scholarly journals Evaluation of the Usability and Acceptability of the InnoWell Platform as Rated by Older Adults: Survey Study (Preprint)

2020 ◽  
Author(s):  
Haley M LaMonica ◽  
Anna E Roberts ◽  
Tracey A Davenport ◽  
Ian B Hickie
Keyword(s):  
Older Adults ◽  
Social Engagement ◽  
Later Life ◽  
Well Being ◽  
Assessment Tools ◽  
Self Report ◽  
Digital Tool ◽  
System Usability Scale ◽  
Mental Well Being ◽  
Health And Well Being

BACKGROUND As the global population ages, there is increased interest in developing strategies to promote health and well-being in later life, thus enabling continued productivity, social engagement, and independence. As older adults use technologies with greater frequency, proficiency, and confidence, health information technologies (HITs) now hold considerable potential as a means to enable broader access to tools and services for the purposes of screening, treatment, monitoring, and ongoing maintenance of health for this group. The InnoWell Platform is a digital tool co-designed with lived experience to facilitate better outcomes by enabling access to a comprehensive multidimensional assessment, the results of which are provided in real time to enable consumers to make informed decisions about clinical and nonclinical care options independently or in collaboration with a health professional. OBJECTIVE This study aims to evaluate the usability and acceptability of a prototype of the InnoWell Platform, co-designed and configured with and for older adults, using self-report surveys. METHODS Participants were adults 50 years and older who were invited to engage with the InnoWell Platform naturalistically (ie, at their own discretion) for a period of 90 days. In addition, they completed short web-based surveys at baseline regarding their background, health, and mental well-being. After 90 days, participants were asked to complete the System Usability Scale to evaluate the usability and acceptability of the prototyped InnoWell Platform, with the aim of informing the iterative redesign and development of this digital tool before implementation within a health service setting. RESULTS A total of 19 participants consented to participate in the study; however, only the data from the 16 participants (mean age 62.8 years, SD 7.5; range 50-72) who completed at least part of the survey at 90 days were included in the analyses. Participants generally reported low levels of psychological distress and good mental well-being. In relation to the InnoWell Platform, the usability scores were suboptimal. Although the InnoWell Platform was noted to be easy to use, participants had difficulty identifying the relevance of the tool for their personal circumstances. Ease of use, the comprehensive nature of the assessment tools, and the ability to track progress over time were favored features of the InnoWell Platform, whereas the need for greater personalization and improved mobile functionality were cited as areas for improvement. CONCLUSIONS HITs such as the InnoWell Platform have tremendous potential to improve access to cost-effective and low-intensity interventions at scale to improve and maintain mental health and well-being in later life. However, to promote adoption of and continued engagement with such tools, it is essential that these HITs are personalized and relevant for older adult end users, accounting for differences in background, clinical profiles, and levels of need.

scholarly journals Evaluation of the Usability and Acceptability of the InnoWell Platform as Rated by Older Adults: Survey Study

JMIR Aging ◽  
10.2196/25928 ◽  
2021 ◽  
Vol 4 (2) ◽  
pp. e25928
Author(s):  
Haley M LaMonica ◽  
Anna E Roberts ◽  
Tracey A Davenport ◽  
Ian B Hickie
Keyword(s):  
Older Adults ◽  
Social Engagement ◽  
Later Life ◽  
Well Being ◽  
Assessment Tools ◽  
Self Report ◽  
Digital Tool ◽  
System Usability Scale ◽  
Mental Well Being ◽  
Health And Well Being

Background As the global population ages, there is increased interest in developing strategies to promote health and well-being in later life, thus enabling continued productivity, social engagement, and independence. As older adults use technologies with greater frequency, proficiency, and confidence, health information technologies (HITs) now hold considerable potential as a means to enable broader access to tools and services for the purposes of screening, treatment, monitoring, and ongoing maintenance of health for this group. The InnoWell Platform is a digital tool co-designed with lived experience to facilitate better outcomes by enabling access to a comprehensive multidimensional assessment, the results of which are provided in real time to enable consumers to make informed decisions about clinical and nonclinical care options independently or in collaboration with a health professional. Objective This study aims to evaluate the usability and acceptability of a prototype of the InnoWell Platform, co-designed and configured with and for older adults, using self-report surveys. Methods Participants were adults 50 years and older who were invited to engage with the InnoWell Platform naturalistically (ie, at their own discretion) for a period of 90 days. In addition, they completed short web-based surveys at baseline regarding their background, health, and mental well-being. After 90 days, participants were asked to complete the System Usability Scale to evaluate the usability and acceptability of the prototyped InnoWell Platform, with the aim of informing the iterative redesign and development of this digital tool before implementation within a health service setting. Results A total of 19 participants consented to participate in the study; however, only the data from the 16 participants (mean age 62.8 years, SD 7.5; range 50-72) who completed at least part of the survey at 90 days were included in the analyses. Participants generally reported low levels of psychological distress and good mental well-being. In relation to the InnoWell Platform, the usability scores were suboptimal. Although the InnoWell Platform was noted to be easy to use, participants had difficulty identifying the relevance of the tool for their personal circumstances. Ease of use, the comprehensive nature of the assessment tools, and the ability to track progress over time were favored features of the InnoWell Platform, whereas the need for greater personalization and improved mobile functionality were cited as areas for improvement. Conclusions HITs such as the InnoWell Platform have tremendous potential to improve access to cost-effective and low-intensity interventions at scale to improve and maintain mental health and well-being in later life. However, to promote adoption of and continued engagement with such tools, it is essential that these HITs are personalized and relevant for older adult end users, accounting for differences in background, clinical profiles, and levels of need.

scholarly journals Sleep and Mental Health Among Older Adults in the Canadian Longitudinal Study on Aging

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
R Rodrigues ◽  
K Nicholson ◽  
P Wilk ◽  
G Guaiana ◽  
S Stranges ◽  
...  
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Older Adults ◽  
Mental Illness ◽  
Sleep Duration ◽  
Sleep Problems ◽  
Well Being ◽  
Health Initiatives ◽  
Mental Well Being ◽  
Health And Well Being

Abstract Background Global studies have demonstrated consistent associations between sleep problems and mental health and well-being in older adults, however Canadian data are lacking. We investigated associations between sleep quantity and quality with both mental illness symptoms and well-being among older adults in Canada. Methods We used cross-sectional baseline data from the Canadian Longitudinal Study on Aging, a national survey of 30,097 community-dwelling adults aged 45 years and older. Self-reported sleep measures included average past-week sleep duration (short [<6h], normal [6-8h], long [>8h]), and sleep quality (satisfied or dissatisfied vs neutral). Mental illness outcomes included depressive symptoms and psychological distress. Mental well-being outcomes included self-rated mental health and satisfaction with life. We used modified Poisson regression models with adjustment for sociodemographic, behavioural, and clinical factors, and stratification by sex and age to explore effect modification. Results In the unadjusted analysis, short and long sleep duration and sleep dissatisfaction were associated with higher mental illness symptoms and lower well-being across all outcomes. Sleep satisfaction was associated with a lower likelihood of mental illness symptoms and better well-being. Short sleep duration was associated with the largest effects on mental health outcomes. Self-rated mental health and depressive symptoms had the largest associations with sleep measures. Effects were larger in males and the 45 to 54 year age group. Conclusions Preliminary evidence suggests sleep duration and quality are associated with symptoms of depression, psychological distress, and poor mental well-being among older adults. We are unable to determine whether sleep problems are a cause or consequence of poor mental health. Nonetheless, sleep may be an important target for public health initiatives to improve mental health and well-being among older adults. Key messages Our findings contribute further evidence that sleep difficulties are associated with adverse health outcomes including higher mental illness symptoms and lower well-being among older adults. Sleep disturbances are an unmet public health problem, and may be an important target for public health initiatives to improve mental health and well-being among older adults.

scholarly journals Integrating Assessment for Social Disconnectedness Into Aging Services: Charting a Path Forward

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 37-37
Author(s):  
Alice Prendergast ◽  
Kristi Fuller
Keyword(s):  
Older Adults ◽  
Holistic Approach ◽  
Well Being ◽  
Assessment Tools ◽  
Assessment Process ◽  
State University ◽  
Aging Services ◽  
Georgia State University ◽  
Health And Well Being ◽  
Significant Attention

Abstract Social disconnectedness poses a serious threat to the health and well-being of older adults. Although research demonstrates that social disconnectedness was prevalent among older adults long before the COVID-19 pandemic, the crisis has brought significant attention to this issue, as well as resources to address it. The crisis also shed light on the current gap in evidence and guidance on how best to assess for and address social disconnectedness, especially in practice settings. Researchers from the Georgia Health Policy Center conducted a review of existing assessment tools and processes for social disconnectedness and formulated recommendations for the Georgia Division of Aging Services (DAS) in November 2020. These recommendations involve the use of evidence-based assessments paired with person-centered counseling to address social disconnectedness among at-risk individuals. In this session, researchers from Georgia State University will define social disconnectedness, explain how it differs from related constructs, and discuss the necessity of a holistic approach to assessment; summarize the review and recommendations made to DAS; and present preliminary data from DAS’s initial implementation of the assessment process.

5. Positive and successful ageing

2016 ◽  
pp. 87-101
Author(s):  
Nancy A. Pachana
Keyword(s):  
Older Adults ◽  
Social Policy ◽  
Later Life ◽  
Well Being ◽  
Lifestyle Factors ◽  
Successful Ageing ◽  
Policy Frameworks ◽  
The Subject ◽  
Health And Well Being

‘Positive and successful ageing’ examines how, as a society, we can promote positive and successful ageing in terms of physical, mental, and social well-being in later life. It addresses current findings and directions in research, interventions, and social policy, which have focused more strongly on health and well-being, rather than disease and disability, in the last few decades. Attention is paid to the contributions of the environment, lifestyle factors, meaning and engagement in life, resilience, and wisdom that support a successful move through the latter stages of life. Successful ageing is now the subject of policy frameworks, lifespan theories of development, and actions—large and small—affecting older adults globally.

scholarly journals Adult Personal Network Characteristics Associated with Early Life Adversity

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 924-924
Author(s):  
Janae Briggs ◽  
Stephanie Child
Keyword(s):  
Older Adults ◽  
Early Life ◽  
Later Life ◽  
Well Being ◽  
Personal Network ◽  
Early Life Adversity ◽  
Network Characteristics ◽  
Subjective Assessments ◽  
Mental Well Being ◽  
Close Family

Abstract Early life adversity (ELA) is associated with poor health through social and economic pathways. ELA also shapes cognitive and emotional development, including self-perception, social attachment and mental well-being. As such, ELA may shape later life health through social relationships, yet few studies have examined these associations. Data from the UC Berkeley Social Network Study were used to examine ELA measured retrospectively and current personal network characteristics among young (21-30 years) and older adults (50-70 years). ELA was operationalized as a summary of six experiences occurring before age 18 (e.g., parents’ divorce/separation, violence/drug use in the home, etc.). Personal network characteristics included objective measures, such as the number of ties who provide or receive various types of support, and subjective assessments about the adequacy of support received. Multivariate regression models adjusted for gender, race/ethnicity, and level of education. Among young adults, ELA was associated with more ties who rely upon the ego for support (b=0.15, 95% CI: 0.02, 0.28, p=0.02). Among older adults, ELA was associated with more ties named as either an advisor (b=0.14, 95% CI: 0.04, 0.21, p=0.02) or difficult/demanding (b=0.12, 95% CI: 0.04, 0.21, p<0.01). Furthermore, ELA was associated with less confidence in family support available (b= -0.09, 95% CI: -0.16, -0.03, p<0.01) and fewer emotionally close family members (b= -0.18, 95% CI: -0.32, -0.03, p=0.02) among older adults. In conclusion, clear differences emerged in network characteristics by exposure to ELA, particularly among older adults. The findings highlight potential pathways through which ELA patterns later life health.

scholarly journals Association of Loneliness and Wisdom With Gut Microbial Diversity and Composition: An Exploratory Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Tanya T. Nguyen ◽  
Xinlian Zhang ◽  
Tsung-Chin Wu ◽  
Jinyuan Liu ◽  
Collin Le ◽  
...  
Keyword(s):  
Social Support ◽  
Linear Regression ◽  
Microbial Diversity ◽  
Gut Microbiome ◽  
Social Engagement ◽  
Alpha Diversity ◽  
Well Being ◽  
Community Dwelling ◽  
Self Report ◽  
Health And Well Being

Loneliness and wisdom have opposite effects on health and well-being. Loneliness is a serious public health problem associated with increased morbidity and mortality. Wisdom is associated with better health and well-being. We have consistently found a strong negative correlation between loneliness and wisdom. The present study aimed to investigate the association of loneliness and wisdom with the gut microbiome. One hundred eighty-four community-dwelling adults (28–97 years) completed validated self-report-based measures of loneliness, wisdom, compassion, social support, and social engagement. Fecal samples were collected and profiled using 16S rRNA sequencing. Linear regression analyses, controlling for age and body mass index, revealed that lower levels of loneliness and higher levels of wisdom, compassion, social support, and social engagement were associated with greater phylogenetic richness and diversity of the gut microbiome. Partial least squares (PLS) analysis to investigate multivariate relationships extracted two composite variables. Linear regression model predicting alpha-diversity with PLS components revealed that a linear combination of all psychosocial predictors (with negative loading for loneliness and positive loadings for all others, including wisdom, compassion, social support, and social engagement) was significantly associated with alpha-diversity. For beta-diversity, compassion and wisdom accounted for a significant proportion of variance in overall microbial community composition. Findings may have implications for interventions to reduce loneliness and possibly its health-related adverse consequences. Future research should explore whether increasing compassion and wisdom may improve loneliness and overall well-being as well as microbial diversity.

scholarly journals Dynamic Relationships Between Perceived Housing and Life Transitions: A Better Understanding of Good Aging in Place

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 444-444
Author(s):  
Frank Oswald ◽  
Steven Schmidt ◽  
Malcolm Cutchin
Keyword(s):  
Older Adults ◽  
Low Income ◽  
Later Life ◽  
Well Being ◽  
Life Transitions ◽  
Community Dwelling ◽  
Life Transition ◽  
Dynamic Relationship ◽  
Dynamic Relationships ◽  
Health And Well Being

Abstract Housing has gained increased relevance as a central factor for health and well-being. Many countries have implemented ageing in place policies, which provide services focused on improving the physical environment. Housing needs change as people grow older and experience different transitions across their life courses. Studies have demonstrated relationships between housing and health and well-being in later life on the one hand and life transitions and health and well-being in later life on the other hand. However, research on life transitions in combination with perceived housing in relation to indicators of good ageing is virtually nonexistent. This symposiums aims to address the dynamic relationship between perceived housing and life transitions and how they impact health, well-being, functioning, and social/neighborhood participation as people age by data from a mixed-method approach in Sweden and Germany. The first contribution by Slaug and colleagues introduces changes in how older adults perceive their housing following the life transition of a fall at home. Second, Eriksson and colleagues present qualitative results on the experience of relationships between perceived housing, several life transitions and well-being among community-dwelling Swedish older adults. Third, Wanka and colleagues present partially different results from a comparable study in German on the same topic but emphasizing the experience of interrelationships between different life course transitions. Fourth, Granbom and colleagues explore how low-income older adults in Sweden reason about their current housing situation and a future life transition of relocation. Finally, Malcolm P. Cutchin will serve as the session’s discussant.

scholarly journals Assessing mood in older adults: a conceptual review of methods and approaches

2012 ◽  
Vol 24 (8) ◽  
pp. 1197-1206 ◽  
Author(s):  
Laura J. E. Brown ◽  
Arlene J. Astell
Keyword(s):  
Older Adults ◽  
Mood State ◽  
Research Question ◽  
Later Life ◽  
Well Being ◽  
Self Report ◽  
Temporal Perspective ◽  
Assessment Techniques ◽  
Older Populations

ABSTRACTBackground: Accurate measures of mood state are important for understanding and optimizing health and well-being in later life. A range of different mood assessment measures is available, reflecting the variety of ways in which mood has been conceptualized and the different purposes for which measures have been developed.Methods: We undertook a conceptual review of the literature relating to mood and its assessment in older populations.Results: Moods are subjective states of mind that are typically described and quantified using self-report measures. Moods can be conceptually differentiated from the related psychological concepts of emotion, well-being, quality of life, and depression. Quantitative tools for assessing mood state include single-item mood ratings, composite factor scales, and clinical depression assessments. Mood assessments may be administered retrospectively or contemporaneously to the mood state of interest. The method and temporal perspective used to assess mood state will impact on the nature and precision of the mood data that are collected, and the types of research questions that can be addressed.Conclusions: No single mood assessment technique can be considered optimal for all situations. Rather, both the type of tool and the temporal perspective taken must be selected according to the nature of the study design and the research question being addressed. More thorough and frank reporting of the rationale for, and limitations of, mood assessment techniques are also essential for continued development of mood research with older adults.

scholarly journals The Impact of Sheltering in Place During the COVID-19 Pandemic on Older Adults’ Social and Mental Well-Being

2020 ◽  
Author(s):  
Anne C Krendl ◽  
Brea L Perry
Keyword(s):  
Older Adults ◽  
Social Relationships ◽  
Social Engagement ◽  
Well Being ◽  
The United States ◽  
Relationship Strength ◽  
Personal Social Networks ◽  
The Impact ◽  
Mental Well Being

Abstract Objectives We examined whether social isolation due to the COVID-19 shelter-in-place orders was associated with greater loneliness and depression for older adults, and, if so, whether declines in social engagement or relationship strength moderated that relationship. Methods Between April 21 and May 21, 2020, 93 older adults in the United States who had completed measures characterizing their personal social networks, subjective loneliness, and depression 6–9 months prior to the pandemic completed the same measures via phone interview, as well as questions about the impact of the pandemic on their social relationships. Results Older adults reported higher depression and greater loneliness following the onset of the pandemic. Loneliness positively predicted depression. Perceived relationship strength, but not social engagement, moderated this relationship such that loneliness only predicted depression for individuals who became closer to their networks during the pandemic. For those who felt less close, depression was higher irrespective of loneliness. Discussion The COVID-19 pandemic negatively affected older adults’ mental health and social well-being in the short term. Potential long-term impacts are considered.

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