Association between participation in hospital‐led community activities and sense of security in continued community living among older adults in a rural district of Japan: A cross‐sectional study

Author(s):  
Saori Anezaki ◽  
Mariko Sakka ◽  
Maiko Noguchi‐Watanabe ◽  
Ayumi Igarashi ◽  
Asa Inagaki ◽  
...  
2020 ◽  
Author(s):  
Safiyyah M. Okoye ◽  
John F. Mulcahy ◽  
Chanee D. Fabius ◽  
Julia G. Burgdorf ◽  
Jennifer L. Wolff

BACKGROUND The COVID-19 pandemic has amplified the important role of telehealth to safe continuity of care. Regional variation in internet access and telehealth use are well-documented, but how neighborhood factors, including pervasiveness of broadband internet, affects older adults’ telehealth in the context of internet access is not known. OBJECTIVE To assess how individual and neighborhood characteristics, including pervasiveness of neighborhood broadband internet subscription, affect engagement in telehealth among older adults with internet access. METHODS Cross-sectional study of 5,117 community-living older adults who participated in the 2017 National Health and Aging Trends Study with census-tract level data for participants’ place of residence from the American Community Survey. RESULTS Of an estimated 35.3 million community-living older adults, 21.1 million (59.7%) were internet users, and of this group, more than 1 in 3 (35.8%) engaged in telehealth. In a multivariable regression model that adjusted for individual and neighborhood-level factors, age, education, income, and pervasiveness of neighborhood broadband internet subscription were associated with engagement in telehealth: race, health, county metropolitan status, and neighborhood social deprivation were not. Among internet users, living in a neighborhood at the lowest (versus highest) tertile of broadband internet subscription was associated with being 40% less likely to engage in telehealth (aOR=0.60, 95% CI: 0.42, 0.87), all else equal. CONCLUSIONS Neighborhood broadband internet stands out as a mutable characteristic that is consequential to telehealth participation.


2020 ◽  
Author(s):  
Guillaume Sacco ◽  
Pauline Carliez ◽  
Frédéric Noublanche ◽  
Romain Simon ◽  
Anne Renaudin ◽  
...  

BACKGROUND Usability is the keystone in the evolution of tablet technology in healthcare. The Ardoiz® tablet has been designed with a simplified interface for older adults. OBJECTIVE To assess the perceived usability and satisfaction of the Ardoiz® tablet. METHODS We conducted a mixed methods with cross-sectional study using System Usability Scale (SUS), satisfaction score and workshops, including geriatric patients, healthcare professional and caregivers. RESULTS Between September 25, 2019 and March 11, 2020, 58 participants were included in a cross-sectional study (including 38 patients, mean ±SD 85±6 years, 66% women), 26 in workshops (including 5 patients, mean ±SD 86.4±2.9, 40% women). The SUS was 74±12/100, the satisfaction score was 2.8±0.9/4, with 59% of satisfied participants with the use of Ardoiz® pads. The intent to acquire remained low with 18% (n=6) of participants who would be interested in acquiring the tablet. This tablet computer seemed to be difficult to use by geriatric patients and healthcare professionals, mainly because of its complex homepage. Nevertheless, former caregivers and healthcare professionals thought that the tablet could be of great interest to hospitals for leisure and medical use. The main feedback in order to improve the tablet is to simplify the home page with fewer and more static icons (without switching). CONCLUSIONS Notwithstanding the usability of the tablet, the intent to acquire of Ardoiz® tablet remained low. The interface should be simplified for older adults in order to improve usability and adherence. CLINICALTRIAL NCT04091152


2021 ◽  
Vol 96 ◽  
pp. 104643
Author(s):  
Vivian F.C. Wilschut ◽  
Birgit Pianosi ◽  
Harmieke van Os-Medendorp ◽  
Henk W. Elzevier ◽  
Jan S. Jukema ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document