scholarly journals Text message exchanges between older adults with serious mental illness and older certified peer specialists in a smartphone-supported self-management intervention.

2019 ◽  
Vol 42 (1) ◽  
pp. 57-63 ◽  
Author(s):  
Karen L. Fortuna ◽  
John A. Naslund ◽  
Kelly A. Aschbrenner ◽  
Matthew C. Lohman ◽  
Marianne Storm ◽  
...  
2017 ◽  
Vol 89 (2) ◽  
pp. 293-305 ◽  
Author(s):  
Karen L. Fortuna ◽  
Peter R. DiMilia ◽  
Matthew C. Lohman ◽  
Martha L. Bruce ◽  
Cynthia D. Zubritsky ◽  
...  

2017 ◽  
Vol 68 (9) ◽  
pp. 883-890 ◽  
Author(s):  
Martha Sajatovic ◽  
Douglas D. Gunzler ◽  
Stephanie W. Kanuch ◽  
Kristin A. Cassidy ◽  
Curtis Tatsuoka ◽  
...  

2020 ◽  
Author(s):  
Mbita Mbao ◽  
Karen Fortuna

BACKGROUND Older adults with mental health conditions experience co-morbid physical health conditions, premature nursing home admissions, and an earlier mortality compared to the general population of older adults. Older adult peer support specialists are increasingly using technology to deliver peer support services related to addressing both mental health and physical health needs of older adults. OBJECTIVE This qualitative study examined older adult peer support specialists’ age-related contributions to peer-supported integrated medical and psychiatric self-management through text message exchanges METHODS Older adult peer specialists exchanged text messages with service users as part of a 12-week peer-supported smartphone intervention. Text message exchanges between older adult peer specialists (N=3) and people with serious mental illness were examined (N=8) with a mean age of 68.8 years (SD=4.9). A total of 356 text messages were sent between the older adult peer specialist and people with serious mental illness. Older adult peer specialists sent text messages to older participants' smartphones between from 8 a.m. to 10 p.m. on weekdays and weekends RESULTS Five themes emerged including (1) using technology to simultaneously manage mental health and physical health issues; (2) realizing new capabilities in late life; (3) sharing their roles as parents and grandparents; (4) wisdom; and (5) sharing lived experience of normal age-related changes (emerging). CONCLUSIONS The collaborative non-directive approach by the older adult peer specialists offered key experiential contributions that are important to successfully aging with a mental health condition. Promising evidence suggests older adult peer support specialists may be helpful in addressing age-related mental health and physical health needs of older adults in the community.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 205-206
Author(s):  
Sera Havrilla ◽  
Alicia Lucksted ◽  
Deborah Medoff ◽  
Karen Fortuna ◽  
Amanda Peeples ◽  
...  

Abstract Older adults with serious mental illness (SMI) have complex care needs across medical, psychiatric, cognitive, and social domains. This growing population exhibits high levels of medical comorbidity and sedentariness. Innovative interventions that promote holistic recovery for this group are needed, especially in the context of the COVID-19 pandemic. Peer Education on Exercise for Recovery (PEER) is a peer coaching intervention, delivered by VA Peer Specialists (Veterans with lived experience of mental illness), to promote exercise and physical activity among older adults with SMI. This paper will present on three different models of PEER: fully in-person, fully remote, and a hybrid model with both in-person and remote elements. Preliminary data indicates that PEER is (1) engaging and well-liked, (2) associated with greater sustained increases in physical activity compared to an active control, and (3) can lead to sustained physical activity increases that are resilient to situational constraints such as physical distancing.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 862-862
Author(s):  
Amanda Myers ◽  
Karen Fortuna

Abstract As increasingly more older adults in the general population utilize smartphones to access health services, the digital divide between older adults with serious mental illness (SMI) and the general older adult population continues to widen. The purpose of this study was to examine older adult peer support specialists’ and older people with SMI’s perspectives of barriers and facilitators to utilizing Medicaid Safelink smartphone services. Data from two focus groups and five semi-structured interviews from older adult peer support specialists (N=10) and older adults with SMI (N=15) were analyzed using the Consolidated Framework for Implementation Science Research. A mixed methods convergent design integrated quantitative with qualitative data. Older adults with SMI (N= 15) had a mean age of 55 years and were mainly women (70%) and White (100%). Certified peer specialists (N= 10) had a mean age of 52 years (age range 45-67) and were mainly female (75%), 66% identified as White, and 33% identified as African American. Four themes that were identified across different aspects of barriers included technology knowledge, technology adoption, design features (i.e., smartphone size, option to increase font sizes, multi-modal capacity, navigational architecture, 508 compliance), and Safelink policies and procedures. Facilitators included free and continuous services, access to technical support, and smartphone capabilities to enable healthcare communications and facilitate the delivery of services. Improving upon the themes identified as barriers to utilizing Safelink may promote a continuum of care for older adults with SMI, closing the gap of services that occurs between in-person therapy and other interventions.


Author(s):  
Carolina G. Fritsch ◽  
Paulo H. Ferreira ◽  
Joanna L Prior ◽  
Giovana Vesentini ◽  
Patricia Schlotfeldt ◽  
...  

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