Nunes-Da-Silva Catarina, Victorino André, Lemos Marta, Porojan Ludmila, Costa Andreia, Arriaga Miguel, Gregório Maria João, de Sousa Rute Dinis, Rodrigues Ana Maria, Canhão Helena
Comprehensive Health Research Center, NOVA Medical School|Faculdade de Ciências Médicas, NMS|FCM, Universidade Nova de Lisboa, Lisbon, Portugal.
EpiDoC Unit, NOVA Medical School|Faculdade de Ciências Médicas, NMS|FCM, Universidade Nova de Lisboa, Lisbon, Portugal.
JMIR Res Protoc. 2022 Dec 7;11(12):e29675. doi: 10.2196/29675.
People aged ≥65 years are more likely to have health problems related to aging, polypharmacy, and low treatment adherence. Moreover, health literacy levels decrease with increasing age.
The aim of this study is to assess an app's utility in promoting health-related knowledge in people aged ≥65 years.
We developed a simple, intuitive, and video-based app (DigiAdherence) that presents a recipe, nutritional counseling, and content on physical activity, cognitive exercise, motivation to adhere to treatment, fall prevention, and health literacy. A convenience sample of 25 older adults attending the Personalized Health Care Unit of Portimão or the Family Health Unit of Portas do Arade (ACeS Algarve II - Barlavento, ARS Algarve, Portugal) will be recruited. Subjects must be aged ≥65 years, own a smartphone or tablet, be willing to participate, and consent to participate. Those who do not know how to use or do not have a smartphone/tablet will be excluded. Likewise, people with major cognitive or physical impairment as well as those living in a long-term care center will not be included in this study. Participants will have access to the app for 4 weeks and will be evaluated at 3 different timepoints (V0, before they start using the app; V1, after using it for 30 days; and V2, 60 days after stopping using it). After using the app for 30 days, using a 7-point Likert scale, participants will be asked to score the mobile tool's utility in encouraging them to take their medications correctly, improving quality of life, increasing their health-related knowledge, and preventing falls. They will also be asked to assess the app's ease of use and visual esthetics, their motivation to use the app, and their satisfaction with the app. Subjects will be assessed in a clinical interview with a semistructured questionnaire, including questions regarding user experience, satisfaction, the utility of the app, quality of life (EQ-5D-3L instrument), and treatment adherence (Morisky scale). The proportion of participants who considered the app useful for their health at V1 and V2 will be analyzed. Regarding quality of life and treatment adherence perceptions, comparisons will be made between V0 and V1, using the t test for dependent samples. The same comparisons will be made between V0 and V2.
This study was funded in December 2019 and authorized by the Executive Board of ACeS Algarve II - Barlavento and by the Ethics Committee of NOVA Medical School (99/2019/CEFCM, June 2020). This protocol was also approved by the Ethics Committee for Health (16/2020, September 2020) and the Executive Board (December 2020) of the Regional Health Administration of the Algarve, IP (Instituto Público). Recruitment was completed in June 2021.
Since the next generation of older adults may have higher digital literacy, information and communication technologies could potentially be used to deliver health-related content to improve lifestyles among older adults.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/29675.
65岁及以上的人群更有可能出现与衰老、多种药物治疗及低治疗依从性相关的健康问题。此外，健康素养水平会随着年龄的增长而下降。
本研究旨在评估一款应用程序在促进65岁及以上人群健康相关知识方面的效用。
我们开发了一款简单、直观且基于视频的应用程序（DigiAdherence），该程序提供食谱、营养咨询以及有关体育活动、认知锻炼、坚持治疗的动机、预防跌倒和健康素养的内容。将招募25名来自葡萄牙阿尔加维地区波蒂芒个性化医疗保健单位或阿拉德港家庭健康单位（ACeS阿尔加维II - 巴亚尔文托，阿尔加维地区卫生局，ARS阿尔加维）的老年人作为便利样本。受试者必须年满65岁，拥有智能手机或平板电脑，愿意参与并同意参与。不了解如何使用或没有智能手机/平板电脑的人将被排除。同样，患有严重认知或身体障碍的人以及居住在长期护理中心的人将不纳入本研究。参与者将有4周时间使用该应用程序，并在3个不同时间点进行评估（V0，开始使用应用程序前；V1，使用30天后；V2，停止使用60天后）。使用该应用程序30天后，将要求参与者使用7点李克特量表对该移动工具在鼓励他们正确服药、改善生活质量、增加健康相关知识和预防跌倒方面的效用进行评分。还将要求他们评估应用程序的易用性和视觉美感、使用该应用程序的动机以及对该应用程序的满意度。将通过半结构化问卷进行临床访谈对受试者进行评估，问卷包括有关用户体验、满意度、应用程序的效用、生活质量（EQ - 5D - 3L工具）和治疗依从性（莫利斯基量表）的问题。将分析在V1和V2时认为该应用程序对其健康有用的参与者比例。关于生活质量和治疗依从性认知方面，将使用配对样本t检验对V0和V1进行比较。V0和V2之间也将进行同样的比较。
本研究于2019年12月获得资助，并得到了ACeS阿尔加维II - 巴亚尔文托执行委员会和新医学院伦理委员会（99/2019/CEFCM，2020年6月）的批准。该方案还得到了阿尔加维地区卫生局（IP，公共机构）健康伦理委员会（2020年9月，16/2020）和执行委员会（2020年12月）的批准。招募工作于2021年6月完成。
由于下一代老年人可能具有更高的数字素养，信息和通信技术有可能用于提供健康相关内容，以改善老年人的生活方式。
国际注册报告标识符（IRRID）：PRR1 - 10.2196/29675
