Medical Direction, IRCCS, INRCA, Ancona, Italy.
Unit of Geriatric Medicine, IRCCS, INRCA, Cosenza, Italy.
J Med Internet Res. 2023 Oct 12;25:e41035. doi: 10.2196/41035.
The worldwide aging trend requires conceptually new prevention, care, and innovative living solutions to support human-based care using smart technology, and this concerns the whole world. Enabling access to active and healthy aging through personalized digital coaching services like physical activity coaching, cognitive training, emotional well-being, and social connection for older adults in real life could offer valuable advantages to both individuals and societies. A starting point might be the analysis of the perspectives of different professionals (eg, geriatricians) on such technologies. The perspectives of experts in the sector may allow the individualization of areas of improvement of clinical interventions, supporting the positive perspective pointed out by the intrinsic capacity framework.
The overall aim of this study was to explore the cross-national perspectives and experiences of different professionals in the field of intrinsic capacity, and how it can be supported by eHealth interventions. To our knowledge, this is the first study to explore geriatric care providers' perspectives about technology-based interventions to support intrinsic capacity.
A survey involving 20 geriatricians or clinical experts in the fields of intrinsic capacity and active and healthy aging was conducted in Italy, France, Germany, and Japan between August and September 2021.
The qualitative findings pointed out relevant domains for eHealth interventions and provided examples for successful practices that support subjective well-being under the intrinsic capacity framework (the benefits offered by personalized interventions, especially by promoting health literacy but avoiding intrusiveness). Moreover, eHealth interventions could be used as a bridge that facilitates and enables social engagement; an instrument that facilitates communication between doctors and patients; and a tool to enrich the monitoring actions of medical staff.
There is an unexplored and significant role for such geriatric perspectives to help the development process and evaluate the evidence-based results on the effectiveness of technologies for older people. This is possible only when clinicians collaborate with data scientists, engineers, and developers in order to match the complex daily needs of older adults.
全球老龄化趋势要求从概念上提出新的预防、护理和创新的生活解决方案，以支持使用智能技术的以人为本的护理，这关系到全世界。通过个性化数字辅导服务（例如，体育活动辅导、认知训练、情绪健康和社交联系）为现实生活中的老年人提供积极健康的老龄化机会，为个人和社会带来有价值的优势。一个起点可能是分析不同专业人员（例如，老年病学家）对这些技术的看法。该领域专家的观点可以使临床干预措施的改进领域个性化，从而支持内在能力框架所指出的积极观点。
本研究的总体目的是探索内在能力领域不同专业人员的跨国视角和经验，以及电子健康干预措施如何支持内在能力。据我们所知，这是第一项探索老年护理提供者对支持内在能力的基于技术的干预措施的看法的研究。
2021 年 8 月至 9 月在意大利、法国、德国和日本进行了一项涉及 20 名老年病学家或内在能力和积极健康老龄化领域临床专家的调查。
定性研究结果指出了电子健康干预的相关领域，并提供了支持内在能力框架下主观幸福感的成功实践示例（个性化干预措施提供的好处，特别是通过促进健康素养但避免侵入性）。此外，电子健康干预措施可用作促进和实现社会参与的桥梁；一种促进医患沟通的工具；以及丰富医务人员监测行动的工具。
这种老年病学观点在帮助发展过程和评估针对老年人的技术有效性的基于证据的结果方面具有未被探索的重要作用。只有当临床医生与数据科学家、工程师和开发人员合作，以满足老年人复杂的日常需求时，才能实现这一目标。
