scholarly journals Recruiting Older Adults With Cognitive Impairments for a Smartphone Intervention During COVID-19

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 34-34
Author(s):  
Stacey Schepens Niemiec ◽  
Lon Schneider ◽  
Jeanine Blanchard ◽  
Rafael Wagas ◽  
Liberty Teodoro ◽  
...  
Keyword(s):  
Older Adults ◽  
Digital Divide ◽  
Scientific Community ◽  
Cognitive Impairments ◽  
Smartphone App ◽  
Study Participation ◽  
Related Factors ◽  
Participant Engagement ◽  
The Impact ◽  
Smartphone Intervention

Abstract The Coronavirus disease 2019 (COVID-19) pandemic has introduced numerous challenges to the global scientific community and has been particularly disruptive to the conduct of ongoing clinical trials. Gerontological studies that focus on older adults with cognitive impairments have endured additional challenges ranging from increased vulnerability of this group to COVID-19, thereby prohibiting study participation, to difficulties in participant engagement as a product of a worsening Digital Divide. The purpose of this talk is to describe the pandemic-related factors that have influenced recruitment and enrollment of older adults with mild cognitive impairment and mild dementia in an ongoing feasibility study of a physical activity smartphone app. We discuss the changes we made to recruitment procedures and the impact those changes have had on the success of enrolling individuals in the study. We conclude with a discussion of feasible strategies and procedural alterations moving forward that may facilitate achievement of enrollment goals.

scholarly journals Barriers to effective prescribing in older adults: applying the theoretical domains framework in the ambulatory setting – a scoping review

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Sabrina Lau ◽  
Penny Lun ◽  
Wendy Ang ◽  
Keng Teng Tan ◽  
Yew Yoong Ding
Keyword(s):  
Older Adults ◽  
Scoping Review ◽  
Grey Literature ◽  
Inappropriate Prescribing ◽  
Theoretical Domains Framework ◽  
Ambulatory Setting ◽  
Eligibility Criteria ◽  
Related Factors ◽  
Prescribing Behaviour ◽  
The Impact

Abstract Background As the population ages, potentially inappropriate prescribing (PIP) in the older adults may become increasingly prevalent. This undermines patient safety and creates a potential source of major morbidity and mortality. Understanding the factors that influence prescribing behaviour may allow development of interventions to reduce PIP. The aim of this study is to apply the Theoretical Domains Framework (TDF) to explore barriers to effective prescribing for older adults in the ambulatory setting. Methods A scoping review was performed based on the five-stage methodological framework developed by Arksey and O’Malley. From 30 Aug 2018 to 5 Sep 2018, we conducted our search on PubMed, CINAHL, EMBASE, the Cochrane Database of Systematic Reviews, and Web of Science. We also searched five electronic journals, Google and Google Scholar to identify additional sources and grey literature. Two reviewers applied eligibility criteria to the title and abstract screening, followed by full text screening, before systematically charting the data. Results A total of 5731 articles were screened. Twenty-nine studies met the selection criteria for qualitative analysis. We mapped our results using the 14-domain TDF, eventually identifying 10 domains of interest for barriers to effective prescribing. Of these, significant domains include physician-related factors such as “Knowledge”, “Skills”, and “Social/Professional Role and Identity”; issues with “Environmental Context and Resources”; and the impact of “Social Influences” and “Emotion” on prescribing behaviour. Conclusion The TDF elicited multiple domains which both independently and collectively lead to barriers to effective prescribing for older adults in the ambulatory setting. Changing the prescribing climate will thus require interventions targeting multiple stakeholders, including physicians, patients and hospital/clinic systems. Further work is needed to explore individual domains and guide development of frameworks to aid guide prescribing for older adults in the ambulatory setting.

scholarly journals Technology for Remote Health Monitoring in an Older Population: A Role for Mobile Devices

2018 ◽  
Vol 2 (3) ◽  
pp. 43 ◽  
Author(s):  
Kate Dupuis ◽  
Lia Tsotsos
Keyword(s):  
Older Adults ◽  
Mobile Devices ◽  
Healthcare System ◽  
Mobile Health ◽  
Older Population ◽  
Related Factors ◽  
Health Apps ◽  
Health Related ◽  
Mobile Health Apps ◽  
The Impact

The impact of an aging population on healthcare and the sustainability of our healthcare system are pressing issues in contemporary society. Technology has the potential to address these challenges, alleviating pressures on the healthcare system and empowering individuals to have greater control over monitoring their own health. Importantly, mobile devices such as smartphones and tablets can allow older adults to have “on the go” access to health-related information. This paper explores mobile health apps that enable older adults and those who care for them to track health-related factors such as body readings and medication adherence, and it serves as a review of the literature on the usability and acceptance of mobile health apps in an older population.

scholarly journals Barriers to Effective Prescribing in Older Adults: Applying the Theoretical Domains Framework in the Ambulatory Setting – A Scoping Review

2020 ◽  
Author(s):  
Sabrina Lau ◽  
Penny Lun ◽  
Wendy Ang ◽  
Keng Teng Tan ◽  
Yew Yoong Ding
Keyword(s):  
Older Adults ◽  
Scoping Review ◽  
Grey Literature ◽  
Inappropriate Prescribing ◽  
Theoretical Domains Framework ◽  
Ambulatory Setting ◽  
Eligibility Criteria ◽  
Related Factors ◽  
Prescribing Behaviour ◽  
The Impact

Abstract Background: As the population ages, potentially inappropriate prescribing (PIP) in the older adults may become increasingly prevalent. This undermines patient safety and creates a potential source of major morbidity and mortality. Understanding the factors that influence prescribing behaviour may allow development of interventions to reduce PIP. The aim of this study is to apply the Theoretical Domains Framework (TDF) to explore barriers to effective prescribing for older adults in the ambulatory setting. Methods: A scoping review was performed based on the five-stage methodological framework developed by Arksey and O’Malley. From 30 Aug 2018 to 5 Sep 2018, we conducted our search on PubMed, CINAHL, EMBASE, the Cochrane Database of Systematic Reviews, and Web of Science. We also searched five electronic journals, Google and Google Scholar to identify additional sources and grey literature. Two reviewers applied eligibility criteria to the title and abstract screening, followed by full text screening, before systematically charting the data. Results: A total of 5,731 articles were screened. 29 studies met the selection criteria for qualitative analysis. We mapped our results using the 14-domain TDF, eventually identifying 10 domains of interest for barriers to effective prescribing. Of these, significant domains include physician-related factors such as “Knowledge”, “Skills”, and “Social/Professional Role and Identity”; issues with “Environmental Context and Resources”; and the impact of “Social Influences” and “Emotion” on prescribing behaviour. Conclusion: The TDF elicited multiple domains which both independently and collectively lead to barriers to effective prescribing for older adults in the ambulatory setting. Changing the prescribing climate will thus require interventions targeting multiple stakeholders, including physicians, patients and hospital/clinic systems. Further work is needed to explore individual domains and guide development of frameworks to aid guide prescribing for older adults in the ambulatory setting.

scholarly journals Barriers to Effective Prescribing in Older Adults: Applying the Theoretical Domains Framework in the Ambulatory Setting

2020 ◽  
Author(s):  
Sabrina Lau ◽  
Penny Lun ◽  
Wendy Ang ◽  
Keng Teng Tan ◽  
Yew Yoong Ding
Keyword(s):  
Older Adults ◽  
Grey Literature ◽  
Inappropriate Prescribing ◽  
Theoretical Domains Framework ◽  
Ambulatory Setting ◽  
Eligibility Criteria ◽  
Related Factors ◽  
Cochrane Database ◽  
Prescribing Behaviour ◽  
The Impact

Abstract Background: As the population ages, potentially inappropriate prescribing (PIP) in the older adults may become increasingly prevalent. This undermines patient safety and creates a potential source of major morbidity and mortality. Understanding the factors that influence prescribing behaviour may allow development of interventions to reduce PIP. The aim of this study is to apply the Theoretical Domains Framework (TDF) to explore barriers to effective prescribing for older adults in the ambulatory setting. Methods: A scoping review was performed based on the five-stage methodological framework developed by Arksey and O’Malley. From 30 Aug 2018 to 5 Sep 2018, we conducted our search on PubMed, CINAHL, EMBASE, the Cochrane Database of Systematic Reviews, and Web of Science. We also searched five electronic journals, Google and Google Scholar to identify additional sources and grey literature. Two reviewers applied eligibility criteria to the title and abstract screening, followed by full text screening, before systematically charting the data. Results: A total of 5,731 articles were screened. 29 studies met the selection criteria for qualitative analysis. We mapped our results using the 14-domain TDF, eventually identifying 10 domains of interest for barriers to effective prescribing. Of these, significant domains include physician-related factors such as “Knowledge”, “Skills”, and “Social/Professional Role and Identity”; issues with “Environmental Context and Resources”; and the impact of “Social Influences” and “Emotion” on prescribing behaviour.Conclusion: The TDF elicited multiple domains which both independently and collectively lead to barriers to effective prescribing for older adults in the ambulatory setting. Changing the prescribing climate will thus require interventions targeting multiple stakeholders, including physicians, patients and hospital/clinic systems. Further work is needed to explore individual domains and guide development of frameworks to aid guide prescribing for older adults in the ambulatory setting.

scholarly journals Open Access publishing in Medicine: lights and shadows.

2021 ◽  
Author(s):  
Nicola Bernabo ◽  
Luca Valbonetti ◽  
Alessandra Ordinelli ◽  
Rosa Ciccarelli ◽  
Barbara Barboni
Keyword(s):  
Open Access ◽  
Scientific Community ◽  
Scientific Literature ◽  
Research Output ◽  
Open Access Publishing ◽  
Medical Field ◽  
Related Factors ◽  
H Index ◽  
Use Of Internet ◽  
The Impact

The widespread use of internet has had enormous consequences in changing the way of accessing to scientific literature in all domains of knowledge and, in particular, in medicine. One of the most important related factors is the idea of making research output freely available: the so-called Open Access (OA) option. OA is considered very important in spreading of knowledge, breaking down barriers in benefit of research, and increasing the impact of research outputs within the scientific community. Here, we carried out a comparison between Non-Open Access (NOA) and OA medical Journals in terms of growing rate, geographical distribution, and the impact on scientific community. We collected the bibliometric data on the scientific Journals indexed in Scopus starting from 2001 to 2016 published either as NOA or OA. Then, we analysed the number of Journals, their geolocalization, their impact on the scientific community, and the parameters as SJR, H index, and cites for document (2 years). As a result, we found that while the number of NOA Journals is virtually stable, that of OA is dramatically increasing, with a growing rate higher than 400% in 2016. Then, the majority of OA Journals are published in developing Countries (Brazil, India, South Africa, South Korea, New Zealand, Serbia, and Poland) and their impact within researchers is lower compared to the NOA Journals. In conclusion, our data provide an updated and unprecedented picture of OA adoption in medical field, with its lights and shadows.

scholarly journals The Impact of the Risk for Sarcopenia on Frailty Among Older Adults With Physical Functional Dependency

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 180-180
Author(s):  
Hongting Ning ◽  
Yinan Zhao ◽  
Huijing Chen ◽  
Lulu Liao ◽  
Hengyu Hu ◽  
...  
Keyword(s):  
Older Adults ◽  
Logistic Regression ◽  
Binary Logistic Regression ◽  
Functional Dependency ◽  
Cluster Sampling ◽  
Related Factors ◽  
Health Related ◽  
Nationally Representative ◽  
Older Chinese ◽  
The Impact

Abstract Objective: 1) to assess the prevalence of the risk for sarcopenia, as well as frailty among older adults with physical functional dependency in a nationally representative sample; and 2) to identify the impact of the risk for sarcopenia on frailty in this vulnerable population in China. Methods: A total of 2,323 participants (age ≥ 60 years old) with physical functional dependency in five provinces in China were enrolled using a multistage cluster sampling scheme. Physical function was measured by the Barthel Index (BI), the risk for sarcopenia was defined as “calf circumference (< 34 cm in men, < 33 cm in women)” according to the 2019 consensus proposed by the Asian Working Group for Sarcopenia, and frailty was assessed by the FRAIL scale. Multivariate binary logistic regression was used to assess the impact of the risk for sarcopenia on frailty. Results: The prevalence of the risk for sarcopenia and frailty were 41.0% and 30.9%, respectively. Logistic regression analysis shows that the risk for sarcopenia was significantly associated with frailty (odds ratio 1.51, 95% confidence interval 1.19-1.90, p = 0.001) after adjustment for demographic and psychosocial factors, as well as health-related factors. Conclusion: This study shows that the risk of sarcopenia and frailty are prevalent, and the presence of the risk of sarcopenia increased the risk of frailty in older Chinese adults with physical functional dependency. Key Words: the risk for sarcopenia; frailty; older adults; physical functional dependency.

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