Attitudes of at-risk older adults about prevention of cardiovascular disease and dementia using eHealth: a qualitative study in a European context
Objectives Prevention of cardiovascular disease (CVD) and dementia is a key health priority among older adults. Understanding individuals’ attitudes to, the prevention of these conditions, particularly when delivered through novel eHealth tools, could help in designing effective prevention programme...
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BMJ Publishing Group
2020-08-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/8/e037050.full |
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| author | Eric Moll van Charante Edo Richard Miia Kivipelto A Jeannette Pols Carol Brayne Cathrien RL Beishuizen Ulrika Akenine Mariagnese Barbera Anna Rosenberg Mandana Fallah Pour Hilkka Soininen Francesca Mangialasche Sandrine Andrieu Juliette Guillemont Nicola Coley Lotta Salo Stephanie Savy Bram van de Groep Cathrien Beishuizen Eric Moll van Charante Lennard van Wanrooij Marieke Hoevenaar‐Blom Pim van Gool Susan Jongstra Tessa van Middelaar Tiia Ngandu Yannick Meiller |
| author_facet | Eric Moll van Charante Edo Richard Miia Kivipelto A Jeannette Pols Carol Brayne Cathrien RL Beishuizen Ulrika Akenine Mariagnese Barbera Anna Rosenberg Mandana Fallah Pour Hilkka Soininen Francesca Mangialasche Sandrine Andrieu Juliette Guillemont Nicola Coley Lotta Salo Stephanie Savy Bram van de Groep Cathrien Beishuizen Eric Moll van Charante Lennard van Wanrooij Marieke Hoevenaar‐Blom Pim van Gool Susan Jongstra Tessa van Middelaar Tiia Ngandu Yannick Meiller |
| author_sort | Eric Moll van Charante |
| collection | DOAJ |
| description | Objectives Prevention of cardiovascular disease (CVD) and dementia is a key health priority among older adults. Understanding individuals’ attitudes to, the prevention of these conditions, particularly when delivered through novel eHealth tools, could help in designing effective prevention programmes. The aim of the study was to explore the attitudes of older adults at increased risk of CVD and dementia regarding engagement in eHealth self-management prevention programmes, and to describe the facilitators and barriers.Design A qualitative research approach was used. Data were collected through eight focus groups in Finland, France and the Netherlands. Data were analysed following the principles of grounded theory.Setting and participants Forty-four community-dwellers aged 65+ at risk of CVD were recruited from a previous trial cohort in Finland, and through general practices in France and the Netherlands.Results The study identified three categories: access to reliable information, trust in the healthcare providers and burden and stigma of dementia. A core category was also identified: the interactive process of the three categories influencing engagement in self-management prevention programme. The categories were interconnected through an interactive process and influenced by the local healthcare culture and context which shaped them differently, becoming either facilitators or barriers to engage in eHealth self-management prevention programmes.Conclusions The study emphasises the importance of considering the interactions between the identified categories in this study, grounded in the local healthcare culture and context in further developments of eHealth self-management interventions that aim to prevent CVD and dementia.Trial registration number ISRCTN48151589 |
| format | Article |
| id | doaj-art-636344fc05024f528af61a8be25a7a91 |
| institution | DOAJ |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-08-01 |
| publisher | BMJ Publishing Group |
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| series | BMJ Open |
| spelling | doaj-art-636344fc05024f528af61a8be25a7a912025-08-20T02:50:55ZengBMJ Publishing GroupBMJ Open2044-60552020-08-0110810.1136/bmjopen-2020-037050Attitudes of at-risk older adults about prevention of cardiovascular disease and dementia using eHealth: a qualitative study in a European contextEric Moll van Charante0Edo Richard1Miia Kivipelto2A Jeannette Pols3Carol Brayne4Cathrien RL Beishuizen5Ulrika Akenine6Mariagnese Barbera7Anna Rosenberg8Mandana Fallah Pour9Hilkka Soininen10Francesca Mangialasche11Sandrine Andrieu12Juliette Guillemont13Nicola Coley14Lotta Salo15Stephanie Savy16Bram van de GroepCathrien BeishuizenEric Moll van CharanteLennard van WanrooijMarieke Hoevenaar‐BlomPim van GoolSusan JongstraTessa van MiddelaarTiia Ngandu17Yannick MeillerDepartment of General Practice, Amsterdam UMC/University of Amsterdam, Amsterdam, The Netherlands3 Department of Neurology, Radbout University Medical Center, Nijmegen, NetherlandsDepartment of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, SwedenSection of Medical Ethics, Department of General Practice, Amsterdam UMC/University of Amsterdam, Amsterdam, The NetherlandsCambridge Institute of Public Health, University of Cambridge, Cambridge, Cambridgeshire, UKDepartment of General Practice, Amsterdam UMC/University of Amsterdam, Amsterdam, The NetherlandsDivision of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, SwedenInstitute of Clinical Medicine, Department of Neurology, University of Eastern Finland, Kuopio, FinlandInstitute of Clinical Medicine, Department of Neurology, University of Eastern Finland, Kuopio, FinlandDivision of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, SwedenInstitute of Clinical Medicine, Department of Neurology, University of Eastern Finland, Kuopio, FinlandDivision of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, SwedenDepartment of Epidemiology and Public Health, Toulouse University Hospital, Toulouse, FranceINSERM, University of Toulouse, Toulouse, Franceresearch workerInstitute of Clinical Medicine, Department of Neurology, University of Eastern Finland, Kuopio, FinlandINSERM, University of Toulouse, Toulouse, FranceDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare, Helsinki, FinlandObjectives Prevention of cardiovascular disease (CVD) and dementia is a key health priority among older adults. Understanding individuals’ attitudes to, the prevention of these conditions, particularly when delivered through novel eHealth tools, could help in designing effective prevention programmes. The aim of the study was to explore the attitudes of older adults at increased risk of CVD and dementia regarding engagement in eHealth self-management prevention programmes, and to describe the facilitators and barriers.Design A qualitative research approach was used. Data were collected through eight focus groups in Finland, France and the Netherlands. Data were analysed following the principles of grounded theory.Setting and participants Forty-four community-dwellers aged 65+ at risk of CVD were recruited from a previous trial cohort in Finland, and through general practices in France and the Netherlands.Results The study identified three categories: access to reliable information, trust in the healthcare providers and burden and stigma of dementia. A core category was also identified: the interactive process of the three categories influencing engagement in self-management prevention programme. The categories were interconnected through an interactive process and influenced by the local healthcare culture and context which shaped them differently, becoming either facilitators or barriers to engage in eHealth self-management prevention programmes.Conclusions The study emphasises the importance of considering the interactions between the identified categories in this study, grounded in the local healthcare culture and context in further developments of eHealth self-management interventions that aim to prevent CVD and dementia.Trial registration number ISRCTN48151589https://bmjopen.bmj.com/content/10/8/e037050.full |
| spellingShingle | Eric Moll van Charante Edo Richard Miia Kivipelto A Jeannette Pols Carol Brayne Cathrien RL Beishuizen Ulrika Akenine Mariagnese Barbera Anna Rosenberg Mandana Fallah Pour Hilkka Soininen Francesca Mangialasche Sandrine Andrieu Juliette Guillemont Nicola Coley Lotta Salo Stephanie Savy Bram van de Groep Cathrien Beishuizen Eric Moll van Charante Lennard van Wanrooij Marieke Hoevenaar‐Blom Pim van Gool Susan Jongstra Tessa van Middelaar Tiia Ngandu Yannick Meiller Attitudes of at-risk older adults about prevention of cardiovascular disease and dementia using eHealth: a qualitative study in a European context BMJ Open |
| title | Attitudes of at-risk older adults about prevention of cardiovascular disease and dementia using eHealth: a qualitative study in a European context |
| title_full | Attitudes of at-risk older adults about prevention of cardiovascular disease and dementia using eHealth: a qualitative study in a European context |
| title_fullStr | Attitudes of at-risk older adults about prevention of cardiovascular disease and dementia using eHealth: a qualitative study in a European context |
| title_full_unstemmed | Attitudes of at-risk older adults about prevention of cardiovascular disease and dementia using eHealth: a qualitative study in a European context |
| title_short | Attitudes of at-risk older adults about prevention of cardiovascular disease and dementia using eHealth: a qualitative study in a European context |
| title_sort | attitudes of at risk older adults about prevention of cardiovascular disease and dementia using ehealth a qualitative study in a european context |
| url | https://bmjopen.bmj.com/content/10/8/e037050.full |
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