Effectiveness of a harmonica-integrated, tele-supervised home-based pulmonary rehabilitation program on lung function and comprehensive health outcomes in patients with chronic obstructive pulmonary disease: a randomized controlled trial protocol

Frontiers in Public Health, Год журнала: 2025, Номер 13

Опубликована: Янв. 29, 2025

Introduction Harmonica playing mimics pursed-lip breathing and strengthens respiratory muscles. Combined with music therapy, it may improve both pulmonary mental health in chronic obstructive disease (COPD) patients, though its effects are not well understood. This protocol outlines a randomized controlled trial (RCT) to evaluate the effectiveness of integrating harmonica into rehabilitation (PR) programs. Methods analysis single-center, two-arm RCT will be conducted at tertiary hospital Guangzhou, China. A total 248 adult patients (with clinical diagnosis COPD but without severe comorbidities, significant cognitive impairments, prior experience intervention components) 1:1 ratio either harmonica-integrated PR group (intervention) or standard (control) for 6 months home-based, tele-supervised training. The incorporate sessions addition exercises (breathing physical exercises). Both groups undergo in-hospital training sessions, supplemented by daily home practice under remote supervision staff. primary outcome is lung function (measured FEV 1 %), while secondary outcomes include muscle strength, exercise capacity, fatigue, dyspnea, symptom burden, health, self-efficacy, quality life, social support, adherence, patient satisfaction. Statistical analyses employ mixed-effects models an intention-to-treat approach. Conclusion efficacy harmonica-integrated, home-based program tele-supervision on function, overall health. If effective, could offer novel, affordable, accessible approach management. Trial registration number ClinicalTrials.gov : NCT05995847.

Язык: Английский

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The association between digital technology use and depression among older people in China: a moderated mediation model

Frontiers in Psychiatry, Год журнала: 2025, Номер 16

Опубликована: Фев. 10, 2025

To investigate the association among multidimensional (Digital engagement, DE; Digital devices, DD; and purpose, DP) digital technology use depression in older Chinese, considering social participation as a mediator physical activity level (PAL) moderator. Data on 5,744 participants (aged≥60) were extracted from China Health Retirement Longitudinal Study 2020 dataset. Depression was assessed using 10-item Center for Epidemiologic Studies Scale. Logistic regression examined between depression. The PROCESS program's Model 4 evaluated mediating role of participation, while 7 moderating PAL. negatively associated with (DE, OR= 0.722, 95%CI: 0.609, 0.858; DD, 0.739, 0.634, 0.860; DP, 0.916, 0.881, 0.952). Various dimensions exerted direct effects scores 85.87% -0.638, -1.036, -0.240), 86.09% (DD, -0.526, -0.844, -0.208), 87.82% (DP, -0.173, -0.259, -0.087), respectively, mediated 14.13%, 13.91%, 12.18%. PAL positive effect first half path mediation, especially vigorous 0.591, 0.230, 0.952; 0.515, 0.206, 0.824; 0.157, 0.075, 0.239). Multidimensional showed an adults. Promoting through is lower depressive symptom scores, further strengthens this association, leading to improved mental health.

Язык: Английский

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Acceptance of advance care planning among older adults in Mainland China: a national cross-sectional study

BMC Public Health, Год журнала: 2025, Номер 25(1)

Опубликована: Май 6, 2025

Язык: Английский

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Facilitators, barriers, and recommendations for mobile health applications among Chinese older populations: a scoping review

BMC Geriatrics, Год журнала: 2025, Номер 25(1)

Опубликована: Май 31, 2025

Mobile health (mHealth) applications have become indispensable in people's daily lives and are now incorporated into a multitude of healthcare services. However, due to inappropriate designs ineffective promotional strategies, the rates uptake continued use mHealth older adults usually low. Given that recent evidence has reported distinct adoption patterns between Chinese non-Chinese populations, aim this scoping review was map relevant on end-user perceptions age-appropriate recommendations for interface design, persuasive features, strategies among adults. All primary studies conducted people aged 60 + years, including quantitative, qualitative, mixed methods research, examining (e.g., motivators, barriers, design) were considered eligible inclusion. Four electronic databases (PubMed, CINAHL, PsycINFO, Medline) searched from their inceptions through 31 May 2024. A narrative approach adopted data analyses study aim. total 23 (n = 8,203) included. End-user (facilitators barriers) narratively synthesized according socio-ecological model (individual/product, interpersonal, community, societal). In deaf hard-of-hearing adults, lack proficiency mastering operations smartphone, Internet, greatly jeopardized communication with family or friends, accessibility online medical consultations, access public places amidst COVID-19 pandemic. Recommended categorized various aspects functional impairments (vision, manual dexterity, cognition) elderly users. Seven also highlighted, whereas more than half recommended education measures personalized family/peer- professional-led training program) technical support face-to-face instructions, detailed timely consultation services). Other included increased publicity, co-creation, supportive government policies. This synthesizes existing hence provides age-friendly designs, populations. Overall, empirically offers actionable guidelines developers meet multifaceted needs people.

Язык: Английский

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The relationship between problematic internet use and psychological distress in older Chinese teachers (40+) during different stages of the COVID-19 pandemic: three cross-sectional studies

Frontiers in Public Health, Год журнала: 2024, Номер 12

Опубликована: Дек. 20, 2024

Despite a consensus on the negative implications of problematic internet use (PIU) for mental health, there is notable gap in research concerning older demographics, particularly teachers. This study aimed to investigate prevalence PIU and its impact wellbeing this population.

Язык: Английский

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Factors influencing the adoption of telemedicine services for middle-aged and elderly patients with chronic diseases in rural China: a multicenter cross-sectional study (Preprint)

Опубликована: Апрель 20, 2024

Background Telemedicine services have greatly enhanced healthcare quality and increased access for residents in remote areas through innovative solutions. Despite this progress, low user awareness limited acceptance of these still pose significant challenges. To address issue, study aims to develop a model that identifies factors influencing the adoption telemedicine among middle-aged elderly rural patients with chronic illnesses, drawing from Health Information Technology Adoption Model (HITAM). This examines critical impacting willingness diseases embrace using structural equation model. Methods A multicenter cross-sectional was conducted at five hospitals western China, focusing on diseases. An empirical test performed hypothesis modeling determine significance path coefficients. approach aimed gain insights into patients' adopt services. total 880 were examined study, an average intention score 3.94 (standard deviation 1.02). The findings highlight education level, monthly income, need care significantly impact their inclination towards adopting Structural revealed social influence (SI), self-efficacy (SE), perceived reliability (PR), health threat (PHT) peripheral variables, while ease use (PEU), usefulness (PU), attitude acted as core mediating variables positively influenced subsequent usage behavior. Moreover, directly none

Язык: Английский

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Influence of eHealth Literacy on Acceptance of Healthcare Services with Risks in China: Chain-Mediating Effect of General Risk Propensity and Self-Efficacy

Опубликована: Янв. 1, 2024

Язык: Английский

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Psychometric properties of the Spanish version of the media health literacy questionnaire (MeHLit-SV)

Frontiers in Public Health, Год журнала: 2024, Номер 12

Опубликована: Сен. 24, 2024

Media health literacy emerges as a response to the vast array of informational disorders prevalent in media communications. Given absence measurement tool for this type Spanish-speaking communities, aim present study is conduct cross-cultural adaptation Health Literacy (MeHLit) questionnaire into Spanish and analyze its psychometric properties sample nursing students.

Язык: Английский

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