scholarly journals Feasibility to Train Older Adults in India to Use Smart-Phone to Increase Participation in Daily Activities

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 194-194
Author(s):  
Asish Das ◽  
Amit Sethi

Abstract Though 60% of 104 million older adults own a smart phone in India, up to 85% of these individuals find challenging to use smart-phone during daily activities. This is problematic because inability to use smart-phone limits their ability to participate in daily activities such as, managing their health, paying bills, shopping and communicating with their loved ones, resulting in social isolation and dependence on others. The purpose of this study was to examine the feasibility of training older adults to use smart-phone to increase participation in daily activities. This preliminary study was conducted over two phases. In phase-I, we used the principles of stakeholder engagement to interview 12 older adults to identify the barriers associated with the use of technology using a brief survey. Based on the results of Phase I, we implemented a single education and training session for 42 participant (> 60 years) in using smart-phone based applications in Phase II. Older adults were trained to use smart-phone based applications to manage money using banking apps, pay bills, shop, manage health to monitor vitals and medications and communicate with their loved ones. All participants rated their satisfaction with the program, 70% participants showed the ability to use the applications independently. Seventy five percent rated the program extremely useful, and 70% rated it extremely relevant to them. It is feasible to train older adults in using smart-phone based applications. Future studies need to focus on providing follow-up sessions to increase retention and carry-over to increase participation in daily activities.

2021 ◽  
Vol 12 ◽  
Author(s):  
Mariana Pinto da Costa ◽  
Phone Pal Advisory Groups

The literature suggests that volunteering can be used to address social isolation and support patients with psychosis in the community. However, many expect in person meetings, requiring a greater effort of availability and commitment. There is therefore a need for more flexible, easily accessible support. Volunteering via smart-phone could be a useful intervention for people with psychosis. One patient and one volunteer have been matched for a duration of 12 weeks, and participants have been encouraged to communicate through a variety of communication methods (audio calls, video calls, text messages, WhatsApp messages and e-mails). The Phone Pal study aimed to investigate the feasibility of recruitment, participant retention, data collection procedures, intervention usage of the methods of communication and changes in outcome data. At baseline and follow-up outcome measures collected from patients and volunteers included their quality of life, physical activity, self-esteem and social comparison. Additional outcomes assessed patients' attachment, social contacts and symptoms; for volunteers, their social distance was evaluated. At follow-up both patients and volunteers rank their perception of their relationship with each other. This mixed method feasibility study has been conducted in two phases, the first stage evaluating a smaller sample of patients and volunteers recruited in London, and then a second phase with a larger sample of volunteers recruited from across the United Kingdom.Trial registration: ISRCTN17586238.


2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Luciana Caravatta ◽  
Consuelo Rosa ◽  
Maria Bernadette Di Sciascio ◽  
Andrea Tavella Scaringi ◽  
Angelo Di Pilla ◽  
...  

Abstract Background COVID-19 in Italy has led to the need to reorganize hospital protocols with a significant risk of interruption to cancer treatment programs. In this report, we will focus on a management model covering the two phases of the COVID-19 emergency, namely lockdown-phase I and post-lockdown-phase II. Methods The following steps were taken in the two phases: workload during visits and radiotherapy planning, use of dedicated routes, measures for triage areas, management of suspected and positive COVID-19 cases, personal protective equipment, hospital environments and intra-institutional meetings and tumor board management. Due to the guidelines set out by the Ministry of Health, oncological follow-up visits were interrupted during the lockdown-phase I; consequently, we set about contacting patients by telephone, with laboratory and instrumental exams being viewed via telematics. During the post-lockdown-phase II, the oncological follow-up clinic reopened, with two shifts operating daily. Results By comparing our radiotherapy activity from March 9 to May 4 2019 with the same period in 2020 during full phase I of the COVID-19 emergency, similar results were achieved. First radiotherapy visits, Simulation Computed Tomography and Linear Accelerator treatments amounted to 123, 137 and 151 in 2019 compared with 121, 135 and 170 in 2020 respectively. There were no cases of COVID-19 positivity recorded either in patients or in healthcare professionals, who were all negative to the swab tests performed. Conclusion During both phases of the COVID-19 emergency, the planned model used in our own experience guaranteed both continuity in radiotherapy treatments whilst neither reducing workload nor interrupting treatment and, as such, it ensured the safety of cancer patients, hospital environments and staff.


2020 ◽  
Vol 10 (11) ◽  
pp. 801
Author(s):  
Li Hua Jin ◽  
Shin-seung Yang ◽  
Ja Young Choi ◽  
Min Kyun Sohn

Purpose: The effectiveness of robot-assisted gait training (RAGT) in children with cerebral palsy (CP), especially in terms of improving the performance of daily activities, remains unclear. Therefore, we aimed to investigate the effectiveness of RAGT in children with CP. Methods: In this single-center, single-blinded, randomized cross-over trial, we enrolled 20 children with CP with Gross Motor Function Classification System (GMFCS) levels II–IV (13 males; age range, 6.75 ± 2.15 years). The participants were randomized into the RAGT/standard care (SC) (n = 10) and SC/RAGT/SC sequence groups (n = 10). Using a Walkbot-K system, the RAGT program comprised 3 × 30-min sessions/week for 6 weeks with a continued SC program. The SC program comprised 2–4 conventional physiotherapy sessions/week for 6 weeks. The Gross Motor Function Measure-88 (GMFM-88), the pediatric functional independence measure (WeeFIM), and the Canadian occupational performance measure (COPM) scores were assessed pre- and post-RAGT or SC periods and treatment, period, follow-up, and carry-over effects were analyzed. Energy expenditure and body composition were measured pre- and post-RAGT. Results: Significant treatment effects were observed in dimensions D and E of the GMFM (D: p = 0.018; E: p = 0.021) scores, WeeFIM mobility subtotal (p = 0.007), and COPM performance (p < 0.001) and satisfaction (p = 0.001) measure scores. The period, follow-up, and carry-over effects were not statistically significant. The gross energy cost significantly decreased (p = 0.041) and the skeletal muscle mass increased (p = 0.014) at post-RAGT assessment. The factors associated with functional outcomes showed significant improvements in the GMFM D scores and were mainly observed in children with GMFCS levels II–III compared to those classified at level IV (p = 0.038). Conclusion: RAGT had training benefits for children with CP. Specifically, it improved locomotor function and functional capability for daily activities. These effects were better in ambulatory children with CP. However, as SC interventions continued during the RAGT period, these improvements may be also related to multiple treatment effects.


Author(s):  
Maria Teresa Ventura ◽  
Antonio Francesco Maria Giuliano ◽  
Rosalba Buquicchio ◽  
Anna Bedbrook ◽  
Wienczyslawa Czarlewski ◽  
...  

<b><i>Introduction:</i></b> MASK-air® is an app whose aim is to reduce the global burden of allergic rhinitis and asthma. A transfer of innovative practices was performed to disseminate and implement MASK-air® in European regions. The aim of the study was to examine the implementation of the MASK-air® app in older adults of the Puglia TWINNING in order to investigate (i) the rate of acceptance in this population, (ii) the reasons for refusal and (iii) the evaluation of the app after its use. <b><i>Methods:</i></b> All consecutive geriatric patients aged between 65 and 90 years were included by the outpatient clinic of the Bari Geriatric Immunoallergology Unit. After a 1-h training session, older adults used the app for 6 months. A 6-item questionnaire was developed by our unit to evaluate the impact of the app on the management of the disease and its treatment. <b><i>Results:</i></b> Among the 174 recruited patients, 102 accepted to use the app (mean age, SD: 72.4 ± 4.6 years), 6 were lost to follow-up, and 63 had a low education level. The reasons given not to use the app included lack of interest (11%), lack of access to a smartphone or tablet (53%), low computer literacy (28%), and distrust (8%). At follow-up, the overall satisfaction was high (89%), the patient considered MASK-air® “advantageous” (95%), compliance to treatment was improved (81%), and the rate of loss to follow-up had decreased to 6%. <b><i>Conclusion:</i></b> Older adults with a low level of education can use the MASK-air® app after a short training session.


2020 ◽  
Vol 4 (6) ◽  
Author(s):  
Sara J Czaja ◽  
Peter Kallestrup ◽  
Philip D Harvey

Abstract Background and Objectives Performance of everyday activities is often challenging for older adults. We evaluated a novel computer-based functional skills assessment and training (CFSAT) program, which includes simulations of everyday tasks (e.g., money and medication management). Research Design and Methods The sample included noncognitively impaired (NC) older adults (n = 51) and cognitively impaired (CI) older adults (n = 43), who ranged in age from 60 to 86 years (M = 73.12; SD = 6.06), were primarily female (90%), and ethnically diverse (23% Hispanic, 51% African American). Participants (stratified by cognitive status) were randomized to 1 of the 2 conditions training alone (CFSAT) or CFSAT with computerized cognitive training and trained up to 24 training sessions. Task performance, using measures of completion time and efficiency (accuracy/completion time), was evaluated at baseline, the final training session, and immediately posttraining with an alternate form of the CFSAT assessment. Results Both NC and CI participants demonstrated significant performance improvements across all tasks following training (all ps &lt; .001). The CI participants demonstrated reduced training gains compared to the NC participants (all ps &lt; .001). Training gains did not vary as a function of training conditions. Discussion and Implications The findings suggest that CFSAT is an efficacious program for assessing and training everyday task performance. CFSAT can ultimately be used as an intervention strategy to enhance functional independence for aging adults with and without cognitive impairments.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S142-S142
Author(s):  
Yujun Liu ◽  
Margie E Lachman

Abstract The benefits of physical activity (PA) and social engagement for older adults are well established, yet the majority of adults over age 50 in the U.S. do not engage in regular exercise. We conducted a 4-week pre-post study with a one-month follow-up using a smart phone application called WeChat WeRun to explore the mechanisms of social engagement and competition to increase PA among older adults. Participants (N=40, mean age=65.7) were randomly assigned to one of two conditions. Participants in the activity competition condition used the WeRun to track their daily walking steps and interact via text with their group members for 4 weeks. The daily walking steps were displayed to the group and the participant with the highest daily steps in the group was indicated as the champion each day. Participants in the control group only used WeRun to track their own walking steps. Outcome variables included average weekly steps, exercise self-efficacy, and social engagement. The two-way repeated measures ANOVA results revealed that participants in the competition condition had higher average weekly steps and level of social engagement at the posttest, compared to those in the control group. Post hoc tests using the Bonferroni corrections revealed that the intervention increased their average weekly steps and social engagement from pretest to post-test, while these outcomes did not change in the control group. The effects were maintained at the one-month follow up. Discussion will consider the motivational role of competition and social interactions in increasing PA among older adults.


2010 ◽  
Author(s):  
Cay Anderson-Hanley ◽  
Paul Arciero ◽  
Joseph Nimon ◽  
Vadim Yerkohin ◽  
Veronica Hopkins ◽  
...  

2017 ◽  
Vol 17 (1) ◽  
pp. 83
Author(s):  
Nur Fatoni ◽  
Rinaldy Imanuddin ◽  
Ahmad Ridho Darmawan

Waste management is still defined as limited to collection, transportation and garbage disposal. The follow-up of the meaning is the provision of facilities such as garbage bins, garbage trucks and waste collection land. Waste management has not included waste separation. Segregation of waste can minimize the amount of waste that must be discharged to the final place. Segregation of waste can supply recyclable raw materials and handicrafts made from garbage. The manufacture of handicraft products from garbage is still local and requires socialization and training. It is needed to increase the number of craftsmen and garbage absorption on the crafters. Through careful socialization and training, citizens' awareness of waste management becomes advanced by making handicrafts of economic value from waste materials.


Author(s):  
Kavita Pandey ◽  
Dhiraj Pandey ◽  
Vatsalya Yadav ◽  
Shriya Vikhram

Background: According to the WHO report, around 4.07% of the world's population is visually impaired. About 90% of the visually impaired users live in the lower economic strata. In the fast moving technology, most of the invention misses the need of these people. Mainly the technologies were designed for mainstream people; visually impaired people always find an inability to access it. This inability arises primarily for reasons such as cost, for example, Perkins Brailler costs 80-248 dollars for the simple purpose of Braille input. Another major reason is the hassle of carrying the big equipment. Objective: Keeping all this in mind and making technology as their best friends, MAGIC-1 has been designed. The goal is to provide a solution in terms of an application, which helps the visually impaired user in their daily life activities. Method: The proposed solution assists visually impaired users through smart phone technology. If visually impaired users ever wished to have a touched guide into a smart phone, MAGIC-1 has the solution that consolidates all the important features in their daily activities. Results: The performance of the solution as a whole and its individual features in terms of usability, utility and other metrics, etc. has been tested with sample visually impaired users. Moreover, their performances in term of Errors per Word and Words per Minute have been observed. Conclusion: MAGIC-I, the proposed solution works as an assistant of visually impaired users to overcome their daily struggles and stay more connected to the world. A visually impaired user can communicate via their mobile devices with features like eyes free texting using braille, voice calling etc. They can easily take help in an emergency situation with the options of SOS emergency calling and video assistance.


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