Background: To encourage older adults with chronic disease to use information and communications technology (ICT) services effectively, it is necessary to identify users' needs and factors affecting acceptance. Objective: To identify the psychological factors affecting the acceptance of ICT services, and the service-related preferences/priorities in home-dwelling South Korean older adults. Method: We conducted focus group interviews with 2 groups of older adults (6 males and 6 females, age = 65-75 years) with chronic diseases in June 2019. To identify which services they prioritized, we made 20 service show cards, scored on a 5-point Likert scale. Additionally, we utilized a self-developed semi-structured interview guide based on the unified theory of acceptance and use of technology 3 model (UTAUT3) to comprehensively identify how the factors affect older adults' acceptance. Results: Most participants prioritized their autonomy and worried about being dependent on ICT services. They were also reluctant to learn about and use new technology; feared the social stigma related to "being old"; and were anxious that the use of ICT services could result in deepened isolation. There was ambivalence regarding the impact of ICT services on connection with family/acquaintances. The prioritized services were emergency assistance (e.g., notifying family in case of emergencies), diet and exercise-related information, and medication reminders. Service needs and psychological factors affecting the acceptance differed by gender. Conclusion:The ICT services offered to the elderly should be developed in a way that guarantees autonomy and supports self-reliance. Services must also ensure the enhancement of social networks and maintenance of connectedness with family. Older people have a fear of learning new services; so, personal guidance and tailored education need to be offered. Further, service development must reflect the diverse needs of each user.
This study explored changes in individuals' behavior in response to social distancing (SD) levels and the "no gatherings of more than 5 people" (NGM5) rule in Korea during the coronavirus disease 2019 (COVID-19) pandemic.Methods: Using survey data from the COVID-19 Behavior Tracker, exploratory factor analysis extracted 3 preventive factors: maintenance of personal hygiene, avoiding going out, and avoiding meeting people. Each factor was used as a dependent variable. The chisquare test was used to compare differences in distributions between categorical variables, while binary logistic regression was performed to identify factors associated with high compliance with measures to prevent transmission. Results:In men, all 3 factors were significantly associated with lower compliance. Younger age groups were associated with lower compliance with maintenance of personal hygiene and avoiding meeting people. Employment status was significantly associated with avoiding going out and avoiding meeting people. Residence in the capital area was significantly associated with higher compliance with personal hygiene and avoiding venturing out. Increasing SD levels were associated with personal hygiene, avoiding going out, and avoiding meeting people. The NGM5 policy was not significantly associated with compliance.Conclusions: SD levels, gender, age, employment status, and region had explanatory power for compliance with non-pharmaceutical interventions (NPIs). Strengthening social campaigns to inspire voluntary compliance with NPIs, especially focused on men, younger people, full-time workers, and residents of the capital area is recommended. Simultaneously, efforts need to be made to segment SD measures into substrategies with detailed guidance at each level.
The rapid increase of the population of adults aged 65 years or older in South Korea is causing issues related to population aging, which in turn necessitates the provision of appropriate and sustainable health services to older adults [1]. However, the emergence of coronavirus diseases 2019 (COVID-19) has led to the need to provide medical services remotely [2]. Home-based healthcare is a resourceful way of providing health services distantly, ensuring the safety of older adults. Furthermore, older adults generally prefer to receive appropriate healthcare services at home, rather than staying at a hospital or long-term facility, resulting in the
Background Social loneliness is a prevalent issue in industrialized countries that can lead to adverse health outcomes, including a 26% increased risk of premature mortality, coronary heart disease, stroke, depression, cognitive impairment, and Alzheimer disease. The United Kingdom has implemented a strategy to address loneliness, including social prescribing—a health care model where physicians prescribe nonpharmacological interventions to tackle social loneliness. However, there is a need for evidence-based plans for global social prescribing dissemination. Objective This study aims to identify global trends in social prescribing from 2018. To this end, we intend to collect and analyze words related to social prescribing worldwide and evaluate various trends of related words by classifying the core areas of social prescribing. Methods Google’s searchable data were collected to analyze web-based data related to social prescribing. With the help of web crawling, 3796 news items were collected for the 5-year period from 2018 to 2022. Key topics were selected to identify keywords for each major topic related to social prescribing. The topics were grouped into 4 categories, namely Healthy, Program, Governance, and Target, and keywords for each topic were selected thereafter. Text mining was used to determine the importance of words collected from new data. Results Word clouds were generated for words related to social prescribing, which collected 3796 words from Google News databases, including 128 in 2018, 432 in 2019, 566 in 2020, 748 in 2021, and 1922 in 2022, increasing nearly 15-fold between 2018 and 2022 (5 years). Words such as health, prescribing, and GPs (general practitioners) were the highest in terms of frequency in the list for all the years. Between 2020 and 2021, COVID, gardening, and UK were found to be highly related words. In 2022, NHS (National Health Service) and UK ranked high. This dissertation examines social prescribing–related term frequency and classification (2018-2022) in Healthy, Program, Governance, and Target categories. Key findings include increased “Healthy” terms from 2020, “gardening” prominence in “Program,” “community” growth across categories, and “Target” term spikes in 2021. Conclusions This study’s discussion highlights four key aspects: (1) the “Healthy” category trends emphasize mental health, cancer, and sleep; (2) the “Program” category prioritizes gardening, community, home-schooling, and digital initiatives; (3) “Governance” underscores the significance of community resources in social prescribing implementation; and (4) “Target” focuses on 4 main groups: individuals with long-term conditions, low-level mental health issues, social isolation, or complex social needs impacting well-being. Social prescribing is gaining global acceptance and is becoming a global national policy, as the world is witnessing a sharp rise in the aging population, noncontagious diseases, and mental health problems. A successful and sustainable model of social prescribing can be achieved by introducing social prescribing schemes based on the understanding of roles and the impact of multisectoral partnerships.
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