scholarly journals Exploring Predictors of eHealth Literacy Among Older Adults: Findings From the 2020 CALSPEAKS Survey

2021 ◽  
Vol 7 ◽  
pp. 233372142110642
Author(s):  
Ronald W. Berkowsky
Keyword(s):  
Older Adults ◽  
Health Promotion ◽  
Health Information ◽  
Technology Use ◽  
Ordinary Least Squares ◽  
Least Squares Regression ◽  
Literacy Interventions ◽  
Ehealth Literacy ◽  
The Public ◽  
Health Education And Promotion

With the Internet continuously being used as a means of providing health education and promotion to the public, consumers are increasingly going online to gather pertinent health information. However, disparities exist with regards to consumers’ ability in finding, evaluating, and applying online health information (collectively referred to as eHealth literacy). Identifying these disparities may elucidate which segments of the population would benefit from targeted eHealth literacy interventions and ways to adapt online health promotion materials. This study uses data from the 2020 CALSPEAKS survey to identify disparities in eHealth literacy among older adults aged 65+ residing in California, USA ( N = 237). eHealth literacy is self-assessed using the previously validated 8-item eHEALS questionnaire. Ordinary least squares regression analyses are performed on individual eHEALS items and on a summed eHealth literacy score, with demographic and technology use-related characteristics as predictors. Results show that the strongest and most consistent predictors of eHealth literacy include education, frequency of Internet use, and breadth of Internet activities regularly performed. Findings suggest that those seeking to increase eHealth literacy specifically among older Californians may benefit from tailoring their interventions and online health promotion materials towards those with less education and those with less Internet experience.

Evaluating a theory-based intervention for improving eHealth literacy in older adults: A single group, pretest–posttest design (Preprint)

2021 ◽  
Author(s):  
Kyoung-Eun Lee ◽  
Sun Ju Chang ◽  
Eunjin Yang ◽  
Hyunju Ryu
Keyword(s):  
Older Adults ◽  
Health Information ◽  
Information Literacy ◽  
Intervention Mapping ◽  
Perceived Usefulness ◽  
The Internet ◽  
Single Group ◽  
Behavioral Skills ◽  
Ehealth Literacy ◽  
Significant Difference

BACKGROUND The Internet use rate of older adults, who were considered underprivileged in the digital world, is steadily increasing. Specifically, the Internet is considered an important channel for providing health information to older adults, who are the largest consumers of medical services. However, due to factors such as technical difficulties, lack of learning opportunities, and deterioration of eHealth literacy, the Internet is not usually a common factor of delivering health information to older adults. Therefore, we developed an intervention program to improve eHealth literacy in older adults according to the information-motivation-behavioral skills (IMB) theory and Intervention Mapping. OBJECTIVE This study aimed to analyze the effect of developed intervention on information, motivation, behavioral skills, and behaviors related to eHealth information in older adults. METHODS This study applied a single group pretest–posttest design. The participants were 46 older adults over the age of 65 recruited from two senior welfare centers in a city in South Korea. We divided the participants into 4 groups and conducted 4 interventions in the computer room of the Senior Welfare Center from March to December 2019. One intervention was performed once a week (2 hours/1 time) for 5 weeks, and the total lecture time was 10 hours. The instructors were all researchers involved in the development of this intervention, and the instructors for each intervention consisted of one lecture instructor and two assistant instructors who supported the participants in the computer practices. RESULTS Participants’computer/web knowledge (χ²= 60.04, P <.001), perceived ease of use (χ²= 17.86, P <.001), perceived enjoyment (χ²= 23.06, P <.001), and attitude toward eHealth information (χ²= 18.47, P <.001) showed statistically significant increases. The eHealth information literacy efficacy score (χ²= 72.76, P< .001), searching performance score (χ²= 162.57, P < .001), and understanding score (χ²= 60.96, P< .001) were also significantly different from those before and after the intervention. However, there was no significant difference in perceived usefulness (χ²= 5.91, P = .052). CONCLUSIONS Our findings suggest that the application of the current theory based methodology can improve the quality of research in developing eHealth information literacy interventions. Additionally, it is necessary to develop and continuously apply various interventions to improve eHealth information literacy among older adults. Finally, measures to improve the Internet environment for older adults should be considered.

Bridging the Digital Divide for Older Adults via Intergenerational Mentor-Up

2018 ◽  
Vol 29 (7) ◽  
pp. 786-795 ◽  
Author(s):  
Othelia Eun-Kyoung Lee ◽  
Do-Hong Kim
Keyword(s):  
Older Adults ◽  
Digital Divide ◽  
Social Isolation ◽  
Technology Use ◽  
Qualitative Data ◽  
Training Needs ◽  
Mixed Methods Study ◽  
Ehealth Literacy ◽  
Intergenerational Interaction ◽  
Parallel Fashion

Objectives: The effectiveness of Intergenerational Mentor-Up (IMU), an innovative intervention that engages college students in tutoring older adults, was examined with regard to eHealthy literacy and social isolation. Method: A total of 55 older adults (mean age = 73.82) participated in the six-session IMU tutorials. In this mixed methods study, quantitative and qualitative data were collected in a parallel fashion. Participants were interviewed after participating in the IMU. Results: Older adults presented significant improvement between pre- and postsurveys in various outcomes such as eHealth literacy, technophobia, self-efficacy, and interest in technology. Intergenerational interaction brought about by IMU helped to decrease social isolation among older adults. Qualitative data revealed that individualized training, modifications, adaptations, and intergenerational interactions can decrease their anxiety and boost their confidence. Discussion: Study findings enable the identification of the training needs to help close the digital divide and allow these older adults to reap the benefits of technology use.

Living Arrangements and Sleep-Related Outcomes Among Older Adults in China

2019 ◽  
Vol 91 (2) ◽  
pp. 111-126 ◽  
Author(s):  
Yen-Han Lee ◽  
Yen-Chang Chang ◽  
Timothy Chiang ◽  
Ching-Ti Liu ◽  
Mack Shelley
Keyword(s):  
Older Adults ◽  
Living Arrangements ◽  
Odds Ratio ◽  
Regression Models ◽  
Family Members ◽  
Ordinary Least Squares ◽  
Least Squares Regression ◽  
Quality Of Sleep ◽  
Nationally Representative

It has been discussed previously that older adults’ living arrangements are associated with mortality. This study investigated the relationships between older adults’ living arrangements and sleep-related outcomes in China. The nationally representative sample included 4,731 participants who participated on two different occasions, with a total of 9,462 observations (2012 and 2014 waves). Panel logistic regression and panel ordinary least squares regression models were estimated with outcomes of sleep quality and average hours of sleep daily, respectively. Approximately 62% of individuals reported good quality of sleep. We observed that older adults who lived with family members had 17% greater odds of reporting good quality of sleep (adjusted odds ratio = 1.17, 95% confidence interval [1.03, 1.34], p < .05) and reported longer sleep duration daily (β = .334, standard error = .069, p < .01), compared with those who lived alone. Social support is needed to strengthen the residential relationship, especially with family members.

Repeated selection of supplier, factors and results: the Czech Republic

2019 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Michal Plaček ◽  
Martin Schmidt ◽  
František Ochrana ◽  
Gabriela Vaceková ◽  
Jana Soukopová
Keyword(s):  
Recurrent Selection ◽  
Public Procurement ◽  
Ordinary Least Squares ◽  
Group Method ◽  
Strong Impact ◽  
Least Squares Regression ◽  
Content Type ◽  
The Public ◽  
Logistic Regression Method ◽  
Selection Of

Purpose The paper aims to deal with the analysis of the factor leading to the repeated selection of the specific supplier and the effect of this recurrent selection on overpricing of public contracts. Design/methodology/approach A mix of quantitative and qualitative methods is used to achieve this goal. To analyze the chances of obtaining repeated contracts, the logistic regression method is used. To analyze the factor of overpriced contracts, the classic ordinary least squares regression model is used. The focus group method is then used to explain the factors acting on the part of the contracting authorities. Findings The results show that the prior procurement of a given contracting authority, or work for the public sector in general, has a statistically significant effect on the conclusion of contracts. The use of less-transparent forms of input has a strong impact. The non-transparent selection of suppliers rather than repetition of contracts generally results in the over-pricing of contracts. The IT sector is an exception. Social implications This research is also essential for real public policy. Given the amount of GDP allocated to the public procurement market, it makes sense to continually seek room for improvement. Here is an attempt to find this by examining the contracting authorities’ behavior when awarding repeated contracts. Originality/value This research is original because it looks at the problem of the contracting authority in the wider context and optics of the path dependency theory, which has not yet been applied to the public procurement environment. The focus is also on IT procurement, which according to this study has not been empirically investigated in this way, is also innovative.

scholarly journals Immigrant Status, Resilience, and Perceived Oral Health Among Chinese Americans in Hawaii

2020 ◽  
Vol 42 (5-6) ◽  
pp. 186-195
Author(s):  
Bei Wu ◽  
Yaolin Pei ◽  
Wei Zhang ◽  
Mary Northridge
Keyword(s):  
Older Adults ◽  
Oral Health ◽  
Chinese American ◽  
Chinese Americans ◽  
Ordinary Least Squares ◽  
Health Problems ◽  
Least Squares Regression ◽  
Immigrant Status ◽  
Foreign Born ◽  
Targeted Interventions

Objectives: This study aims to examine the associations among immigrant status, resilience, and perceived oral health for Chinese American older adults in Hawaii. Method: Data derived from 430 Chinese American adults aged 55 years and older residing in Honolulu, HI. We compared the self-rated oral health and oral health problems between U.S.-born Chinese Americans and foreign-born Chinese Americans by using ordered logistic regression and ordinary least squares regression models. Results: Findings suggest that immigrant status and lower levels of resilience are associated with poorer self-rated oral health and more oral health problems for Chinese American older adults in Hawaii. Resilience is more strongly associated with self-rated oral health for U.S.-born Chinese American than for foreign-born Chinese Americans, but this pattern was not evident for oral health problems. Discussion: Older Chinese American immigrants in Hawaii are disadvantaged in terms of their oral health. Understanding their susceptibilities may lead to targeted interventions.

scholarly journals eHealth Literacy and Web 2.0 Health Information Seeking Behaviors Among Baby Boomers and Older Adults

2015 ◽  
Vol 17 (3) ◽  
pp. e70 ◽  
Author(s):  
Bethany Tennant ◽  
Michael Stellefson ◽  
Virginia Dodd ◽  
Beth Chaney ◽  
Don Chaney ◽  
...  
Keyword(s):  
Older Adults ◽  
Web 2.0 ◽  
Health Information ◽  
Baby Boomers ◽  
Information Seeking ◽  
Health Information Seeking ◽  
Ehealth Literacy ◽  
Information Seeking Behaviors

scholarly journals Elder Mistreatment and Psychological Well-Being among Older Americans

2020 ◽  
Vol 17 (20) ◽  
pp. 7525
Author(s):  
Ronald W. Berkowsky
Keyword(s):  
Older Adults ◽  
Personal Growth ◽  
Well Being ◽  
Ordinary Least Squares ◽  
Public Health Issue ◽  
Least Squares Regression ◽  
Negative Effects ◽  
Elder Mistreatment ◽  
Psychological Well Being ◽  
Older Americans

Elder mistreatment is a major public health issue both in the US and around the globe. While extensive research has elucidated the association between elder mistreatment and health in older adults, little is known about the relationship between elder mistreatment and more eudaimonic measures of psychological well-being. Using data from the 2011 wave of the Wisconsin Longitudinal Study, this project examined the association between older adults’ experience with varied forms of elder mistreatment and eudaimonic dimensions of psychological well-being including autonomy, environmental mastery, personal growth, positive relations with others, purpose in life, and self-acceptance. Ordinary least squares regression analyses found significant associations between experiences of elder mistreatment and psychological well-being. In particular, older adults who reported feeling that someone was too controlling over their daily lives and older adults who reported making donations to organizations they later worried were not legitimate reported significantly lower scores on all six psychological well-being dimensions. The results of this study suggest the negative effects of elder mistreatment can extend to more eudaimonic feelings of well-being, and programs designed to treat victims of elder mistreatment should incorporate strategies that help strengthen psychological well-being.

scholarly journals CHANGES IN SOCIAL SUPPORT AND THE INFLUENCE OF DRIVING CESSATION

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S753-S754
Author(s):  
Brittany M King
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Social Isolation ◽  
Social Engagement ◽  
Family Members ◽  
Ordinary Least Squares ◽  
Least Squares Regression ◽  
Driving Cessation ◽  
Using Data ◽  
Emotional Social Support

Abstract Driving cessation has been shown to be a potentially isolating transition in life, with important implications for mental health, social isolation, and social support. Older adults who live alone are vulnerable to social isolation in the context of driving cessation. Although some research has examined the association between driving cessation and certain kinds of social engagement activities, no research has specifically examined changes in social support, particularly among older adults most vulnerable to social isolation – those who live alone . The present study addresses this gap, using data drawn from the 2006-2014 waves of the Health and Retirement Study (HRS) to examine how social support changes in the context of driving cessation among older adults who live alone (N=412). This study specifically focuses on instrumental and emotional social support, and how different sources of the support (children, friends, and other family) are influenced by loss of driving. I use a series of ordinary least squares regression (OLS) to examine four-year changes in various forms of social support among those who live alone, comparing those who lose the ability to drive relative to their continuously driving counterparts. Preliminary results indicate that driving cessation is associated with decline in perceived instrumental support of friends (-0.984, p&lt;01) for older adults who live alone. However, these effects did not extend to children or other family members. These results suggest that loss of driving may perpetuate vulnerabilities facing individuals who live alone by leading to lower levels of perceived support from non-family members.

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