PDF(Pubmed)
Abstract：
BACKGROUND: The use of wearable monitoring devices (WMDs), such as smartwatches, is advancing support and care for community-dwelling older adults across the globe. Despite existing evidence of the importance of WMDs in preventing problems and promoting health, significant concerns remain about the decline in use after a period of time, which warrant an understanding of how older adults experience the devices.
OBJECTIVE: This study aims to explore and describe the experiences of community-dwelling older adults after receiving our interventional program, which included the use of a smartwatch with support from a community health workers, nurses, and social workers, including the challenges that they experienced while using the device, the perceived benefits, and strategies to promote their sustained use of the device.
METHODS: We used a qualitative descriptive approach in this study. Older adults who had taken part in an interventional study involving the use of smartwatches and who were receiving regular health and social support were invited to participate in focus group discussions at the end of the trial. Purposive sampling was used to recruit potential participants. Older adults who agreed to participate were assigned to focus groups based on their community. The focus group discussions were facilitated and moderated by 2 members of the research team. All discussions were recorded and transcribed verbatim. We used the constant comparison analytical approach to analyze the focus group data.
RESULTS: A total of 22 participants assigned to 6 focus groups participated in the study. The experiences of community-dwelling older adults emerged as (1) challenges associated with the use of WMDs, (2) the perceived benefits of using the WMDs, and (3) strategies to promote the use of WMDs. In addition, the findings also demonstrate a hierarchical pattern of health-seeking behaviors by older adults: seeking assistance first from older adult volunteers, then from social workers, and finally from nurses.
CONCLUSIONS: Ongoing use of the WMDs is potentially possible, but it is important to ensure the availability of technical support, maintain active professional follow-ups by nurses and social workers, and include older adult volunteers to support other older adults in such programs.
OBJECTIVE: This study aims to explore and describe the experiences of community-dwelling older adults after receiving our interventional program, which included the use of a smartwatch with support from a community health workers, nurses, and social workers, including the challenges that they experienced while using the device, the perceived benefits, and strategies to promote their sustained use of the device.
METHODS: We used a qualitative descriptive approach in this study. Older adults who had taken part in an interventional study involving the use of smartwatches and who were receiving regular health and social support were invited to participate in focus group discussions at the end of the trial. Purposive sampling was used to recruit potential participants. Older adults who agreed to participate were assigned to focus groups based on their community. The focus group discussions were facilitated and moderated by 2 members of the research team. All discussions were recorded and transcribed verbatim. We used the constant comparison analytical approach to analyze the focus group data.
RESULTS: A total of 22 participants assigned to 6 focus groups participated in the study. The experiences of community-dwelling older adults emerged as (1) challenges associated with the use of WMDs, (2) the perceived benefits of using the WMDs, and (3) strategies to promote the use of WMDs. In addition, the findings also demonstrate a hierarchical pattern of health-seeking behaviors by older adults: seeking assistance first from older adult volunteers, then from social workers, and finally from nurses.
CONCLUSIONS: Ongoing use of the WMDs is potentially possible, but it is important to ensure the availability of technical support, maintain active professional follow-ups by nurses and social workers, and include older adult volunteers to support other older adults in such programs.
摘要：
背景：可穿戴监测设备（WMD）的使用，比如智能手表，正在推进对全球社区居住老年人的支持和护理。尽管现有证据表明大规模杀伤性武器在预防问题和促进健康方面的重要性，对一段时间后使用量下降的担忧仍然很大，这需要了解老年人如何体验这些设备。
目的：本研究旨在探索和描述社区居住的老年人在接受我们的干预计划后的经历，其中包括在社区卫生工作者的支持下使用智能手表，护士,和社会工作者，包括他们在使用该设备时遇到的挑战，感知到的好处，以及促进他们持续使用该设备的策略。
方法：我们在本研究中使用了定性的描述方法。参加过涉及使用智能手表的介入研究并接受定期健康和社会支持的老年人在试验结束时被邀请参加焦点小组讨论。目的抽样用于招募潜在参与者。同意参加的老年人被分配到基于社区的焦点小组。焦点小组讨论由研究小组的两名成员推动和主持。所有讨论都被记录和逐字抄录。我们使用恒定比较分析方法来分析焦点小组的数据。
结果：共有22名被分配到6个焦点组的参与者参与了研究。社区居住的老年人的经历是(1)与使用大规模杀伤性武器相关的挑战，(2)使用大规模杀伤性武器的感知收益，(3)促进大规模杀伤性武器使用的战略。此外,研究结果还证明了老年人寻求健康行为的分层模式：首先从老年人志愿者那里寻求帮助，然后从社会工作者那里，最后是护士。
结论：有可能持续使用大规模杀伤性武器，但重要的是要确保技术支持的可用性，保持护士和社会工作者的积极专业随访，并包括老年人志愿者，以支持其他老年人参与此类计划。
目的：本研究旨在探索和描述社区居住的老年人在接受我们的干预计划后的经历，其中包括在社区卫生工作者的支持下使用智能手表，护士,和社会工作者，包括他们在使用该设备时遇到的挑战，感知到的好处，以及促进他们持续使用该设备的策略。
方法：我们在本研究中使用了定性的描述方法。参加过涉及使用智能手表的介入研究并接受定期健康和社会支持的老年人在试验结束时被邀请参加焦点小组讨论。目的抽样用于招募潜在参与者。同意参加的老年人被分配到基于社区的焦点小组。焦点小组讨论由研究小组的两名成员推动和主持。所有讨论都被记录和逐字抄录。我们使用恒定比较分析方法来分析焦点小组的数据。
结果：共有22名被分配到6个焦点组的参与者参与了研究。社区居住的老年人的经历是(1)与使用大规模杀伤性武器相关的挑战，(2)使用大规模杀伤性武器的感知收益，(3)促进大规模杀伤性武器使用的战略。此外,研究结果还证明了老年人寻求健康行为的分层模式：首先从老年人志愿者那里寻求帮助，然后从社会工作者那里，最后是护士。
结论：有可能持续使用大规模杀伤性武器，但重要的是要确保技术支持的可用性，保持护士和社会工作者的积极专业随访，并包括老年人志愿者，以支持其他老年人参与此类计划。
