Geriatric Helper: An mHealth Application to Support Comprehensive Geriatric Assessment

Silva, Samuel; Felgueiras, Rafael; Oliveira, Ilídio

doi:10.3390/s18041285

Cited by 9 publications

(13 citation statements)

References 71 publications

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“…In their survey, this application was considered useful and made it easier for health workers to perform CGAs and update health information. 8 This opinion is consistent with the opinion of the subjects in our study. According to our study, in the agree and strongly agree groups, 94.8% of subjects felt that CGA in a digital form helped them manage geriatric patients better.…”

Section: Discussionsupporting

confidence: 92%

“…The problem is that none of these applications cover the whole CGA range. 8 The CGA applications that are quite complete today are Geriatric Helper made by Silva et al, ICOPE, and mAgeing made by the WHO. However, none of these applications are in the Indonesian language and adapted to Indonesian culture, making them difficult to apply in clinical practice here.…”

Section: Discussionmentioning

confidence: 99%

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The role of digital mobile technology in elderly health management among health care workers in Indonesia: Analysis of knowledge, attitudes, and practice

et al. 2022

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Background Technology, including information and communication technology (ICT), plays a significant role in the quality of health services. However, its application in elderly health services is still lacking. The aim of this study was to determine the knowledge of, attitudes toward, and practices of cell phone and mobile application use for elderly health care among Indonesian health care workers. Methods This was a cross-sectional study conducted with health care workers in Jakarta, Indonesia. The potential subjects were contacted through instant messenger application and/or through conventional short message service or telephone calls from August through November 2020. Results There were 134 subjects. All the subjects had used various health applications to assist with their daily work, including telemedicine (64.2%), guidelines (60.4%), and medical calculators (46.3%). However, 96.3% of the subjects were not aware of the existence of a health application for geriatric assessment. Furthermore, 98.5% of subjects thought that it is important to use ICT to manage geriatric patients, and 94.8% felt that comprehensive geriatric assessment (CGA) in digital form would help them manage geriatric patients better. Nevertheless, 35.10% of subjects had never applied CGA to their geriatric patients. Conclusions The current health care system has begun to enter a period of using ICT in performing health services for geriatric patients. Nevertheless, only a few Indonesian health care workers were aware of or were using the geriatric mobile application. It is essential to improve the dissemination of geriatric health care and e-health literacy among them to improve the quality of elderly health care.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

The role of digital mobile technology in elderly health management among health care workers in Indonesia: Analysis of knowledge, attitudes, and practice

et al. 2022

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“…To date, many applications were developed in other languages 23–25 . They were developed to guide a mobile‐oriented CGA, they guide healthcare professionals to perform CGA.…”

Section: Discussionmentioning

confidence: 99%

Usability of a self‐administered geriatric assessment mHealth: Cross‐sectional study in a geriatric clinic

Rasheedy

Mohamed

Saber

et al. 2020

Geriatrics Gerontology Int

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Aim mHealth can facilitate comprehensive geriatric assessment (CGA) in countries with limited geriatric healthcare facilities. It can compensate for the lack of trained geriatricians and integrate CGA in different healthcare disciplines leading to better clinical outcomes. This study assessed the usability of a self‐administered geriatric assessment smartphone application. Methods A cross‐sectional study included participants from the geriatric clinic at Ain Shams University Hospital, Cairo, Egypt. This study was performed in three phases: development and validation of an abbreviated geriatric assessment tool, and validation of the application prototype. Twenty subjects were recruited for pretesting the abbreviated assessment tool, then another 50 patients to validate this tool in a face‐to‐face interview. Afterwards, another 12 patients completed the prototype followed by a standardized office visit interview. Each assessment domain was evaluated in agreement with a valid reference test during the clinical interview. Results The application was simple and user friendly. The scores of each domain correlated to the reference test scores (rho = 0.59–0.93). Most of the domains exhibited good agreement with the reference tests (kappa = 0.68–1.00) (except for frailty and nutritional assessment). Conclusions The mHealth geriatric assessment is possible and highly desirable during physical distancing and beyond. Obviously, this approach cannot substitute for clinical examination and multidisciplinary standard CGA. However, it may overcome some barriers facing the geriatrization of medicine. It would help general practitioners to provide pre‐CGA evaluation, particularly in areas with limited access to formal geriatric healthcare services. Geriatr Gerontol Int 2021; 21: 222–228.

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“…Additionally, completing the CGA requires time and personnel resources, which in some cases are not readily available for assessing the whole population at risk of frailty ( 10 ). Alternative CGA models have been proposed to overcome this barrier, which include an abbreviated version of CGA ( 11 ); or the incorporation of Information and Communication Technologies (ICT) to integrate all professionals and care levels involved in the assessment, and to streamline data collection and patient management ( 12 ). Indeed, ICT does not only allow remote gathering of relevant information, and the generation and integration of knowledge, it may also empower patients to actively participate in the management of their own health and transform the traditional relationship between patients and professionals ( 13 ).…”

Section: Introductionmentioning

confidence: 99%

Home Monitoring System for Comprehensive Geriatric Assessment in Patient's Dwelling: System Design and UX Evaluation

Villalba-Mora

Ferré

Pérez‐Rodríguez

et al. 2021

Front. Digit. Health

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Population aging threatens the sustainability of welfare systems since it is not accompanied by an extended healthy and independent period in the last years of life. The Comprehensive Geriatric Assessment (CGA) has been shown to be efficient in maintaining the healthy period at the end of the life. Frailty monitoring is typically carried out for an average period of 6 months in clinical settings, while more regular monitoring could prevent the transition to disability. We present the design process of a system for frailty home monitoring based on an adapted CGA and the rationale behind its User eXperience (UX) design. The resulting home monitoring system consists of two devices based on ultrasound sensors, a weight scale, and a mobile application for managing the devices, administering CGA-related questionnaires, and providing alerts. Older users may encounter barriers in their usage of technology. For this reason, usability and acceptability are critical for health monitoring systems addressed to geriatric patients. In the design of our system, we have followed a user-centered process, involving geriatricians and older frail patients by means of co-creation methods. In the iterative process of design and usability testing, we have identified the most effective way of conducting the home-based CGA, not just by replicating the dialogue between the physician and the patient, but by adapting the design to the possibilities and limitations of mobile health for this segment of users. The usability evaluation, carried out with 14 older adults, has proved the feasibility of users older than 70 effectively using our monitoring system, additionally showing an intention over 80% for using the system. It has also provided some insights and recommendations for the design of mobile health systems for older users.

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Geriatric Helper: An mHealth Application to Support Comprehensive Geriatric Assessment

Cited by 9 publications

References 71 publications

The role of digital mobile technology in elderly health management among health care workers in Indonesia: Analysis of knowledge, attitudes, and practice

The role of digital mobile technology in elderly health management among health care workers in Indonesia: Analysis of knowledge, attitudes, and practice

Usability of a self‐administered geriatric assessment mHealth: Cross‐sectional study in a geriatric clinic

Home Monitoring System for Comprehensive Geriatric Assessment in Patient's Dwelling: System Design and UX Evaluation

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