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Self-care ability and sense of security among older persons when using an app as a tool for support
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden.ORCID iD: 0000-0001-6215-2032
Cancer Theme, Karolinska University Hospital, Stockholm, Sweden; Department of Neurobiology, CareSciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.ORCID iD: 0000-0001-8317-7829
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).ORCID iD: 0000-0002-3924-1392
Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.ORCID iD: 0000-0002-4752-902X
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2020 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 34, no 3, p. 772-781Article in journal (Refereed) Published
Abstract [en]

The study's rationale: The need for home care among older persons is increasing, and mHealth is evolving to help meet the challenge. When developing an app to help maintain their health, it is essential to incorporate older persons' preferences.

Aims and objectives: To describe and evaluate the experiences of self-care support and sense of security among older persons using an interactive app to report health concerns.

Methodological design and justification: The study had a descriptive and evaluative design. Qualitative and quantitative methods were applied to achieve a broader understanding.

Ethical issues and approval: Ethical approval was obtained from the Regional Ethical Review Board. The older persons received verbal and oral information about the study and gave written informed consent.

Research methods: Questionnaires (n = 17 older persons) answered at baseline, end of the intervention and at a 6-month follow-up were analysed with statistical analysis. Interviews (n = 17 older persons) conducted at the end of the intervention were analysed using a qualitative directed approach.

Measurements and intervention: The questionnaire included the Appraisal of Self-care Agency Scale and a question concerning sense of security. For 3 months, the older persons used an app for regular reporting of health concerns. The app included self-care advice, graphs and a risk assessment model that generated alerts directly to the nurses.

Results: The older persons described how self-care and sense of security increased at the end of intervention, but statistically, it was shown to decrease afterwards.

Study limitations: The small sample size for statistical analysis.

Conclusions: This study shows that an app can be a complementary tool to conventional home care that can increase older persons' sense of security and self-care ability. The results mirror the older persons' awareness that the support they received with the app was only temporary. Larger studies are needed for generalisation. 

© 2019 Nordic College of Caring Science.

Place, publisher, year, edition, pages
Chichester: Wiley-Blackwell Publishing Inc., 2020. Vol. 34, no 3, p. 772-781
Keywords [en]
app, health concerns home care, mHealth, older persons, self-care, sense of security
National Category
Nursing
Identifiers
URN: urn:nbn:se:hh:diva-41005DOI: 10.1111/scs.12782ISI: 000498478400001PubMedID: 31769888Scopus ID: 2-s2.0-85075803164OAI: oai:DiVA.org:hh-41005DiVA, id: diva2:1372063
Funder
Swedish Research Council, 521-2014-2723
Note

Funing: This study received funding from the School of Health and Welfare, Halmstad University, and from The Swedish Research Council (reg. no 521‐2014‐2723).

Available from: 2019-11-21 Created: 2019-11-21 Last updated: 2021-05-19Bibliographically approved

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Göransson, CarinaZiegert, Kristina

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