Conclusions: Our findings suggest that the current application of gamification to apps and technologies for improving mental health and well-being does not align with the trend of positive reinforcement critiqued in the greater health and well-being literature. We also observed overlap between the most commonly used gamification techniques and existing behavior change frameworks.
Background: Telehealth affords rehabilitation professionals opportunities to expand access to intervention for people in rural areas. Complex interventions have not been adapted for remote delivery using mobile health technologies. Strategy training is a complex intervention that teaches clients skills for identifying barriers and solutions to engagement in meaningful activities. Our goal was to adapt the delivery of strategy training for remote delivery using mobile health technology. You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Artificial intelligence (AI) has enormous potential to improve the safety of healthcare, from increasing diagnostic accuracy,1 to optimising treatment planning,2 to forecasting outcomes of care.3 However, integrating AI technologies into the delivery of healthcare is likely to introduce a range of new risks and amplify existing ones. For instance, failures in widely used software have the potential to quickly affect large numbers of patients4; hidden assumptions in underlying data and models can lead to AI systems delivering dangerous recommendations that are insensitive to local care processes,5 6 and opaque AI techniques such as deep learning can make explaining and learning from failure extremely difficult.7 8 To maximise the benefits of AI in healthcare and to build trust among patients and practitioners, it will therefore be essential to robustly govern the risks that AI poses to patient safety.. To read the full article, log in using your NHS OpenAthens details.
Open access. Implementation of digital monitoring technology systems is considered beneficial for increasing the safety and quality of care for residents in nursing homes and simultaneously improving care providers’ workflow. Co-creation is a suitable approach for developing and implementing digital technologies and transforming the service accordingly. This study aimed to identify the facilitators and barriers for implementation of digital monitoring technology in residential care for persons with dementia and wandering behaviour, and explore co-creation as an implementation strategy and practice.
GeroPsych: The Journal of Gerontopsychology and Geriatric Psychiatry Vol. 32, Iss. 2, (2019): 79-92. DOI:10.1024/1662-9647/a000203
Models of the use of assistive technologies (ATs) have only moderate value for predicting older people’s actual use of ATs. To find further predictors, we performed a systematic literature review and – applying an action-theoretical approach – a metasynthesis of seven qualitative studies about the reasons older people use or fail to use ATs. We found 25 reasons referring to user’s beliefs and desires (e.g., related to demand, act of using ATs, its consequences), 18 of which were not contained in existing AT use models. Some reasons generalized across ATs (e.g., perceived unreliability), whereas others (e.g., privacy concerns, desire to avoid burden to others) appeared specific to telealarm or smart-home technology. We discuss findings with respect to improving AT use models and developmental counseling.. To read the full article, log in using your NHS OpenAthens details.
Conclusions: It is unlikely that changes in physical activity were related to the ageing process given the relatively short time span of the study. Thus it can be inferred that participants viewed their mobility scooter as a vehicle for maintaining their lifestyle rather than as a means to seek out additional activities. Improvements to perceived quality of life may be attributed to continuing or furthering community and social engagement, and a sense of retained independence. You can request a copy of this article by replying to this email. Please be clear which article you are requesting.
NHS doctors and nurses are using Skype to help older people get faster care, reduce avoidable ambulance call-outs and help people stay out of hospital.
The on-call Skype NHS team takes around 8,000 calls a year from wardens working in sheltered accommodation, care home staff and community teams looking for expert support for their residents.
Scheme running in Tameside (Greater Manchester).
Free access. Patient activation, defined as an individual’s knowledge, skill and confidence in managing their health and healthcare, is recognised as a critical aspect of high-quality, patient-centred and safe healthcare.1 In 2004, Judith Hibbard and colleagues published their seminal work on the development of a validated, objective measure of patient activation.1 The Patient Activation Measure (PAM) was designed to assess patient self-reported knowledge, skills and confidence for managing one’s health or chronic illness. The original 22-item PAM was subsequently shortened to a 13-item version and was found to be both reliable and valid for assessing patient activation.2 Patient activation has the potential to reduce healthcare costs, optimise healthcare utilisation, enhance population health by encouraging healthy behaviours and improve patient outcomes and satisfaction.3–5
Lina Gega explores a review of digital technology for health promotion, which looks at opportunities to address excess mortality in people living with SMI.