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老年人对健康管理技术及应用的使用情况与兴趣:一项调查研究

Older Adults' Use of and Interest in Technology and Applications for Health Management: A Survey Study.

作者信息

Sproul Ashley, Stevens Jonathan, Richard Jacqueline

机构信息

, BScPharm, PharmD, is with Saint John Regional Hospital, Horizon Health Network, Saint John, New Brunswick.

s, PharmD, BScPharm, ACPR, is with Saint John Regional Hospital, Horizon Health Network, Saint John, New Brunswick.

出版信息

Can J Hosp Pharm. 2023 Jul 5;76(3):209-215. doi: 10.4212/cjhp.3261. eCollection 2023 Summer.

Abstract

BACKGROUND

Older adults face challenges with managing their medications, obtaining health education, and accessing health services. Mobile health (mHealth), defined as any medical or public health practice facilitated through mobile devices, could help to overcome these difficulties.

OBJECTIVES

To determine what technologies and apps are in current use by older adults, to explore the types of technologies and apps that may be of interest to people in this age group, to explore concerns about technologies, and to examine any age-related differences.

METHODS

Adults 60 years of age or older were invited to complete a 35-item electronic survey, in either French or English, which was distributed through social media and by email from organizations working with older adults. The survey was conducted in mid-2020.

RESULTS

A total of 266 respondents completed some or all of the survey. Most participants had a mobile phone (229/243, 94.2%), and approximately one-third (78/222, 35.1%) had used a health-related app in the previous 12 months; this level of usage was consistent across age groups. Most respondents were interested in using an app to improve their health (171/225, 76.0%), with variation by age: highest among those 60-64 years of age (82/95, 86.3%), lower among those 80 years or older (40/52, 76.9%), and lowest among those 65-69 years of age (6/14, 42.9%). Most older adults were interested in using an app to ask questions of pharmacists (161/219, 73.5%) and to review their medications (154/218, 70.6%). Participants' mHealth concerns focused on costs, disclosure of personal information, effectiveness, usability, and endorsement by health care providers. The study limitations included challenges related to electronic recruitment and survey distribution, as well as a high representation of participants with postsecondary education.

CONCLUSIONS

These findings suggest that a substantial proportion of older adults are already using and are interested in using mHealth for health information, to ask questions, and/or to review their medications with a health care team member.

摘要

背景

老年人在管理药物、获取健康教育以及获得医疗服务方面面临挑战。移动健康(mHealth)被定义为通过移动设备促进的任何医疗或公共卫生实践,有助于克服这些困难。

目的

确定老年人目前正在使用哪些技术和应用程序,探索该年龄组人群可能感兴趣的技术和应用程序类型,探讨对技术的担忧,并研究任何与年龄相关的差异。

方法

邀请60岁及以上的成年人完成一份35项的电子调查问卷,问卷有法语或英语版本,通过社交媒体以及与老年人合作的组织通过电子邮件进行分发。该调查于2020年年中进行。

结果

共有266名受访者完成了部分或全部调查。大多数参与者拥有手机(229/243,94.2%),约三分之一(78/222,35.1%)在过去12个月中使用过与健康相关的应用程序;各年龄组的使用水平一致。大多数受访者有兴趣使用应用程序来改善健康状况(171/225,76.0%),存在年龄差异:60 - 64岁人群中比例最高(82/95,86.3%),80岁及以上人群中较低(40/52,76.9%),65 - 69岁人群中最低(6/14,42.9%)。大多数老年人有兴趣使用应用程序向药剂师提问(161/219,73.5%)以及查看他们的药物(154/218,70.6%)。参与者对移动健康的担忧集中在成本、个人信息披露、有效性、可用性以及医疗保健提供者的认可。研究局限性包括与电子招募和调查分发相关的挑战,以及受过高等教育的参与者占比高。

结论

这些发现表明,相当一部分老年人已经在使用并对使用移动健康获取健康信息、提问和/或与医疗团队成员一起查看他们的药物感兴趣。

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