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基于技术的年龄歧视与老年人物理治疗中使用数字技术的关联。

The Association of Technology-Based Ageism with Using Digital Technology in Physical Therapy for Older Persons.

作者信息

Neiertz Cynthia, Wouters Eveline J M, Mannheim Ittay

机构信息

School of Allied Health Professions, Fontys University of Applied Science, 5631 BN Eindhoven, The Netherlands.

Tranzo, School of Social and Behavioural Sciences, Tilburg University, 5037 AB Tilburg, The Netherlands.

出版信息

Healthcare (Basel). 2023 Oct 2;11(19):2672. doi: 10.3390/healthcare11192672.

Abstract

Integrating digital technologies in healthcare for older adults can enhance their independence and quality of life. Nevertheless, ageism among healthcare professionals impacts treatment decisions and may deprive older patients of technology-based treatment. This study explores whether technology-specific ageism influenced physiotherapists' use of technology-based healthcare with older patients. Seventy-eight physiotherapists in Luxembourg filled out an online survey. Participants filled out the Attitudes Towards Older Adults Using Technology (ATOAUT-11) scale, Expectations Regarding Aging, attitudes towards technology use in the work environment, and whether they had not offered technology-based treatment in the past because of a patient's age. Using logistic regression, negative ATOAUT was found to predict not offering technology-based treatment, such that participants with more negative attitudes (1 standard deviation) were two times more likely not to offer treatment. Positive attitudes towards using technology in the work environment were also found to be a significant predictor. All other characteristics (gender, age, experience and percentage of patients over 50) were not predictive of not offering treatment. This study demonstrates that technology-specific ageism may lead to discrimination and deprive older persons of optimal treatment. More research is needed to identify the magnitude of ageism in using technology-based treatment and develop interventions to overcome it.

摘要

将数字技术整合到老年人的医疗保健中可以提高他们的独立性和生活质量。然而,医疗保健专业人员中的年龄歧视会影响治疗决策,并可能使老年患者无法获得基于技术的治疗。本研究探讨了特定技术的年龄歧视是否会影响物理治疗师对老年患者使用基于技术的医疗保健。卢森堡的78名物理治疗师填写了一份在线调查问卷。参与者填写了《对老年人使用技术的态度》(ATOAUT-11)量表、对衰老的期望、对工作环境中技术使用的态度,以及他们过去是否因为患者年龄而没有提供基于技术的治疗。使用逻辑回归分析发现,ATOAUT得分呈负向与不提供基于技术的治疗之间存在关联,即态度更消极(1个标准差)的参与者不提供治疗的可能性是其他人的两倍。对工作环境中使用技术持积极态度也是一个重要的预测因素。所有其他特征(性别、年龄、经验以及50岁以上患者的比例)均不能预测是否不提供治疗。本研究表明,特定技术的年龄歧视可能导致歧视,并使老年人无法获得最佳治疗。需要更多的研究来确定在使用基于技术的治疗中年龄歧视的程度,并制定干预措施来克服它。

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本文引用的文献

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The Role of Ageism in the Acceptance and Use of Digital Technology.年龄歧视在数字技术的接受和使用中的作用。
J Appl Gerontol. 2023 Jun;42(6):1283-1294. doi: 10.1177/07334648231163426. Epub 2023 Mar 14.
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Gamification in Musculoskeletal Rehabilitation.肌肉骨骼康复中的游戏化
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Global reach of ageism on older persons' health: A systematic review.全球老龄化对老年人健康的影响:系统综述。
PLoS One. 2020 Jan 15;15(1):e0220857. doi: 10.1371/journal.pone.0220857. eCollection 2020.
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Do Feelings and Knowledge About Aging Predict Ageism?对衰老的感受和认知是否能预测年龄歧视?
J Appl Gerontol. 2021 Jan;40(1):28-37. doi: 10.1177/0733464819897526. Epub 2020 Jan 10.
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A systematic review of existing ageism scales.现有年龄歧视量表的系统评价。
Ageing Res Rev. 2019 Sep;54:100919. doi: 10.1016/j.arr.2019.100919. Epub 2019 Jun 19.

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