Perceptions of Chinese older adults with type 2 diabetes mellitus about self-management mobile platform: A qualitative study

Cheng, Kangyao; Wang, Hui; Zhu, Yingyi; Wang, Yan; Zhu, Huiling; Lyu, Weibo

doi:10.1016/j.gerinurse.2022.04.006

Cited by 3 publications

(3 citation statements)

References 29 publications

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“…In the context of the post-pandemic era, the advantages of mobile health applications (MHA) in the home health management of older people are more obvious. These mHealth interventions based on smartphones and tablets have been gradually applied to the disease management of older patients with chronic diseases [6], which is of great significance in helping older patients to monitor and self-manage diseases, improve medication compliance, promote changes in unhealthy lifestyles, and improve the prognosis of diseases [7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Experience of Older Patients with COPD Using Disease Management Apps: A Qualitative Study

Zou,

Sun,

Chen

et al. 2024

Healthcare

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(1) Background: Digital medicine is developing in the management of chronic diseases in older people, but there is still a lack of information on the use of disease management apps in older patients with COPD. This study aims to explore the views and experience of older patients with COPD on disease management apps to provide a basis for the development and promotion of apps for geriatric diseases. (2) Methods: A descriptive qualitative research method was used. Older patients with COPD (N = 32) with experience using disease management apps participated in semi-structured interviews. Thematic analysis was used to analyze the data. (3) Results: Seven themes were defined: (a) feeling curious and worried when facing disease management apps for the first time; (b) actively overcoming barriers to use; (c) gradually becoming independent by continuous online learning; (d) feeling safe in the virtual environment; (e) gradually feeling new value in online interactions; (f) relying on disease management apps under long-term use; (g) expecting disease management apps to meet personalized needs. (4) Conclusions: The adoption and use of disease management apps by older people is a gradual process of acceptance, and they can obtain a wide range of benefits in health and life.

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Section: Introductionmentioning

confidence: 99%

Experience of Older Patients with COPD Using Disease Management Apps: A Qualitative Study

Zou,

Sun,

Chen

et al. 2024

Healthcare

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“…20 The relatively low education levels of older Chinese adults 21 may also exacerbate their experienced difficulties in communicating with healthcare providers and comprehending medical terminology. 22 The existing research on health literacy has primarily centered on health management skills among patients with chronic illnesses, such as cancer, hypertension, and diabetes. For instance, low health literacy, characterized by a limited capacity to understand health information and healthcare professionals' instructions, is related to poorer self-management in health skills for chronic disease, which may lead to worse physical health outcomes.…”

Section: Introductionmentioning

confidence: 99%

“…Although in 2017 the health literacy rate among Chinese residents had increased to 14.2% from 6.5% in 2008, it was only 7.7% among older adults aged 60–69 years, which is still relatively low 20 . The relatively low education levels of older Chinese adults 21 may also exacerbate their experienced difficulties in communicating with healthcare providers and comprehending medical terminology 22 …”

Section: Introductionmentioning

confidence: 99%

Health literacy, worry about unmet needs for medical care, and psychological well‐being among older Chinese adults

Li,

Wang,

Zhou

2023

Geriatrics Gerontology Int

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AimThis study aims to examine the relationship between older adults' health literacy and their psychological well‐being and the role of worry about future unmet needs for medical care in mediating this relationship.MethodsWe adopted a sample of 965 older Chinese people aged 60+ (49.74% female) from the 2021 Chinese General Social Survey. A series of structural equation models (SEMs) were performed. Health literacy was measured by three items regarding older people's ability to understand medical professionals, ask them questions, and read medical instructions. A single‐item question was adopted to measure participants' worry about unmet needs for future medical care. Psychological well‐being was measured by three items regarding emotional problems and depressed or anxious mood in the past 4 weeks.ResultsWorry about future unmet needs for medical care mediates the relationship between lack of health literacy and Chinese older people's psychological well‐being. The indirect effect accounts for 22.3% of the total effect. The SEM model has a satisfactory model fit (goodness of fit index = 1.000, comparative fit index = 0.999, Tucker‐Lewis index = 0.997, root mean square error of approximation = 0.009, standardized root mean square residual = 0.023, chi‐square test = 50.96, P = 0.321).ConclusionsThe findings of this study underscore the importance of improving communication quality between healthcare providers and older adults. Clinical interventions that promote health literacy and address worries about unmet needs for medical services may benefit older adults. Geriatr Gerontol Int 2023; ••: ••–••.

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An integrated telemanagement program based on an integrated health care model in patients with type 2 diabetes mellitus: A prospective study (Preprint)

Lu,

Huang,

Liu

et al. 2023

Preprint

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BACKGROUND The prevalence of type 2 diabetes, a lifelong progressive disease, is increasing every year, causing it to become a growing public health problem worldwide. Active self-management by patients can slow the development of diabetes and reduce the risk of complications. However, outside of the hospital, in the absence of monitoring by doctors, nurses, etc., patients' self-efficacy in diabetes management is low, and adherence is poor, which seriously affects the effectiveness of diabetes treatment. OBJECTIVE Objective: The objectives is to investigate the effectiveness of a remote integrated management program based on an integrated health care model in patients with type 2 diabetes mellitus (T2DM). METHODS Method: This study utilized its own pre- and postintervention research methodology. Data on sociodemographic characteristics, past disease history, self-management, and laboratory indicators were collected from the study subjects before the intervention. Then, a comprehensive management program (including medical nutrition, exercise, medication, self-monitoring of blood glucose, and health education) using an integrated health care model was used to provide a 3-month teleintervention for the study participants. The main outcome indicator was glycated hemoglobin level; other outcome indicators included self-management behavior, self-efficacy, quality of survival, the results of blood glucose, blood lipid, and urine tests and other indicators. All data were analyzed using SPSS software. RESULTS Results: A total of 101 study participants with a mean age of 48.46 ± 12.45 years were recruited for this study. The results of pre- and postintervention analyses and comparisons showed that glycated hemoglobin(HbA1c), fasting blood glucose (FBG), 2 h postprandial glucose (2-h PG), total cholesterol (TC), triglycerides (TGs), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), systolic blood pressure, and body mass index (BMI) improved in the postintervention period compared with the preintervention period, and the differences were statistically significant (P < 0.05); the self-management behavior scale score, self-efficacy scale score, and quality of survival scale score improved in the postintervention period, and the differences were statistically significant (P < 0.05). CONCLUSIONS Conclusion: Remote integrated management program interventions based on an integrated health care model can improve health outcomes, increase glycemic compliance, and improve self-management behaviors, self-efficacy, and quality of survival in patients with T2DM. CLINICALTRIAL This study used a before-and-after controlled study design to provide an interventions for T2DM patients through a 3-month remote integrated management program based on a health care integration model, and assessed the changes in metabolic indices such as HbA1c levels, lipid levels, and self-management behaviors of patients before and after the intervention. The study was registered in the Chinese Clinical Trial Registry (registration no. ChiCTR2300077466).

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Perceptions of Chinese older adults with type 2 diabetes mellitus about self-management mobile platform: A qualitative study

Cited by 3 publications

References 29 publications

Experience of Older Patients with COPD Using Disease Management Apps: A Qualitative Study

Experience of Older Patients with COPD Using Disease Management Apps: A Qualitative Study

Health literacy, worry about unmet needs for medical care, and psychological well‐being among older Chinese adults

An integrated telemanagement program based on an integrated health care model in patients with type 2 diabetes mellitus: A prospective study (Preprint)

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