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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!
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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.
Background: Prevention of functional decline demands a holistic perspective of health management. Older adults are becoming avid users of technology; however, technology is not yet largely used in sup...
Background: Prevention of functional decline demands a holistic perspective of health management. Older adults are becoming avid users of technology; however, technology is not yet largely used in supporting self-management of health in daily life. Previous research suggests that the low adherence to these technologies is likely to be associated with the fact that opinions and wishes of the older population are not always taken into consideration when designing new technology. Objective: To investigate the wishes and expectations of older adults living independently regarding technology to support healthy behaviors, addressing nutrition, physical and cognitive function, and well-being. Methods: In-depth semi-structured interviews were performed with twelve older adults addressing four themes: (1) current practices in health management, (2) attitudes towards using technology to support health management, (3) wishes from technology, and (4) change in attitudes after actual use of technology. The fourth theme was investigated with a follow-up interview after participants had used a step counter, a smart scale and a smartphone application for one month. Data collected was analyzed using inductive thematic analysis. Results: Participants were active in self-managing their health and foresaw an added-value on using technology to support them in adopting healthier behaviors in everyday life. Attitudes and wishes differed considerably per health domain, being cognitive function the most sensitive topic. Fears from technology mentioned were: attention theft, replacement of human touch, and disuse of existing abilities. Post-interviews suggest that attitudes towards technology improve after a short period of use. Conclusions: Technology to support aging in place must target health literacy, allow personalization in the design but also in the use of the technology, and tackle existing fears concerning technology. Further research should investigate the effect of these strategies on the adherence to technology to be used in daily life. We outline a set of recommendations of interest to those involved in developing and implementing technology to the support of aging in place, focusing on acceptance, barriers and ethical concerns.