Technologies for well-being: a grand challenge in connected health DOI Creative Commons

Toshiyo Tamura

Frontiers in Digital Health, Journal Year: 2024, Volume and Issue: 6

Published: Oct. 30, 2024

In recent years, we have faced various social challenges, such as climate change, declining birth rates, aging populations, and population decline. As COVID-19 cause major changes in the way work live, "well-being" is attracting attention a criterion for "how to change".Although no single definition of well-being has been established, WHO defines "Health not absence disease or infirmity, but rather state physical, mental, well-being. Well-being includes quality life ability individuals societies contribute world with sense meaning purpose [1].We are conducting research development aimed at realizing Information Society where all "people" can enjoy both physical mental/spiritual health which digital real worlds will continue merge. Improving through connected means using technology improve management promote overall wellness. Connected remote monitoring, telemedicine, personal data, chronic management, behavioral support, etc.By integrating these strategies into daily life, benefit from more proactive, personalized, efficient healthcare, ultimately enhancing their well-being.In this challenge, present our efforts different perspectives, including people society, spiritual health.A basic element It important be healthy maintain good mental health, on basis, values (symbiosis, empathy, sustainability, happiness, prosperity) that enhance an individual's (QOL) spread. However, humanity currently experiencing pandemic new type coronavirus infection situation said one significantly reduced worldwide.Physical believed it serve basis cultivating one's life. The medical field undergoing paradigm shift symptomatic therapy, seeks cure after illness, care preventing illness first place (preventive medicine).An perspective behavior EU looking effective change many years. particular, technologies facilitated by wearable Internet Things devices domain engineering computer science. A particular focus placed case study examines application techniques vital signs monitoring wearables, underscoring relevance urgency further critical intersection human [2]. findings shed light promising role wearables IoT devices, hereinafter referred promoting positive improving individuals, highlight need continued area realize full potential societal benefit. support applications offer therapy exercises [3,4], mood tracking [5][6][7], stress [8,9]. Virtual groups counseling services also play role. Iin addition, systems aggregate analyze providing insights tailored specific needs. This personalized approach effectiveness treatments lifestyle changes. Many tools set goals track progress, help stay motivated make These researches emphasize key advantages provide feedback, facilitate self-monitoring, incorporate gamification element. features process enjoyable, individuals' goals, bring up community accountability.Gamification elderly shown promise influencing intentions use technologybased solutions [10]. Sestino and, D'Angelo found gamification-based therapeutics positively affected elderly's intention use, effect increased magnitude participants' socialization-seeking tendency increased, revealing importance socializationoriented stimulating responses technological tools.In working "bio-digital twin technology," enables collection wide variety large amount bio-data everyday modeling physiological functions, simulating future predictions capture characteristics each individual.Sensor-based twins assist sensors automatically performing tasks smart environment [11]. Adibi et al. investigated integration environments sensor technologies, capabilities, location-based services, focusing impact healthcare outcomes. By analyzing applications, they sensor-based were delivery patient well-being.As mentioned earlier, treatment prevention medicine). advanced bio-information processing based mapping lead avoiding unknown risks advance, naturally inducing behaviors, supporting independent living own way. For example, healthbased EHRs machine learning automate real-time patient-centered records securely authorized participants. Predictive needed private public predict early diagnosis. Data collected, algorithms determine condition trigger criticality (abnormality) status Such system aims prediction institutional homes participants On other hand, during reforms promotion working, there reports caused than workplace. There concern activity relaxed lifestyles may onset worsening lifestyle-related diseases. Maintaining often requires "persistence" "effort" discipline establish regular habits. accumulating biosensing data activities habits (diet, exercise sleep), elements well-being, time axis, method acquired reveal biorhythmic individuals. Combining knowledge psychology economics, mechanism regulate rhythms body mind presenting indexing evidence spontaneous effortless developing feedback methods.The clock generates circadian rhythm regulated input external information region brain (the suprachiasmatic nucleus). Recent studies understanding eating right foods healthier diet. words, incorporating diet takes account body's internal should easy develop lifestyle. Chrononutrition mainly tested nocturnal animals mice. Evidence relationship between [13,14].Social isolation become issue due transformation communities result older people, especially those who socially isolated, needs improved.How used address wellbeing, interventions its explored.Engaging adults level technology-based practices increase self-efficacy mobility, infrastructure, [15,16].Connected improves interactions, foster connections. video calls online consultations accessible, mobility issues live areas [12,17]. access reduce isolation.Healthcare platforms connect similar conditions concerns emotional practical advice. encourage belonging.Connected Health creates joins focused wellness members share experiences, tips encouragement.In individual behaviors deliver reminders engagement self-care. Also, plans part strategy.Mobile only families connected, resources health. cognitive, visual, auditory adults' selfefficacy. We recommend loneliness technology-agnostic multifaceted, range recognize competencies types interactions meet preferences.Future explore implications real-world scenarios, evaluating settings sports rehabilitation, monitoring.As continues evolve, understand long-term devices. Through novel well prevent interventions, strive individuals.From perspective, summarized growing healthcare. developments great opportunity proactively problems diagnose, treat, monitor patients out hospital. adoption technology-enabled increases enable flexible models, increasing number traditional augmented replaced implementation depend clear robust code practice privacy, confidentiality, cybersecurity related supply still gaps addressed itself, system, users technology. Specifically, how designed standardized protocols interoperability international cross-state systems. Further efficiency blockchain storage compared centralized, cloud-based context care. Finally, consumer clinician acceptance literacy experience determined. believe addressing go long toward enabling broader save dollars care.While actively discussed fields sociology, little design communication contactless device technology, emerged measure without burdening person being measured. future, necessary while challenges.

Language: Английский

Technology-Based Interventions to Address Social Isolation and Loneliness Among Informal Dementia Caregivers: A Scoping Review DOI
Weiyu Mao,

Xiang Qi,

Iris Chi

et al.

Journal of the American Medical Directors Association, Journal Year: 2023, Volume and Issue: 24(11), P. 1700 - 1707

Published: Sept. 5, 2023

Language: Английский

Citations

11
Patient-Related Barriers to Digital Technology Adoption in Alzheimer Disease: Systematic Review DOI Creative Commons

Andrea Panzavolta,

Andrea Arighi, Emanuele Guido

et al.

JMIR Aging, Journal Year: 2025, Volume and Issue: 8, P. e64324 - e64324

Published: April 10, 2025

Abstract Background Digital technology in dementia is an area of great development with varying experiences across countries. However, novel digital solutions often lack a patient-oriented perspective, and several relevant barriers prevent their use clinics. Objective In this study, we reviewed the existing literature on knowledge, familiarity, competence using attitude tools Alzheimer disease. The main research question whether attitudes patients caregivers may affect adoption technology. Methods Following PRISMA guidelines, search was conducted by two researchers group. Inter-rater reliability calculated Cohen κ statistics. risk bias assessment also recorded. Results Of 597 initial records, only 18 papers were considered eligible. Analyses inter-rater showed good agreement levels. Significant heterogeneity study design, sample features, measurement emerged studies. Quality middle-high overall quality evidence. factors affecting are severity cognitive deficits, timing adoption, availability training support. Additional age, type device, ease solution. Conclusions Adoption hampered many patient-related barriers. Improving patient-caregiver dyads implementing systematic, strategies for needed successful incorporation memory

Language: Английский

Citations

0
A systematic review of digital access to post‐diagnostic health and social care services for dementia DOI Creative Commons
James Watson, Kerry Hanna, Catherine V. Talbot

et al.

International Journal of Geriatric Psychiatry, Journal Year: 2024, Volume and Issue: 39(7)

Published: July 1, 2024

For many people with dementia and unpaid carers, using technology for care support has become essential. Rapid proliferation of highlights the need to understand digital access health social services dementia. This mixed-methods systematic review aims explore dementia, from perspective carers.

Language: Английский

Citations

2
Perspectives on technology use in the context of caregiving for a person with dementia: A qualitative analysis (Preprint) DOI Creative Commons
Karl S Grewal, Rory Gowda-Sookochoff, Shelley Peacock

et al.

JMIR Formative Research, Journal Year: 2024, Volume and Issue: 8, P. e63041 - e63041

Published: Nov. 18, 2024

Background Examining ways to support persons with dementia and their caregivers help minimize the disease’s impact on individuals, families, society is critical. One emerging avenue for technology (eg, smartphones smart homes). Objective Given increasing presence of in caregiving, it pertinent appreciate whether how can be most useful a care partner’s everyday life. This study aims further understand partner use, attitudes, potential role off-the-shelf technologies homes) supporting caregiving from perspective partners dementia. Methods We conducted telephone cross-sectional survey using random digit dialing 67 self-identified across one Canadian province. Participants were asked about attitudes toward technology, barriers facilitators use demographic information. Eight open-ended questions analyzed content analysis; 2 closed-ended comfort helpfulness (rated scale 1 10) frequencies. From these data, an in-depth semistructured interview was created, 10 (15%) randomly sampled initial collection interviewed approximately year later, responses analysis. Results Frequency analysis rated suggested that comfortable (wearable mean 7.94, SD 2.02; home 6.94, 2.09), although they less strongly (mean 5.02, 2.85). Qualitatively, described functional tasks some caregiving. Barriers included cost, lack knowledge, security or privacy concerns, undesirable features technology. Facilitators access desirable features. Some merging reported subsequent benefits. Others stated could not adopted due degree impairment, fear negative consequences person living dementia, incongruity philosophy. Furthermore, noted either increased unchanged as moved through COVID-19 pandemic. Conclusions The analyses separately, but there notable overlap suggesting temporal stability identified content. Both partners’ relative its other concerns integrating Care reports throughout pandemic may also suggest impacted perceptions usefulness being influenced by requirements reality. Future investigations should examine adopting relevant

Language: Английский

Citations

1
Caregivers’ experiences, challenges, and needs in caring for people with dementia in India: a scoping review DOI Creative Commons
Daniela Lillekroken, Liv Halvorsrud, Heidi Bjørge

et al.

BMC Health Services Research, Journal Year: 2024, Volume and Issue: 24(1)

Published: Dec. 30, 2024

Abstract Background As the world’s most populous country, India faces a growing challenge in addressing dementia, which advancing age remains strongest risk factor. Approximately 8.8 million Indians over of 60 are currently affected by this condition. While much research on dementia caregiving focuses Western societies, experiences shaped profoundly cultural and socioeconomic contexts, vary significantly India. Unique social norms, combined with limited resources, make burden caregivers both distinct understudied. This scoping review synthesized existing literature experiences, challenges, needs India, providing critical insights for developing culturally tailored support systems informing public health initiatives. Methods A comprehensive database search was conducted April 2022 updated September 2024 six databases ( Medline, Embase, PsycINFO, CINAHL, Web Science Epistemonikos). The were systematically searched original qualitative quantitative peer-reviewed studies between 2000 2024. registered Open Framework reported accordance Preferred Reporting Items Systematic Reviews Meta-Analyses extension Scoping Checklist (PRISMA-ScR). Results After identifying, screening, reviewing articles eligibility, we critically appraised included sample 27 review. data synthesis process identified three main themes: (1) navigating dual realities caregiving: challenges rewards family (2) gaps home-based care: faced rural parts (3) present future people Conclusion reveals including caregiver burden, stress, poor among resulting from inadequate support, insufficient respite care, lack information about dementia. Health services offering care needed where population aging is imminent. Trial registration https://doi.org/10.17605/OSF.IO/4MJDC .

Language: Английский

Citations

1
Addressing Access to Care in Diverse Older Adult Populations Using Information and Communication Technologies DOI Open Access
Christine E. Gould, Bret Hicken, Jennifer Freytag

et al.

Clinical Gerontologist, Journal Year: 2023, Volume and Issue: 47(1), P. 1 - 3

Published: Nov. 26, 2023

Language: Английский

Citations

2
Technologies' Potential And Difficulties In Assisting Family Caregivers Of Patients With Somatoform Diseases DOI Open Access

Mr. Prateek Nagpal,

DR. Rinu Chaturvedi,

DR. Rubina Fakhr

et al.

Published: May 20, 2024

Governments now mainly rely on family caregivers (FCs) to take care of patients and lessen the burden placed official health social systems as world's population ages. The sustainability caregivers' unpaid caregiving job has grown be a critical problem due mounting demand. This study investigates care-related career objectives explains how those goals relate or do not technology using qualitative data. research will enlist people with somatoform illnesses via online support networks, community organizations, medical facilities. To assess changes in psychological distress, quality life, participants complete follow-up evaluation after intervention period same measures used at baseline. Participants also share their thoughts technology-based intervention, focusing aspects such perceived usefulness, ease use, satisfaction components intervention. results supported hypothesis by demonstrating that suffering disorder who participated treatment saw improvements overall life statistically significant drop distress levels. our case demonstrate while can help promote this resilience, its application may restricted serving middleman between Family Caregivers other entities information.

Language: Английский

Citations

0
Knowledge of digital technology and use of e-Health solutions in patients with Alzheimer's disease and their caregivers: a systematic review (Preprint) DOI

Andrea Panzavolta,

Andrea Arighi, Emanuele Guido

et al.

Published: July 15, 2024

BACKGROUND Digital technology use for dementia prevention and care is an area of huge development with different experiences among countries. Nevertheless, final users’ propensity capability to e-health solutions are rarely evaluated. Novel digital often lack a patient-oriented perspective, relevant barriers prevent their in clinics. OBJECTIVE This systematic review aims investigate current literature on familiarity the tools Alzheimer’s disease patients caregivers. METHODS Following PRISMA guidelines, search was conducted. Only papers reporting quantitative and/or qualitative assessments were considered. RESULTS From 597 initial records, only 18 considered eligible. In detail, 8 studies investigated patients’ knowledge, or competence technology, while 10 explored use, acceptability usability specific solutions, showing wide by However, age, education socio-economic status strongly impacted relationship. Some key emerged, such as need individualized training programs timely introduction solution along course. CONCLUSIONS Our data proves mismatch between flourishing poor attention real-life implementation solutions. Early identifying set facilitators that may influence adherence scenarios recommend benefit patients-caregiver dyad more effective new technologies

Language: Английский

Citations

0
Caring for Persons with Alzheimer's Disease during a Pandemic DOI

Lori Kokoszka,

Christine A. Pariseault, Christine A. Pariseault

et al.

Home Healthcare Now, Journal Year: 2024, Volume and Issue: 42(5), P. 267 - 276

Published: Sept. 1, 2024

The population experiencing Alzheimer's disease (AD) and their caregivers have been tremendously impacted by the global COVID-19 pandemic. Outpatient services became less accessible during pandemic lockdown which caused increased caregiver burden more than usual. Further examination discovered that were unable to properly take care of themselves because need provide around-the-clock loved ones, who pre-pandemic able receive supplemental caregiving services. purpose this integrative review was a synthesis information regarding experiences, time limited resources, such as with A comprehensive search literature databases Cumulative Index Nursing Allied Health Literature (CINAHL) Medline completed yielding qualitative mixed-methods studies. yielded 14 articles met criteria. Three themes emerged review. They include: Deprivation self-care social connectedness, Fragmented Improved policy development . Multiple gaps in needs identified throughout literature. services, home health aides, respite remain necessary elements for those AD relief caregiver. Forward planning should include government policies support AD, especially light service restrictions or unavailable

Language: Английский

Citations

0
Technologies for well-being: a grand challenge in connected health DOI Creative Commons

Toshiyo Tamura

Frontiers in Digital Health, Journal Year: 2024, Volume and Issue: 6

Published: Oct. 30, 2024

In recent years, we have faced various social challenges, such as climate change, declining birth rates, aging populations, and population decline. As COVID-19 cause major changes in the way work live, "well-being" is attracting attention a criterion for "how to change".Although no single definition of well-being has been established, WHO defines "Health not absence disease or infirmity, but rather state physical, mental, well-being. Well-being includes quality life ability individuals societies contribute world with sense meaning purpose [1].We are conducting research development aimed at realizing Information Society where all "people" can enjoy both physical mental/spiritual health which digital real worlds will continue merge. Improving through connected means using technology improve management promote overall wellness. Connected remote monitoring, telemedicine, personal data, chronic management, behavioral support, etc.By integrating these strategies into daily life, benefit from more proactive, personalized, efficient healthcare, ultimately enhancing their well-being.In this challenge, present our efforts different perspectives, including people society, spiritual health.A basic element It important be healthy maintain good mental health, on basis, values (symbiosis, empathy, sustainability, happiness, prosperity) that enhance an individual's (QOL) spread. However, humanity currently experiencing pandemic new type coronavirus infection situation said one significantly reduced worldwide.Physical believed it serve basis cultivating one's life. The medical field undergoing paradigm shift symptomatic therapy, seeks cure after illness, care preventing illness first place (preventive medicine).An perspective behavior EU looking effective change many years. particular, technologies facilitated by wearable Internet Things devices domain engineering computer science. A particular focus placed case study examines application techniques vital signs monitoring wearables, underscoring relevance urgency further critical intersection human [2]. findings shed light promising role wearables IoT devices, hereinafter referred promoting positive improving individuals, highlight need continued area realize full potential societal benefit. support applications offer therapy exercises [3,4], mood tracking [5][6][7], stress [8,9]. Virtual groups counseling services also play role. Iin addition, systems aggregate analyze providing insights tailored specific needs. This personalized approach effectiveness treatments lifestyle changes. Many tools set goals track progress, help stay motivated make These researches emphasize key advantages provide feedback, facilitate self-monitoring, incorporate gamification element. features process enjoyable, individuals' goals, bring up community accountability.Gamification elderly shown promise influencing intentions use technologybased solutions [10]. Sestino and, D'Angelo found gamification-based therapeutics positively affected elderly's intention use, effect increased magnitude participants' socialization-seeking tendency increased, revealing importance socializationoriented stimulating responses technological tools.In working "bio-digital twin technology," enables collection wide variety large amount bio-data everyday modeling physiological functions, simulating future predictions capture characteristics each individual.Sensor-based twins assist sensors automatically performing tasks smart environment [11]. Adibi et al. investigated integration environments sensor technologies, capabilities, location-based services, focusing impact healthcare outcomes. By analyzing applications, they sensor-based were delivery patient well-being.As mentioned earlier, treatment prevention medicine). advanced bio-information processing based mapping lead avoiding unknown risks advance, naturally inducing behaviors, supporting independent living own way. For example, healthbased EHRs machine learning automate real-time patient-centered records securely authorized participants. Predictive needed private public predict early diagnosis. Data collected, algorithms determine condition trigger criticality (abnormality) status Such system aims prediction institutional homes participants On other hand, during reforms promotion working, there reports caused than workplace. There concern activity relaxed lifestyles may onset worsening lifestyle-related diseases. Maintaining often requires "persistence" "effort" discipline establish regular habits. accumulating biosensing data activities habits (diet, exercise sleep), elements well-being, time axis, method acquired reveal biorhythmic individuals. Combining knowledge psychology economics, mechanism regulate rhythms body mind presenting indexing evidence spontaneous effortless developing feedback methods.The clock generates circadian rhythm regulated input external information region brain (the suprachiasmatic nucleus). Recent studies understanding eating right foods healthier diet. words, incorporating diet takes account body's internal should easy develop lifestyle. Chrononutrition mainly tested nocturnal animals mice. Evidence relationship between [13,14].Social isolation become issue due transformation communities result older people, especially those who socially isolated, needs improved.How used address wellbeing, interventions its explored.Engaging adults level technology-based practices increase self-efficacy mobility, infrastructure, [15,16].Connected improves interactions, foster connections. video calls online consultations accessible, mobility issues live areas [12,17]. access reduce isolation.Healthcare platforms connect similar conditions concerns emotional practical advice. encourage belonging.Connected Health creates joins focused wellness members share experiences, tips encouragement.In individual behaviors deliver reminders engagement self-care. Also, plans part strategy.Mobile only families connected, resources health. cognitive, visual, auditory adults' selfefficacy. We recommend loneliness technology-agnostic multifaceted, range recognize competencies types interactions meet preferences.Future explore implications real-world scenarios, evaluating settings sports rehabilitation, monitoring.As continues evolve, understand long-term devices. Through novel well prevent interventions, strive individuals.From perspective, summarized growing healthcare. developments great opportunity proactively problems diagnose, treat, monitor patients out hospital. adoption technology-enabled increases enable flexible models, increasing number traditional augmented replaced implementation depend clear robust code practice privacy, confidentiality, cybersecurity related supply still gaps addressed itself, system, users technology. Specifically, how designed standardized protocols interoperability international cross-state systems. Further efficiency blockchain storage compared centralized, cloud-based context care. Finally, consumer clinician acceptance literacy experience determined. believe addressing go long toward enabling broader save dollars care.While actively discussed fields sociology, little design communication contactless device technology, emerged measure without burdening person being measured. future, necessary while challenges.

Language: Английский

Citations

0