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, Cizik School of Nursing, Houston TX, USA) is a new sister journal of JMIR (the leading open-access journal in health informatics (Impact Factor 2016: 5.175), 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)
This manuscript needs more reviewersPeer-Review Me
Background: Health and social care systems were designed to be used primarily by people with single and acute diseases. However, a growing number of older adults are diagnosed with multiple long-term...
Background: Health and social care systems were designed to be used primarily by people with single and acute diseases. However, a growing number of older adults are diagnosed with multiple long-term health conditions (LTCs). The process of navigating the intricacies of health and social care systems in order to receive appropriate care presents significant challenges for older people living with multiple LTCs, which in turn can negatively influence their well-being and quality of life. Objective: The long-term goal of this work is to design technology to assist people with LTCs in navigating health and social care systems. In order to do so, we must first understand how older people living with LTCs currently engage with and navigate their care networks. There is no published research that describes and analyses the structure of formal and informal care networks of older adults with multiple LTCs, the frequency of interactions with each type of care service, and the problems that typically arise in these interactions. Methods: A mixed-methods study was carried out. Sixty-two participants, all aged 55 years or over, living in England, with two or more LTCs, were recruited and completed a social network analysis (SNA) questionnaire. Semi-structured interviews were conducted with roughly a 10% subsample of the questionnaire sample; four women and three men. On average, interviewees were aged 70 years old and had four LTCs. Results: Personal care networks (PCNs) were complex and adapted to each individual. The task of building, and subsequently navigating, one’s PCN rested mainly on patients’ shoulders. It was frequently the patients’ task to bridge and connect the different parts of the system. The major factor leading to a satisfying navigation experience was found to be patients’ assertive, determined and proactive approaches. Smooth communication and interaction between different parts of the care system were found to lead to more satisfying navigation experiences. Conclusions: Technology to support care navigation for older adults with multiple LTCs needs to support patients in managing complex health and social care systems by effectively integrating management of multiple conditions and facilitating communication between multiple stakeholders, while also offering flexibility to adapt to individual situations. Since quality of care seems to be dependent on determination and ability of patient, this leads to uneven care. Those with less determination, and less organization skills experience worse care. Technology must aim to fulfil these coordination functions, to ensure care is equitable across those who need it, not just those who ask loudest.
This manuscript needs more reviewersPeer-Review Me
Background: In older adults depression is one of the most common mental disorders. Unfortunately, depression in older adults is often not being recognized. Objective: The aim of this study was to iden...
Background: In older adults depression is one of the most common mental disorders. Unfortunately, depression in older adults is often not being recognized. Objective: The aim of this study was to identify how online applications can recognize and help treat depression in older adults. Methods: Focus groups were realized with mental health care expert (N = 8). An online survey with N = 56 older adults suffering from depression was carried out. Qualitative interviews were conducted with N = 2 individuals. Results: Results of the focus groups highlighted that there is a need for a collaborative care platform for depression in old age. Findings from the online study showed that younger participants (50 to 64 years) used electronic media more often than older participants (65 years and older). The interviews point in a comparable direction. Conclusions: Overall, an e-mental health treatment for depression in older adults would be well accepted. They should be developed, evaluated and in case of evidence for their effectiveness integrated in everyday clinic.
Background: Background: The use of online health communities such as the diabetes online community (DOC) is growing. Individuals who engage in the diabetes online community (DOC) are able to interact...
Background: Background: The use of online health communities such as the diabetes online community (DOC) is growing. Individuals who engage in the diabetes online community (DOC) are able to interact with peers who have the same medical condition. It is not known if older adults are perceiving the DOC differently than younger adults. Objective: Objective: The purpose of this study was two-fold: 1) to describe social capital, perceived source credibility, help and harm among DOC users, and 2) to examine differences in social capital, perceived source credibility, help and harm among baby boomer (born between 1946 and 1964) and younger adult (born between 1965-1996) DOC users. Methods: Methods: This study represents a subset of participants from a larger study of DOC users. Adults with diabetes were recruited from the DOC to participate in a cross-sectional survey. Baby boomer and younger adult demographics, eHealth use (reasons to join the DOC, DOC intensity, DOC engagement, internet social capital, and help or harm from the DOC), source credibility, health-related quality of life, and diabetes self-care were collected. We examined relationships between variables and examined differences between baby boomers and younger adults. Results: Results: Baby boomers (N=76) and younger adult counterparts (N=102) participated in this study. Participants scored their diabetes healthcare team (M=33.5, SD=8) significantly higher than the DOC (M=32, SD=6.4) with regard to competence (p<.05) and trustworthiness (diabetes healthcare team, M=36.3, SD=7.1; DOC M=33.6, SD=6.2; p<.001). High bonding and bridging social capital correlated with high DOC intensity (r=.629, p<.001 and r=.676, p<.001 and respectively) and high DOC engagement (r=.474, p<.01 and r=.507, p=<.01 and respectively). The greater majority (69.8%) reported the DOC as being helpful and 1.8% reported the DOC had caused minor harm. Baby boomers perceive DOC credibility, social capital, help and harm similarly to their younger adult counterparts. Conclusions: Conclusions: Baby boomers are using and perceiving the DOC similarly to younger adults. DOC users find the DOC to be credible, however, scored their healthcare team higher with regards to competence and trustworthiness. The DOC is beneficial with low risk and may augment current diabetes care.
Background: As the internet has become a primary communication means in the long-term care (LTC) and health care industry, better understanding of market segmentations among LTC consumers is an indisp...
Background: As the internet has become a primary communication means in the long-term care (LTC) and health care industry, better understanding of market segmentations among LTC consumers is an indispensable step to respond to the consumers’ informational needs. Objective: This study was designed to identify underlying market segments of the LTC consumers who seek information online. Methods: Data of the U.S. adult internet users (n = 2,018) were derived from 2010 Pew Internet and America Life Project. Latent class analyses were employed to identify underlying market segments of LTC online information seekers. Results: Online LTC information seekers were classified into two sub-groups – heavy and light online information seekers. One in four heavy online information seekers used the internet for the LTC information while only 2% of the light information seeker did. The heavy information seekers also used the internet to search for all other health information such as a specific disease, treatment and medical facilities significantly more than the light information seekers. The heavy online information seekers were more likely to be younger, female, highly educated, chronic disease patients, caregivers and frequent internet users in general than the light online information seekers. Conclusions: In order to effectively communicate with their consumers, providers who target online LTC information seekers can more carefully align their informational offerings with the specific needs of each subsegment of LTC markets.
Background: Collaboration among informal and formal caregivers in a mixed care network of home-dwelling elderly may benefit from using a device for digital networked communication (dfDNC). Objective:...
Background: Collaboration among informal and formal caregivers in a mixed care network of home-dwelling elderly may benefit from using a device for digital networked communication (dfDNC). Objective: The study aims to describe and explain differences in the use and evaluation of the dfDNC by members of the care network, and to come up with a list of conditions that facilitate (or restrict) the implementation of a dfDNC by a homecare organization. Methods: A pilot-study collected information on digital communication in seven care networks of clients of a homecare organization in the Netherlands. Semi-structured interviews with four care recipients, seven informal carers (of which three spoke on behalf of the care receiver as well because of receivers’ suffering from dementia) , three district nurses, five auxiliary nurses, and three managers were conducted three times in a period of six months. Additionally we observed relevant workshops initiated by the homecare organization, and studied login data created by the users of the dfDNC. Results: The qualitative data and monthly retrieved quantitative login data revealed three types of digital care networks: Arranging the care network, Discuss the care network and Staying connected network. Differences between network types were attributed to health impairment and digital illiteracy of the care recipients, motivation of informal caregivers, and commitment of formal caregivers. Positively evaluated were the easy availability of up-to-date information, the ability to promote a sense of safety for the carers, and short communication lines in case of complex care situations. Improvement is needed of device functionalities related to issues of privacy. Conclusions: Based on the results, it is concluded that digital communication is beneficial for organizing and discussing the care within a care network. More research is needed to study its impact on care burden of informal carers, on quality of care, and on quality of life of home-dwelling frail older adults.