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Older Adults’ Reasons for Participating in an eHealth Prevention Trial: A Cross-Country, Mixed-Methods Comparison
- Source :
- Journal of the American Medical Directors Association, 20(7), 843-849.e5. Elsevier Inc., Journal of the American Medical Directors Association, 20, 7, pp. 843-849.e5, Journal of the American Medical Directors Association, 20, 843-849.e5, Journal of the American Medical Directors Association, Journal of the American Medical Directors Association, Elsevier, 2019, 20, pp.843-849.e5. ⟨10.1016/j.jamda.2018.10.019⟩
- Publication Year :
- 2019
-
Abstract
- Objectives To explore older adults' reasons for participating in a multinational eHealth prevention trial, and compare motivations between countries. Design Cross-sectional mixed methods research using quantitative and qualitative approaches (the ACCEPT-HATICE study). Setting and Participants Substudy conducted during the recruitment phase of an 18-month RCT testing the efficacy of an eHealth intervention for self-management of risk factors for cardiovascular disease (CVD) and cognitive decline in older adults in Finland, France, and the Netherlands. Participants were 343 dementia-free community dwellers aged 65+ with basic computer literacy and either ≥2 cardiovascular risk factors or a history of CVD/diabetes. Measures Online questionnaire (quantitative data) and semistructured interviews (qualitative data). Results Contributing to scientific progress, wanting to improve one's lifestyle, and benefiting from additional medical monitoring were the predominant reasons for participating. Altruistic reasons were particularly relevant among the French, whereas Finnish and Dutch participants mainly emphasized the benefits of lifestyle changes and regular medical checkups. During interviews, preventing functional dependency emerged as a key underlying motivation. Although some trial design features influenced the decision to participate, the use of an eHealth intervention was not an important motivator in this population. Conclusions/Implications Altruism and personal benefits motivated older adults to participate in the trial; emphasizing such aspects could facilitate recruitment in future RCTs. Additional medical monitoring may be particularly appealing when access to public health care is considered limited. Furthermore, maintaining autonomy and preventing functional dependency emerged as a key concern in this population of young older adults.
- Subjects :
- Gerontology
Male
Research Subjects
[SDV]Life Sciences [q-bio]
Population
Qualitative property
Computer-assisted web interviewing
law.invention
03 medical and health sciences
0302 clinical medicine
All institutes and research themes of the Radboud University Medical Center
Randomized controlled trial
law
Risk Factors
eHealth
Medicine
Humans
Cognitive Dysfunction
030212 general & internal medicine
Cognitive decline
education
General Nursing
Aged
Randomized Controlled Trials as Topic
education.field_of_study
Motivation
business.industry
030503 health policy & services
Health Policy
Multimethodology
Self-Management
General Medicine
Disorders of movement Donders Center for Medical Neuroscience [Radboudumc 3]
Altruism
Telemedicine
3. Good health
Patient recruitment
Cross-Sectional Studies
Cardiovascular Diseases
Female
Geriatrics and Gerontology
0305 other medical science
business
Attitude to Health
Subjects
Details
- Language :
- English
- ISSN :
- 15258610
- Database :
- OpenAIRE
- Journal :
- Journal of the American Medical Directors Association, 20(7), 843-849.e5. Elsevier Inc., Journal of the American Medical Directors Association, 20, 7, pp. 843-849.e5, Journal of the American Medical Directors Association, 20, 843-849.e5, Journal of the American Medical Directors Association, Journal of the American Medical Directors Association, Elsevier, 2019, 20, pp.843-849.e5. ⟨10.1016/j.jamda.2018.10.019⟩
- Accession number :
- edsair.doi.dedup.....687d671a4cb0402dc9f86a6a35d5773c