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Current Aging Science

Editor-in-Chief

ISSN (Print): 1874-6098
ISSN (Online): 1874-6128

Research Article

Mobile-Based Technology for the Management of Chronic Diseases in the Elderly: A Feasibility Study

Author(s): Ghazal Shagerdi, Haleh Ayatollahi* and Fatemeh Oskouie

Volume 12, Issue 2, 2019

Page: [84 - 90] Pages: 7

DOI: 10.2174/1874609812666190621145057

Abstract

Introduction: Population aging and related issues are among the most important challenges in different countries. It seems that the use of remote technology can provide the elderly with better healthcare services and can help them to manage chronic diseases. This research aimed to investigate the experts' views about the feasibility of using mobile-based technology to manage chronic diseases in the elderly.

Methods: This was a survey study which was completed in 2018. The participants were the faculty members of the department of geriatrics across the country (n=33). In order to collect data, two questionnaires were used. The first questionnaire contained questions related to the five dimensions of a feasibility study and the second questionnaire consisted of five open questions about the opportunities, threats, strengths and weaknesses of using mobile-based technology in chronic disease management. The qualitative data were analyzed by using content analysis method and the quantitative data were analyzed by using descriptive statistics.

Results: From the participants’ perspectives, it was feasible to use mobile-based technology in chronic disease management for elderly people. The mean values for five feasibility dimensions were as follows: ethico-legal dimension (4.09±1.01), scheduling dimension (3.70±1.03), economic dimension (3.47±1.04), operational dimension (3.42±1.12) and technical dimension (3.07±1.27). While such a technology can help increasing the accessibility of healthcare services, raising health literacy, and saving time and costs, the main threats, namely; the misinterpretation of information and the possibility of breeching confidentiality should not be underestimated.

Conclusion: The results showed that mHealth and remote medical technologies can be used for chronic disease management among elderly people. However, these technologies have some strengths and weaknesses. In order to succeed in the development and implementation of these projects, it is essential to consider probable threats and weaknesses before implementing the applications.

Keywords: Feasibility, mHealth, chronic disease management, aged, mobile-based technology, geriatrics.

Graphical Abstract
[1]
Zynalhajloo AA, Amini A, Tabrizi JS. The consequences of elderly population growing in Iran with emphasis on the health system challenges. Depiction Health 2015; 6(1): 54-64.
[2]
Taheri A, Shirani M, Zohouri M. The role of information technology in elderly’s health programs: A comparison in Sweden and France. Jpn Hosp 2015; 12(5): 1-11.
[3]
Hemmat M, Ayatollahi H, Maleki M, Saghafi F. Key health information technologies and related issues for Iran: A qualitative study. Open Med Inform J 2018; 12(9): 1-10.
[http://dx.doi.org/10.2174/1874431101812010001] [PMID: 29854016]
[4]
Kruse CS, Mileski M, Moreno J. Mobile health solutions for the aging population: A systematic narrative analysis. J Telemed Telecare 2017; 23(4): 439-51.
[http://dx.doi.org/10.1177/1357633X16649790] [PMID: 27255207]
[5]
Ayatollahi H, Mirani N, Nazari F, Razavi N. Iranian healthcare professionals’ perspectives about factors influencing the use of telemedicine in diabetes management. World J Diabetes 2018; 9(6): 92-8.
[http://dx.doi.org/10.4239/wjd.v9.i6.92] [PMID: 29988886]
[6]
Ayatollahi H, Pourfard SF, Langarizadeh M. Clinicians’ knowledge and perception of telemedicine technology. Perspect Health Inf Manag 2015; 12: 1-6.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4632872/2015
[7]
Facts I. Figures-The world in 2015 Geneva: The International Telecommunication Union. ITU 2015.https://www.itu.int/en/ITU-D/Statistics/Documents/facts/ICTFactsFigures2015.pdf
[8]
Azam SH, Yang Y. Mobile health services for patients with chronic diseases: A systematic literature review. [Bachelor’s thesis] Otaniemi: Laurea University of Applied Sciences 2013.https://www.theseus.fi/bitstream/handle/10024/53813/Azam_Yang.pdf?sequence=1
[9]
Vardeh D, Edwards R, Jamison R, Eccleston C. There’s an app for that: Mobile technology is a new advantage in managing chronic pain. Pain 2013; 21: 1-8.
[10]
Bastawrous A, Armstrong MJ. Mobile health use in low- and high-income countries: An overview of the peer-reviewed literature. J R Soc Med 2013; 106(4): 130-42.
[http://dx.doi.org/10.1177/0141076812472620] [PMID: 23564897]
[11]
Joe J, Demiris G. Older adults and mobile phones for health: A review. J Biomed Inform 2013; 46(5): 947-54.
[http://dx.doi.org/10.1016/j.jbi.2013.06.008] [PMID: 23810858]
[12]
Blake H. Mobile phone technology in chronic disease management. Nurs Stand 2008; 23(12): 43-6.
[http://dx.doi.org/10.7748/ns.23.12.43.s56] [PMID: 19093357]
[13]
Vest D. How mobile devices are transforming healthcare. Int Innov 2012; 18(1): 1-11.
[14]
Hamine S, Gerth GE, Faulx D, Green BB, Sarah A. Impact of mHealth chronic disease management on treatment adherence and patient outcomes. J Med Internet Res 2015; 17(2): e52-p15. /www.ncbi.nlm.nih.gov/pubmed/25803266
[http://dx.doi.org/10.2196/jmir.3951] [PMID: 25803266]
[15]
Kwan A. mHealth opportunities for non-communicable diseases among the eldery Washington: Pfizer; October 2013.http://www.mhealthknowledge.org/resources/mhealth-opportunities-non-communicable-diseases-among-elderly
[16]
Chen K, Chan S, Steve N, Tsang H. Usage of mobile phones amongst elderly people in Hong Kong proceedings of the international multi conference of engineers and computer scientists; 2013 March 13 – 15; Hong Kong 2013; 1-4 . http://www.iaeng.org/publication/IMECS2013/IMECS2013_pp1016-1019.pdf
[17]
Navabi N, Ghaffari F, Jannat-Alipoor Z. Older adults’ attitudes and barriers toward the use of mobile phones. Clin Interv Aging 2016; 11: 1371-8.
[http://dx.doi.org/10.2147/CIA.S112893] [PMID: 27757025]
[18]
Zettel-Watson L, Tsukerman D. Adoption of online health management tools among healthy older adults: An exploratory study. Health Informatics J 2016; 22(2): 171-83.
[http://dx.doi.org/10.1177/1460458214544047] [PMID: 25149210]
[19]
Mousavi SM, Haghi M, Gharasi MM. Iran’s health system and readiness to meet the aging challenges. Iran J Public Health 2015; 44(12): 1716-7.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4724751/
[PMID: 26811829]
[20]
Thielst CB. mHealth technologies: Applications to benefit older adults. Front Health Serv Manage 2011; 28(2): 3-14.
[http://dx.doi.org/10.1097/01974520-201110000-00002] [PMID: 22256506]
[21]
Walker CM, Elder BL, Hayes KS. The role of a self-directed technology to improve medication adherence in heart failure patients. J Nurse Pract 2014; 10(10): 856-63.https://www.sciencedirect.com/science/article/pii/S1555415514005492
[http://dx.doi.org/10.1016/j.nurpra.2014.08.011]
[22]
Bowen DJ, Kreuter M, Spring B, et al. How we design feasibility studies. Am J Prev Med 2009; 36(5): 452-7.
[http://dx.doi.org/10.1016/j.amepre.2009.02.002] [PMID: 19362699]
[23]
Wolfe L. How to write a feasibility study step by step [Internet] 2017 [updated 2017 October 14 2017 [2018 January 29];. https://www.thebalance.com/what-is-a-feasibility-study-3514853
[24]
Yu X, Weller P, Grattan KT. A WSN healthcare monitoring system for elderly people in geriatric facilities. Stud Health Technol Inform 2015; 210: 567-71.
[25]
Sell KA, Amella EJ, Mueller M, Andrews J, Wachs J. Chronic disease self-management and behavior change attitudes in older adults: A mixed-method feasibility study. SAGE Open 2016; 6(3): 1-9.https://journals.sagepub.com/doi/abs/10.1177/2158244016665661
[http://dx.doi.org/10.1177/2158244016665661]
[26]
Choi NG, An S, Garcia A. A feasibility study of low-income homebound older adults’ participation in an online chronic disease self-management program. Home Health Care Serv Q 2014; 33(2): 106-20.
[http://dx.doi.org/10.1080/01621424.2014.908797] [PMID: 24731216]
[27]
Sepehrara Z. . Feasibility study of telediabetes care for elderly nursing rehabilitation centers affiliated to Golestan Province Welfare Organization [MSc thesis] 2013.
[28]
Safdari R, Pahlevanynejad SH, Shamsabadi AR. Improve health of the elderly people with mhealth and technology. Salmand Iran J Ageing 2018; 13(3): 1-12.http://salmandj.uswr.ac.ir/browse.php?a_id=1393&sid=1&slc_lang=en&html=1
[29]
Changhizy M, Kaveh MH. Effectiveness of the mHealth technology in improvement of healthy behaviors in an elderly population: A systematic review. mHealth 2017; 3: 51.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5803024/
[http://dx.doi.org/10.21037/mhealth.2017.08.06]
[30]
Baniasadi T, Jamalpoor A. Improvement of senile chronic disease management with health information technologies 2012.https://www.civilica.com/Paper-NCITHS01-NCITHS01_059.html
[31]
Martinez PR. A qualitative study on patient perceptions towards mhealth technology among high risk, chronic disease patients [PhD thesis]. 2015.https://dash.harvard.edu/handle/1/17295915
[32]
Chiarini G, Ray P, Akter S, Masella C, Ganz A. mHealth technologies for chronic diseases and elders: A systematic review. IEEE J Sel Area Comm 2013; 31(9): 6-18.https://ieeexplore.ieee.org/abstract/document/6585877
[33]
Bengtsson M. How to plan and perform a qualitative study using content analysis. Nursing Plus Open 2016; 2: 8-14.
[http://dx.doi.org/10.1016/j.npls.2016.01.001]
[34]
Matthew-Maich N, Harris L, Ploeg J, et al. Designing, implementing, and evaluating mobile health technologies for managing chronic conditions in older adults: A scoping review. JMIR Mhealth Uhealth 2016; 4(2)e29https://mhealth.jmir.org/2016/2/e29/
[http://dx.doi.org/10.2196/mhealth.5127] [PMID: 27282195]
[35]
Shellington EM, Felfeli T, Shigematsu R, Gill DP, Petrella RJ. HealtheBrain: An innovative smartphone application to improve cognitive function in older adults. mHealth 2017; 3: 17.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5427188/
[http://dx.doi.org/10.21037/mhealth.2017.04.05] [PMID: 28567413]
[36]
Hill NL, Mogle J, Colancecco E, Dick R, Hannan J, Lin FV. Feasibility study of an attention training application for older adults. Int J Older People Nurs 2015; 10(3): 241-9.https://onlinelibrary.wiley.com/doi/full/10.1111/opn.12092
[http://dx.doi.org/10.1111/opn.12092] [PMID: 26073545]
[37]
Similä H, Immonen M, Toska-Tervola J, et al. Feasibility of mobile mental wellness training for older adults. Geriatr Nurs 2018; 39(5): 499-505.https://www.sciencedirect.com/science/article/pii/S0197457218300454
[http://dx.doi.org/10.1016/j.gerinurse.2018.02.001] [PMID: 29530292]
[38]
Ahmadi M, Meraji M, Mashoof E. Evidence on telemedicine in Iran-systematic review. J Paramed Sci Rehab 2018; 7(1): 112-24.http://eprints.mums.ac.ir/id/eprint/9645
[39]
Ayatollahi H, Ghalandar AM, Hemmat M. Web and mobile-based technologies: Which one is feasible to monitor a high-risk pregnancy? BMJ Health Care Inform 2019; 26(1): pii: e000025.
[40]
Kotz D, Gunter CA, Kumar S, Weiner JP. Privacy and security in mobile health: A research agenda 2016.https://ieeexplore.ieee.org/abstract/document/7490314
[http://dx.doi.org/10.1109/MC.2016.185]
[41]
William P, Maeder A. A conceptual framework for secure mobile health. J Int Soc Telemed eHealth 2013; 1(1): 44-51.https://journals.ukzn.ac.za/index.php/JISfTeH/article/view/33
[42]
Kuo MH, Wang SL, Chen WT. Using information and mobile technology improved elderly home care services. Health Policy Technol 2016; 5(2): 131-42.https://www.sciencedirect.com/science/article/pii/S2211883716000125
[http://dx.doi.org/10.1016/j.hlpt.2016.02.004]
[43]
Lee JA, Evangelista LS, Moore AA, et al. Feasibility study of a mobile health intervention for older adults on oral anticoagulation therapy. Gerontol Geriatr Med 2016; 222333721416672970
[http://dx.doi.org/10.1177/2333721416672970] [PMID: 28680940]
[44]
Abu-Dalbouh H, Al-Habeeb A, Al-Kholifi A, Al-Motiry I, Al-Buhairy M. A mobile reminder system for elderly and Alzheimer’s patients. Clin Simul Nurs 2015; 12(5): 1-7.https://pdfs.semanticscholar.org/c7c5/196dcd443e0dc8f01b51df2f724959e8d58c.pdf
[45]
Valenti KG, Portanova J, Laguna J, et al. Feasibility of smartphone use in monitoring pain and symptoms among patients with serious illness. Clin Nurs Stud 2016; 4(3): 1-18.http://www.sciedupress.com/journal/index.php/cns/article/view/9267
[http://dx.doi.org/10.5430/cns.v4n3p18]
[46]
Peiris D, Praveen D, Johnson C, Mogulluru K. Use of mHealth systems and tools for non-communicable diseases in low- and middle-income countries: A systematic review. J Cardiovasc Transl Res 2014; 7(8): 677-91.
[http://dx.doi.org/10.1007/s12265-014-9581-5] [PMID: 25209729]

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