@Article{info:doi/10.2196/71777, author="Li, Haoran and Zhang, Jingya and Zhang, Ning and Zhu, Bin", title="Advancing Emergency Care With Digital Twins", journal="JMIR Aging", year="2025", month="Apr", day="21", volume="8", pages="e71777", keywords="emergency care", keywords="digital twin", keywords="prehospital emergency care", keywords="in-hospital emergency care", keywords="recovery", doi="10.2196/71777", url="https://aging.jmir.org/2025/1/e71777" } @Article{info:doi/10.2196/54143, author="Gray, Kathleen and Butler-Henderson, Kerryn and Day, Karen", title="A Digitally Capable Aged Care Workforce: Demands and Directions for Workforce Education and Development", journal="JMIR Aging", year="2025", month="Apr", day="2", volume="8", pages="e54143", keywords="aged care", keywords="digital health", keywords="digital literacy", keywords="education", keywords="older adults", keywords="professional development", keywords="digital transformation", keywords="digital resources", keywords="users", keywords="community", keywords="learning", keywords="support", keywords="safe", keywords="ethical", keywords="satisfaction", doi="10.2196/54143", url="https://aging.jmir.org/2025/1/e54143" } @Article{info:doi/10.2196/56433, author="Herold, Fabian and Theobald, Paula and Gronwald, Thomas and Kaushal, Navin and Zou, Liye and de Bruin, D. Eling and Bherer, Louis and M{\"u}ller, G. Notger", title="The Best of Two Worlds to Promote Healthy Cognitive Aging: Definition and Classification Approach of Hybrid Physical Training Interventions", journal="JMIR Aging", year="2024", month="Jul", day="31", volume="7", pages="e56433", keywords="physical activity", keywords="dementia prevention", keywords="cognitive health", keywords="hybrid: aging in place", keywords="active", keywords="exercises", keywords="exercising", keywords="healthy lifestyle", keywords="dementia", keywords="dementia onset", keywords="dementia care", keywords="preventive", keywords="prevention", keywords="cognition", keywords="cognitive", keywords="hybrid", keywords="hybrid model", doi="10.2196/56433", url="https://aging.jmir.org/2024/1/e56433", url="http://www.ncbi.nlm.nih.gov/pubmed/39083334" } @Article{info:doi/10.2196/47943, author="Zarling, Amie and Kim, Joseph and Russell, Daniel and Cutrona, Carolyn", title="Increasing Older Adults' Social Connectedness: Development and Implementation of a Web-Assisted Acceptance and Commitment Therapy--Based Intervention", journal="JMIR Aging", year="2024", month="Apr", day="22", volume="7", pages="e47943", keywords="acceptance and commitment therapy", keywords="psychotherapy", keywords="loneliness", keywords="technology", keywords="lonely", keywords="older adults", keywords="older adult", keywords="gerontology", keywords="geriatric", keywords="geriatrics", keywords="emotion regulation", keywords="mental health", keywords="elder", keywords="elderly", keywords="isolation", keywords="aging", keywords="mHealth", keywords="digital health", keywords="digital mental health", keywords="online health", keywords="online support", keywords="eHealth", keywords="internet", keywords="depression", doi="10.2196/47943", url="https://aging.jmir.org/2024/1/e47943" } @Article{info:doi/10.2196/45442, author="Randall, Natasha and Kamino, Waki and Joshi, Swapna and Chen, Wei-Chu and Hsu, Long-Jing and Tsui, M. Katherine and {\vS}abanovi{\'c}, Selma", title="Understanding the Connection Among Ikigai, Well-Being, and Home Robot Acceptance in Japanese Older Adults: Mixed Methods Study", journal="JMIR Aging", year="2023", month="Oct", day="4", volume="6", pages="e45442", keywords="ikigai", keywords="meaning in life", keywords="purpose", keywords="well-being", keywords="eudaimonic", keywords="hedonic", keywords="happiness", keywords="home robots", keywords="social robots", keywords="human-robot interaction", keywords="Japan", abstract="Background: Ikigai (meaning or purpose in life) is a concept understood by most older adults in Japan. The term has also garnered international attention, with recent academic attempts to map it to concepts in the Western well-being literature. In addition, efforts to use social and home robots to increase well-being have grown; however, they have mostly focused on hedonic well-being (eg, increasing happiness and decreasing loneliness) rather than eudaimonic well-being (eg, fostering meaning or purpose in life). Objective: First, we explored how Japanese older adults experience ikigai and relate these to concepts in the Western well-being literature. Second, we investigated how a home robot meant to promote ikigai is perceived by older adults. Methods: We used a mixed methods research design---including 20 interviews with older adults, a survey of 50 older adults, and 10 interviews with family caregivers. For interviews, we asked questions about older adults' sources of ikigai, happiness, and social support, along with their perception of the robot (QT). For surveys, a number of well-being scales were used, including 2 ikigai scales---ikigai-9 and K-1---and 6 Patient-Reported Outcomes Measurement Information System scales, measuring meaning and purpose, positive affect, satisfaction with participation in social roles, satisfaction with participation in discretionary social activities, companionship, and emotional support. Questions related to the perception and desired adoption of the robot and older adults' health status were also included. Results: Our results suggest that health is older adults' most common source of ikigai. Additionally, although self-rated health correlated moderately with ikigai and other well-being measures, reported physical limitation did not. As opposed to social roles (work and family), we found that ikigai is more strongly related to satisfaction with discretionary social activities (leisure, hobbies, and friends) for older adults. Moreover, we found that older adults' sources of ikigai included the eudaimonic aspects of vitality, positive relations with others, contribution, accomplishment, purpose, and personal growth, with the first 3 being most common, and the hedonic aspects of positive affect, life satisfaction, and lack of negative affect, with the first 2 being most common. However, the concept of ikigai was most related to eudaimonic well-being, specifically meaning in life, along the dimension of significance. Finally, we found that Japanese older adults have high expectations of a home robot for well-being, mentioning that it should support them in a multitude of ways before they would likely adopt it. However, we report that those with the highest levels of meaning, and satisfaction with their leisure life and friendships, may be most likely to adopt it. Conclusions: We outline several ways to improve the robot to increase its acceptance, such as improving its voice, adding functional features, and designing it to support multiple aspects of well-being. ", doi="10.2196/45442", url="https://aging.jmir.org/2023/1/e45442", url="http://www.ncbi.nlm.nih.gov/pubmed/37792460" } @Article{info:doi/10.2196/44007, author="Brown, L. Ellen and Ruggiano, Nicole and Allala, Chaithra Sai and Clarke, J. Peter and Davis, Debra and Roberts, Lisa and Framil, Victoria C. and Mu{\~n}oz, Hernandez Mar{\'i}ateresa Teri and Hough, Strauss Monica and Bourgeois, S. Michelle", title="Developing a Memory and Communication App for Persons Living With Dementia: An 8-Step Process", journal="JMIR Aging", year="2023", month="Mar", day="15", volume="6", pages="e44007", keywords="health technology", keywords="interdisiplinary team", keywords="older adults", keywords="dementia", keywords="communication", keywords="communication aids for disabled persons", keywords="communication boards", keywords="app", keywords="Alzheimer disease", keywords="family", keywords="caregiver", keywords="clinical care", keywords="development", keywords="speech", keywords="psychosocial intervention", keywords="software design", abstract="International Registered Report Identifier (IRRID): RR2-10.3928/19404921-20210825-02 ", doi="10.2196/44007", url="https://aging.jmir.org/2023/1/e44007", url="http://www.ncbi.nlm.nih.gov/pubmed/36920462" } @Article{info:doi/10.2196/41322, author="Wang, H. Rosalie and Tannou, Thomas and Bier, Nathalie and Couture, M{\'e}lanie and Aubry, R{\'e}gis", title="Proactive and Ongoing Analysis and Management of Ethical Concerns in the Development, Evaluation, and Implementation of Smart Homes for Older Adults With Frailty", journal="JMIR Aging", year="2023", month="Mar", day="9", volume="6", pages="e41322", keywords="ethics", keywords="older adults", keywords="frailty", keywords="smart home", keywords="assistive technology", keywords="aging in place", keywords="ethical concerns", keywords="implementation", keywords="bioethics", keywords="technology ethics", keywords="autonomy", keywords="privacy", keywords="security", keywords="informed consent", keywords="support ecosystem", doi="10.2196/41322", url="https://aging.jmir.org/2023/1/e41322", url="http://www.ncbi.nlm.nih.gov/pubmed/36892912" } @Article{info:doi/10.2196/40582, author="Shu, Sara and Woo, P. Benjamin K.", title="Pioneering the Metaverse: The Role of the Metaverse in an Aging Population", journal="JMIR Aging", year="2023", month="Jan", day="20", volume="6", pages="e40582", keywords="metaverse", keywords="older adult", keywords="aging in place", keywords="dementia", keywords="gerontology", keywords="geriatric", keywords="digital health", keywords="digital technology", keywords="computer generated", keywords="artificial intelligence", keywords="virtual reality", keywords="mixed reality", keywords="augmented reality", keywords="aging", keywords="mental health", doi="10.2196/40582", url="https://aging.jmir.org/2023/1/e40582", url="http://www.ncbi.nlm.nih.gov/pubmed/36662547" } @Article{info:doi/10.2196/36325, author="Raffegeau, E. Tiphanie and Young, R. William and Fino, C. Peter and Williams, Mark A.", title="A Perspective on Using Virtual Reality to Incorporate the Affective Context of Everyday Falls Into Fall Prevention", journal="JMIR Aging", year="2023", month="Jan", day="11", volume="6", pages="e36325", keywords="aging", keywords="balance", keywords="perturbation", keywords="locomotion", keywords="cognition", keywords="exergame", keywords="anxiety", doi="10.2196/36325", url="https://aging.jmir.org/2023/1/e36325", url="http://www.ncbi.nlm.nih.gov/pubmed/36630173" } @Article{info:doi/10.2196/38130, author="Hackett, Katherine and Giovannetti, Tania", title="Capturing Cognitive Aging in Vivo: Application of a Neuropsychological Framework for Emerging Digital Tools", journal="JMIR Aging", year="2022", month="Sep", day="7", volume="5", number="3", pages="e38130", keywords="digital phenotyping", keywords="neuropsychology", keywords="aging", keywords="dementia", keywords="smartphone", keywords="neurological", keywords="psychological", keywords="older adults", doi="10.2196/38130", url="https://aging.jmir.org/2022/3/e38130", url="http://www.ncbi.nlm.nih.gov/pubmed/36069747" } @Article{info:doi/10.2196/34628, author="Wolff, L. Jennifer and Dukhanin, Vadim and Burgdorf, G. Julia and DesRoches, M. Catherine", title="Shared Access to Patient Portals for Older Adults: Implications for Privacy and Digital Health Equity", journal="JMIR Aging", year="2022", month="May", day="4", volume="5", number="2", pages="e34628", keywords="patient portal", keywords="electronic health record", keywords="care partners", keywords="proxy", keywords="health equity", keywords="health informatics", keywords="health services", keywords="elderly", keywords="older adults", keywords="aging", keywords="cognition", keywords="health system", keywords="care delivery", keywords="elderly care", doi="10.2196/34628", url="https://aging.jmir.org/2022/2/e34628", url="http://www.ncbi.nlm.nih.gov/pubmed/35507405" } @Article{info:doi/10.2196/34764, author="Lim, A. Haikel and Lee, Win Joanne Sze and Lim, Han Meng and Teo, Zhen Lynn Pei and Sin, Wen Natalene Siew and Lim, Wei Rou and Chua, Min Si and Yeo, Qi Jia and Ngiam, Wen Nerice Heng and Tey, Jie-Yin Angeline and Tham, Xin Celine Yi and Ng, Yi Kennedy Yao and Low, Leng Lian and Tang, Aaron Kai Wen", title="Bridging Connectivity Issues in Digital Access and Literacy: Reflections on Empowering Vulnerable Older Adults in Singapore", journal="JMIR Aging", year="2022", month="May", day="3", volume="5", number="2", pages="e34764", keywords="COVID-19", keywords="digital literacy", keywords="digital literacy training", keywords="digital disparities", keywords="digital divide", keywords="social construction of health technologies", keywords="health technology", keywords="COVID-19 pandemic", keywords="pandemic", keywords="COVID", keywords="social isolation", keywords="elder", keywords="older adult", keywords="Asia", keywords="access", keywords="barrier", keywords="empower", keywords="volunteer", keywords="vulnerable", keywords="digital skill", keywords="low income", doi="10.2196/34764", url="https://aging.jmir.org/2022/2/e34764", url="http://www.ncbi.nlm.nih.gov/pubmed/35503520" } @Article{info:doi/10.2196/29744, author="Pech, Marion and Sauzeon, Helene and Yebda, Thinhinane and Benois-Pineau, Jenny and Amieva, Helene", title="Falls Detection and Prevention Systems in Home Care for Older Adults: Myth or Reality?", journal="JMIR Aging", year="2021", month="Dec", day="9", volume="4", number="4", pages="e29744", keywords="elderly people", keywords="new technologies", keywords="fall", keywords="acceptability", keywords="digital divide", keywords="aging", keywords="falls", keywords="fall prevention", keywords="detection", keywords="geriatrics", keywords="barriers", keywords="technology acceptance", keywords="home care", keywords="seniors", doi="10.2196/29744", url="https://aging.jmir.org/2021/4/e29744", url="http://www.ncbi.nlm.nih.gov/pubmed/34889755" } @Article{info:doi/10.2196/25750, author="Egan, E. James and Haberlen, A. Sabina and Meanley, Steven and Ware, Deanna and Brown, L. Andre and Siconolfi, Daniel and Brennan-Ing, Mark and Stall, Ron and Plankey, W. Michael and Friedman, Reuel M.", title="Understanding Patterns of Healthy Aging Among Men Who Have Sex With Men: Protocol for an Observational Cohort Study", journal="JMIR Res Protoc", year="2021", month="Sep", day="23", volume="10", number="9", pages="e25750", keywords="HIV", keywords="aging", keywords="MSM", keywords="gay and bisexual men", abstract="Background: With the graying of sexual and gender minority communities and the growing number of people aged ?50 years living with HIV, it is increasingly important to understand resilience in the context of the psychosocial aspects of aging and aging well. Objective: This paper aims to describe the methods and sample for the Understanding Patterns of Healthy Aging Among Men Who Have Sex With Men study. Methods: This observational cohort study was conducted within the Multisite AIDS Cohort Study (MACS) and was designed to explore resiliencies to explain patterns of health and illness among middle-aged and older sexual minority men. To be eligible, a participant had to be an active participant in the MACS, be at least 40 years of age as of April 1, 2016, and report any sex with another man since enrollment in the MACS. Results: Eligible participants (N=1318) completed six biannual surveys between April 2016 and April 2019. The mean age of the sample was 59.6 years (range 40-91 years). The sample was mostly White, educated, gay-identified, and included both HIV-positive (656/1318, 49.77\%) and HIV-negative (662/1318, 50.23\%) men. Conclusions: Understanding resiliencies in aging is a critical springboard for the development of more holistic public health theories and interventions that support healthy aging among older sexual minority men. International Registered Report Identifier (IRRID): RR1-10.2196/25750 ", doi="10.2196/25750", url="https://www.researchprotocols.org/2021/9/e25750", url="http://www.ncbi.nlm.nih.gov/pubmed/34554100" } @Article{info:doi/10.2196/25327, author="Benavides, Lynn Heidi and Meireles, Lumachi Christiane and Benavente, Viola and Mays, Helen Mary and Wang, Jing", title="Decreasing COVID-19 Risk Factors for Older Adults by Using Digital Technology to Implement a Plant-Based-Diet: An Opinion", journal="JMIR Aging", year="2021", month="Jul", day="5", volume="4", number="3", pages="e25327", keywords="COVID-19", keywords="coronavirus", keywords="older adult", keywords="plant-based diet", keywords="eating patterns", keywords="whole foods", keywords="Mediterranean diet", keywords="obesity", keywords="pandemic", keywords="ethnic minorities", keywords="telehealth", keywords="digital technology", keywords="racial disparities", keywords="aging", doi="10.2196/25327", url="https://aging.jmir.org/2021/3/e25327", url="http://www.ncbi.nlm.nih.gov/pubmed/34081595" } @Article{info:doi/10.2196/21461, author="LaMonica, M. Haley and Davenport, A. Tracey and Roberts, E. Anna and Hickie, B. Ian", title="Understanding Technology Preferences and Requirements for Health Information Technologies Designed to Improve and Maintain the Mental Health and Well-Being of Older Adults: Participatory Design Study", journal="JMIR Aging", year="2021", month="Jan", day="6", volume="4", number="1", pages="e21461", keywords="aging", keywords="mental health", keywords="technology", keywords="mobile phone", keywords="community-based participatory research", keywords="health care reform", keywords="stakeholder participation", abstract="Background: Worldwide, the population is aging rapidly; therefore, there is a growing interest in strategies to support and maintain health and well-being in later life. Although familiarity with technology and digital literacy are increasing among this group, some older adults still lack confidence in their ability to use web-based technologies. In addition, age-related changes in cognition, vision, hearing, and perception may be barriers to adoption and highlight the need for digital tools developed specifically to meet the unique needs of older adults. Objective: The aim of this study is to understand the use of technology by older adults in general and identify the potential barriers to and facilitators of the adoption of health information technologies (HITs) to support the health and well-being of older adults to facilitate implementation and promote user uptake. In addition, this study aims to co-design and configure the InnoWell Platform, a digital tool designed to facilitate better outcomes for people seeking mental health services, to meet the needs of adults 50 years and older and their supportive others (eg, family members, caregivers) to ensure the accessibility, engagement, and appropriateness of the technology. Methods: Participants were adults 50 years and older and those who self-identified as a supportive other (eg, family member, caregiver). Participants were invited to participate in a 3-hour participatory design workshop using a variety of methods, including prompted discussion, creation of descriptive artifacts, and group-based development of user journeys. Results: Four participatory design workshops were conducted, including a total of 21 participants, each attending a single workshop. Technology use was prevalent, with a preference indicated for smartphones and computers. Factors facilitating the adoption of HITs included personalization of content and functionality to meet and be responsive to a consumer's needs, access to up-to-date information from reputable sources, and integration with standard care practices to support the relationship with health professionals. Concerns regarding data privacy and security were the primary barriers to the use of technology to support mental health and well-being. Conclusions: Although HITs have the potential to improve access to cost-effective and low-intensity interventions at scale for improving and maintaining mental health and well-being, several strategies may improve the uptake and efficacy of technologies by the older adult community, including the use of co-design methodologies to ensure usability, acceptability, and appropriateness of the technology; support in using and understanding the clinical applications of the technology by a digital navigator; and ready availability of education and training materials. ", doi="10.2196/21461", url="https://aging.jmir.org/2021/1/e21461", url="http://www.ncbi.nlm.nih.gov/pubmed/33404509" } @Article{info:doi/10.2196/13135, author="Walton, Campbell Courtney and Lampit, Amit and Boulamatsis, Christos and Hallock, Harry and Barr, Polly and Ginige, Anupama Jeewani and Brodaty, Henry and Chau, Tiffany and Heffernan, Megan and Sachdev, Singh Perminder and Fiatarone Singh, A. Maria and Valenzuela, Michael", title="Design and Development of the Brain Training System for the Digital ``Maintain Your Brain'' Dementia Prevention Trial", journal="JMIR Aging", year="2019", month="Feb", day="27", volume="2", number="1", pages="e13135", keywords="computerized cognitive training", keywords="dementia", keywords="clinical trial design", keywords="older adults", abstract="Background: Dementia is the leading cause of disability worldwide, and interventions aimed at reducing the prevalence and burden of the disease are urgently needed. Maintain Your Brain (MYB) is a randomized controlled trial of a multimodal digital health intervention targeting modifiable dementia risk factors to combat cognitive decline and potentially prevent dementia. In addition to behavioral modules targeting mood, nutrition, and physical exercise, a new Brain Training System (BTS) will deliver computerized cognitive training (CCT) throughout the trial to provide systematic, challenging, and personally adaptive cognitive activity. Objective: This paper aimed to describe the design and development of BTS. Methods: BTS has been designed with a central focus on the end user. Raw training content is provided by our partner NeuroNation and delivered in several innovative ways. A baseline cognitive profile directs selection and sequencing of exercises within and between sessions and is updated during the 10-week 30-session module. Online trainers are available to provide supervision at different levels of engagement, including face-to-face share-screen coaching, a key implementation resource that is triaged by a ``red flag'' system for automatic tracking of user adherence and engagement, or through user-initiated help requests. Individualized and comparative feedback is provided to aid motivation and, for the first time, establish a social support network for the user based on their real-world circle of friends and family. Results: The MYB pilot was performed from November 2017 to March 2018. We are currently analyzing data from this pilot trial (n=100), which will make up a separate research paper. The main trial was launched in June 2018. Process and implementation data from the first training module (September to November 2018) are expected to be reported in 2019 and final trial outcomes are anticipated in 2022. Conclusions: The BTS implemented in MYB is focused on maximizing adherence and engagement with CCT over the short and long term in the setting of a fully digital trial, which, if successful, could be delivered economically at scale. Trial Registration: Australian New Zealand Clinical Trials Registry ACTRN12618000851268; https://www.anzctr.org.au /Trial/Registration/TrialReview.aspx?id=370631\&isReview=true ", doi="10.2196/13135", url="http://aging.jmir.org/2019/1/e13135/", url="http://www.ncbi.nlm.nih.gov/pubmed/31518277" }