Impact of a Web-based Information and Referral Tool on Access to Federal and State Programs for Older Adults

Regret and regret regulation were studied using a weeklong web-based diary method. 108 participants aged 19 to 89 years reported regret for a decision made and a decision to be made. They also reported the extent to which they used strategies to prevent or regulate decision regret. Older adults reported both less experienced and anticipated regret compared to younger adults. The lower level of experienced regret in older adults was mediated by reappraisal of the decision. The lower level of anticipated regret was mediated by delaying the decision, and expecting regret in older adults. It is suggested that the lower level of regret observed in older adults is partly explained by regret prevention and regulation strategies.

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Effectiveness of Web-based physical activity interventions for older adults: A systematic review of randomized controlled trials

INTERNATIONAL JOURNAL OF HUMAN MOVEMENT SCIENCE ◽

10.23949/ijhms.2018.08.12.2.5 ◽

2018 ◽

Vol 12 (2) ◽

pp. 69-87

Author(s):

Jaehyun Kim ◽

Shang-Ti Chen ◽

Sun-Hwan Hwang

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Older Adults ◽

Randomized Controlled Trials ◽

Controlled Trials ◽

Web Based ◽

Randomized Controlled ◽

Physical Activity Interventions

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SOCIAL NETWORKS, HEALTH, AND WELL-BEING AMONG PEOPLE LIVING WITH DEMENTIA

Innovation in Aging ◽

10.1093/geroni/igz038.277 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S71-S71

Author(s):

Eleanor S McConnell ◽

Kirsten Corazzini ◽

T Robert Konrad

Keyword(s):

Older Adults ◽

Social Networks ◽

Well Being ◽

Sensor Technology ◽

Web Based ◽

Use Of Technology ◽

Care Partners ◽

The Impact ◽

The Relationship ◽

Health And Well Being

Abstract Although the impact of dementia on the health and well-being of those living with Alzheimer’s Disease and related Disorders (ADRD) and their care partners has been widely studied, less attention has been paid to how the disease impacts individuals within the context of their larger social networks. This symposium presents findings from a series of integrated studies aimed at strengthening measurement of health and well-being among older adults with living with dementia and well-being among members of their social networks. Findings will be presented from five studies: (1) a scoping review of social network measurement in older adults in chronic illness, including dementia, that emphasizes the use of technology in measuring older adults’ social networks; (2) a simulation study to evaluate the feasibility and reliability of sensor technology to measure social interaction among a person living with dementia and others in their immediate surroundings; (3) development of a web-based application that allows older adults to map and activate their social networks; (4) a qualitative analysis of interviews from persons living with dementia, their unpaid caregivers, and paid caregivers from an adult day health program concerning well-being focused outcomes; and (5) a mixed methods analysis of the feasibility of using both traditional and novel measures of health and well-being deployed among networks of people living with dementia. Emerging technologies for measuring social networks health and well-being hold promise for advancing the study of the relationship-based nature of care for people living with dementia.

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Efficacy of a computer-tailored web-based physical activity intervention using Fitbits for older adults: a randomised controlled trial protocol

BMJ Open ◽

10.1136/bmjopen-2019-033305 ◽

2019 ◽

Vol 9 (12) ◽

pp. e033305 ◽

Cited By ~ 1

Author(s):

Stephanie Alley ◽

Jannique GZ van Uffelen ◽

Stephanie Schoeppe ◽

Lynne Parkinson ◽

Susan Hunt ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

Physical Activity Intervention ◽

Sitting Time ◽

Intervention Fidelity ◽

Web Based ◽

Participant Satisfaction ◽

Website Usability ◽

Secondary Outcomes ◽

Tailored Advice

IntroductionPhysical activity is an integral part of healthy ageing, yet the majority of older adults 65+ years are not sufficiently active. Web-based physical activity interventions hold much promise to reach older adults. Preliminary evidence suggests that web-based interventions with tailored advice and Fitbits may be well suited for older adults.Methods and analysisThis study aims to test the effectiveness of ‘Active for Life’, a 12-week computer-tailored web-based physical activity intervention using Fitbits for older adults. We will recruit 300 participants who will be randomly assigned to one of three trial arms: (1) web-based physical activity intervention with tailored advice only, (2) web-based physical activity intervention with tailored advice and Fitbit or (3) a wait-list control. The primary outcome, objective moderate to vigorous physical activity (MVPA) and secondary outcomes of objective sedentary behaviour, objective sleep, quality of life, social support, physical function and satisfaction with life will be assessed at baseline and week 12. The secondary outcomes of self-reported physical activity, sitting time and sleep will be assessed at baseline, week 6, 12 and 24. Website usability and participant satisfaction will be assessed at week 12 and website usage and intervention fidelity will be assessed from week 1 to 24. Intention-to-treat linear mixed model analyses will be used to test for group (tailoring only, tailoring +Fitbit, control) differences on changes in the main outcome, MVPA and secondary outcomes. Generalised linear models will be used to compare intervention groups (tailoring only, tailoring +Fitbit) on website usability, participant satisfaction, website usage and intervention fidelity.Ethics and disseminationThe study has received ethics approval from the Central Queensland University Human Research Ethics Committee (H16/12-321). Study outcomes will be disseminated through peer-reviewed publications and academic conferences and used to inform improvements and dissemination of a tailored, web-based physical activity intervention for adults 65+ years.Trial registration numberAustralian and New Zealand Clinical Trials Registry Number: ACTRN12618000646246

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Health-related lifestyle and dropout from a web-based physical activity intervention trial in older adults: A latent profile analysis.

Health Psychology ◽

10.1037/hea0001091 ◽

2021 ◽

Vol 40 (8) ◽

pp. 481-490

Author(s):

Tiara Ratz ◽

Claudia Voelcker-Rehage ◽

Claudia R. Pischke ◽

Saskia Muellmann ◽

Manuela Peters ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

Latent Profile Analysis ◽

Physical Activity Intervention ◽

Profile Analysis ◽

Intervention Trial ◽

Web Based ◽

Health Related ◽

Latent Profile

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Feasibility and Conceptualization of an e-Mental Health Treatment for Depression in Older Adults: Mixed-Methods Study (Preprint)

10.2196/preprints.10973 ◽

2018 ◽

Author(s):

Christiane Eichenberg ◽

Markus Schott ◽

Adam Sawyer ◽

Georg Aumayr ◽

Manuela Plößnig

Keyword(s):

Mental Health ◽

Older Adults ◽

Focus Groups ◽

Mental Health Treatment ◽

Common Mental Disorders ◽

Qualitative Interviews ◽

Mixed Methods Study ◽

Health Treatment ◽

Web Based ◽

The Everyday

BACKGROUND Depression is one of the most common mental disorders in older adults. Unfortunately, it often goes unrecognized in the older population. OBJECTIVE The aim of this study was to identify how Web-based apps can recognize and help treat depression in older adults. METHODS Focus groups were conducted with mental health care experts. A Web-based survey of 56 older adults suffering from depression was conducted. Qualitative interviews were conducted with 2 individuals. RESULTS Results of the focus groups highlighted that there is a need for a collaborative care platform for depression in old age. Findings from the Web-based study showed that younger participants (aged 50 to 64 years) used electronic media more often than older participants (aged 65 years and older). The interviews pointed in a comparable direction. CONCLUSIONS Overall, an e-mental (electronic mental) health treatment for depression in older adults would be well accepted. Web-based care platforms should be developed, evaluated, and in case of evidence for their effectiveness, integrated into the everyday clinic.

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A Web-Based and Print-Delivered Computer-Tailored Physical Activity Intervention for Older Adults: Pretest-Posttest Intervention Study Comparing Delivery Mode Preference and Attrition

Journal of Medical Internet Research ◽

10.2196/13416 ◽

2019 ◽

Vol 21 (8) ◽

pp. e13416 ◽

Cited By ~ 1

Author(s):

Janet Maria Boekhout ◽

Denise Astrid Peels ◽

Brenda Angela Juliette Berendsen ◽

Catherine Bolman ◽

Lilian Lechner

Keyword(s):

Social Support ◽

Older Adults ◽

Educational Attainment ◽

Intervention Study ◽

Delivery Mode ◽

Web Based ◽

Physical Impairments ◽

Delivery Modes ◽

Participant Characteristics ◽

The Web

Background Web-based interventions can play an important role in promoting physical activity (PA) behavior among older adults. Although the effectiveness of these interventions is promising, they are often characterized by low reach and high attrition, which considerably hampers their potential impact on public health. Objective The aim of this study was to identify the participant characteristics associated with the preference for a Web-based or a printed delivery mode and to determine whether an association exists between delivery modes or participant characteristics and attrition in an intervention. This knowledge may enhance implementation, sustainability of participation, and effectiveness of future interventions for older adults. Methods A real-life pretest-posttest intervention study was performed (N=409) among community-living single adults who were older than 65 years, with physical impairments caused by chronic diseases. Measurements were taken at baseline and 3 months after the start of the intervention. Hierarchical logistic regression was used to assess demographic and behavioral characteristics (age, gender, body mass index, educational attainment, degree of loneliness, and PA level), as well as psychosocial characteristics (social support for PA, modeling, self-efficacy, attitude, and intention) related to delivery mode preference at baseline and attrition after 3 months. Results The printed delivery mode achieved higher participation (58.9%, 241/409) than the Web-based delivery mode (41.1%, 168/409). Participation in the Web-based delivery mode was associated with younger age (B=–0.10; SE 0.02; Exp (B)=0.91; P<.001) and higher levels of social support for PA (B=0.38; SE 0.14; Exp (B)=1.46; P=.01); attrition was associated with participation in the Web-based delivery mode (B=1.28; SE 0.28; Exp (B)=3.58; P<.001) and low educational attainment (B=–0.53; SE 0.28; Exp (B)=0.59; P=.049). Conclusions A total of 41% of the participants chose the Web-based delivery mode, thus demonstrating a potential interest of single older adults with physical impairments in Web-based delivered interventions. However, attrition was demonstrated to be higher in the Web-based delivery mode, and lower educational attainment was found to be a predictor for attrition. Characteristics predicting a preference for the printed delivery mode included being older and receiving less social support. Although Web-based delivery modes are generally less expensive and easier to distribute, it may be advisable to offer a printed delivery mode alongside a Web-based delivery mode to prevent exclusion of a large part of the target population. Trial Registration Netherlands Trial Register NTR2297; https://www.trialregister.nl/trial/2173 International Registered Report Identifier (IRRID) RR2-DOI: 10.2196/resprot.8093

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A Pain eHealth Platform for Engaging Obese, Older Adults with Chronic Low Back Pain in Nonpharmacological Pain Treatments: Protocol for a Pilot Feasibility Study

JMIR Research Protocols ◽

10.2196/14525 ◽

2020 ◽

Vol 9 (1) ◽

pp. e14525

Author(s):

Amber K Brooks ◽

David P Miller Jr ◽

Jason T Fanning ◽

Erin L Suftin ◽

M Carrington Reid ◽

...

Keyword(s):

Older Adults ◽

Primary Care ◽

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Primary Care Providers ◽

Patient Portal ◽

Low Back ◽

Care Providers ◽

Web Based

Background Low back pain is a costly healthcare problem and the leading cause of disability among adults in the United States. Primary care providers urgently need effective ways to deliver evidence-based, nonpharmacological therapies for chronic low back pain. Guidelines published by several government and national organizations have recommended nonpharmacological and nonopioid pharmacological therapies for low back pain. Objective The Pain eHealth Platform (PEP) pilot trial aims to test the feasibility of a highly innovative intervention that (1) uses an electronic health record (EHR) query to systematically identify a phenotype of obese, older adults with chronic low back pain who may benefit from Web-based behavioral treatments; (2) delivers highly tailored messages to eligible older adults with chronic low back pain via the patient portal; (3) links affected patients to a Web app that provides education on the efficacy of evidence-based, nonpharmacological, behavioral pain treatments; and (4) directs patients to existing Web-based health treatment tools. Methods Using a three-step modified Delphi method, an expert panel of primary care providers will define a low back pain phenotype for an EHR query. Using the defined low back pain phenotype, an EHR query will be created to identify patients who may benefit from the PEP. Up to 15 patients with low back pain will be interviewed to refine the tailored messaging, esthetics, and content of the patient-facing Web app within the PEP. Up to 10 primary care providers will be interviewed to better understand the facilitators and barriers to implementing the PEP, given their clinic workflow. We will assess the feasibility of the PEP in a single-arm pragmatic pilot study in which secure patient portal invitations containing a hyperlink to the PEP Web app are sent to 1000 patients. The primary outcome of the study is usability as measured by the System Usability Scale. Results Qualitative interviews with primary care providers were completed in April 2019. Qualitative interviews with patients will begin in December 2019. Conclusions The PEP will leverage informatics and the patient portal to deliver evidence-based nonpharmacological treatment information to adults with chronic low back pain. Results from this study may help inform the development of Web-based health platforms for other pain and chronic health conditions. International Registered Report Identifier (IRRID) DERR1-10.2196/14525

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Web-Based Data Collection for Older Adults Living With HIV in a Clinical Research Setting: Pilot Observational Study

Journal of Medical Internet Research ◽

10.2196/18588 ◽

2020 ◽

Vol 22 (11) ◽

pp. e18588

Author(s):

Katherine Tassiopoulos ◽

Carla Roberts-Toler ◽

Carl J Fichtenbaum ◽

Susan L Koletar

Keyword(s):

Older Adults ◽

Data Collection ◽

Data Quality ◽

Older Persons ◽

Web Based ◽

Persons Living With Hiv ◽

Paper And Pencil ◽

Living With Hiv

Background Longitudinal follow-up of older persons living with HIV is essential for the ascertainment of aging-related clinical and behavioral outcomes, and self-administered questionnaires are necessary for collecting behavioral information in research involving persons living with HIV. Web-based self-reported data collection results in higher data quality than paper-and-pencil questionnaires in a wide range of populations. The option of remote web-based surveys may also increase retention in long-term research studies. However, the acceptability and feasibility of web-based data collection in clinical research involving older persons living with HIV have never been studied. Objective This study aims to assess the acceptability and feasibility of a web-based survey to collect information on sexual, substance use, and physical activity behaviors; compare the data quality of the web-based survey with that of a paper-and-pencil questionnaire; and summarize web-based survey metrics. Methods This pilot study took place within the AIDS Clinical Trials Group A5322 study, a longitudinal cohort of men and women living with HIV (aged ≥40 years), followed at 32 clinical sites in the United States and Puerto Rico. A total of 4 sites participated in this study. A web-based survey was created using self-administered questionnaires typically completed in A5322 via paper and pencil. Pilot study participants completed these questionnaires via web-based survey at one research visit in lieu of paper-and-pencil administration. Two questions were added to assess feasibility, defined as participants’ perception of the ease of web-based survey completion (very hard, hard, easy, very easy), and their preferred format (computer or tablet, paper and pencil, no preference) for completing the questions in the future (acceptability). Feasibility and acceptability were summarized overall and by demographic and clinical characteristics; the proportion of evaluable data by web-based survey versus previously administered paper-and-pencil questionnaires (data quality) was compared for each question. Results Acceptability and feasibility were high overall: 50.0% (79/158) preferred computer or tablet, 38.0% (60/158) reported no preference, and 12.0% (19/158) preferred paper and pencil; 93.0% (147/158) reported survey completion easy or very easy. Older age was associated with lower odds of preferring computer or tablet to paper and pencil (odds ratio per 1-year increase in age: 0.91, 95% CI 0.85-0.98). Individuals who found the survey hard or very hard had a lower median neurocognitive test score than those who found it easy or very easy. Data quality with web-based survey administration was similar to or higher than that with paper-and-pencil administration for most questions. Conclusions Web-based survey administration was acceptable and feasible in this cohort of older adults living with HIV, and data quality was high. Web-based surveys can be a useful tool for valid data collection and can potentially improve retention in long-term follow-up studies.

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COLAEVA: Visual Analytics and Data Mining Web-Based Tool for Virtual Coaching of Older Adult Populations

Sensors ◽

10.3390/s21237991 ◽

2021 ◽

Vol 21 (23) ◽

pp. 7991

Author(s):

Jon Kerexeta Sarriegi ◽

Andoni Beristain Iraola ◽

Roberto Álvarez Sánchez ◽

Manuel Graña ◽

Kristin May Rebescher ◽

...

Keyword(s):

Older Adults ◽

Older Adult ◽

Visual Analytics ◽

Web Application ◽

Adult Population ◽

Research Area ◽

Web Based ◽

Virtual Coaching ◽

Evolution Analysis ◽

Older Adult Population

The global population is aging in an unprecedented manner and the challenges for improving the lives of older adults are currently both a strong priority in the political and healthcare arena. In this sense, preventive measures and telemedicine have the potential to play an important role in improving the number of healthy years older adults may experience and virtual coaching is a promising research area to support this process. This paper presents COLAEVA, an interactive web application for older adult population clustering and evolution analysis. Its objective is to support caregivers in the design, validation and refinement of coaching plans adapted to specific population groups. COLAEVA enables coaching caregivers to interactively group similar older adults based on preliminary assessment data, using AI features, and to evaluate the influence of coaching plans once the final assessment is carried out for a baseline comparison. To evaluate COLAEVA, a usability test was carried out with 9 test participants obtaining an average SUS score of 71.1. Moreover, COLAEVA is available online to use and explore.

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