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ItemNational Survey of Older Adults in Canada: Social and Health Care System Determinants of E-Health Applications Use( 2023-01-03)Little is known about e-health applications use by elderly in relation to social and system level determinants. We conducted a national survey of 2000 seniors in Canada assessing their use of technology and e-health applications, social determinants and interaction with the health care (HC) system. The findings demonstrate technological readiness (85% owned computers, 74% used Internet daily/weekly, 90% used e-mail), which does not translate into e-health applications use. Internet use to connect with a HC professional, access test results or patient portal, or medical appointment booking was very limited. The use of wearables, telemonitoring, and fall detection technology was also very low (11.9%, 9.4%, 4.2%, respectively). A digital divide exists among seniors that is underscored by significant associations between e-health applications use and social determinants. Private insurance and willingness to pay for quicker access are related to higher frequency of mApps and Internet use for accessing health information and exchanging with HC providers.
ItemTechnology Use in Managing the Nutrition Health of Older Adults: A Scoping Review( 2023-01-03)Technology improvements for health care may enable nutritional health management for older adults. Research has yet to map the types of technology utilized to manage nutrition. This scoping review includes research in technology and nutrition to: (1) explain how technology is used to manage the nutrition needs of older adults; (2) describe the types of technology used to manage nutrition. The literature period was 21 years, but 86 percent of the papers retained were published within the past five years. The most common type of technology used is software, which is used to: (1) track, plan, and execute nutrition management and (2) assess technology use. The findings show that software for older adults lacks standardization. The internet of things is a promising area for research, and personal devices emphasize the tablet computer. The results suggest that managing older adult nutrition through technology is not yet a formable research area.
ItemEvaluation of Supporting Tools for Health Coaches Providing Nutrition and Exercise Coaching to Older Adults in Singapore( 2023-01-03)A rapidly ageing population and multimorbidity are questioning the sustainability of healthcare systems in Singapore, whereby health coaches, who help older adults build and sustain a healthy lifestyle, have become increasingly popular in recent years. Health coaches however face multiple challenges due to caregiver burden. In this study, we designed and evaluated web and mobile applications (“apps”) to support health coaches with scheduling, managing reports, and providing access to resources related to nutrition and exercise for older adults. We examined the acceptance and usability of the apps with health coaches after they completed 8 weekly online health coaching sessions. We found desirable functions included consideration of ethnic diversity in the context of a multi-culture society, potential of providing just-in-time information when they face problems during coaching, and helpful materials and links for health coaches to refer to.