Chronic Disease In Older Adults Research Articles

Adverse childhood experiences, perceived stress, and chronic diseases among older adults: A cross-sectional study in Mexico

BackgroundAdverse childhood experiences (ACEs) are traumatic events that cause a condition of chronic stress in the body and that are related to subsequent cognitive decline and the development of psychiatric disorders and chronic diseases. ObjectiveThe objective of the present study was to examine the relationship between ACEs, stress, and chronic diseases in older adults. MethodsThis work was a cross-sectional study. We analyzed 450 participants aged 65 and older. To measure ACE, we used the ACE questionnaire that is a 10-item scale to measure the occurrence of a set of experiences during childhood and adolescence. In addition, the perceived stress scale was used as screening tool for stress. Logistic regression models were used to examine the associations between overall ACE score and individual ACE component scores and risk stress/comorbidities in adulthood after controlling for potential confounders. ResultsThe overall prevalence of perceived stress among older adults was 79.1%. Almost 76% of the sample reported being diagnosed with four or more chronic diseases. We found that the risk of stress increased in case of exposure to one-three ACEs (OR = 1.42, CI = [1.19–1.93]) and in case of experiencing at least four or more ACEs (OR = 1.43, CI = [1.23–1.82]). There was a statistical non-significant association between ACE exposure and the presence of chronic diseases. ConclusionTogether our findings demonstrate clear links between ACEs and negative mental health outcomes. Future work will assess these issues in longitudinal studies to examine the long-term impact of ACEs on health outcomes. Physicians should be able to provide clinical interventions for trauma-focused care.

Prevalence of complete edentulism among US adults 65 years and older: A Behavioral Risk Factor Surveillance System study from 2012 through 2020

BackgroundThe rapid growth of the older adult population in the United States and their increased risk of edentulism make it essential to analyze trends and factors associated with edentulism. MethodsData were obtained from the Behavioral Risk Factor Surveillance System from 2012 through 2020. US- and state-level trend lines were reported. Multiple logistic regression analyses were used to evaluate the association between self-reported complete edentulism and demographic characteristics, chronic diseases, smoking status, and health insurance status. Multiple imputations were used to address the missing data. ResultsA total of 771,513 (weighted n = 50,410,576) participants were included in the study. There was a significant (P = .021) downward trend in the prevalence of edentulism from 2012 (16.36%) through 2020 (13.54%). Having less than a high school education, being a smoker, being non-Hispanic Black, having an annual household income less than $75,000, and having chronic conditions, including diabetes, myocardial infarction, arthritis, depression, and stroke, were significantly associated with complete edentulism. ConclusionsDespite a decrease in prevalence of edentulism, disparities based on race, income, and education still exist. Edentulism is associated with chronic diseases in older adults. Practical ImplicationsPublic health initiatives should be aimed at reducing the impact of edentulism and improving overall quality of life among older adults. Community health programs allocating resources to improve access to affordable care, reducing precursors to edentulism, expanding dental coverage, and promoting oral and general health awareness are vital components of these efforts.

Supporting Physical Activity Maintenance in Older Adults Following Supervised Group Exercise: A Mixed-Methods Study Among Culturally Diverse Older Adults.

Physical activity (PA) is important for prevention of falls and chronic disease in older adults. We aimed to examine the interrelated influences upon PA in culturally diverse older adults who completed a short-term exercise program, to inform maintenance strategies, using a mixed-methods design. Eighty-two past participants from the "Stepping On"© program were surveyed examining ongoing participation, social and cognitive determinants of PA, mental and physical functioning, and fear of falls. Semi-structured interviews were undertaken with 34 respondents regarding enablers and barriers, cultural factors, and preferences for PA. Data were collected in English, Chinese, Arabic, Punjabi, or Hindi. Cultural factors minimally affected PA participation. There was low perceived availability of PA opportunities. Health difficulties not only discouraged but also motivated participation. Social connection was a facilitator and could be used to support maintenance. Older adults may benefit from assistance in accessing PA opportunities and clinical guidance about the benefits of ongoing PA.

Association of physical activity with socio-economic status and chronic disease in older adults in China: cross-sectional findings from the survey of CLASS 2020 after the outbreak of COVID-19

BackgroundIn 2021, China had a population of 264·01 million individuals over the age of 60, indicating a high prevalence of chronic diseases. Among older adults, physical inactivity (PI) is a significant risk factor for chronic diseases. However, few studies have been conducted on the correlation of physical activity (PA) with the economic status, geography and chronic disease risks in Chinese elderly. The objectives of this study were to better understand the distribution of PA among older adults in China and its relationship with economic status, geography, and chronic disease risks.MethodsThis study utilized data from the China Longitudinal Aging Social Survey (CLASS) in 2020, post-COVID-19. The study employed a stratified, multistage, probabilistic sampling approach and included 11,396 adults over the age of 59 from 28 provinces in China. Data on demographics, the duration and intensity of PA, history of diseases and personalized factors influencing PA were collected via structured interviews by researchers. In this study, we conducted a comprehensive analysis, employing a range of statistical methods including descriptive analysis, Wilcoxon rank-sum tests, Bayesian networks, and chi-square tests.ResultsThe prevalence of PI among older adults over 59 in China is 28·82%. Significant regional differences were observed in the duration of PA at different intensities. Older adults residing in more economically developed areas were more likely to engage in moderate-to-vigorous physical activity (MVPA) and exhibited longer sedentary behavior. Economic status and urban-rural disparities consistently emerged as direct influential factors across all intensity types. Chronic disease risks were significantly lower in active older adults compared to inactive ones. Lack of social guidance, family support, and personal inclination towards sedentary behavior were the main personalized factors affecting PA among older adults, and these factors could be relatively easily modified.ConclusionsEconomic status, geography, and living areas (urban and rural) significantly influenced the distribution of physical activities in China. Particularly, economic status and living areas acted as direct factors. Older adults reaching the recommended standards for PA had significantly lower chronic disease risks, highlighting the importance of improving personalized factors which are crucial for promoting PA.

Prevalencia de daño renal temprano en adultos mayores

Introduction: Renal Chronic Disease is a clinical entity that constitutes the final road of multiple etiologies. Objective: determining the prevalence of renal damage early on older adults. Methods: an observational, descriptive and transverse study, that allowed to through the serum characterization of markers of renal functioning, like microalbuminuria, creatinine masking dear glomerular, came true to study the Polyclinic Turcios Lima's prevalence of the renal chronic disease in older adults, during the year 2022. Of 2500 patients ‘universe, they were once 1300 patients that fulfilled the criteria of inclusion were studied by means of probabilistic sampling. Each patient deemed a clinical evaluation as his basic team of health. The information gathered itself of the stories of individual health, interrogation, physical examination and data of laboratory. He determined the stocking, standard deviation and your confidence interval of the 95 % (IC 95 %), as well as the Chi-Square and the statistician Z with a significance level statistical of p≤0,05. Results: There was a lofty prevalence of the renal damage (19,46 %), of the ages of 70 to 79 years (37,54 %), of the feminine sex (73,51 %). They prevailed stadiums 1 (62,53 %) and 2 (29,07 %) of disease, and the category A1 of the microalbuminuria (48,61 %). The HTA (21,73 %) and obesity (19,39 %) predominated within the factors of risk, being diabetes mellitus (52,60 %) and the HTA (22,00 %) the main causes. Conclutions: the renal damage early is a prevalent health problem not identified of early way in the population older adult.

Type 2 Diabetes Mellitus and Sarcopenia as Comorbid Chronic Diseases in Older Adults: Established and Emerging Treatments and Therapies.

Type 2 diabetes mellitus (T2DM) and sarcopenia (low skeletal muscle mass and function) share a bidirectional relationship. The prevalence of these diseases increases with age and they share common risk factors. Skeletal muscle fat infiltration, commonly referred to as myosteatosis, may be a major contributor to both T2DM and sarcopenia in older adults via independent effects on insulin resistance and muscle health. Many strategies to manage T2DM result in energy restriction and subsequent weight loss, and this can lead to significant declines in muscle mass in the absence of resistance exercise, which is also a first-line treatment for sarcopenia. In this review, we highlight recent evidence on established treatments and emerging therapies targeting weight loss and muscle mass and function improvements in older adults with, or at risk of, T2DM and/or sarcopenia. This includes dietary, physical activity and exercise interventions, new generation incretin-based agonists and myostatin-based antagonists, and endoscopic bariatric therapies. We also highlight how digital health technologies and health literacy interventions can increase uptake of, and adherence to, established and emerging treatments and therapies in older adults with T2DM and/or sarcopenia.

Latest Findings in Key Research Areas of Precision Nursing for Chronic Diseases in Older Adults

The advent of the era of biomedical big data has helped promote the development of precision nursing. Precision nursing for chronic diseases in older adults is an interdisciplinary research field in which accurate individualized data are utilized to carry out early screening and health management of older adult populations at high risk for chronic diseases and early intervention of diseases, which plays an important role in improving the prognosis of diseases and the health level of the older adult population. Herein, we introduced the concept of precision nursing, and discussed the latest research findings in the key areas of precision nursing for chronic diseases in older adults, including precision symptom management in cancer patients and precision nursing in older patients with multimorbidity. At present, research concerning precise symptom management of cancer patients is mainly focused on prediction modelling for risks of symptoms, longitudinal change trajectories, core symptom identification, etc. Investigations in the precise nursing of cancer patients are conducted in the following areas, risk prediction, the timing of interventions, and intervention targets. Research on precision nursing for multimorbidity is mainly focused on assessment of chronic disease multimorbidity, multimorbidity pattern recognition, and health management of multimorbidity. We also discussed potential opportunities and challenges of precision nursing in the future, in order to provide a scientific basis for the improving the practice and theories of precision nursing. In the future, precision nursing will play an ever more important role in uncovering pathogenic information, the diagnosis and treatment of diseases, the health of the research population, and the promotion of medical research.

A scale to measure the perceived quality of mHealth by elderly patients with hypertension in China

BackgroundThe elderly population in China is growing, with hypertension being the most prevalent chronic disease in older adults. Despite the rapid penetration and efficient management effect of mobile health on hypertension healthcare, elderly patients are often less adopted and continue to use mobile health services. Quality perception significantly affects an individual’s satisfaction and continued intention to use mobile health services. The evaluation of the significant factors affecting mobile health quality perception by elderly individuals remains largely unexplored. The aim of this study was to develop and validate an evaluation scale to measure the perceived quality of mobile health applications for hypertension and determine the underlying influencing factors.MethodsA cross-sectional survey was conducted between November 2018 and October 2019. A quality evaluation scale with three factors and seven indicators was developed based on the Information Systems Success model. Data was analyzed using structural equations modelling (SEM) and one-way analysis of variance (ANOVA). All tests were two-sided and statistically significant at P < 0.05.ResultsThe proposed mobile health application quality evaluation scale from the perspective of the elderly was shown to be a hierarchical, multidimensional construct with valid reliability, convergent validity and discriminant validity, which consists of three factors and seven indicators. The SEM results suggested that information quality and service quality had a significant impact on the satisfaction of elderly individual’s with mobile health applications for hypertension management. The results also suggest that the elderly individuals had a low evaluation of mobile medical service quality(4.06 ± 0.70), while the score of information quality was the highest, with an average score of 4.36(SD 0.83) out of 5. Male patients were shown to more readily accept mobile health applications, with their perception of system quality being 0.27 higher than female ones (95% CI 0.00 ~ 0.52; P < .05). Patients with 1–5 years hypertension histories assessed the system (95% CI 0.03 ~ 0.63; P < .05), information (95% CI 0.11 ~ 0.65; P < .05), and service quality (95% CI 0.00 ~ 0.47; P < .05) higher than those with hypertension histories > 10 years. Elderly patients who regularly visited primary hospitals assessed the information quality 0.13 higher (95% CI -0.08 ~ 0.34; P < .05) than those visited tertiary hospitals.ConclusionsThese findings have significant implications for theoretical and practical research on mobile health application quality evaluation, which will be helpful for policymakers and mobile health providers in improving the context and utilisation of mobile health to include elderly users. More mobile health applications attributes, such as timely information and interactive services that meet the characteristics of elderly patients with different mental and health demands need to be considered. Deeply embedding mobile health into primary health services is recommended to help increase the perceived quality of mobile health, and ensure the continuous use.

Challenges in oral health research for older adults.

The high burden of chronic disease in older adults presents significant organisational and funding challenges to healthcare policymakers. However, it is a matter of debate whether research is informing oral healthcare policy at scale. The objective of the study was to identify barriers to translation of research into oral healthcare policy and practice for older adults and suggest strategies to address these barriers. The effectiveness of current models of oral health care, particularly for vulnerable older adults with special needs, is not well established. Researchers need to engage more proactively with stakeholders such as policymakers and end-users from the study design phase. This is particularly relevant for research in residential care settings. Building a rapport and developing trust with these groups will enable researchers to align their research with the priorities of policymakers. The evidence-based care paradigm, which is underpinned by randomised clinical trials (RCTs), may not be practical in population oral health research involving older adults. Alternative methods should be considered to develop an evidence-informed paradigm for oral health care in older adults. Since the pandemic, there are opportunities to use electronic health record data and digital technology. Further research is needed to evaluate the effectiveness of tele-health in oral health of older adults. Use of a wider range of co-designed studies rooted in the practicalities of "real world" health service delivery is recommended. This may address issues of concern to policymakers and stakeholders regarding oral health and increase the likelihood of translation of geriatric oral health research into oral healthcare policy and practice.

Association of plant-based dietary patterns with the risk of osteoporosis in community-dwelling adults over 60years: a cross-sectional study.

Osteoporosis,a common chronic disease in older adults, threatens their health. Many nutrients in plant foods are important for preventing osteoporosis. However, the relationship between plant-based dietary patterns and osteoporosis remains unclear. This study aimed to investigate the cross-sectional association between plant-based dietary patterns and osteoporosis in older adults. This study was conducted among 9613 community-dwelling older adults in Liaoning Province, China. The effective food frequency questionnaire (FFQ) and plant-based diet index (PDI) were used to evaluate compliance with plant-based dietary patterns. Osteoporosis was defined based on heel ultrasound. We analyzed the association between healthy plant-based diet index (HPDI) and unhealthful plant-based diet index (UPDI) and the risk of osteoporosis. A higher PDI was associated with higher bone mineral density (BMD) in older adults. In logistic regression models, the highest quartile of PDI and HPDI had a significantly lower risk of osteoporosis than the lowest quartile, whereas UPDI in the highest quartile was associated with a higher risk of osteoporosis. There was a dose-response relationship between the three indices and the risk of osteoporosis. Subgroup analysis revealed differences in the relationship between HPDI and the risk of osteoporosis according to gender and age. Older adults, especially women, consume more healthy plant foods and reduce the consumption of animal foods and unhealthy plant foods, which was associated with a lower risk of osteoporosis.

Handgrip strength in older adults with chronic diseases from 27 European countries and Israel.

Understanding the association of deconditioned strength with the most prevalent chronic diseases in older adults and inferring possible interventional strategies is of utmost importance. We aimed to investigate the association between handgrip strength and chronic diseases in a large representative European population of adults over the age of 50 years. Individuals aged 50 or older residing in 27 European countries and Israel participated in this cross-sectional study. Data on prior or current chronic disease and handgrip strength were retrieved from the 7th wave of Survey of Health, Ageing and Retirement in Europe (SHARE). We tested associations using binary logistic regression adjusted for potential confounders. Based on data from 73,463 participants, the examined diseases showed a negative association with handgrip strength in the fully adjusted model. Participants from the highest tertile of handgrip strength had particularly lower odds for Parkinson ((Adjusted odds ratio (AOR) = 0.42 [95% Confidence Interval = 0.32-0.56])), stroke (AOR = 0.51 [95% Confidence Interval = 0.44-0.59], and emotional disorders ((Adjusted odds ratio (AOR) = 0.51 [95% Confidence Interval = 0.45-0.58])) compared with participants with the lowest level of handgrip strength in the fully adjusted model. There is a negative association between handgrip strength and a wide range of chronic diseases. Evaluating handgrip strength in this population may provide a valuable clinical measure and a simple preventive strategy in relation to these diseases. The present findings support the use of resistance training for the prevention of specific chronic conditions, particularly Parkinson, stroke and emotional disorders.

Aging and Psychological Well-Being: The Possible Role of Inhibition Skills.

(1) Background: Psychological well-being (PWB) is a multidimensional construct which is a key protective factor against chronic diseases in older adults. Numerous psychological and cognitive factors can influence older people’s PWB. However, while most studies have explored the effect of general cognition, only a few investigated the role of specific cognitive functions such as the efficiency of executive functions. Thus, the present study aimed to directly explore the relationships between PWB, age, and the core executive functions (namely working memory, flexibility, and inhibition). (2) Methods: A sample of 51 healthy older adults (age range: 60–88) were enrolled and tested both for PWB (by Ryff’s psychological well-being scale) and the core executive functions (by the Digit span backward, the Trail Making Test, and the Stroop test). (3) Results: Age and inhibitory skills are negatively correlated to the personal growth subscale of the PWB scale. Moreover, a hierarchical regression analysis showed that inhibition, but not working memory and flexibility, predicted the sense of continued growth and development (personal growth) of older adults, even after controlling for age and educational levels. Limitations and implications for future research and prevention interventions are discussed.

Plasma Glycine Concentration but Not Whole Body Production Production Rate Is a Marker of Abdominal Obesity in Older Adults Independent of the Presence of a Chronic Disease

ObjectivesPreviously, in healthy older adults, the concentration of the plasma amino acid glycine was found to be negatively related to the amount of visceral adipose tissue (VAT). It remains unclear whether this is due to alterations in the whole body glycine production, and independent of the presence of a concomitant chronic disease in older adults (e.g., Chronic Obstructive Pulmonary Disease (COPD)).MethodsIn this study, 88 healthy older adults (40 males/48 females) and 122 older adults with stable moderate to severe COPD (58 males/64 females) were studied. In all subjects, body composition and VAT (by DXA) were assessed, as well as muscle function (respiratory strength by mouth pressure, hand- and leg peak strength and endurance by dynamometers) and Charlson Comorbidity index. We also measured plasma concentration and whole body production (WBP) of glycine using stable isotope techniques and analyzed them by LC-MS/MS. Statistics performed by ANCOVA included age, gender, and body mass index as covariates. Significance was set at p < 0.05 and results were expressed as means [95% CI].ResultsAlthough plasma glycine concentration was comparable between healthy and COPD older adults (p = 0.21), a negatively association was found with VAT area (p < 0.0002; Slope −0.08 [−0.07, −0.10] μM/cm2 VAT) in the total group as well as in the healthy and COPD subgroups. The ROC area was 0.8801 [0.8329, 0.9273] when separating VAT at 800 cm2. WBP of glycine was also not different between healthy older adults and those with COPD but no significant relationship was found with VAT area (p = 0.49). Also no association was found between VAT and any of the other measured parameters.ConclusionsIndependent of the presence of COPD, a lower plasma glycine concentration, but not the whole body glycine production, relates to a higher amount of visceral fat in older adults. We conclude that plasma glycine concentration is a marker of the amount of visceral adipose tissue in older adults independent of the presence of a chronic disease.Funding SourcesNone.

Hypotension Under Antihypertensive Treatment and Incident Hospitalizations of Nursing Home Residents.

Hypertension is the most prevalent chronic disease in older adults. Antihypertensive drug use increases with aging. In some studies, hypotension developing under antihypertensive medication use has been indicated as a potential risk factor for morbidity and mortality in older adults. Our objective was to assess the relationship between hypotension under antihypertensive treatment and incident hospitalization of nursing home residents. We detailed blood pressure measurements of the previous 1-year period that were noted regularly at 2-week intervals and studied their mean values. The systolic blood pressure (SBP) and diastolic blood pressure (DBP) thresholds to define low SBP (≤110 mm Hg) and DBP (≤65 mm Hg) were derived from our previous study. We noted demographics, number of co-morbidities and regular medications, mobility status, and nutritional assessment via the Mini Nutritional Assessment Short Form. We included 253 participants (66% male, mean age 75.7 ± 8.7 years). The prevalence of low SBP (≤110 mmHg) and low DBP (≤65 mmHg) was 34.8% and 15.8%, respectively. Among residents, 4% were bedridden, 15.8% wheelchair bound, 14.5% needing assistance for reduced mobility, and 62.7% were ambulatory. At a median of 15 months of follow-up, hospitalization incidence from any cause was 50.8% (n = 134). Incident hospitalization was more common in the group that had low DBP (odds ratio = 3.06; 95% confidence interval 1.02-9.15; p = 0.04) after adjusting for age, number of comorbidities and medications, mobility status, and nutritional status. Low SBP was not associated with hospitalization. The low DBP (≤65 mm Hg) during the previous year was associated with incident hospitalization of nursing home residents after adjustment for several factors. These findings indicate that lower DBP may be a causative factor for incident hospitalization. We need further studies to explore whether a correction of diastolic hypotension may decrease the hospitalization risk in this vulnerable population.

Are multimorbidity patterns associated with fear of falling in community-dwelling older adults?

BackgroundMultimorbidity is defined as the co-occurrence of multiple chronic or acute diseases and medical conditions in the same individual and can be grouped into different patterns based on the type of disease. These patterns are associated with poorer quality of life and premature death. It is believed that these patterns entail functional limitations, which may contribute to the fear of falling; however, this association remains unknown. Identifying this possible association is fundamental for developing individual and collective care approaches aimed at preventing the different patterns of chronic diseases in older adults in order to decrease the fear of falling. The objective of this study was to investigate the association between multimorbidity patterns and fear of falling in older adults.MethodsThis was a cross-sectional study including 308 older adults. The exposure variables were the presence of three multimorbidity patterns (cardiopulmonary, musculoskeletal, and vascular-metabolic) and pattern association assessed by self-report of two or more similar coexisting chronic diseases. The outcome was fear of falling assessed by the Brazilian version of Falls Efficacy Scale-International (cut-off point ≥ 23 points). Multivariable logistic regression was used to analyze the association between variables.ResultsOlder adults with cardiopulmonary, musculoskeletal, vascular-metabolic patterns and pattern association had 3.49 (95%CI 1.13; 10.78), 2.03 (95%CI 1.13; 3.64), 2.14 (95%CI 1.20; 3.82), and 4.84 (95%CI 2.19; 10.68), respectively, greater chances of presenting fear of falling when compared to older adults without the patterns.ConclusionsThe presence of multimorbidity patterns is associated with higher chances of reporting fear of falling. It is emphasized that the introduction of public health programs aimed at preventing multimorbidity patterns is essential to reduce possible adverse health outcomes, including fear of falling and its negative consequences for older adult health.

Effect of telling older adults their predictive physical fitness age on physical activity: A quasi‐experimental study

Physical activity plays an essential role in preventing diseases and improving overall health. Promoting physical activity has become an important intervention against low physical fitness and chronic diseases in older adults. This study aimed to determine whether telling older people their predictive physical fitness age prompts physical activity. Two hundred and fifty-three older Chinese people were assigned single-blindly to either an intervention group (n=140) or control group (n=113) in this quasi-experimental study. Participants in the intervention group were informed of the predictive physical fitness age and taught the difference from their chronological age while participants in the control group were not. Participants in both groups were encouraged to get more physical activities each day. The primary outcome was physical activity, and the secondary outcome was the change in physical fitness age. Results showed that for older adults with low physical fitness, all physical activity parameters (vigorous physical activity, moderate physical activity, walking, total physical activity and sitting) showed a significant difference between intervention and control groups after 2 and 12weeks (p<0.05). Moreover, physical fitness age was improved remarkably after 12weeks compared to the control group (73.57±5.75 vs. 66.85±6.33years, p<0.05). For older adults with normal physical fitness, a remarkable difference was observed in moderate physical activity, total physical activity, and sitting between intervention and control groups after 2weeks (p<0.05), but the difference disappeared after 12weeks. For older adults with high physical fitness, no significant changes were found between groups (p>0.05). The findings suggest that telling older people their predictive physical fitness age can become a viable motivational tool to promote physical activity especially for those with low physical fitness, thereby improving their physical fitness age and overall health.

Patients\u2019 and healthcare providers\u2019 perceptions and experiences of telehealth use and online health information use in chronic disease management for older patients with chronic obstructive pulmonary disease: a qualitative study

BackgroundTelehealth and online health information provide patients with increased access to healthcare services and health information in chronic disease management of older patients with chronic diseases, addressing the challenge of inadequate health resources and promoting active and informed participation of older patients in chronic disease management. There are few qualitative studies on the application of telehealth and online health information to chronic disease management in older patients. Chronic obstructive pulmonary disease is one of the most common chronic diseases in older adults. Telehealth is widely used in the management of chronic obstructive pulmonary disease. The purpose of this study was to explore the perceptions and experiences of older patients and healthcare providers in the application of telehealth and online health information to chronic disease management of chronic obstructive pulmonary disease.MethodsA qualitative descriptive study with data generated from 52 individual semi-structured interviews with 29 patients [Law of the People’s Republic of China on the protection of the rights and interests of older people (2018 Revised Version) = >60 years old] with chronic obstructive pulmonary disease and 23 healthcare providers. The inductive thematic analysis method was used for data analysis.ResultsFour themes and 16 sub-themes were identified in this study. Four themes included: faced with a vast amount of online health information, essential competencies and personality traits ensuring older patients’ participation and sustained use, user experience with the use of technology, being in a complex social context.ConclusionThe ability of patients to understand health information should be fully considered while facilitating access to online health information for older patients. The role of health responsibility and user experience in older patients’ participation and sustained use of telehealth and online health information needs to be emphasised. In addition, the complex social context is a determining factor to be considered, particularly the complex impact of a reliance on offspring and social prejudice on the behaviour of older adults using telehealth and online health information.

Interface of Law and Psychiatric Problems in the Elderly.

Interface of Law and Psychiatric Problems in the Elderly.

The United States 2020 Census data: implications for precision medicine and theresearch landscape.

The United States 2020 Census data: implications for precision medicine and theresearch landscape.

Association between impairment cognitive and chronic diseases in older adults: A gobal visión

Association between impairment cognitive and chronic diseases in older adults: A gobal visión