The Karma system is currently undergoing maintenance (Monday, January 29, 2018).
The maintenance period has been extended to 8PM EST.
Karma Credits will not be available for redeeming during maintenance.
JMIR Aging (JA, Founding Editor-in-chief: Jing Wang, Professor and Vice Dean for Research, Hugh Roy Cullen Professor, UT Health San Antonio School of Nursing, San Antonio, TX, USA) is a new sister journal of JMIR (the leading open-access journal in health informatics (Impact Factor 2017: 4.671), focusing on technologies, medical devices, apps, engineering, informatics applications and patient education for medicine and nursing, education, preventative interventions and clinical care / home care for elderly populations. In addition, aging-focused big data analytics using data from electronic health record systems, health insurance databases, federal reimbursement databases (e.g. U.S. Medicare and Medicaid), and other large databases are also welcome.
As open access journal we are read by clinicians, nurses/allied health professionals, informal caregivers and patients alike and have (as all JMIR journals) a focus on readable and applied science reporting the design and evaluation of health innovations and emerging technologies. We publish original research, viewpoints, and reviews (both literature reviews and medical device/technology/app reviews).
During a limited period of time, there are no fees to publish in this journal. Articles are carfully copyedited and XML-tagged, ready for submission in PubMed Central.
Be a founding author of this new journal and submit your paper today!
Right click to copy or hit: ctrl+c (cmd+c on mac)
Background: People living with HIV are living longer in the U.S as a result of antiretroviral therapy. Black men who have sex with men (MSM) are disproportionally affected by HIV and have low rates of...
Background: People living with HIV are living longer in the U.S as a result of antiretroviral therapy. Black men who have sex with men (MSM) are disproportionally affected by HIV and have low rates of engagement in HIV care and treatment. Mobile technology holds tremendous promise as an intervention platform, but little is known regarding its use among older Black MSM with HIV. Objective: The present study explored mobile technology use and narratives of aging with HIV among older Black MSM in order to inform mHealth interventions Methods: A total of 12 Black MSM living with HIV age 50 or older completed in-person, semi-structured interviews exploring issues of aging, HIV care engagement, and mobile technology use. Interviews were audiotaped, transcribed, and analyzed using qualitative analysis. Results: Almost all men appreciated having survived the AIDS epidemic, but expressed discomfort and ambivalence toward aging. Men described various levels of engagement in HIV care and treatment; challenges included social isolation and need for support that was not focused on HIV. Almost all described using mobile technology to engage in healthcare, while some referenced important barriers and challenges to technology use. Conclusions: Findings highlighted a high level of interest toward a mobile technology-based intervention targeting older Black men, but also identified barriers and challenges to using mobile technology for healthcare engagement. Mobile technology is well-incorporated into older Black MSM’s lives, and shows potential as an intervention platform for addressing aging issues to enhance engagement in HIV care and treatment. Clinical Trial: N/A
Background: Given the fact of an aging society, new supply measures and living concepts are needed, especially as health impairments along with care dependency increase with age. As many elderly peop...
Background: Given the fact of an aging society, new supply measures and living concepts are needed, especially as health impairments along with care dependency increase with age. As many elderly people wish to stay at home for as long as possible, ambient assisted living (AAL) represents a support for aging in place. Objective: AAL combines medical and care technology within living environments and is therefore a promising approach to cope with demographic change in terms of fast-growing care needs and fewer skilled workers. Ultrasonic whistles represent one innovative technical possibility for such supportive housing solutions. Central fields of application are home automation, emergency service, and positioning. As AAL technologies affect sensitive areas of life, it is of great interest under which conditions they are accepted or rejected taking individual user requirements into account. Methods: In this study, we examined the acceptance of ultrasonic whistles in home care by function and room using an online questionnaire. Besides an evaluation of the overall usefulness, we focused on the intention to use ultrasonic whistles, n = 270 participants assessed home automation, emergency service, and positioning as specific functions of ultrasonic whistles. Further, bathroom, bedroom, and living room were evaluated as specific usage locations (rooms). With regard to the user’s perspective, the focus was set on age and attitudes towards aging of care receivers. Results: The study revealed a significant influence of function (F(1.967,529.167) = 60.444; P < .001), room (F(1.731,465.739) = 41.388; P < .001), and the interaction of function and room (F(3.051,831.303) = 8.701; P < .001) on the acceptance of ultrasonic whistles: the use of emergency services within the bathroom represented the most accepted alternative, whereas positioning within the living room received the comparably lowest evaluations. While user diversity played overall a minor role for acceptance, the assessment of single applications differed among user groups, particularly with regard to age differences (F(20,500) = 1.988; P = .007 < .01) in the evaluation of specific installation options, such as automated doors. Conclusions: The study revealed profound insights into the user-centered assessment of ultrasonic whistles in home care and discovered function and room as influencing acceptance parameters. Concerning user characteristics, age and attitude towards aging partly affected these evaluations forming the basis for and showing the importance of further investigations in this context. Clinical Trial: Does not apply
Background: Research in falls prevention programs have increased in recent years in response to the aging demographics of the United States. Yet, few research and outreach programs have focused on eth...
Background: Research in falls prevention programs have increased in recent years in response to the aging demographics of the United States. Yet, few research and outreach programs have focused on ethnic minorities due to increased cost, language barriers and cultural differences. Digital media platforms may be a cost-effective avenue to initiate falls prevention programs for the minority populations. Objective: To determine if Facebook advertisements are a practical recruitment method for health education to the Chinese-speaking population. Methods: This was an observational, cross-sectional study. A video on fall education was uploaded onto YouTube, and an advertisement campaign was initiated on Facebook that was linked to the video. The target population was older adults greater than 45 years old who use Facebook and were presented with the advertisement (N=1,039). Metrics such as number of unique individuals reached, the number of views of the advertisement, the number of clicks, user gender, age and traffic sources to the advertisement were recorded. Data was analyzed with descriptive statistics. Results: Our Facebook advertisement had 1,087 views (1,039 unique viewers). There were 121 link clicks with a click-through rate of 11.13%. The cost per link click was approximately $0.06 USD. There were 936 (91.40%) female viewers and 88 (8.59%) male viewers. In the 45-54 age group, the ad reached 50 people, with 1 link click (2.00%). In the 55- 64 age group, the ad reached 572 people, with 57 link clicks (9.97%). In the 65 and above age group, the ad reached 417 people, with 63 link clicks (15.11%). Conclusions: Facebook was able to directly target the advertisement to the desired older ethnic population at low cost. Engagement was highest among females and among those who were 65 years or older. Hence, Facebook can serve as an alternative platform for dissemination of health information to geriatrics patients in addition to print-based and face-to-face communication. Clinical Trial: none
Background: Individuals with dementia exhibit high rates of behavioral problems and medical comorbidities which may challenge attending doctors’ visits. Video telemedicine may benefit people with d...
Background: Individuals with dementia exhibit high rates of behavioral problems and medical comorbidities which may challenge attending doctors’ visits. Video telemedicine may benefit people with dementia and their caregivers who often experience burden. However, data on video telemedicine into the homes of this cohort is lacking. The New England Geriatric Research Education and Clinical Center (GRECC) was the first facility in the United States to offer dementia management visits directly into patients’ homes using clinical video-conferencing telemedicine, known as Home Clinical Video Telehealth (Home-CVT). We analyzed reasons for enrolling in Home-CVT and visit satisfaction, comparing video telemedicine to in-person visits. Objective: To assess reasons for enrolling or not enrolling in Home-CVT and to compare acceptability of Home-CVT to in-person dementia management visits. Methods: Post-visit experience questionnaires were mailed to caregivers following in-person and Home-CVT dementia management visits. Additionally, we tracked reasons for declining or joining Home-CVT. Results: The primary reason for joining Home-CVT was convenience related to reduced travel and less disruption of daily routines. Lack of a home computer was the main reason for not enrolling. Families who chose Home-CVT reported equivalent visit satisfaction with in-person visits, with the added benefit of reduced need for transportation with Home-CVT. Conclusions: Home-CVT is an acceptable alternative visit format. Given recent policy changes regarding reimbursement for home video telemedicine, Home-CVT offers a promising dementia service delivery model, especially for rural patients and others for whom travel to a specialty clinic is burdensome.
Background: Dementia is a prevalent disorder among adults and often causes negative stigmatization to the individual and his/her family. Social media websites provide a place to raise awareness for de...
Background: Dementia is a prevalent disorder among adults and often causes negative stigmatization to the individual and his/her family. Social media websites provide a place to raise awareness for dementia and have allowed researchers to explore health-related data on social platforms. Objective: This study examined the content and location of tweets containing the keyword “dementia” to better understand the reasons why individuals discuss dementia on the social media website Twitter. This approach examined location, Twitter user category, and tweet content subcategory to examine large publicly available datasets. Methods: A total of 400 tweets were collected using the Twitter Search Application Programming Interface (API) with the keyword “dementia”, circulated between January and February of 2018. Twitter users were categorized into four categories: general public, healthcare field, advocacy organization, and public broadcasting. Tweets posted by “general public” users were further subcategorized into five categories: mental health advocate, affected persons, stigmatization, marketing, and other. Placement into the categories were done through thematically analysis. Results: 400 Tweets were tweeted by 359 different screen names from 28 different countries. The top countries were the United States and the United Kingdom while the top states were California and Texas. The majority of Twitter users were categorized in the general public category (71%). The content analysis of Tweets from the general public category reveal stigmatization (41%) and mental health advocate (37%) themes. For tweets from California and Texas, California had more stigmatization tweets while Texas had more mental health advocate tweets. Conclusions: The themes from the content of the tweets highlight the mixture of the political climate along with the supportive network present on Twitter. The ability to use Twitter to combat stigma and raise awareness of mental health indicates the benefits that can potentially be facilitated via the platform but negative stigmatizing tweets may interfere with the effectiveness of this social support for the aging population affected with dementia.
Background: The debilitating effects of recurrent stroke among aging patients have urged researchers to explore medication adherence among these patients. Video narratives built upon Health Belief Mod...
Background: The debilitating effects of recurrent stroke among aging patients have urged researchers to explore medication adherence among these patients. Video narratives built upon Health Belief Model (HBM) constructs have displayed potential impact on medication adherence adding a plus-point to patient education efforts. However, its effect on medication understanding and use self-efficacy have not been tested. Objective: The researchers believed that culturally sensitive video narratives which catered specific niche would reveal a personalized impact on medication adherence. This study aimed to develop and validate video narratives for this purpose. Methods: This study adapted Delphi method to develop a consensus on the video scripts contents of learning outcomes and HBM questions. The panel of experts consisted of eight members representing a mix of experiences in stroke in Malaysia. The Delphi method involved three rounds of discussion. Once consensus was achieved, the researchers drafted the initial scripts in English which were then back-translated to the Malay language. Ten bilingual patients within inclusion criteria screened the scripts for comprehension. Subsequently, an actual doctor and patient narrated the scripts while they were filmed; to add the realism of the narratives. Then, the video narratives underwent a few cycles of editing after some feedback on video engagement by the bilingual patients. Few statistical analysis were applied to confirm the validity of the video narratives. Results: Initially, the researchers proposed eight learning outcomes and nine HBM questions for the video scripts content. However, following Delphi rounds 1 to 3, few statements were omitted and rephrased. Complete agreement (>80%) arrived for five learning outcomes and five HBM questions. Kendall's coefficient of concordance, W; was above 0.7 which indicated a firm agreement, and SD values within a range of below 1.5 confirmed satisfactory content and construct validity of learning outcomes and HBM questions. Also, the video engagement scores were above average which indicated that the video narratives had a good link with perceived realism. Conclusions: The Delphi method was proven to be helpful in conducting discussion systematically and providing precise contents for the development of video narratives. Whereas, the video engagement scale had helped to create realistic video styles and emotions which the researchers believed could positively impact medication understanding and use self-efficacy among patients with stroke. A feasibility and acceptability study in an actual stroke care center is warranted. Clinical Trial: Approvals have been obtained from the Malaysian Medical Research and Ethics Committee – MREC (NMRR ID-15-851-24737) and the Monash University Human Research Ethics Committee - MUHREC (ID 9640), whereas MyStrokeStory trial was registered with the Australian New Zealand Clinical Trials Registry- ANZCTR (ACTRN12618000174280) with Universal Trial Number (UTN) U1111-1201-3955.