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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!
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This manuscript needs more reviewersPeer-Review Me
Background: Older adults are the fastest growing age group worldwide and in Canada. Immigrants represent a significant proportion of older Canadians. Social isolation is common among older adults and...
Background: Older adults are the fastest growing age group worldwide and in Canada. Immigrants represent a significant proportion of older Canadians. Social isolation is common among older adults and has many negative consequences including limiting community and civic participation, increasing income insecurity, and increasing the risk of elder abuse. Additional factors such as the social, cultural, and economic changes that accompany migration, language differences, racism, and ageism, heighten older immigrants' vulnerability to social isolation. Objective: This multi-methods, sequential (qualitative – quantitative) study seeks to clarify older immigrants' social needs, networks and support, and how these shape their capacity, resilience, and independence in aging well in Ontario. Methods: Theoretically, our research is informed by an intersectionality perspective and an ecological model, allowing us to critically examine the complexity surrounding multiple dimensions of social identity (e.g., gender, immigration) and how these interrelate at the micro (individual, family), meso (community), and macro (societal) levels in diverse geographical settings. Methodologically, the project is guided by a collaborative, community-based, mixed-methods approach to engaging a range of stakeholders in Toronto, Ottawa, Waterloo, and London, in generating knowledge. The four settings were strategically chosen for their diversity in level of urbanization, size of community, and the number of immigrants and immigrant serving organizations. Interviews will be conducted in Arabic, Mandarin and Spanish with older women, older men, family members, community leaders, and service providers. The study protocol has received ethics approval from the four participating universities. Results: Comparative analyses of qualitative and quantitative data within and across sites will provide insights about common and unique factors that contribute to the wellbeing of older immigrants in different regions of Ontario. Conclusions: Given the comprehensive approach to incorporating local knowledge and expert contributions from multi-level stakeholders, the empirical and theoretical findings will be highly relevant to our community partners, help facilitate practice change, and improve the wellbeing of older men and women in immigrant communities.
Background: Colorectal cancer (CRC) is the second leading cancer-related cause of death in the United States, however survivorship has been increasing. Both cancer survivors and underserved populatio...
Background: Colorectal cancer (CRC) is the second leading cancer-related cause of death in the United States, however survivorship has been increasing. Both cancer survivors and underserved populations experience unique health-related challenges, and disparities may exist among long-term CRC survivors as it relates to routine preventive care, specifically pneumococcal (PNM) vaccination. Objective: We seek to explore the relationship between long-term CRC survival and the receipt of pneumococcal vaccine among Hispanic Medicare recipients compared with non-Hispanic populations. Methods: Cross sectional assessment of SEER-Medicare claims data regarding receipt of PNM vaccination in long term CRC survivors as a function of Hispanic identity using the North American Association of Cancer Registries (NAACR) Hispanic Identification Algorithm. Multivariable logistic regression was performed to control for sociodemographic, comorbidity score, age, tumor stage, and SEER registry. Results: Our sample revealed 32,501 long-term CRC survivors; 1,509 were identified as Hispanic (less than 5%). In total, 16,252 persons, or 50.00% of our sample, received a PNM vaccination. Controlling for covariates, there was a 10% decreased odds of a Hispanic to have received a PNM vaccine compared with those who were not identified as Hispanic, which was only marginally significant (P=0.033). Conclusions: Disparities likely exist in uptake in PNM vaccination among long-term CRC survivors. Among Medicare beneficiaries, utilization of claims data regarding PNM vaccination highlight relative low uptake of guideline directed preventive care.
This manuscript needs more reviewersPeer-Review Me
Background: Novel and sustainable approaches to scale Home-Based Primary Care (HBPC) programs are needed to meet the medical needs of a growing number of homebound older adults in the US. Telehealth m...
Background: Novel and sustainable approaches to scale Home-Based Primary Care (HBPC) programs are needed to meet the medical needs of a growing number of homebound older adults in the US. Telehealth may be a viable option for scaling HBPC programs. Objective: The purpose of this qualitative study was to gain insight into the perspectives of HBPC staff regarding adopting telehealth technology to scale the program. Methods: We collected qualitative data from HBPC staff (physicians, nurses, nurse practitioners, care managers, social workers, and medical coordinators) at a practice in the New York Metropolitan area through 16 semi-structured interviews and 3 focus groups. Data were analyzed thematically using the template analysis approach with Self-Determination Theory concepts (relatedness, competence, and autonomy) as an analytical lens. Results: Four broad themes (work climate, technology impact on staff autonomy, technology impact on competence in providing care, and technology impact on the patient-caregiver-provider relationship) and multiple second-level themes emerged from the analysis. Within the theme of work climate, staff acknowledged the need to scale the program without diminishing effective patient-centered care. Within the theme of technology impact on staff autonomy, participants perceived alerts generated from patients and caregivers using telehealth as a potentially increasing burden and necessitating a rapid response from an already busy staff while increasing ambiguity. Regarding technology impact on competence in providing care, participants noted that it could increase efficiency and enable more informed care provision. Regarding technology impact on the patient-provider relationship, participants noted the opportunity to make caregivers part of the team through telehealth. Staff members, however, were concerned that patients or caregivers might unnecessarily over utilize the technology, and that some visits are more appropriate in-person rather than via telehealth. Conclusions: These findings suggest the importance of taking into account the perspectives of medical professionals regarding telehealth adoption. A proactive approach exploring the benefits and concerns professionals perceive in the adoption of health technology within the HBPC program is likely to facilitate the integration of telehealth innovations. Clinical Trial: Not applicable
Background: Changes noted within the ageing population are physical, cognitive as well as emotional. Social isolation and loneliness are also serious problems that the ageing population may encounter....
Background: Changes noted within the ageing population are physical, cognitive as well as emotional. Social isolation and loneliness are also serious problems that the ageing population may encounter. As technology and applications become more accessible, many basic services, such as though offered by social services, wellbeing organisations and healthcare institutions have invested in the development of supportive devices, services and online interaction. Despite the perceived benefits that these offer, many ageing individuals choose not to engage, or engage in a limited manner. In order to explore this phenomena we developed a theory to describe the condition for engagement. Objective: The main objective of this study was to understand the perceptions of an ageing South African population regarding online services and technologies that could support ageing-in-place. Although the concept of ageing-in-place speaks to a great number of everyday activities, this paper explores aspects of health and wellbeing as being central to ageing in place. Methods: The study used a grounded theory methodology, relying on an iterative and simultaneous process of data collection, coding, category development and data comparisons. Data was collected through qualitative methods, including interviews (13 participants, between the ages of 64 and 85), two participatory workshops (15 participants) and observations. The study focused on Charmaz’s approach to grounded theory, which puts forward the premise that theory or knowledge cannot take shape in a purely objective manner. Instead, theory is constructed through the interaction of the researcher and research participant. Results: Coding and data analysis was supported with Atlas.ti. The study resulted in a substantive theory exploring the process of interaction and engaging factors, through user insights and experiences. The emerging design theory, AUDDE (Ageing User Decision Driven Engagement), explored the elements that support engagement with technology and supportive applications, which could offer access to required health and wellness services. Conclusions: In AUDDE the perceived value of the interaction is a crucial catalyst for engagement. Ageing users continuously make meaning of their experiences, which affects their current and future actions.