first follow-up assessment using a structured questionnaire with 8 items. In the second follow-up assessment, our focus was on knowledge acquired through the app. Secondary outcomes such as treatment adherence and health-related quality of life were also assessed.
RESULTS: The study included 26 older adults. Most participants rated the different functionalities of the app positively and perceived the app as useful, attractive, and user-friendly (median score of 6 on a 7-point Likert scale). In addition, after follow-up, participants reported having a sense of security and greater knowledge in preventing falls (16/24, 67%) and managing therapies and polypharmacy (16/26, 62%).
CONCLUSIONS: The DigiAdherence mobile app was useful and highly accepted by older adults, who developed more confidence regarding health-related knowledge.
UNASSIGNED: RR2-10.2196/29675.
摘要:
背景:以患者为中心的数字干预措施可能是改善和促进社交互动的重要工具,健康,和老年人的幸福。在这方面,我们为老年人群开发了一个名为DigiAdherence的移动应用程序,其中包括易于访问的短视频和消息,提高他们的健康知识,预防常见的健康状况,如瀑布,多药,治疗依从性,营养问题,缺乏体力活动。
目的:本研究旨在评估DigiAdherence应用程序在65岁或以上的葡萄牙老年人中的可用性和实用性。
方法:在本中试非对照准实验研究中,在波尔蒂芒初级卫生保健中心的病人,葡萄牙,并拥有智能手机或平板电脑被招募。参与者在基线时进行评估,允许访问DigiAdherence应用程序1个月,并在停止使用应用程序30天后(第一次评估)和60天后立即再次评估(第二次评估)。在第一次随访评估中,使用包含8个项目的结构化问卷分析了应用程序可用性和实用性(主要结果)。在第二次后续评估中,我们的重点是通过应用程序获得的知识。还评估了次要结果,例如治疗依从性和健康相关的生活质量。
结果:该研究包括26名老年人。大多数参与者对该应用程序的不同功能给予积极评价,并认为该应用程序很有用,有吸引力,和用户友好(7分Likert量表的中位数为6分)。此外,随访后,参与者报告说,他们在预防跌倒(16/24,67%)和管理治疗和多重用药(16/26,62%)方面有安全感和更多知识.
结论:DigiAdherence移动应用程序非常有用,并且被老年人高度接受,他们对健康相关知识产生了更多的信心。
RR2-10.2196/29675。
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