scholarly journals A qualitative study examining health literacy and chronic illness self-management in Hispanic and non-Hispanic older adults

2017 ◽  
Vol Volume 10 ◽  
pp. 167-177 ◽  
Author(s):  
Robin Jacobs ◽  
Raymond L Ownby ◽  
Amarilis Acevedo ◽  
Drenna Waldrop-Valverde
Keyword(s):  
Older Adults ◽  
Chronic Illness ◽  
Health Literacy ◽  
Qualitative Study ◽  
Self Management

Help or Hindrance? How Family and Friends Influence Chronic Illness Self-Management among Older Adults

2007 ◽  
Vol 29 (5) ◽  
pp. 375-409 ◽  
Author(s):  
Mary P. Gallant ◽  
Glenna D. Spitze ◽  
Thomas R. Prohaska
Keyword(s):  
Older Adults ◽  
Chronic Illness ◽  
Self Management

scholarly journals Patient empowerment through a user-centered design of an electronic personal health record: a qualitative study of user requirements in chronic kidney disease

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Esmaeel Toni ◽  
Habibollah Pirnejad ◽  
Khadijeh Makhdoomi ◽  
Azam Mivefroshan ◽  
Zahra Niazkhani
Keyword(s):  
Chronic Kidney Disease ◽  
Health Literacy ◽  
Kidney Disease ◽  
Qualitative Study ◽  
Personal Health Record ◽  
Self Management ◽  
Personal Health ◽  
Health Record ◽  
User Centered Design ◽  
Electronic Personal Health Record

Abstract Background To improve chronic disease outcomes, self-management is an effective strategy. An electronic personal health record (ePHR) is a promising tool with the potential to support chronic patient’s education, counseling, and self-management. Fitting ePHRs within the daily practices of chronic care providers and chronic patients requires user-centered design approaches. We aimed to understand users’ needs and requirements in chronic kidney disease (CKD) care to consider in the design of an ePHR to facilitate its implementation, adoption, and use. Methods A qualitative study was conducted in a major Iranian nephrology center including inpatient and outpatient settings in 2019. We conducted 28 semi-structured interviews with CKD patients, nurses, and adult nephrologists. To confirm or modify the requirements extracted from the interviews, a focus group was also held. Data were analyzed to extract especially those requirements that can facilitate implementation, adoption, and sustained use based on the PHR adoption model and the unified theory of acceptance and use of technology. Results Participants requested an ePHR that provides access to up to date patient information, facilitates patient-provider communication, and increases awareness about patient individualized conditions. Participants expected a system that is able to cater to low patient e-health literacy and high provider workload. They requested the ePHR to include purposeful documentation of medical history, diagnostic and therapeutic procedures, tailored educational content, and scheduled care reminders. Messaging function, tailored educational content to individual patients’ conditions, and controlled access to information were highly valued in order to facilitate its implementation, adoption, and use. Conclusions We focused on the ePHR’s content and functionalities in the face of facilitators and/or barriers envisioned for its adoption in nephrology care. Designers and implementers should value CKD patients’ needs and requirements for self-management such as providing personalized education and counseling (on the basis of their condition and risk factors), health literacy, and disease progression levels. The socio-technical aspects of care also need further attention to facilitate ePHR’s adoption.

Community nurses' self‐management support in older adults: A qualitative study on views, dilemmas and strategies

2019 ◽  
Vol 28 (1) ◽  
pp. 195-203
Author(s):  
Marian J. T. Bolscher‐Niehuis ◽  
Madeleen J. Uitdehaag ◽  
Anneke L. Francke
Keyword(s):  
Older Adults ◽  
Qualitative Study ◽  
Self Management ◽  
Management Support

scholarly journals Personalizing Sensor-Controlled Digital Gaming to Self-Management Needs of Older Adults with Heart Failure: A Qualitative Study

2020 ◽  
Vol 9 (4) ◽  
pp. 304-310
Author(s):  
Kavita Radhakrishnan ◽  
Thomas Baranowski ◽  
Matthew O'Hair ◽  
Catherine A. Fournier ◽  
Cathy B. Spranger ◽  
...  
Keyword(s):  
Heart Failure ◽  
Older Adults ◽  
Qualitative Study ◽  
Self Management ◽  
Digital Gaming

scholarly journals Self-Management Behaviors in Older Adults with Asthma: Associations with Health Literacy

2014 ◽  
Vol 62 (5) ◽  
pp. 872-879 ◽  
Author(s):  
Alex D. Federman ◽  
Michael S. Wolf ◽  
Anastasia Sofianou ◽  
Melissa Martynenko ◽  
Rachel O'Connor ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Literacy ◽  
Self Management ◽  
Management Behaviors

The Influence of Computer Experience and Screen Size on Use Performance and Perceptions of a Tablet-Based Chronic Illness Self-Management System for Older Adults

2014 ◽  
Vol 3 (1) ◽  
pp. 58-62 ◽  
Author(s):  
D. Tao ◽  
C. K. L. Or ◽  
K. Li
Keyword(s):  
Older Adults ◽  
Chronic Illness ◽  
Management System ◽  
Information Technologies ◽  
Self Management ◽  
Computer Experience ◽  
Screen Size ◽  
Health Information Technologies ◽  
Size Groups ◽  
Screen System

A usability study of a tablet-based chronic illness self-management system was conducted to evaluate the system’s usability and to examine the effects of screen size and computer experience on use performance and perceptions of the system. A two-factor, between-subjects design was implemented, in which 40 older adults aged from 55 to 88 years were equally assigned to two screen size groups and required to perform a set of self-management tasks. The results showed that screen size had no effect on either the use performance or perceptions of the system, and that computer experience had significant effects on the former but no effect on the latter. Older adults without computer experience tended to perceive the large tablet screen system as more useful. This study verified the usability of the tablet-based self-management system with older adults. Its findings suggest the need to determine an optimal screen size for consumer health information technologies, and highlight the importance of computer experience in usability studies. Future studies may address its limitations.

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