Digital health care for older adults

Evangelista, Lorraine S.; Steinhubl, Steven R.; Topol, Eric J.

doi:10.1016/s0140-6736(19)30800-1

Cited by 53 publications

(48 citation statements)

References 4 publications

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“…Healthspan [G] has not kept up with increasing lifespan and, since ageing is the predominant risk factor for most chronic diseases [1][2][3] (FIG. 1b), the greying population is increasingly threatening economic growth and sustainability, with the healthcare sector particularly vulnerable 4,5 . Second, the pharmaceutical sector has spent large amounts of time and resource on development of treatments for age-related chronic disease, with only limited success.…”

Section: [H1] Introductionmentioning

confidence: 99%

The quest to slow ageing through drug discovery

Partridge

Fuentealba

Kennedy

2020

Nat Rev Drug Discov

285

249

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Although death is inevitable, individuals have long sought to alter the course of the ageing process. Indeed, ageing has proved to be modifiable; by intervening in biological systems such as nutrient-sensing, cellular senescence, the systemic environment and the gut microbiome, phenotypes of ageing can be slowed sufficiently to mitigate age-related functional decline. These interventions can also delay the onset of many disabling, chronic diseases, including cancer, cardiovascular disease and neurodegeneration in animal models.Here we examine the most promising chemical interventions to slow ageing, and group them into two tiers based on the robustness of the preclinical, and some clinical, results. We then focus on the potential of the interventions and the feasibility of conducting clinical trials with these chemicals, with the overall aim of maintaining health for longer before the end of life.

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Section: [H1] Introductionmentioning

confidence: 99%

The quest to slow ageing through drug discovery

Partridge

Fuentealba

Kennedy

2020

Nat Rev Drug Discov

285

249

View full text Add to dashboard Cite

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“…Past work has already noted the positive impact of digitally based strategies for older patients in diverse domains from mental health to physical balance and recovery disease [13,14]. However, numerous potential challenges exist for older adults, including physical limitations (e.g., vision, memory, cognitive impairments) [15], concerns about decreased overall familiarity/facility with technology [16], user hesitation with adoption of novel technology [17], and finally programming/content aimed for a young target demographic. Previous work has already noted that older patients are both less likely to use digital health tools, and more hesitant in adopting such measures [18,19].…”

Section: Introductionmentioning

confidence: 99%

Feasibility and Adoption of a Focused Digital Wellness Program in Older Adults

Tam

Boas²,

Ruaro³

et al. 2021

Geriatrics

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Digital health programs offer numerous psychological and physical health benefits. To date, digital programs have been aimed broadly at younger participants, yet older individuals may also benefit. Our study sought to demonstrate user feasibility and satisfaction in a digital wellness program for older adults. We conducted a retrospective analysis of 140 participants in a digital health wellness application that integrated guided exercises, nutrition planning and health education. Primary outcomes were active participant retention, engagement in the mobile program and user satisfaction as operationalized by NPS scores. Among 140 participants, median age was 59.82 (50–80), 61% female, in a sample taken in the United States. Engagement was high and sustained, with more than 65% participants engaged, operationalized as at least completing one task activity a month over 17 weeks. Participants were also satisfied with the program, reporting NPS scores of 43 on day 30 of the program. Secondary health outcomes included 3.44 pound weight change during the first month. User feasibility and satisfaction was demonstrated in a sample of older participants for this novel digital health wellness program. Future work focused on older adult users may result in improvements in patient health outcomes and improved preventive medicine strategies.

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“…It can also improve control of chronic medical conditions by monitoring or quick detection and communication with distant professionals. 7 In older patients with complex multiple disease and functional status combinations, the integrated services model using ICT, for example, 'suggestions of treatment targets which consider patient's frailty status', 'providing evaluation tools and automatically suggest rehabilitation program based on functional status' and 'selecting inappropriate medicine among automatically identified prescribed medicine and recommending the appropriate medication according to disease status' are needed.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Validation of an integrated service model, Health-RESPECT, for older patients in long-term care institution using information and communication technologies: protocol of a cluster randomised controlled trial

Choi

Kim

et al. 2020

BMJ Open

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IntroductionThere is an increased healthcare need to manage institutionalised older patients owing to the ageing population. To overcome substantial future challenges, the Health-RESPECT (caRE Systems for Patients/Elderly with Coordinated care using icT), a new information and communication technologies based integrated management service model, was developed to provide effective management, enable consultation with distant professionals and share medical information between acute care hospitals and long-term care institutions.Methods and analysisA cluster randomised controlled trial will be conducted to examine the effectiveness of the Health-RESPECT in older patients with chronic diseases and their medical staff in charge. Intervention involves registration with simple comprehensive geriatric assessment, establishment of an individualised care plan for three chronic diseases (hypertension, diabetes and heart failure), medication and rehabilitation management, periodic video-conference and in-system assessment after intervention period. Primary outcomes are control levels of the three chronic diseases, adequacy of drug management and overall functional status. Patients will be assessed at before and after study period and 3 months after study ended. Analysis will be carried out with an intention-to-treat principle. In addition to evaluate intervention effects, clinical usability and economic evaluation will be assessed.Ethics and disseminationThe study protocol was reviewed and approved by the Seoul National University Bundang Hospital Institutional Review Board. Study findings will be published in peer-reviewed journals.Trial registration numberKCT0004360.

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Digital health care for older adults

Cited by 53 publications

References 4 publications

The quest to slow ageing through drug discovery

The quest to slow ageing through drug discovery

Feasibility and Adoption of a Focused Digital Wellness Program in Older Adults

Validation of an integrated service model, Health-RESPECT, for older patients in long-term care institution using information and communication technologies: protocol of a cluster randomised controlled trial

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