scholarly journals Predictors of Internet Use Among Older Adults With Diabetes in South Korea: Survey Study (Preprint)

2020 ◽  
Author(s):  
Sunhee Park ◽  
Beomsoo Kim
Keyword(s):  
Older Adults ◽  
Cognitive Function ◽  
Health Care Providers ◽  
Internet Use ◽  
Information And Communications Technology ◽  
Survey Study ◽  
The Internet ◽  
Care Providers ◽  
Training Experience ◽  
Nationally Representative

BACKGROUND Internet access in Korea has grown dramatically over the past two decades. However, disparities in internet use, referred to as the second level of the digital divide, persist. OBJECTIVE This study aims to examine opportunity, motivation, and health variables that indicate internet use among older adults with diabetes. METHODS Data were sourced from a nationally representative sample of people 65 years and older with diabetes (N=1919). Logistic regression was used to explore potential differences in predictor variables between internet users and nonusers. RESULTS Only 306 of the 1919 (15.95%) participants in the sample used the internet. They were more likely to be younger (odds ratio [OR] 0.89, 95% CI 0.87-0.92), well-educated (OR 1.20, 95% CI 1.16-1.26), and able to afford leisure expenditures (OR 1.02, 95% CI 1.01-1.04). Additionally, they had more information and communications technology (ICT) training experience, were motivated to learn, volunteered, and reported good physical and cognitive function. Participation in ICT education and better health more positively correlated with a higher rate of internet use than did years of education or economic standing in older adults with diabetes. CONCLUSIONS To support older adults with diabetes in the internet age, policies and health care providers should focus on digital competency training as well as physical and cognitive function.

scholarly journals Predictors of Internet Use Among Older Adults With Diabetes in South Korea: Survey Study

10.2196/19061 ◽  
2020 ◽  
Vol 8 (12) ◽  
pp. e19061
Author(s):  
Sunhee Park ◽  
Beomsoo Kim
Keyword(s):  
Older Adults ◽  
Cognitive Function ◽  
Health Care Providers ◽  
Internet Use ◽  
Information And Communications Technology ◽  
Survey Study ◽  
The Internet ◽  
Care Providers ◽  
Training Experience ◽  
Nationally Representative

Background Internet access in Korea has grown dramatically over the past two decades. However, disparities in internet use, referred to as the second level of the digital divide, persist. Objective This study aims to examine opportunity, motivation, and health variables that indicate internet use among older adults with diabetes. Methods Data were sourced from a nationally representative sample of people 65 years and older with diabetes (N=1919). Logistic regression was used to explore potential differences in predictor variables between internet users and nonusers. Results Only 306 of the 1919 (15.95%) participants in the sample used the internet. They were more likely to be younger (odds ratio [OR] 0.89, 95% CI 0.87-0.92), well-educated (OR 1.20, 95% CI 1.16-1.26), and able to afford leisure expenditures (OR 1.02, 95% CI 1.01-1.04). Additionally, they had more information and communications technology (ICT) training experience, were motivated to learn, volunteered, and reported good physical and cognitive function. Participation in ICT education and better health more positively correlated with a higher rate of internet use than did years of education or economic standing in older adults with diabetes. Conclusions To support older adults with diabetes in the internet age, policies and health care providers should focus on digital competency training as well as physical and cognitive function.

scholarly journals Literacy, Numeracy, and Health Information Seeking Among Middle-Aged and Older Adults in the United States

2018 ◽  
Vol 32 (1-2) ◽  
pp. 33-41 ◽  
Author(s):  
Takashi Yamashita ◽  
Anthony R. Bardo ◽  
Darren Liu ◽  
Phyllis A. Cummins
Keyword(s):  
United States ◽  
Older Adults ◽  
Health Literacy ◽  
Health Information ◽  
Health Care Providers ◽  
Information Seeking ◽  
The United States ◽  
Health Information Seeking ◽  
Care Providers ◽  
Nationally Representative

Objectives: Health literacy is often viewed as an essential skill set for successfully seeking health information to make health-related decisions. However, this general understanding has yet to be established with the use of nationally representative data. The objective of this study was to provide the first nationally representative empirical evidence that links health information seeking behaviors with health literacy among middle-age to older adults in the United States. Methods: Data were obtained from the 2012/2014 Program for the International Assessment of Adult Literacy (PIAAC). Our analytic sample is representative of adults age 45 to 74 years ( N = 2,989). Results: Distinct components of health literacy (i.e., literacy and numeracy) were uniquely associated with the use of different health information sources (e.g., health professionals, the Internet, television). Discussion: Findings should be useful for government agencies and health care providers interested in targeting health communications, as well as researchers who focus on health disparities.

Arthritis, Depression, and Falls Among Community-Dwelling Older Adults: Evidence From the Health and Retirement Study

2016 ◽  
Vol 37 (9) ◽  
pp. 1133-1149 ◽  
Author(s):  
Lien T. Quach ◽  
Jeffrey A. Burr
Keyword(s):  
Older Adults ◽  
Health Care Providers ◽  
Community Dwelling ◽  
Health And Retirement Study ◽  
Depression Symptoms ◽  
Care Providers ◽  
Significant Depression ◽  
Nationally Representative ◽  
Clinically Significant ◽  
Retirement Study

The aims of this study were to examine the association between different types of arthritis and falls and to investigate whether clinically significant depression symptoms (CSDS) moderate these relationships. The study used nationally representative data from the 2008 Health and Retirement Study ( n = 7,715, M age = 75, 62% female, and 90% White). Among the respondents, 42% experienced at least one fall during the previous 2 years. About one third had some form of arthritis: 22% osteoarthritis (OA), 4.8% rheumatoid arthritis (RA), 2.3% both OA and RA, and 7.9% with other arthritis types. About one fifth of respondents had CSDS. OA and CSDS are associated with the odds of falling (17% and 29%, respectively), adjusting for socio-demographic characteristics, lifestyle, health conditions, and psychiatric medications. There was no statistically significant interaction between types of arthritis and CSDS. Health care providers should pay attention to managing arthritis, especially OA, and CSDS to prevent falls among older adults.

scholarly journals The Internet: Friend or Foe of Antibiotic Resistance? Results of a Cross-Sectional Study among Italian University Students

Antibiotics ◽  
2021 ◽  
Vol 10 (9) ◽  
pp. 1091
Author(s):  
Francesca Licata ◽  
Silvia Angelillo ◽  
Alessandra Oliverio ◽  
Aida Bianco
Keyword(s):  
Antibiotic Resistance ◽  
University Students ◽  
Health Care Providers ◽  
Internet Use ◽  
Antibiotic Consumption ◽  
The Internet ◽  
Care Providers ◽  
Online Questionnaire ◽  
Self Medication ◽  
Cross Sectional

The study aims were to investigate knowledge and attitudes towards antibiotics and antibiotic resistance (ABR), and to assess the extent of practices regarding antibiotic consumption and Internet use among university students in Southern Italy. Data were collected through an anonymous online questionnaire from 1 April to 14 April 2021. The eligibility criteria for the study were: (i) age between 18 and 30 years and (ii) registered as an undergraduate student at the university. Among the 1051 sampled students, only 7.4% gave the correct answer to all 7 knowledge statements about antibiotics and ABR. The main determinants of knowledge were being younger and attending to medical or life sciences majors. Almost two-thirds took an antibiotic in the previous 12 months and 24.6% reported having self-medicated with antibiotics. More than half of the sample used the Internet to seek information about antibiotics and/or ABR, and it was the strongest predictor of self-medication with antibiotics. The study findings highlighted gaps in knowledge, considerable antibiotic consumption, sometimes without prescription, together with an extensive Internet use to seek health-related information. To facilitate the health-promoting use of the Internet in conjunction with health care providers, we could make young adults aware of the rational use of antibiotics.

scholarly journals Discrepancies in Demand of Internet of Things Services Among Older People and People With Disabilities, Their Caregivers, and Health Care Providers: Face-to-Face Survey Study (Preprint)

2019 ◽  
Author(s):  
Heayon Lee ◽  
Yu Rang Park ◽  
Hae-Reong Kim ◽  
Na Young Kang ◽  
Gahee Oh ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Health Care Providers ◽  
People With Disabilities ◽  
Survey Study ◽  
Vulnerable Groups ◽  
Care Providers ◽  
Disabled People ◽  
Face To Face ◽  
Vulnerable People

BACKGROUND Home Internet of Things (IoT) services and devices have the potential to aid older adults and people with disabilities in their living environments. IoT services and devices can also aid caregivers and health care providers in conveniently providing care to those in need. However, real-world data on the IoT needs of vulnerable people are lacking. OBJECTIVE The objective of this study is to conduct a face-to-face survey on the demand for IoT services among older people and people with disabilities, their caregivers, and health care providers in a real-world setting and to see if there are any differences in the aspects of need. METHODS We conducted a face-to-face survey with 500 participants between January 2019 and March 2019. A total of 300 vulnerable people (200 older adults aged ≥65 years and 100 physically disabled people aged 30-64 years) were randomly sampled from either a population-based, prospective cohort study of aging—the Aging Study of Pyeongchang Rural Area (ASPRA)—or from the outpatient clinics at the Asan Medical Center, Seoul, South Korea. Simultaneously, their caregivers (n=150) and health care providers (n=50) participated in the survey. Detailed socioeconomic status, digital literacy, health and physical function, and home IoT service needs were determined. Among all commercially available IoT services, 27 services were classified into five categories: emergency and security, safety, health care, convenience (information), and convenience (operation). The weighted-ranking method was used to rank the IoT needs in different groups. RESULTS There were discrepancies in the demand of IoT services among the vulnerable groups, their caregivers, and health care providers. The home IoT service category that was required the most by the vulnerable groups and their caregivers was emergency and security. However, health care providers indicated that the safety category was most needed by the older adults and disabled people. Home IoT service requirements differed according to the different types of disabilities among the vulnerable groups. Participants with fewer disabilities were more willing to use IoT services than those with more disabilities. CONCLUSIONS Our survey study shows that there were discrepancies in the demand of IoT services among the vulnerable groups, their caregivers, and health care providers. IoT service requirements differed according to the various types of disabilities. Home IoT technology should be established by combining patients’ priorities and individualized functional assessments among vulnerable people. CLINICALTRIAL Clinical Research Information Service (CRIS; KCT0004157); https://tinyurl.com/r83eyva

scholarly journals Health Literacy and Global Cognitive Function Predict E-Mail but Not Internet Use in Heart Failure Patients

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Jared P. Schprechman ◽  
Emily C. Gathright ◽  
Carly M. Goldstein ◽  
Kate A. Guerini ◽  
Mary A. Dolansky ◽  
...  
Keyword(s):  
Heart Failure ◽  
Older Adults ◽  
Cognitive Impairment ◽  
Health Literacy ◽  
Cognitive Function ◽  
Internet Use ◽  
The Internet ◽  
Cross Sectional ◽  
Global Cognitive Function ◽  
E Mail

Background. The internet offers a potential for improving patient knowledge, and e-mail may be used in patient communication with providers. However, barriers to internet and e-mail use, such as low health literacy and cognitive impairment, may prevent patients from using technological resources.Purpose. We investigated whether health literacy, heart failure knowledge, and cognitive function were related to internet and e-mail use in older adults with heart failure (HF).Methods. Older adults (N=119) with heart failure (69.84±9.09years) completed measures of health literacy, heart failure knowledge, cognitive functioning, and internet use in a cross-sectional study.Results. Internet and e-mail use were reported in 78.2% and 71.4% of this sample of patients with HF, respectively. Controlling for age and education, logistic regression analyses indicated that higher health literacy predicted e-mail (P<.05) but not internet use. Global cognitive function predicted e-mail (P<.05) but not internet use. Only 45% used the Internet to obtain information on HF and internet use was not associated with greater HF knowledge.Conclusions. The majority of HF patients use the internet and e-mail, but poor health literacy and cognitive impairment may prevent some patients from accessing these resources. Future studies that examine specific internet and email interventions to increase HF knowledge are needed.

scholarly journals Discrepancies in Demand of Internet of Things Services Among Older People and People With Disabilities, Their Caregivers, and Health Care Providers: Face-to-Face Survey Study

10.2196/16614 ◽  
2020 ◽  
Vol 22 (4) ◽  
pp. e16614 ◽  
Author(s):  
Heayon Lee ◽  
Yu Rang Park ◽  
Hae-Reong Kim ◽  
Na Young Kang ◽  
Gahee Oh ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Health Care Providers ◽  
People With Disabilities ◽  
Survey Study ◽  
Vulnerable Groups ◽  
Care Providers ◽  
Disabled People ◽  
Face To Face ◽  
Vulnerable People

Background Home Internet of Things (IoT) services and devices have the potential to aid older adults and people with disabilities in their living environments. IoT services and devices can also aid caregivers and health care providers in conveniently providing care to those in need. However, real-world data on the IoT needs of vulnerable people are lacking. Objective The objective of this study is to conduct a face-to-face survey on the demand for IoT services among older people and people with disabilities, their caregivers, and health care providers in a real-world setting and to see if there are any differences in the aspects of need. Methods We conducted a face-to-face survey with 500 participants between January 2019 and March 2019. A total of 300 vulnerable people (200 older adults aged ≥65 years and 100 physically disabled people aged 30-64 years) were randomly sampled from either a population-based, prospective cohort study of aging—the Aging Study of Pyeongchang Rural Area (ASPRA)—or from the outpatient clinics at the Asan Medical Center, Seoul, South Korea. Simultaneously, their caregivers (n=150) and health care providers (n=50) participated in the survey. Detailed socioeconomic status, digital literacy, health and physical function, and home IoT service needs were determined. Among all commercially available IoT services, 27 services were classified into five categories: emergency and security, safety, health care, convenience (information), and convenience (operation). The weighted-ranking method was used to rank the IoT needs in different groups. Results There were discrepancies in the demand of IoT services among the vulnerable groups, their caregivers, and health care providers. The home IoT service category that was required the most by the vulnerable groups and their caregivers was emergency and security. However, health care providers indicated that the safety category was most needed by the older adults and disabled people. Home IoT service requirements differed according to the different types of disabilities among the vulnerable groups. Participants with fewer disabilities were more willing to use IoT services than those with more disabilities. Conclusions Our survey study shows that there were discrepancies in the demand of IoT services among the vulnerable groups, their caregivers, and health care providers. IoT service requirements differed according to the various types of disabilities. Home IoT technology should be established by combining patients’ priorities and individualized functional assessments among vulnerable people. Trial Registration Clinical Research Information Service (CRIS; KCT0004157); https://tinyurl.com/r83eyva

scholarly journals Functional Assessment Of Currently Employed Technology Scale (FACETS) 4.0: Update On A Brief Intake Instrument To Facilitate Treatment Planning And Communication With Patients

2020 ◽  
Vol 7 (05) ◽  
pp. 4802-4809
Author(s):  
Charles M Lepkowsky
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Information Technology ◽  
Health Care Providers ◽  
Functional Assessment ◽  
Information Technologies ◽  
The Internet ◽  
Care Providers ◽  
Use Of The Internet ◽  
Barrier To Care

In the absence of data indicating that older adults utilize information technology (IT) for communicating with health care providers or insurers, Medicare, private insurers and providers of health care have increasingly defaulted to use of websites and IT for patient communication. The Functional Assessment of Currently Employed Technology Scale (FACETS) assesses an individual’s use of various information technologies (ITs). Research using FACETS has demonstrated that use of the internet and other IT declines significantly with increasing age beyond 60 years, especially for accessing health care. In the context of the current COVID-19 crisis, Medicare’s restrictions on reimbursement for the use of the telephone for accessing health care are discussed as a barrier to care. Recommendations are made for increasing access to care, as well as increasing the use of FACETS to assess which media are most available to older adults for accessing health care.

Interdisciplinary Therapy Assessments for the Older Adult

2012 ◽  
Vol 17 (1) ◽  
pp. 11-16
Author(s):  
Lynn Chatfield ◽  
Sandra Christos ◽  
Michael McGregor
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Standardized Testing ◽  
Health Care Providers ◽  
Outcome Measurement ◽  
Care Providers ◽  
Patient Centered ◽  
Screening Process ◽  
Evidenced Based ◽  
Changing Economy

In a changing economy and a changing industry, health care providers need to complete thorough, comprehensive, and efficient assessments that provide both an accurate depiction of the patient's deficits and a blueprint to the path of treatment for older adults. Through standardized testing and observations as well as the goals and evidenced-based treatment plans we have devised, health care providers can maximize outcomes and the functional levels of patients. In this article, we review an interdisciplinary assessment that involves speech-language pathology, occupational therapy, physical therapy, and respiratory therapy to work with older adults in health care settings. Using the approach, we will examine the benefits of collaboration between disciplines, an interdisciplinary screening process, and the importance of sharing information from comprehensive discipline-specific evaluations. We also will discuss the importance of having an understanding of the varied scopes of practice, the utilization of outcome measurement tools, and a patient-centered assessment approach to care.

A survey of Instagram users with asthma to evaluate the acceptability of a planned clinical trial intervention (Preprint)

2020 ◽  
Author(s):  
Kerry Spitzer ◽  
Brent Heineman ◽  
Marcella Jewell ◽  
Michael Moran ◽  
Peter Lindenauer
Keyword(s):  
United States ◽  
Social Media ◽  
Health Care Providers ◽  
College Education ◽  
The United States ◽  
Survey Study ◽  
Care Providers ◽  
Healthy Behaviors ◽  
Social Media Platforms ◽  
Hispanic White

BACKGROUND Asthma is a chronic lung disease that affects nearly 25 million individuals in the United States. There is a need for more research into the potential for health care providers to leverage existing social media platforms to improve healthy behaviors and support individuals living with chronic health conditions. OBJECTIVE In this study, we assess the willingness of Instagram users with poorly controlled asthma to participate in a pilot study that uses Instagram as a means of providing social and informational support. In addition, we explore the potential for adapting photovoice and digital storytelling to social media. METHODS A survey study of Instagram users living with asthma in the United States, between the ages of 18 to 40. RESULTS Over 3 weeks of recruitment, 457 individuals completed the pre-survey screener; 347 were excluded. Of the 110 people who were eligible and agreed to participate in the study, 82 completed the study survey. Respondents mean age was 21(SD = 5.3). Respondents were 56% female (n=46), 65% (n=53) non-Hispanic white, and 72% (n=59) had at least some college education. The majority of respondents (n = 66, 81%) indicated that they would be willing to participate in the study. CONCLUSIONS Among young-adult Instagram users with asthma there is substantial interest in participating in a study that uses Instagram to connect participants with peers and a health coach in order to share information about self-management of asthma and build social connection.

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