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This is CHMP’s third blog post adding to the public conversation during National Health IT Week  9/16-9/20/13  #NHITweek 

 

6062248667_9ddfb91da2Are older adults ready to embrace health technology?

According to a recent study in the Journal of Gerontological Nursing, they’re not only ready, but eager to do so.

This small study looked at how seniors view technology and how that influences adoption of new tools or concepts. That view is affected by the senior’s life course — the time and place he or she grew up, as well as the main factors of the diffusion of innovations theory. Essentially, if seniors think the technology will help them, can test it out, find it relatively simple to use, feel it aligns with their needs and values, and can see tangible benefits, they will use it. *For the purposes of this study, “technology” generally encompassed computers, cell phones, and basic health IT, such as remote monitoring.*

A series of focus groups found that older adults are justifiably concerned about issues like privacy, user-friendliness, training and available support. Seniors also said that they are often frustrated with current technology, perceiving it as “overly complicated and cumbersome to use and learn.”

Another theme which emerged from these focus groups is how technology can help to maintain or improve physical and mental capabilities. Games, puzzles and competitions were cited as types of activities these seniors enjoyed and use to help keep their minds sharp.

Researchers found strong support for tele-health use for routine medical care – especially among those living in rural areas. Many study participants already connect with health providers remotely. Less need to travel to major hubs and more efficient services were cited as key benefits. The study also revealed that seniors lack awareness of the health benefits of many current technologies. They were also critical of current technology design – from online gaming to cell phones – which fails to account for older adults’ preferences and perceptions. In one discussion, participants pointed to cell phones as overly complex and visually challenging; most only wanted them for making phone calls.

Importantly, researchers confirmed that older adults want to learn more about technology and how it can help them maintain independence and quality of life. While the majority of participants were unaware of the wide range of existing technology to address their health needs, most said they would be very willing to learn if it helped them to maintain mental and physical health. They also suggested that developers give more consideration to older adults by making hardware and software more user-friendly to facilitate adoption.

This cohort provided strong qualitative evidence that older adults generally respond positively to technology. Larger studies, quantitative data, and more detailed analysis of senior-specific tech is needed to truly understand older adults’ needs and overcome real or perceived barriers.

The easier we make it for older adults to adopt emerging health technologies, the more likely it is that many seniors will be able to age in place longer, enhance their social connections, and maintain a good quality of life.

This is CHMP’s third blog post adding

This is CHMP’s second blog post adding to the public conversation during National Health IT Week  9/16-9/20/13  #NHITweek . This post was first published on Pulse + Signal, founded by Andre Blackman, a member of CHMP’s National Advisory Council. It is reposted here with his permission.

The author of Bringing Diversity to the Health Tech Ecosystem is Dr. Ivor Horn, a physician, thought leader and health services researcher with a passion for technology, health innovation and the underserved. Learn more about her on her website

Photo Credit: Black Girls Code Project

Photo Credit: Black Girls Code Project

While we have made great strides over the last decade, minority communities are still disproportionately affected by health disparities in this country. However, there is a convergence of technology use among minority communities that has created an opportunity to disrupt the current trajectory of health disparities.

Minorities are early adopters when it comes to mobile technology for many reasons – cost, transportability and internet access to name a few. They are the fastest growing population of smartphone users and more likely to go online using their cell phones, especially to connect via social media.  As early adopters of mobile technology, minority and urban communities may be best positioned to benefit from tech innovations in health care.  Of note, African Americans are twice as likely as whites to use mobile health applications (15% vs. 7%) with Latinos not far behind (11%). When we asked families in our clinics if they would be interested in receiving health information via mobile, almost 90% said yes. The Pew Internet Project has great details on the use of health & tech and by whom.

– See more at: http://pulseandsignal.com/#sthash.D49dZQP4.dpuf

This is CHMP's second blog post adding

CHMP welcomes Senior Fellow Margaret (Peggy) Rafferty.  Dr. Rafferty’s project will involve increasing nursing students awareness about environmental health issues. More details about her project can be read here.

Peggy Rafferty

Peggy Rafferty

Margaret (Peggy) Rafferty RN DNP MPH MA completed her pre-licensure nursing education at State University of New York Plattsburgh (1975) and subsequently received a Master of Arts in Nursing from New York University (1978), a Masters in Public Health from the Columbia University-Mailman School of Public Health (1987), and a Doctorate in Nursing Practice (DNP) from Case Western Reserve Frances Payne Bolton School of Nursing (2009).  She has a long career as both a nursing educator and clinician. She is currently an Associate Professor at CUNY’s New York City College of Technology (NYCCT).

She started her career in 1975 as a staff nurse in surgery and geriatric rehabilitation at the Bronx’s Montefiore Hospital. After completing her first master’s degree she practiced as a clinical specialist in community psychiatry in St. Luke’s-Roosevelt’s innovative community-based programs.  For seven years at St. Luke’s-Roosevelt, she worked in substance abuse and mental health clinics, and single room occupancy hotels (SRO’s) as part of an interdisciplinary team.  Outside of work, she engaged in political advocacy in an effort to improve the care and treatment of the chronically mentally ill, especially as they were evicted from SRO’s and swelled the ranks of the homeless.  She collaborated with Robert M Hayes, a lawyer and founder of the Coalition for the Homeless, and later served on its Board of Directors while starting the Coalition’s Health Committee. In 1985, she became the nurse manager at the St. Francis Residence, still recognized nationally as a residential care model for the chronically mentally ill. During that time she wrote a number of articles in nursing and other journals, textbook chapters, edited the Coalition’s Shelter Worker’s Handbook and submitted testimony to a Congressional committee investigating the issue of homelessness.

In 1987, she began her career in nursing education at the Long Island College Hospital School of Nursing.  For nearly three decades, Dr. Rafferty has been a dedicated and well-regarded nursing educator instructing thousand of nursing students in courses in psychiatry, community and professional issues. She currently teaches an innovative Urban Health course with clinical placements in a broad range of community-based settings in the baccalaureate program of the New York City College of Technology.  She has served on both NYCCT’s and the CUNY central Institutional Review Board.  She is the author of numerous peer-reviewed articles in nursing. An article based on her doctoral research on the clinical competencies of the second-degree accelerated nurse was published in the Journal of Nursing Education. 

Dr. Rafferty is the recipient of several awards and honors, including induction as a Fellow to the New York Academy of Medicine; the Circle of Mercy Award from Mercy Center, a South Bronx-based community organization, the New York State Bar Association’s Courts and Community Award;  and a National Institute of Mental Health Traineeship.  She is the recipient of several grants and collaborated with colleagues to introduce the highly successful Vermont Nurses in Partnership model to Brooklyn.

Dr. Rafferty is active in a number of public interest and community advocacy activities. She is a member of United for Action (UFA), Food and Water Watch, the League of Woman Voters and the National Resources Defense Council, four organizations that raise public awareness about the dangers of using the hydraulic fracturing process in oil and gas drilling.  Through her personal involvement Dr. Rafferty has tried to highlight the public health consequences of hydrofracking in a number of ways. This has included a radio appearance on WBAI’s Healthstyles; the submission of testimony to the New York State Assembly Committee on Environmental Conservation and New York City Council, and authoring one of the first peer-reviewed nursing articles on this important issue.  She is also a member of Physicians for a National Health Plan that advocates for single payer health insurance.

CHMP welcomes Senior Fellow Margaret (Peggy) Rafferty.