東華大學圖書館 |

eHealth: Towards Improving Self-Management of Acute Pain in Older Adults following a Fracture /

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	eHealth: Towards Improving Self-Management of Acute Pain in Older Adults following a Fracture // Chams Cherid.
作者:	Cherid, Chams,
面頁冊數:	1 electronic resource (117 pages)
附註:	Source: Masters Abstracts International, Volume: 82-09.
Contained By:	Masters Abstracts International82-09.
標題:	Cancer. -
電子資源:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28254521
ISBN:	9798597019079

eHealth: Towards Improving Self-Management of Acute Pain in Older Adults following a Fracture /
Cherid, Chams,

eHealth: Towards Improving Self-Management of Acute Pain in Older Adults following a Fracture /Chams Cherid. - 1 electronic resource (117 pages)

Source: Masters Abstracts International, Volume: 82-09.

Pain is often poorly managed both in-hospital and post-hospital discharge and is associated with harmful outcomes such as increased falls, loss of autonomy and low quality of life and can, in certain instances, evolve into chronic pain. Mobile applications (apps) downloadable on devices such as smartphones and tablets can offer targeted interactive interventions to support patients in acute pain self-management following hospital discharge. However, little is known about the availability and quality of mobile apps for acute pain management in older adults, and the current levels of technology adoption and electronic health (eHealth) literacy in a population of older adults seen in orthopedic clinics. Furthermore, it is important to seek the voice of clinicians when developing a mobile app so that the content is evidence-based, credible and of high value.In this scholarly work, we sought to 1) identify mobile apps currently available for self-management of acute pain and characterize their features (content and functionalities), 2) identify the current level of technology adoption and eHealth literacy among older adults who recently suffered a fracture, to determine if use of mobile digital devices to optimize care interventions would be feasible, acceptable and 3) identify what clinicians believe are the most important content or functionalities to include in a mobile application for self-management of acute pain in older adults following a recent skeletal fracture.Following an environmental scan, where we were unable to identify high quality mobile apps for the self-management of acute pain, we conducted two surveys. In the first, we invited adults ≥ 50 years with a recent fracture to complete a self-administered survey composed of 21 closed-ended questions, including the eHealth literacy scale (eHEALS). A total of 401 participants completed the survey (women: 64%; ≥ 65 years old: 59%). Most respondents (81%) owned at least one mobile device: smartphone (49%), tablet (45%). The majority (65%) of older adults participating in this survey used the Internet in the 6 months prior to the survey (50-64 years: 84%; 65-74 years: 76%; ≥ 75 years: 61%) and approximately 69% of those who used the Internet had high eHealth literacy (eHEALS ≥ 26). Among adults ≥ 75 years who reported owning a smartphone and/or tablet, 60% had recently used the Internet and 64% indicated being interested in using technology to improve their health. Although the eHEALS scores and technology adoption in the ≥ 75 years group were significantly lower compared to younger age groups, our results do support the development of mobile applications for the management of acute pain in this patient population with recent fractures.In the second study, we surveyed clinicians across Canada with expertise in osteoporosis, fractures, rehabilitation and pain management using a snowball sampling method. The survey constituted of one question sent through email asking for recommendations for the most important content or functionalities to include in a mobile app for the self-management of acute pain following a recent fracture. Forty-two clinicians responded to our survey (response rate 1st wave 60%; 2nd wave 60%) and 230 references were extracted. Appropriate medical information, pain management modalities, pain self-management strategies were the most cited content recommendations while the primary app functions highlighted were the ability to receive direct feedback from the app (interactiveness), pain self-monitoring and access to healthcare providers.Fracture pain management is challenging in older adults. The adoption of technology and high eHealth literacy levels are now common among older adults which support the use of mobile apps to improve management of outpatient conditions such as acute pain following a fracture. This work will support the development of a mobile app that will meet evidence-based standards and will support self-management of acute pain following a skeletal fracture in older individuals. This will improve quality of life by reducing pain levels while engaging in activities of daily living and promote healthy lifestyle behaviors to reduce the risk of subsequent injurious falls.

English

ISBN: 9798597019079Subjects--Topical Terms:

634186
Cancer.
Subjects--Index Terms:

eHealth

eHealth: Towards Improving Self-Management of Acute Pain in Older Adults following a Fracture /
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520 $a Pain is often poorly managed both in-hospital and post-hospital discharge and is associated with harmful outcomes such as increased falls, loss of autonomy and low quality of life and can, in certain instances, evolve into chronic pain. Mobile applications (apps) downloadable on devices such as smartphones and tablets can offer targeted interactive interventions to support patients in acute pain self-management following hospital discharge. However, little is known about the availability and quality of mobile apps for acute pain management in older adults, and the current levels of technology adoption and electronic health (eHealth) literacy in a population of older adults seen in orthopedic clinics. Furthermore, it is important to seek the voice of clinicians when developing a mobile app so that the content is evidence-based, credible and of high value.In this scholarly work, we sought to 1) identify mobile apps currently available for self-management of acute pain and characterize their features (content and functionalities), 2) identify the current level of technology adoption and eHealth literacy among older adults who recently suffered a fracture, to determine if use of mobile digital devices to optimize care interventions would be feasible, acceptable and 3) identify what clinicians believe are the most important content or functionalities to include in a mobile application for self-management of acute pain in older adults following a recent skeletal fracture.Following an environmental scan, where we were unable to identify high quality mobile apps for the self-management of acute pain, we conducted two surveys. In the first, we invited adults ≥ 50 years with a recent fracture to complete a self-administered survey composed of 21 closed-ended questions, including the eHealth literacy scale (eHEALS). A total of 401 participants completed the survey (women: 64%; ≥ 65 years old: 59%). Most respondents (81%) owned at least one mobile device: smartphone (49%), tablet (45%). The majority (65%) of older adults participating in this survey used the Internet in the 6 months prior to the survey (50-64 years: 84%; 65-74 years: 76%; ≥ 75 years: 61%) and approximately 69% of those who used the Internet had high eHealth literacy (eHEALS ≥ 26). Among adults ≥ 75 years who reported owning a smartphone and/or tablet, 60% had recently used the Internet and 64% indicated being interested in using technology to improve their health. Although the eHEALS scores and technology adoption in the ≥ 75 years group were significantly lower compared to younger age groups, our results do support the development of mobile applications for the management of acute pain in this patient population with recent fractures.In the second study, we surveyed clinicians across Canada with expertise in osteoporosis, fractures, rehabilitation and pain management using a snowball sampling method. The survey constituted of one question sent through email asking for recommendations for the most important content or functionalities to include in a mobile app for the self-management of acute pain following a recent fracture. Forty-two clinicians responded to our survey (response rate 1st wave 60%; 2nd wave 60%) and 230 references were extracted. Appropriate medical information, pain management modalities, pain self-management strategies were the most cited content recommendations while the primary app functions highlighted were the ability to receive direct feedback from the app (interactiveness), pain self-monitoring and access to healthcare providers.Fracture pain management is challenging in older adults. The adoption of technology and high eHealth literacy levels are now common among older adults which support the use of mobile apps to improve management of outpatient conditions such as acute pain following a fracture. This work will support the development of a mobile app that will meet evidence-based standards and will support self-management of acute pain following a skeletal fracture in older individuals. This will improve quality of life by reducing pain levels while engaging in activities of daily living and promote healthy lifestyle behaviors to reduce the risk of subsequent injurious falls.
520 $a La douleur est souvent mal geree tant a l'hopital qu'a la sortie de l'hopital et est associee a des consequences telles que l'augmentation du nombre de chutes, la perte d'autonomie et une qualite de vie mediocre. Les applications mobiles (apps) telechargeables sur des appareils tels que les smartphones et les tablettes peuvent offrir des interventions interactives ciblees pour aider les patients a prendre en charge eux-memes la douleur aigue apres leur sortie d'hopital. Cependant, on dispose peu d'informations sur la disponibilite et la qualite des apps pour la gestion de la douleur aigue chez la personne agee, ainsi que sur les niveaux actuels d'adoption de la technologie et de litteratie en matiere de sante electronique (cyber-sante) chez les patients qui visite la clinique d'orthopedie. En outre, il est important de rechercher la voix des cliniciens lors du developpement d'une app afin que le contenu soit fonde sur des preuves, credible et de grande valeur.Dans ce travail savant, nous avons cherche a 1) identifier les apps actuellement disponibles pour l'autogestion de la douleur aigue et a caracteriser leurs caracteristiques (contenu et fonctionnalites), 2) a identifier le niveau actuel d'adoption de la technologie et de connaissances en cyber-sante chez la personne agee recemment atteintes d'une fracture, afin de determiner si l'utilisation d'appareils numeriques mobiles pour optimiser les interventions de soins serait faisable, acceptable et 3) determiner, d'apres les cliniciens, le contenu et/ou fonctionnalites les plus importants a inclure dans une application mobile de gestion autonome de la douleur aigue chez la personne agee suite a une fracture recente du squelette.Apres une analyse de l'environnement, dans laquelle nous n'avons pas pu identifier d'apps de haute qualite pour l'autogestion de la douleur aigue, nous avons mene deux sondages. Lors du premier, nous avons invite des adultes ages de 50 ans ou plus presentant une fracture recente a remplir un sondage auto-administre compose de 21 questions fermees, y compris l'echelle de litteratie en cyber-sante (eHEALS). Au total, 401 participants ont repondu au sondage (femmes: 64%; ≥ 65 ans: 59%). La plupart des repondants (81%) possedaient au moins un appareil mobile: smartphone (49%), tablette (45%). La majorite (65%) des adultes ages participant a cette enquete ont utilise Internet au cours des 6 mois precedant l'enquete (50 a 64 ans: 84%; 65 a 74 ans: 76%; ≥ 75 ans: 61%) et environ 69% de ceux qui utilisaient Internet avaient une haute litteratie en cyber-sante (eHEALS ≥ 26). Parmi les adultes de 75 ans et plus ayant declare posseder un smartphone et/ou une tablette, 60% avaient recemment utilise Internet et 64% etaient interesses par l'utilisation de la technologie pour ameliorer leur sante. Nos resultats appuient le developpement d'applications mobiles pour la gestion de la douleur aigue chez cette population de patients souffrant de fractures recentes.Dans la deuxieme etude, nous avons interroge, a l'aide d'une methode d'echantillonnage "snowball", des cliniciens a travers le Canada possedant une expertise en osteoporose, fractures, readaptation et en gestion de la douleur. L'enquete consistait en une question envoyee par courriel electronique demandant des recommandations sur le contenu ou les fonctionnalites les plus importants a inclure dans une app pour l'autogestion de la douleur aigue suite a fracture recente. Quarante-deux cliniciens ont repondu a notre sondage (taux de reponse 1ere vague 60%; 2eme vague 60%) et 230 references ont ete extraites. Les informations medicales appropriees, les modalites de gestion de la douleur, les strategies de gestion de la douleur etaient les recommandations les plus citees, tandis que les fonctions principales mentionnees furent la possibilite de recevoir un retour direct de l'app (interactivite), l'auto-surveillance de la douleur et l'acces aux prestataires de soins de sante.La gestion de la douleur suite a une fracture est difficile chez la personne agee. L'adoption de la technologie et les niveaux eleves de litteratie en cyber-sante sont maintenant courants chez la personne agee et soutiennent l'utilisation d'apps pour ameliorer la gestion des conditions ambulatoires telles que la douleur aigue suite a une fracture. Ce travail soutiendra le developpement d'une app qui respectera les normes fondees sur des preuves scientifiques et soutiendra la gestion autonome de la douleur aigue a la suite d'une fracture du squelette chez la personne agee. Cela ameliorera leur qualite de vie en reduisant les niveaux de douleur tout en participant aux activites de la vie quotidienne et en promouvant des modes de vie sains afin de reduire le risque de chutes prejudiciables.
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