Effects of a Web-based Intervention on Cardiovascular and Physical Health of Korean Older Adults During the Pandemic

Abstract During the lockdown, 97.5% of Korean senior centers in South Korea were closed to prevent the spread of the coronavirus disease 2019 (COVID-19). The threat of the COVID-19 presented the need for alternative interventions for Korean older adults to maintain cardiovascular and physical health. Korean senior centers implemented web-based interventions to provide physical health services, but their effectiveness was not yet assessed. Thus, our study aimed to identify the effects of a web-based intervention using a smartwatch and mobile app in older adults when compared to center-based intervention during the pandemic. This study collected 117 Korean older adults (≥ 60) who participated in the 12-week web-based and center-based physical interventions using a smartwatch and mobile app. This quasi-experimental study was conducted between August and December in 2020. We analyzed the pre-posttest of cardiovascular and physical health across two intervention types. Our regression results indicated that participants in the 12-week web-based intervention reported better cardiovascular (systolic blood pressure: b = -13.77, p < .001; cholesterol: b = -11.71, p < .05) and physical health (muscular function: b = 2.99, p < .001; body balance: b = -1.31, p < .001; cardiopulmonary endurance: b = 33.33, p < .001) than those in center-based intervention at posttest. The findings imply a web-based intervention is likely to become an innovative therapeutic strategy for older adults' health to respond to the rapidly changing social service systems amid the pandemic.

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Community-Partnered Evaluation of the Aging Mastery Program in Los Angeles Area Senior Centers

Health Education & Behavior ◽

10.1177/1090198119882992 ◽

2019 ◽

Vol 47 (1) ◽

pp. 57-66

Author(s):

Lourdes R. Guerrero ◽

Josephine A. Menkin ◽

Carmen A. Carrillo ◽

Carmen E. Reyes ◽

Laura Trejo ◽

...

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Los Angeles ◽

Physical Health ◽

Dose Response ◽

Patient Activation ◽

Senior Centers ◽

Intention To Treat ◽

Quasi Experimental

Background. The National Council on Aging’s Aging Mastery Program (AMP) aims to help older adults implement health behavior and lifestyle changes to promote healthy aging and social engagement. The purpose of the present community-partnered evaluation was to test the effectiveness of AMP implementation in Los Angeles County to improve participants’ quality of life, global physical and mental health, and patient activation. Method. A modified randomized wait-list controlled trial design was used to examine experimental, quasi-experimental, and dose-response evidence in five senior centers. Participants completed questionnaires at baseline and after the 10-week intervention, self-reporting their overall quality of life, physical health, mental health, and patient activation. Results. Experimental, intention-to-treat analyses found AMP assignment did not affect any measured outcomes ( n = 71). Quasi-experimental, “as treated” analyses ( n = 106) controlling for study site and sociodemographic characteristics indicated that participants who attended AMP reported more positive changes in global mental health than the control group. Attending AMP was not associated with changes in quality of life, physical health, or patient activation. Dose-response analyses among AMP participants who attended at least one class ( n = 75) found that attending more classes was not significantly associated with greater improvements in mental health. Conclusions. Experimental, intention-to-treat analyses did not support effectiveness of AMP on quality of life, physical or mental health, or patient activation; quasi-experimental analyses found attending AMP was associated with improvements in mental health. Recruitment challenges and participants’ nonadherence with condition assignment decreased our ability to detect effects. https://clinicaltrials.gov/ct2/show/NCT03342729?term=Aging+Mastery+Program&rank=1 .

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Web-Based Interventions to Promote Healthy Lifestyles for Older Adults: Protocol for a Scoping Review

JMIR Research Protocols ◽

10.2196/23207 ◽

2021 ◽

Vol 10 (1) ◽

pp. e23207

Author(s):

Audrey Lavoie ◽

Véronique Dubé

Keyword(s):

Older Adults ◽

Scoping Review ◽

Grey Literature ◽

Healthy Lifestyles ◽

Behavior Change Techniques ◽

Web Based ◽

Quantitative Studies ◽

Cochrane Database ◽

Need Support ◽

Quasi Experimental

Background With the aging of the population and rising rates of chronic diseases, older adults need support if they are to adopt healthy lifestyles. Web-based interventions should be considered for this purpose, since they are easily accessed and can foster healthy lifestyles among older adults. However, the literature on such interventions discusses a variety of components and effects and provides only 2 syntheses of knowledge on web-based interventions with older adults. These studies focus on populations aged 50 years and older, whereas the components and effects of interventions for a population of older adults (ie, 65 years and older) may differ. In addition, these 2 syntheses examined only quantitative studies, although other types of studies (ie, qualitative) are available and could help advance knowledge in this field. A scoping review is therefore relevant in order to explore the extent of the literature on this subject. Objective The purpose of the study described by this protocol is to explore the extent of the literature (experimental, quasi-experimental, qualitative, systematic reviews, and grey literature) on the components and effects of web-based interventions as a way to promote healthy lifestyles among older adults. Methods The databases MEDLINE, CINAHL, PsycInfo, Web of Science, Cochrane Database of Systematic Review and Joanna Briggs Library will be searched, in addition to the grey literature using Google Scholar and OpenGrey. Studies will be selected for the review by 2 researchers, working independently. The data will be synthesized based on the conceptualization of web-based interventions (ie, behavior change techniques, dispensation modes, and theories). A thematic analysis will be performed to summarize the components of the interventions studied. Results The database search will begin in August 2020 and be completed in October 2020. Conclusions This scoping review should highlight web-based interventions designed to promote healthy lifestyles, as well as their components and effects, among people aged 65 years and older. These results could provide important guidance for intervention developers and designers in identifying the components of web-based interventions relevant to older adults and lead to further studies on this topic. International Registered Report Identifier (IRRID) PRR1-10.2196/23207

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157 Diabetes Self-Management Training with a Mobile APP among Older Adults in Taiwan: Comparative and Longitudinal Program Effectiveness

Age and Ageing ◽

10.1093/ageing/afz164.157 ◽

2019 ◽

Vol 48 (Supplement_4) ◽

pp. iv34-iv39

Author(s):

Shinyi Wu

Keyword(s):

Older Adults ◽

Physical Health ◽

Mobile Technology ◽

Program Effectiveness ◽

Intervention Group ◽

Self Care ◽

Mobile App ◽

Self Management ◽

Technological Support ◽

Glucose Testing

Abstract Diabetes is a prevalent chronic disease and a major medical disability worldwide. It affects 1 in 5 older people in Taiwan. Use of mobile computing technology has become increasingly prevalent among older adults but its potential to improve diabetes self-management and social integration is only begun to be realized. This presentation will introduce the Intergenerational Mobile Technology Opportunities Program (IMTOP) designed to motivate and train older adults with diabetes to use mobile technology for diabetes self-management. The IMTOP curriculum taught participants about diabetes self-management combined with tablet and Internet skill training. Patients were taught a diabetes self-management app to activate self-monitoring and behavior change. College students participated as volunteer tutors to provide intergenerational and technological support. The program was delivered in 8 weekly sessions of 2-hour long small group classes. To understand the program effects, a wait-list control trial with 350 age 55+ adults with diabetes was conducted in 2 Taiwanese hospital outpatient settings. Patients were assessed at baseline and every 4 months for up to 12 months post intervention. After participating in the intervention, the pre-post changes for the intervention group were significantly better than the waitlist group at 4-month in terms of physical health status, diabetes self-care, use of mobile technology, and overall quality of life. In addition, the intervention group was less depressed compared to its counterpart. The longitudinal effects were evaluated using linear mixed-effects models including contrasts compared mean estimates at each follow-up to the baseline. The results indicate a stable overtime improvement in overall diabetes self-care (p<.0001). Specifically, patients reported more blood-glucose testing, foot-care, and risk reduction (all with p<.0001), specific diet (p=.04), and reduced frequency of smoking (p=.03). Both the WHO-QOL physical health (p=.03) and self-rated general health (p=.001) were enhanced. The findings support the effectiveness of IMTOP intervention for older adults with diabetes.

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Web-Based Interventions to Promote Healthy Lifestyles for Older Adults: Protocol for a Scoping Review (Preprint)

10.2196/preprints.23207 ◽

2020 ◽

Author(s):

Audrey Lavoie ◽

Véronique Dubé

Keyword(s):

Older Adults ◽

Scoping Review ◽

Grey Literature ◽

Healthy Lifestyles ◽

Behavior Change Techniques ◽

Web Based ◽

Quantitative Studies ◽

Cochrane Database ◽

Need Support ◽

Quasi Experimental

BACKGROUND With the aging of the population and rising rates of chronic diseases, older adults need support if they are to adopt healthy lifestyles. Web-based interventions should be considered for this purpose, since they are easily accessed and can foster healthy lifestyles among older adults. However, the literature on such interventions discusses a variety of components and effects and provides only 2 syntheses of knowledge on web-based interventions with older adults. These studies focus on populations aged 50 years and older, whereas the components and effects of interventions for a population of older adults (ie, 65 years and older) may differ. In addition, these 2 syntheses examined only quantitative studies, although other types of studies (ie, qualitative) are available and could help advance knowledge in this field. A scoping review is therefore relevant in order to explore the extent of the literature on this subject. OBJECTIVE The purpose of the study described by this protocol is to explore the extent of the literature (experimental, quasi-experimental, qualitative, systematic reviews, and grey literature) on the components and effects of web-based interventions as a way to promote healthy lifestyles among older adults. METHODS The databases MEDLINE, CINAHL, PsycInfo, Web of Science, Cochrane Database of Systematic Review and Joanna Briggs Library will be searched, in addition to the grey literature using Google Scholar and OpenGrey. Studies will be selected for the review by 2 researchers, working independently. The data will be synthesized based on the conceptualization of web-based interventions (ie, behavior change techniques, dispensation modes, and theories). A thematic analysis will be performed to summarize the components of the interventions studied. RESULTS The database search will begin in August 2020 and be completed in October 2020. CONCLUSIONS This scoping review should highlight web-based interventions designed to promote healthy lifestyles, as well as their components and effects, among people aged 65 years and older. These results could provide important guidance for intervention developers and designers in identifying the components of web-based interventions relevant to older adults and lead to further studies on this topic. INTERNATIONAL REGISTERED REPORT PRR1-10.2196/23207

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PENINGKATAN KUALITAS HIDUP LANJUT USIA (LANSIA) DI KOTA DEPOK DENGAN LATIHAN KESEIMBANGAN

Jurnal Keperawatan Indonesia ◽

10.7454/jki.v21i2.584 ◽

2018 ◽

Vol 21 (2) ◽

pp. 109-116

Author(s):

Stefanus Mendes Kiik ◽

Junaiti Sahar ◽

Henny Permatasari

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Physical Health ◽

Older Adult ◽

Social Relationships ◽

Psychological Health ◽

Random Sampling ◽

Balance Exercise ◽

Quasi Experimental

Kualitas hidup lansia dipengaruhi berbagai faktor seperti kesehatan fisik, kesehatan psikologis, hubungan sosial dan lingkungan. Penelitian ini bertujuan mengetahui pengaruh latihan keseimbangan terhadap kualitas hidup lansia di Kota Depok. Penelitian quasi experiment ini dilakukan pada dua kelompok; 30 lansia sebagai kelompok kontrol dan 30 lansia sebagai kelompok perlakuan. Teknik pengambilan sampel yang digunakan adalah multistage random sampling. Hasil penelitian menunjukkan bahwa latihan keseimbangan berpengaruh signifikan, meningkatkan kualitas hidup lansia (p<0,001). Hal ini disebabkan karena latihan keseimbangan dapat meningkatkan kesehatan fisik, kesehatan psikologis, hubungan sosial dan lingkungan. Latihan keseimbangan lansia dapat digunakan sebagai salah satu upaya untuk meningkatkan kualitas hidup pada lansia di komunitas. Penelitian selanjutnya dapat melakukan penelitian pada kelompok usia yang berbeda untuk mengetahui keefektifan latihan keseimbangan lansia. Kata Kunci: lansia, latihan keseimbangan, kualitas hidup Abstract Quality Improvement of Elderly Life in Depok City with Balance Exercise. The quality of life (QOL) of the older adult is affected by various factors such as physical health, psychological health, social relationships and environment. This study aimed to investigate the effect of balance exercise on quality of life among older adults. This quasi-experimental design included two groups; 30 subjects as intervention groups and 30 subjects as control groups. The sample was taken by multistage random sampling. There were significant improvements in quality of life among older adults (p<0,001). Balance exercise can improve physical health, psychological health, social relationships, and environment. Balance exercise can be utilized as one of the preventive efforts to increase the quality of life among older adults in the community. Further research may consider a variety of age to know the effectiveness of balance exercise. Keywords: balance exercise, older adult, quality of life

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Regulation of Experienced and Anticipated Regret for Daily Decisions in Younger and Older Adults in a Swedish One-Week Diary Study

GeroPsych ◽

10.1024/1662-9647/a000102 ◽

2013 ◽

Vol 26 (4) ◽

pp. 233-241 ◽

Cited By ~ 7

Author(s):

Pär Bjälkebring ◽

Daniel Västfjäll ◽

Boo Johansson

Keyword(s):

Older Adults ◽

Diary Study ◽

Anticipated Regret ◽

Younger Adults ◽

Web Based ◽

Decision Regret ◽

Diary Method ◽

Regulation Strategies

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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