Attitudes of at-risk older adults about prevention of cardiovascular disease and dementia using eHealth: a qualitative study in a European context.
dementia
preventive medicine
public health
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
06 08 2020
06 08 2020
Historique:
entrez:
9
8
2020
pubmed:
9
8
2020
medline:
15
5
2021
Statut:
epublish
Résumé
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. 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. 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. 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. 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. ISRCTN48151589.
Identifiants
pubmed: 32764085
pii: bmjopen-2020-037050
doi: 10.1136/bmjopen-2020-037050
pmc: PMC7412614
doi:
Banques de données
ISRCTN
['ISRCTN48151589']
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e037050Subventions
Organisme : Medical Research Council
ID : G0601022
Pays : United Kingdom
Organisme : Medical Research Council
ID : G9901400
Pays : United Kingdom
Investigateurs
Bram van de Groep
(BV)
Carol Brayne
(C)
Cathrien Beishuizen
(C)
Edo Richard
(E)
Eric Moll van Charante
(EM)
Francesca Mangialasche
(F)
Hilkka Soininen
(H)
Juliette Guillemont
(J)
Lennard van Wanrooij
(LV)
Mariagnese Barbera
(M)
Marieke Hoevenaar-Blom
(M)
Miia Kivipelto
(M)
Nicola Coley
(N)
Pim van Gool
(PV)
Sandrine Andrieu
(S)
Susan Jongstra
(S)
Tessa van Middelaar
(TV)
Tiia Ngandu
(T)
Yannick Meiller
(Y)
Informations de copyright
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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