Age and Perceptions of Usability on Telephone Menu Systems

2002 ◽  
Vol 46 (2) ◽  
pp. 175-179 ◽  
Author(s):  
Christopher Reynolds ◽  
Sara J. Czaja ◽  
Joseph Sharit
Keyword(s):  
Older Adults ◽  
Real World ◽  
Community Dwelling ◽  
Relative Importance ◽  
Menu System ◽  
And Function ◽  
Sample Set

The objectives of this study were to determine if older adults encounter difficulty using real-world telephone menu system applications and to gather data on the usability features of these systems. Six real-world telephone menu systems, which varied in complexity and function, were examined. The sample included 32 community dwelling adults ranging in age from 18–80 years. Participants interacted with the menu systems to perform a sample set of tasks. They were also asked to rate the usability features of the system in terms of their goodness and their relative importance. The data indicated that in addition to taking longer, the older adults tended to have more difficulty performing the tasks. The findings also indicated that memorability was an important usability feature, and that the ratings of overall usability and overall satisfaction were significantly worse for the older adults.

scholarly journals Detection of Real-World Trips in At-Fall Risk Community Dwelling Older Adults Using Wearable Sensors

2020 ◽  
Vol 7 ◽  
Author(s):  
Shirley Handelzalts ◽  
Neil B. Alexander ◽  
Nicholas Mastruserio ◽  
Linda V. Nyquist ◽  
Debra M. Strasburg ◽  
...  
Keyword(s):  
Older Adults ◽  
Real World ◽  
Fall Risk ◽  
Wearable Sensors ◽  
Community Dwelling ◽  
Community Dwelling Older Adults

scholarly journals Group Lifestyle Phone Maintenance for Weight, Health, and Physical Function in Adults Aged 65–80 Years: A Randomized Clinical Trial

2020 ◽  
Author(s):  
Elizabeth M Venditti ◽  
Marsha D Marcus ◽  
Rachel G Miller ◽  
Vincent C Arena ◽  
Susan L Greenspan ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Older Adults ◽  
Weight Loss ◽  
Physical Function ◽  
Community Dwelling ◽  
Lipid Lowering ◽  
Additional Risk ◽  
Management Group ◽  
Registration Number ◽  
And Function

Abstract Background Group lifestyle sessions with phone maintenance could improve weight, health, and function in vulnerable older adults. Methods Community-dwelling adults (N = 322) with body mass index (BMI, kg/m2) ≥27 and additional risk factors received 12 one-hour in-person behavioral weight management group sessions then were randomized to 8 half-hour telephone sessions (n = 162) or newsletter control (n = 160) from 4 to 12 months with no treatment contact thereafter. Primary outcome was 0- to 12-month weight change. Cardiometabolic, short physical performance battery (SPPB), and self-reported activity changes were assessed at 12 and 24 months. Results At baseline, the mean (SD) age was 71.2 (4.3) and BMI was 33.8 (5.1). Participants were 77% women, 13% Black, 85% retired, averaging 4 medical conditions, and taking blood pressure (67.4%) and lipid-lowering (51.6%) medications. At 12 months, a greater proportion of the phone group (66.0%) achieved ≥5% weight loss compared with newsletter control (53.2%; p = .02). Mean (95% CI) weight loss was greater for phone (−6.6 kg [−7.5, −5.8]) than newsletter (−5.1 kg [−7.2, −3.0]); p = .01. Modest lipid, glucose, and blood pressure improvements were found, but did not differ significantly between groups. Small SPPB and activity improvements were maintained at 12 and 24 months in both groups. Conclusions Brief phone contacts compared to newsletters enhanced weight loss maintenance among older high-risk adults at 1 year, but not cardiometabolic outcomes. Modest functional improvements were observed in both. Lower-intensity maintenance contacts (phone or newsletter) for weight, health, and physical function in older adults warrant further study. Clinical Trials Registration Number NCT03192475

Does The Timed Up And Go Test Reflect Physical Activity And Function In Community Dwelling Older Adults? Results From The SENIOR Project

2005 ◽  
Vol 37 (Supplement) ◽  
pp. S257
Author(s):  
Carol E. Garber ◽  
Deborah Riebe ◽  
Mary L. Greaney ◽  
Patricia M. Burbank ◽  
Faith D. Lees ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Community Dwelling ◽  
Timed Up And Go ◽  
Senior Project ◽  
And Function ◽  
Community Dwelling Older Adults

scholarly journals Digestive Symptoms in Older Adults: Prevalence and Associations with Institutionalization and Mortality

2012 ◽  
Vol 26 (12) ◽  
pp. 881-884 ◽  
Author(s):  
Turki AlAmeel ◽  
Mohammed Basheikh ◽  
Melissa K Andrew
Keyword(s):  
Older Adults ◽  
Secondary Analysis ◽  
Community Dwelling ◽  
Increased Risk ◽  
Reported Health ◽  
And Function ◽  
Self Assessed Health ◽  
Cognition Impairment ◽  
Community Dwelling Older Adults

BACKGROUND: Digestive symptoms are common in adults. However, little is known about their prevalence in older adults and the association of digestive symptoms with institutionalization and mortality in community-dwelling older adults.OBJECTIVE: To determine the prevalence of digestive symptoms among older adults in Canada and whether they are associated with increased risk of institutionalization and mortality, independent of the effect of potential confounders.METHODS: The present study was a secondary analysis of data collected from community-dwelling participants 65 years of age and older in the Canadian Study of Health and Aging. Measures incuded age, sex, presence of digestive symptoms, cognition, impairment in activities of daily living (ADL) and self-reported health. Outcome measures included death or institutionalization over the 10 years of follow-up.RESULTS: Digestive symptoms were found in 2288 (25.6%) of the 8949 subjects. Those with digestive symptoms were older, with a mean difference in age of six months (P=0.007). Digestive symptoms were more common among women (28.4%) than men (20.3%), among individuals with poor self-reported health and those with an increased number of impairments in their ADLs (P<0.001). The presence of digestive symptoms was associated with higher mortality (HR 1.15 [95% CI 1.05 to 1.25] adjusted for age, sex, cognitive function and ADL impairment); however, this association was not statistically significant after adjusting for self-reported health.CONCLUSION: Although digestive symptoms were associated with increased mortality independent of age and sex, cognition and function, this association was largely explained by poor self-assessed health. Digestive symptoms were not associated with institutionalization

scholarly journals Association of Physical Activity, Muscle Mass, Strength, and Function to Quality of Life in Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 185-186
Author(s):  
Murad Taani ◽  
Chi Cho ◽  
Julie Ellis
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Older Adults ◽  
Muscle Mass ◽  
Handgrip Strength ◽  
Community Dwelling ◽  
Steps Per Day ◽  
Mental Hrqol ◽  
And Function

Abstract Physical inactivity and loss of muscle mass, strength, and function are associated with negative outcomes including disability and a decline in health-related quality of life (HRQoL) among older adults. Older adults living in continuing care retirement communities (CCRCs) are at greater risk for declining physical activity and muscle outcomes compared to community-dwelling older adults. Few researchers studying the association of muscle and physical activity have examined the distinction between physical and mental HRQoL. Understanding the differential association of physical and mental HRQoL to physical activity and muscle outcomes can inform the development of useful interventions. The aim of this study was to examine the relationships between physical activity, muscle mass, strength, function and physical and mental HRQoL. Using a descriptive, correlational design, 105 older adults living in CCRCs were recruited. Light physical activity (LPA), moderate physical activity (MPA), sedentary behavior, and steps per day were assessed using ActiGraph GT3X. Appendicular skeletal muscle mass (ASMM) was assessed with bioelectrical impedance spectroscopy, handgrip strength with JAMAR Smart Hand Dynamometer, muscle function with the Short Physical Performance Battery (SPPB) test, and physical and mental HRQoL with the SF-36 questionnaire. The mean age of participants was 83 (SD=7.4). Using multiple regression models adjusted for sex and age, steps per day and SPPB score explained 38.4 % of the variance in physical HRQoL. Handgrip strength explained 8 % of the variance in mental HRQoL. These findings suggest that QoL improvement programs should include components to improve physical activity, muscle strength and function.

scholarly journals Use of an Internet-of-Things Smart Home System for Healthy Aging in Older Adults in Residential Settings: Pilot Feasibility Study

JMIR Aging ◽  
10.2196/21964 ◽  
2020 ◽  
Vol 3 (2) ◽  
pp. e21964
Author(s):  
Yong K Choi ◽  
Hilaire J Thompson ◽  
George Demiris
Keyword(s):  
Older Adults ◽  
Internet Of Things ◽  
Feasibility Study ◽  
Real World ◽  
Smart Home ◽  
Healthy Aging ◽  
Community Dwelling ◽  
Perceived Usefulness ◽  
Residential Settings ◽  
Iot Devices

Background The Internet-of-Things (IoT) technologies can create smart residences that integrate technology within the home to enhance residents’ safety as well as monitor their health and wellness. However, there has been little research on real-world testing of IoT smart home devices with older adults, and the feasibility and acceptance of such tools have not been systematically examined. Objective This study aims to conduct a pilot study to investigate the feasibility of using IoT smart home devices in the actual residences of older adults to facilitate healthy aging. Methods We conducted a 2-month feasibility study on community-dwelling older adults. Participants chose among different IoT devices to be installed and deployed within their homes. The IoT devices tested varied depending on the participant’s preference: a door and window sensor, a multipurpose sensor (motion, temperature, luminosity, and humidity), a voice-operated smart speaker, and an internet protocol (IP) video camera. Results We recruited a total of 37 older adults for this study, with 35 (95%) successfully completing all procedures in the 2-month study. The average age of the sample was 78 (SD 9) years and primarily comprised women (29/37, 78%), those who were educated (31/37, 86%; bachelor’s degree or higher), and those affected by chronic conditions (33/37, 89%). The most widely chosen devices among the participants were multipurpose sensors and smart speakers. An IP camera was a significantly unpopular choice among participants in both phases. The participant feedback suggests that perceived privacy concerns, perceived usefulness, and curiosity to technology were strong factors when considering which device to have installed in their home. Conclusions Overall, our deployment results revealed that the use of IoT smart home devices is feasible in actual residences of older adults. These findings may inform the follow-up assessment of IoT technologies and their impact on health-related outcomes and advance our understanding of the role of IoT home-based monitoring technologies to promote successful aging-in-place for older adults. Future trials should consider older adults’ preferences for the different types of smart home devices to be installed in real-world residential settings.

scholarly journals Automated Loss-of-Balance Event Identification in Older Adults at Risk of Falls during Real-World Walking Using Wearable Inertial Measurement Units

Sensors ◽  
2021 ◽  
Vol 21 (14) ◽  
pp. 4661
Author(s):  
Jeremiah Hauth ◽  
Safa Jabri ◽  
Fahad Kamran ◽  
Eyoel W. Feleke ◽  
Kaleab Nigusie ◽  
...  
Keyword(s):  
Older Adults ◽  
Real World ◽  
Characteristic Curve ◽  
Community Dwelling ◽  
Recording Device ◽  
Learning Approaches ◽  
Discriminative Ability ◽  
Inertial Measurement ◽  
Loss Of Balance ◽  
Community Dwelling Older Adults

Loss-of-balance (LOB) events, such as trips and slips, are frequent among community-dwelling older adults and are an indicator of increased fall risk. In a preliminary study, eight community-dwelling older adults with a history of falls were asked to perform everyday tasks in the real world while donning a set of three inertial measurement sensors (IMUs) and report LOB events via a voice-recording device. Over 290 h of real-world kinematic data were collected and used to build and evaluate classification models to detect the occurrence of LOB events. Spatiotemporal gait metrics were calculated, and time stamps for when LOB events occurred were identified. Using these data and machine learning approaches, we built classifiers to detect LOB events. Through a leave-one-participant-out validation scheme, performance was assessed in terms of the area under the receiver operating characteristic curve (AUROC) and the area under the precision recall curve (AUPR). The best model achieved an AUROC ≥0.87 for every held-out participant and an AUPR 4-20 times the incidence rate of LOB events. Such models could be used to filter large datasets prior to manual classification by a trained healthcare provider. In this context, the models filtered out at least 65.7% of the data, while detecting ≥87.0% of events on average. Based on the demonstrated discriminative ability to separate LOBs and normal walking segments, such models could be applied retrospectively to track the occurrence of LOBs over an extended period of time.

scholarly journals Deprescribing Antipsychotics Based on Real-World Evidence to Inform Clinical Practice: Safety Considerations in Managing Older Adults with Dementia

2021 ◽  
Vol 12 ◽  
Author(s):  
Stephanie Hsieh ◽  
Jing Yuan ◽  
Z. Kevin Lu ◽  
Minghui Li
Keyword(s):  
Older Adults ◽  
Clinical Practice ◽  
Healthcare Utilization ◽  
Real World ◽  
Medical Costs ◽  
The United States ◽  
Community Dwelling ◽  
Dementia Patients ◽  
Real World Evidence ◽  
Out Of Pocket Costs

Background: Antipsychotics are commonly used in dementia patients but have potential risks that often outweigh clinical benefits. Limited studies have assessed the healthcare utilization and medical costs associated with antipsychotic use, especially those focused on cumulative days of use.Objectives: To examine clinical and economic burdens associated with different cumulative days of antipsychotic use in older adults with dementia in the United States.Methods: This study used Medicare Current Beneficiary Survey (2015–2017). Older (≥65 years) Medicare beneficiaries with dementia, without concurrent schizophrenia, bipolar disorder, Huntingon’s disease, or Tourette’s syndrome were included. Antipsychotic use was measured using Medicare Part D prescription events. Healthcare utilization was measured as inpatient services, outpatient services, and emergency room (ER) visits. Total medical costs were classified as Medicare and out-of-pocket costs. The logistic regression, negative binomial regression, and generalized linear model with a log link and gamma distribution were used to examine factors, healthcare utilization, and medical costs. Survey sampling weights were applied to generate national estimates.Results: Among older adults with dementia, 13.18% used antipsychotics. Factors associated with antipsychotic use were being Hispanic (OR: 2.90; 95% CI: 1.45, 5.78), widowed (OR: 3.52; 95% CI: 1.46, 8.48), and single (OR: 3.25; 95% CI: 1.53, 6.87). Compared to non-users, antipsychotic use was associated with higher inpatient visits (IRR: 2.11; 95% CI 1.53, 2.90), ER visits (IRR: 1.61; 95% CI: 1.21, 2.13), total costs (β: 0.53; 95% CI: 0.36, 0.71), Medicare costs (β: 0.49; 95% CI 0.26, 0.72), and out-of-pocket costs (β: 0.66; 95% CI: 0.35, 0.97). With the increase in cumulative days of antipsychotic use, the magnitude of clinical and economic burdens was decreased.Conclusion: The significant clinical and economic burdens associated with antipsychotic use, especially with short-term use, provide real-world evidence to inform clinical practice on deprescribing antipsychotics among community-dwelling geriatric dementia patients.

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