Using a Mobile Application for Health Communication to Facilitate a Sense of Coherence: Experiences of Older Persons with Cognitive Impairment
Abstract
:1. Introduction
2. Materials and Methods
2.1. Design
2.2. Study Context
2.3. Participants
2.4. Data Collection
2.5. Data Analysis
2.6. Ethical Considerations
3. Results
3.1. Themes
3.1.1. A Challenging Technology That Can Provide Support (Sense of Coherence)
3.1.2. Making Sense of Mobile Technologies (Comprehensibility)
Understanding Usage
“I may not have found all the features. It’s very, very likely”.(Participant A)
“So, I can’t access and do as I did before”.(Participant F)
“Uncertainty makes me afraid to make mistakes, which will have consequences”.(Participant N)
Importance of Language Proficiency
“I am not 100 in English, but then I have help from upstairs. She knows that if there are certain words or a sentence, then I can ask her”.(Participant G)
“I must write here that I have heart pain for example … how can I do that … for example, I have symptom heart failure … how can I do that … enter here … I cannot … must write heart … I can spell so wrong … I am not Swedish”.(Participant M)
3.1.3. Mastering Mobile Technologies (Manageability)
Ability to Use the Interface
“Partly I have some difficulties seeing too. That’s not so good for me … And so, it’s this with the touch buttons and this”.(Participant P)
“Sometime you do … I am making mistakes, so something else comes up but… then you have to go back and do it over … again because … everything is not perfect at once”.(Participant E)
Expectations about Functionalities
“It’s the one I used and the reason I did not continue … I think was that I thought this [the mobile application] was quite slow”.(Participant A)
Need for Support
“If something shows up then well … then I have to contact [my spouse] about which button to use”.(Participant E)
3.1.4. The Potential Added Value to Use Mobile Technologies (Meaningfulness)
The Importance of Fulfilling Needs
“It’s very good that you can get … notifications when you need them”.(Participant L)
“Yes, I have accessed and viewed most of it, but then I haven’t … I haven’t been that interested”.(Participant P)
“I am probably a bit old-fashioned to use that. Difficult to learn this with the touch function”.(Participant I)
Choice of Information Sources
“No, I’m using the computer … because it’s easier than the tablet … it’s easier, quicker, not the same system”.(Participant B)
“No, I think it is too big to have in the bag … then you would need a bigger bag … and I do not have my medications with me”.(Participant L)
“It has worked well, but it’s just that you think you have it twice there, so it is a little easier to use”.(Participant O)
Importance of Personal Interaction
“To speak with a doctor and look them in the eyes instead of speaking on the phone … I think it’s important to meet them”. (Participant E)
4. Discussion
Methodological Considerations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Appendix A
Appendix B
# | Age | Sex | Education |
---|---|---|---|
A | 73 | Male | Secondary school |
B | 89 | Male | Secondary school |
C | 92 | Male | Professional school/training school |
D | 83 | Male | Elementary school |
E | 76 | Male | Elementary school |
F | 71 | Male | Senior high school |
G | 72 | Male | Senior high school |
H | 100 | Male | Senior high school |
I | 76 | Male | Elementary school |
J | 71 | Male | Elementary school |
K | 75 | Male | University |
L | 76 | Female | University |
M | 81 | Female | Elementary school |
N | 81 | Female | Senior high school |
O | 76 | Male | Senior high school |
P | 71 | Female | Elementary school |
Appendix C. Interview Guide
- Tell me about why you wanted to take part in the study?
- Do you have any technical background in your work? When did you learn about computers?
- Tell me about what information you want to share with health care professionals (HCP)?
- How would you like to have contact with HCP? How are you doing today?
- Have you tried to contact HCP via technology? How did it go? Easy?/hard?
- How are you getting information about your health? Could it work in any different way?
- (Does the information contribute to increased knowledge? In what way?)
- Do you need anyone to help you understand information about your health? Informal caregiver?
- Tell me about the technology that is being used in the project and how it can support you in daily life.
- In what way? What is easy?/hard? What does it add? Is anything missing?
- What do you think about the touch functionality?
- Is there any specific function/feature that has been useful to you?
- (In what way has it been useful to your health?)
- What information is available?
- Tell me about how the technology in the study affects your memory. How/why? In what way? How does it support you?
- Tell me about the icon/picture “About dementia”?
- How do you perceive the content in the text?
- Would you like to have it presented in any other way?
- How valuable has the information been to you? In what way?
- Tell about my health (the menu in the SMART4MD app).
- How do you perceive the functions to be a support to yourself?
- Do you have any previous experience of technology (from work? Did you get any formal education of using computers?
- Do you need any support of family/informal caregivers or from healthcare?
- Is there anything I have not asked that you would like to share?
References
- Wang, S.; Bolling, K.; Mao, W.; Reichstadt, J.; Jeste, D.; Kim, H.-C.; Nebeker, C. Technology to Support Aging in Place: Older Adults’ Perspectives. Healthcare 2019, 7, 60. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Fourez, G. Scientific and Technological Literacy as a Social Practice. Soc. Stud. Sci. 1997, 27, 903–936. [Google Scholar] [CrossRef]
- Abolhassani, N.; Santos-Eggimann, B.; Chiolero, A.; Santschi, V.; Henchoz, Y. Readiness to Accept Health Information and Communication Technologies: A Population-Based Survey of Community-Dwelling Older Adults. Int. J. Med. Inf. 2019, 130, 1–7. [Google Scholar] [CrossRef]
- Rosales, A.; Fernández-Ardèvol, M. Beyond WhatsApp: Older People and Smartphones. Rom. J. Commun. Public Relat. 2016, 18, 27. [Google Scholar] [CrossRef]
- Ruben, B.D. Communication Theory and Health Communication Practice: The More Things Change, the More They Stay the Same. Health Commun. 2016, 31, 1–11. [Google Scholar] [CrossRef]
- Williams, S.L.; Ames, K.; Lawson, C. Preferences and Trust in Traditional and Non-Traditional Sources of Health Information—A Study of Middle to Older Aged Australian Adults. J. Commun. Healthc. 2019, 12, 134–142. [Google Scholar] [CrossRef]
- Hedman, A.; Lindqvist, E.; Nygård, L. How Older Adults with Mild Cognitive Impairment Relate to Technology as Part of Present and Future Everyday Life: A Qualitative Study. BMC Geriatr. 2016, 16, 73. [Google Scholar] [CrossRef] [Green Version]
- Gell, N.M.; Rosenberg, D.E.; Demiris, G.; LaCroix, A.Z.; Patel, K.V. Patterns of Technology Use Among Older Adults With and Without Disabilities. Gerontologist 2015, 55, 412–421. [Google Scholar] [CrossRef] [PubMed]
- Khosravi, P.; Ghapanchi, A.H. Investigating the Effectiveness of Technologies Applied to Assist Seniors: A Systematic Literature Review. Int. J. Med. Inf. 2016, 85, 17–26. [Google Scholar] [CrossRef] [PubMed]
- Winblad, B.; Amouyel, P.; Andrieu, S.; Ballard, C.; Brayne, C.; Brodaty, H.; Cedazo-Minguez, A.; Dubois, B.; Edvardsson, D.; Feldman, H.; et al. Defeating Alzheimer’s Disease and Other Dementias: A Priority for European Science and Society. Lancet Neurol. 2016, 15, 455–532. [Google Scholar] [CrossRef] [Green Version]
- Peek, S.T.M.; Luijkx, K.G.; Rijnaard, M.D.; Nieboer, M.E.; van der Voort, C.S.; Aarts, S.; van Hoof, J.; Vrijhoef, H.J.M.; Wouters, E.J.M. Older Adults’ Reasons for Using Technology While Aging in Place. Gerontology 2016, 62, 226–237. [Google Scholar] [CrossRef] [PubMed]
- Russell, A.M.; Smith, S.G.; Bailey, S.C.; Belter, L.T.; Pandit, A.U.; Hedlund, L.A.; Bojarski, E.A.; Rush, S.R.; Wolf, M.S. Older Adult Preferences of Mobile Application Functionality Supporting Medication Self-Management. J. Health Commun. 2018, 23, 1064–1071. [Google Scholar] [CrossRef]
- Procter, R.; Greenhalgh, T.; Wherton, J.; Sugarhood, P.; Rouncefield, M.; Hinder, S. The Day-to-Day Co-Production of Ageing in Place. Comput. Support. Coop. Work CSCW 2014, 23, 245–267. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Taha, J.; Sharit, J.; Czaja, S. Use of and Satisfaction with Sources of Health Information among Older Internet Users and Nonusers. Gerontologist 2009, 49, 663–673. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Holthe, T.; Halvorsrud, L.; Karterud, D.; Hoel, K.-A.; Lund, A. Usability and Acceptability of Technology for Community-Dwelling Older Adults with Mild Cognitive Impairment and Dementia: A Systematic Literature Review. Clin. Interv. Aging 2018, 13, 863–886. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- von Humboldt, S.; Leal, I.; Pimenta, F. Living Well in Later Life: The Influence of Sense of Coherence, and Socio-Demographic, Lifestyle and Health-Related Factors on Older Adults’ Satisfaction with Life. Appl. Res. Qual. Life 2014, 9, 631–642. [Google Scholar] [CrossRef]
- Antonovsky, A. Health, Stress, and Coping; The Jossey-Bass Social and Behavioral Science Series, 99-0150100-8; Jossey-Bass: San Francisco, CA, USA, 1979; ISBN 978-0-87589-412-6. [Google Scholar]
- Antonovsky, A. Unraveling the Mystery of Health: How People Manage Stress and Stay Well; The Jossey-Bass Social and Behavioral Science Series, 99-0150100-8; Jossey-Bass: San Francisco, CA, USA, 1987; ISBN 978-1-55542-028-4. [Google Scholar]
- Göransson, C.; Wengström, Y.; Hälleberg-Nyman, M.; Langius-Eklöf, A.; Ziegert, K.; Blomberg, K. An App for Supporting Older People Receiving Home Care—Usage, Aspects of Health and Health Literacy: A Quasi-Experimental Study. BMC Med. Inform. Decis. Mak. 2020, 20, 226. [Google Scholar] [CrossRef]
- Saplacan, D.; Herstad, J.; Pajalic, Z. An Analysis of Independent Living Elderly’s Views on Robots: A Descriptive Study from the Norwegian Context. In Proceedings of the Thirteenth International Conference on Advances in Computer-Human Interactions, Valencia, Spain, 21–25 November 2020. [Google Scholar]
- Super, S.; Wagemakers, M.A.E.; Picavet, H.S.J.; Verkooijen, K.T.; Koelen, M.A. Strengthening Sense of Coherence: Opportunities for Theory Building in Health Promotion. Health Promot. Int. 2016, 31, 869–878. [Google Scholar] [CrossRef]
- Ahmad, A.; Mozelius, P. Critical Factors for Human Computer Interaction of EHealth for Older Adult; Association for Computing Machinery (ACM): New York, NY, USA, 2019; Volume 5, pp. 58–62. [Google Scholar]
- Elo, S.; Kyngäs, H. The Qualitative Content Analysis Process. J. Adv. Nurs. 2008, 62, 107–115. [Google Scholar] [CrossRef]
- Anderberg, P.; Barnestein-Fonseca, P.; Guzman-Parra, J.; Garolera, M.; Quintana, M.; Mayoral-Cleries, F.; Lemmens, E.; Berglund, J.S. The Effects of the Digital Platform Support Monitoring and Reminder Technology for Mild Dementia (SMART4MD) for People with Mild Cognitive Impairment and Their Informal Carers: Protocol for a Pilot Randomized Controlled Trial. JMIR Res. Protoc. 2019, 8, e13711. [Google Scholar] [CrossRef] [Green Version]
- Patton, M.Q. Qualitative Research & Evaluation Methods: Integrating Theory and Practice, 4th ed.; SAGE Publications, Inc.: Thousand Oaks, CA, USA, 2015; ISBN 978-1-4129-7212-3. [Google Scholar]
- Robinson, T.N.; Patrick, K.; Eng, T.R.; Gustafson, D. An Evidence-Based Approach to Interactive Health Communication: A Challenge to Medicine in the Information Age. Science Panel on Interactive Communication and Health. JAMA 1998, 280, 1264–1269. [Google Scholar] [CrossRef]
- Kvale, S.; Brinkmann, S. InterViews: Learning the Craft of Qualitative Research Interviewing; Sage Publications: Los Angeles, CA, USA, 2009; ISBN 978-0-7619-2542-2. [Google Scholar]
- Polit, D.F.; Beck, C.T. Nursing Research: Generating and Assessing Evidence for Nursing Practice, 10th ed.; Wolters Kluwer: Philadelphia, PA, USA, 2017; ISBN 978-1-4963-0023-2. [Google Scholar]
- Braun, V.; Clarke, V. Using Thematic Analysis in Psychology. Qual. Res. Psychol. 2006, 3, 77–101. [Google Scholar] [CrossRef] [Green Version]
- World Medical Association WMA—The World Medical Association-WMA Declaration of Helsinki—Ethical Principles for Medical Research Involving Human Subjects. Available online: https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/ (accessed on 27 September 2017).
- The European Parliament and of the Council the General Data Protection Regulation (GDPR). Available online: https://eur-lex.europa.eu/legal-content/ENG/TXT/PDF/?uri=CELEX:32016R0679&rid=1 (accessed on 2 September 2020).
- Riksdagsförvaltningen Lag (2018:218) Med Kompletterande Bestämmelser Till EU:S Dataskyddsförordning. Available online: https://riksdagen.se/sv/dokument-lagar/dokument/svensk-forfattningssamling/lag-2018218-med-kompletterande-bestammelser_sfs-2018-218 (accessed on 4 October 2020).
- Pirhonen, J.; Lolich, L.; Tuominen, K.; Jolanki, O.; Timonen, V. “These Devices Have Not Been Made for Older People’s Needs” —Older Adults’ Perceptions of Digital Technologies in Finland and Ireland. Technol. Soc. 2020, 62, 101287. [Google Scholar] [CrossRef]
- Vaportzis, E.; Giatsi Clausen, M.; Gow, A.J. Older Adults Perceptions of Technology and Barriers to Interacting with Tablet Computers: A Focus Group Study. Front. Psychol. 2017, 8, 1687. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Kuerbis, A.; Mulliken, A.; Muench, F.; Moore, A.A.; Gardner, D. Older Adults and Mobile Technology: Factors That Enhance and Inhibit Utilization in the Context of Behavioral Health. Ment. Health Addict. Res. 2017, 2. [Google Scholar] [CrossRef] [Green Version]
- Nutbeam, D. The Evolving Concept of Health Literacy. Soc. Sci. Med. 2008, 67, 2072–2078. [Google Scholar] [CrossRef]
- Matthew-Maich, N.; Harris, L.; Ploeg, J.; Markle-Reid, M.; Valaitis, R.; Ibrahim, S.; Gafni, A.; Isaacs, S. Designing, Implementing, and Evaluating Mobile Health Technologies for Managing Chronic Conditions in Older Adults: A Scoping Review. JMIR MHealth UHealth 2016, 4, e5127. [Google Scholar] [CrossRef] [PubMed]
- Bogza, L.-M.; Patry-Lebeau, C.; Farmanova, E.; Witteman, H.O.; Elliott, J.; Stolee, P.; Hudon, C.; Giguere, A.M.C. User-Centered Design and Evaluation of a Web-Based Decision Aid for Older Adults Living With Mild Cognitive Impairment and Their Health Care Providers: Mixed Methods Study. J. Med. Int. Res. 2020, 22, e17406. [Google Scholar] [CrossRef]
- Hill, N.L.; Mogle, J.; Wion, R.; Kitt-Lewis, E.; Hannan, J.; Dick, R.; McDermott, C. App-based Attention Training: Incorporating Older Adults’ Feedback to Facilitate Home-based Use. Int. J. Older People Nurs. 2018, 13. [Google Scholar] [CrossRef] [PubMed]
- Reiners, F.; Sturm, J.; Bouw, L.J.W.; Wouters, E.J.M. Sociodemographic Factors Influencing the Use of EHealth in People with Chronic Diseases. Int. J. Environ. Res. Public. Health 2019, 16, 645. [Google Scholar] [CrossRef] [Green Version]
- Tsai, H.S.; Shillair, R.; Cotten, S.R. Social Support and “Playing Around”: An Examination of How Older Adults Acquire Digital Literacy with Tablet Computers. J. Appl. Gerontol. 2015. [CrossRef]
- Guisado-Fernández, E.; Giunti, G.; Mackey, L.M.; Blake, C.; Caulfield, B.M. Factors Influencing the Adoption of Smart Health Technologies for People With Dementia and Their Informal Caregivers: Scoping Review and Design Framework. JMIR Aging 2019, 2, e12192. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Blok, M.; van Ingen, E.; de Boer, A.H.; Slootman, M. The Use of Information and Communication Technologies by Older People with Cognitive Impairments: From Barriers to Benefits. Comput. Hum. Behav. 2020, 104, 106173. [Google Scholar] [CrossRef]
- Guzman-Parra, J.; Barnestein-Fonseca, P.; Guerrero-Pertiñez, G.; Anderberg, P.; Jimenez-Fernandez, L.; Valero-Moreno, E.; Goodman-Casanova, J.M.; Cuesta-Vargas, A.; Garolera, M.; Quintana, M.; et al. Attitudes and Use of Information and Communication Technologies in Older Adults With Mild Cognitive Impairment or Early Stages of Dementia and Their Caregivers: Cross-Sectional Study. J. Med. Int. Res. 2020, 22, e17253. [Google Scholar] [CrossRef] [PubMed]
- Borg, K.; Boulet, M.; Smith, L.; Bragge, P. Digital Inclusion & Health Communication: A Rapid Review of Literature. Health Commun. 2019, 34, 1320–1328. [Google Scholar] [CrossRef]
- Bartels, S.L.; van Knippenberg, R.J.M.; Malinowsky, C.; Verhey, F.R.J.; de Vugt, M.E. Smartphone-Based Experience Sampling in People With Mild Cognitive Impairment: Feasibility and Usability Study. JMIR Aging 2020, 3, e19852. [Google Scholar] [CrossRef]
- Chen, K.; Lou, V.W.Q.; Lo, S.S.C. A Tablet-Based Volunteer-Mediated Intervention for Cognitively Impaired Older People: A Pretest–Posttest. Res. Soc. Work Pract. 2019. [CrossRef]
- Robert, P.; Manera, V.; Derreumaux, A.; Montesino, M.F.Y.; Leone, E.; Fabre, R.; Bourgeois, J. Efficacy of a Web App for Cognitive Training (MeMo) Regarding Cognitive and Behavioral Performance in People With Neurocognitive Disorders: Randomized Controlled Trial. J. Med. Int. Res. 2020, 22, e17167. [Google Scholar] [CrossRef] [PubMed]
- Fischer, S.H.; David, D.; Crotty, B.H.; Dierks, M.; Safran, C. Acceptance and Use of Health Information Technology by Community-Dwelling Elders. Int. J. Med. Inf. 2014, 83, 624–635. [Google Scholar] [CrossRef] [Green Version]
- Vassli, L.T.; Farshchian, B.A. Acceptance of Health-Related ICT among Elderly People Living in the Community: A Systematic Review of Qualitative Evidence. Int. J. Hum. Comput. Interact. 2018, 34, 99–116. [Google Scholar] [CrossRef]
- Mercer, K.; Baskerville, N.; Burns, C.M.; Chang, F.; Giangregorio, L.; Goodwin, J.T.; Rezai, L.S.; Grindrod, K. Using a Collaborative Research Approach to Develop an Interdisciplinary Research Agenda for the Study of Mobile Health Interventions for Older Adults. JMIR MHealth UHealth 2015, 3, e11. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Turner, A.M.; Osterhage, K.P.; Taylor, J.O.; Hartzler, A.L.; Demiris, G. A Closer Look at Health Information Seeking by Older Adults and Involved Family and Friends: Design Considerations for Health Information Technologies. AMIA. Annu. Symp. Proc. 2018, 2018, 1036–1045. [Google Scholar] [PubMed]
- Kerssens, C.; Kumar, R.; Adams, A.E.; Knott, C.C.; Matalenas, L.; Sanford, J.A.; Rogers, W.A. Personalized Technology to Support Older Adults with and without Cognitive Impairment Living at Home. Am. J. Alzheimers Dis. Other Demen. 2015, 30, 85–97. [Google Scholar] [CrossRef] [PubMed]
- Joddrell, P.; Astell, A.J. Studies Involving People with Dementia and Touchscreen Technology: A Literature Review. JMIR Rehabil. Assist. Technol. 2016, 3. [Google Scholar] [CrossRef]
- Sundgren, S.; Stolt, M.; Suhonen, R. Ethical Issues Related to the Use of Gerontechnology in Older People Care: A Scoping Review. Nurs. Ethics 2020, 27, 88–103. [Google Scholar] [CrossRef]
- Hülür, G.; Macdonald, B. Rethinking Social Relationships in Old Age: Digitalization and the Social Lives of Older Adults. Am. Psychol. 2020, 75, 554–566. [Google Scholar] [CrossRef]
- Rechel, B.; Grundy, E.; Robine, J.-M.; Cylus, J.; Mackenbach, J.P.; Knai, C.; McKee, M. Ageing in the European Union. Lancet Lond. Engl. 2013, 381, 1312–1322. [Google Scholar] [CrossRef]
- Wang, J.; Wang, Y.; Wei, C.; Yao, N.A.; Yuan, A.; Shan, Y.; Yuan, C. Smartphone Interventions for Long-Term Health Management of Chronic Diseases: An Integrative Review. Telemed. J. E-Health Off. J. Am. Telemed. Assoc. 2014, 20, 570–583. [Google Scholar] [CrossRef]
- Piculell, E.; Skär, L.; Sanmartin Berglund, J.; Anderberg, P.; Bohman, D. A Concept Analysis of Health Communication in a Home Environment: Perspectives of Older Persons and Their Informal Caregivers. Scand. J. Caring Sci. 2020, 35, 1006–1024. [Google Scholar] [CrossRef] [PubMed]
- Fulmer, T. A Retrospective/Prospective on the Future of Geriatric Nursing. Geriatr. Nur. Lond. 2020, 41, 29–31. [Google Scholar] [CrossRef]
- Bol, N.; Smit, E.S.; Lustria, M.L.A. Tailored Health Communication: Opportunities and Challenges in the Digital Era. Digit. Health 2020, 6. [Google Scholar] [CrossRef] [PubMed]
- Iancu, I.; Iancu, B. Designing Mobile Technology for Elderly. A Theoretical Overview. Technol. Forecast. Soc. Chang. 2020, 155, 119977. [Google Scholar] [CrossRef]
- Berget, G.; MacFarlane, A. What Is Known About the Impact of Impairments on Information Seeking and Searching? J. Assoc. Inf. Sci. Technol. 2020, 71, 596–611. [Google Scholar] [CrossRef] [Green Version]
- Huang, Z. Mobile Usability: Review, Classifications and Future Directions. In Design, User Experience, and Usability. Design for Contemporary Interactive Environments; Marcus, A., Rosenzweig, E., Eds.; Springer International Publishing: Copenhagen, Denmark, 2020; pp. 270–276. [Google Scholar]
- Joyce, G.; Lilley, M.; Barker, T.; Jefferies, A. Mobile Application Usability Heuristics: Decoupling Context-of-Use. In Design, User Experience, and Usability: Theory, Methodology, and Management; Marcus, A., Wang, W., Eds.; Springer International Publishing: Vancouver, BC, Canada, 2017; pp. 410–423. [Google Scholar]
- Price, A.E.; Corwin, S.J.; Friedman, D.B.; Laditka, S.B.; Colabianchi, N.; Montgomery, K.M. Older Adults’ Perceptions of Physical Activity and Cognitive Health: Implications for Health Communication. Health Educ. Behav. 2011, 38, 15–24. [Google Scholar] [CrossRef] [PubMed]
- Arcury, T.A.; Sandberg, J.C.; Melius, K.P.; Quandt, S.A.; Leng, X.; Latulipe, C.; Miller, D.P.; Smith, D.A.; Bertoni, A.G. Older Adult Internet Use and EHealth Literacy. J. Appl. Gerontol. 2020, 39, 141–150. [Google Scholar] [CrossRef]
- Gold, R.S.; Auld, M.E.; Abroms, L.C.; Smyser, J.; Yom-Tov, E.; Allegrante, J.P. Digital Health Communication Common Agenda 2.0: An Updated Consensus for the Public and Private Sectors to Advance Public Health. Health Educ. Behav. 2019, 46, 124S–128S. [Google Scholar] [CrossRef] [PubMed]
- Lincoln, Y.S.; Guba, E.G. Naturalistic Inquiry; Sage: Beverly Hills, CA, USA, 1985; ISBN 978-0-8039-2431-4. [Google Scholar]
- Quintana, M.; Anderberg, P.; Sanmartin Berglund, J.; Frögren, J.; Cano, N.; Cellek, S.; Zhang, J.; Garolera, M. Feasibility-Usability Study of a Tablet App Adapted Specifically for Persons with Cognitive Impairment—SMART4MD (Support Monitoring and Reminder Technology for Mild Dementia). Int. J. Environ. Res. Public. Health 2020, 17, 6816. [Google Scholar] [CrossRef]
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Piculell, E.; Skär, L.; Sanmartin Berglund, J.; Anderberg, P.; Bohman, D. Using a Mobile Application for Health Communication to Facilitate a Sense of Coherence: Experiences of Older Persons with Cognitive Impairment. Int. J. Environ. Res. Public Health 2021, 18, 11332. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph182111332
Piculell E, Skär L, Sanmartin Berglund J, Anderberg P, Bohman D. Using a Mobile Application for Health Communication to Facilitate a Sense of Coherence: Experiences of Older Persons with Cognitive Impairment. International Journal of Environmental Research and Public Health. 2021; 18(21):11332. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph182111332
Chicago/Turabian StylePiculell, Erik, Lisa Skär, Johan Sanmartin Berglund, Peter Anderberg, and Doris Bohman. 2021. "Using a Mobile Application for Health Communication to Facilitate a Sense of Coherence: Experiences of Older Persons with Cognitive Impairment" International Journal of Environmental Research and Public Health 18, no. 21: 11332. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph182111332