Older adults are mobile too!Identifying the barriers and facilitators to older adults' use of mHealth for pain management.
Older adults are mobile too!Identifying the barriers and facilitators to older adults' use of mHealth for pain management.
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DOI：
10.1186/1471-2318-13-43
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发表时间：
2013-05-06
期刊：
影响因子：
4.1
通讯作者：
Reid MC
中科院分区：
文献类型：
--
作者：
Parker SJ;Jessel S;Richardson JE;Reid MC
移动的健康（mHealth）是一个迅速崛起的领域，通过加强与提供者的沟通，监测治疗相关的副作用和疼痛水平，以及增加获得疼痛护理资源，有可能帮助老年人管理慢性疼痛（CP）。然而，目前所知甚少，关于老年人的态度和看法的mHealth或感知的障碍和促进者使用mHealth工具，以改善疼痛管理。我们进行了六个焦点小组，包括41名不同的老年人（≥60岁）与CP。参与者是从一个初级保健实践和两个多服务高级社区日间访问中心位于纽约市，为老年人在他们周围的社区招募的。焦点小组的讨论记录和转录，并使用直接内容分析，以确定和量化的主题进行分析。焦点小组讨论产生了38个关于使用移动健康来帮助管理疼痛和止痛药的主题。参与者之前使用mHealth的比例很低（5%），但绝大多数（85%）都非常愿意尝试这些设备。参与者报告说，移动健康设备可以帮助他们更快地联系到医疗保健提供者（27%），并帮助监测福尔斯和其他不良事件（15%）。设备使用的障碍包括对成本的担忧（42%）和对技术的不熟悉（32%）。器械使用的促进因素包括器械使用前的培训（61%）和根据老年人的功能需求定制器械（34%）。这项研究表明，患有CP的老年人有兴趣并愿意使用mHealth来帮助管理疼痛。我们研究的参与者报告了医疗专业人员、研究人员和移动医疗开发人员应该解决的重要障碍，以帮助促进为老年CP患者开发和评估适合年龄和功能的移动医疗设备。
Mobile health (mHealth) is a rapidly emerging field with the potential to assist older adults in the management of chronic pain (CP) through enhanced communication with providers, monitoring treatment-related side effects and pain levels, and increased access to pain care resources. Little is currently known, however, about older adults’ attitudes and perceptions of mHealth or perceived barriers and facilitators to using mHealth tools to improve pain management. We conducted six focus groups comprised of 41 diverse older adults (≥60 years of age) with CP. Participants were recruited from one primary care practice and two multiservice senior community day-visit centers located in New York City that serve older adults in their surrounding neighborhoods. Focus group discussions were recorded and transcribed, and transcriptions were analyzed using direct content analysis to identify and quantify themes. Focus group discussions generated 38 individual themes pertaining to the use of mHealth to help manage pain and pain medications. Participants had low prior use of mHealth (5% of participants), but the vast majority (85%) were highly willing to try the devices. Participants reported that mHealth devices might help them reach their healthcare provider more expeditiously (27%), as well as help to monitor for falls and other adverse events in the home (15%). Barriers to device use included concerns about the cost (42%) and a lack of familiarity with the technology (32%). Facilitators to device use included training prior to device use (61%) and tailoring devices to the functional needs of older adults (34%). This study suggests that older adults with CP are interested and willing to use mHealth to assist in the management of pain. Participants in our study reported important barriers that medical professionals, researchers, and mHealth developers should address to help facilitate the development and evaluation of age-appropriate, and function-appropriate, mHealth devices for older persons with CP.
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影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
DOI：
10.1046/j.1532-5415.2002.50161.x
发表时间：
2002-04-01
影响因子：
6.3
作者：
Leveille, SG;Bean, J;Guralnik, JM
通讯作者：
Guralnik, JM
影响因子：
2.5
作者：
Hermens, Hermie J.;Vollenbroek-Hutten, Miriam M. R.
通讯作者：
Vollenbroek-Hutten, Miriam M. R.
DOI：
10.1111/j.1526-4637.2011.01211.x
发表时间：
2011-09
期刊：
Pain medicine (Malden, Mass.)
影响因子：
--
作者：
Reid MC;Bennett DA;Chen WG;Eldadah BA;Farrar JT;Ferrell B;Gallagher RM;Hanlon JT;Herr K;Horn SD;Inturrisi CE;Lemtouni S;Lin YW;Michaud K;Morrison RS;Neogi T;Porter LL;Solomon DH;Von Korff M;Weiss K;Witter J;Zacharoff KL
通讯作者：
Zacharoff KL
影响因子：
3.3
作者：
Rogers, WA;Fisk, AD;Cabrera, EF
通讯作者：
Cabrera, EF