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View Study (E19007) Luc Goethals, Nathalie Barth, Jessica Guyot, David Hupin, Thomas Celarier, Bienvenu Bongue

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View Study (E19007) Luc Goethals, Nathalie Barth, Jessica Guyot, David Hupin, Thomas Celarier, Bienvenu Bongue JMIR Aging Volume 3 (2020), Issue 1 ISSN: 2561-7605 Editor in Chief: Jing Wang, PhD, MPH, RN, FAAN Contents Editorial Mitigating the Effects of a Pandemic: Facilitating Improved Nursing Home Care Delivery Through Technology (e20110) Linda Edelman, Eleanor McConnell, Susan Kennerly, Jenny Alderden, Susan Horn, Tracey Yap. 3 Short Paper Impact of Home Quarantine on Physical Activity Among Older Adults Living at Home During the COVID-19 Pandemic: Qualitative Interview Study (e19007) Luc Goethals, Nathalie Barth, Jessica Guyot, David Hupin, Thomas Celarier, Bienvenu Bongue. 10 Original Papers Impact of the AGE-ON Tablet Training Program on Social Isolation, Loneliness, and Attitudes Toward Technology in Older Adults: Single-Group Pre-Post Study (e18398) Sarah Neil-Sztramko, Giulia Coletta, Maureen Dobbins, Sharon Marr. 15 Clinician Perspectives on the Design and Application of Wearable Cardiac Technologies for Older Adults: Qualitative Study (e17299) Caleb Ferguson, Sally Inglis, Paul Breen, Gaetano Gargiulo, Victoria Byiers, Peter Macdonald, Louise Hickman. 23 Actual Use of Multiple Health Monitors Among Older Adults With Diabetes: Pilot Study (e15995) Yaguang Zheng, Katie Weinger, Jordan Greenberg, Lora Burke, Susan Sereika, Nicole Patience, Matt Gregas, Zhuoxin Li, Chenfang Qi, Joy Yamasaki, Medha Munshi. 31 The Feasibility and Utility of a Personal Health Record for Persons With Dementia and Their Family Caregivers for Web-Based Care Coordination: Mixed Methods Study (e17769) Colleen Peterson, Jude Mikal, Hayley McCarron, Jessica Finlay, Lauren Mitchell, Joseph Gaugler. 40 Perspectives From Municipality Officials on the Adoption, Dissemination, and Implementation of Electronic Health Interventions to Support Caregivers of People With Dementia: Inductive Thematic Analysis (e17255) Hannah Christie, Mignon Schichel, Huibert Tange, Marja Veenstra, Frans Verhey, Marjolein de Vugt. 56 How Caregivers of People With Dementia Search for Dementia-Specific Information on the Internet: Survey Study (e15480) Areti Efthymiou, Evridiki Papastavrou, Nicos Middleton, Artemis Markatou, Paraskevi Sakka. 69 JMIR Aging 2020 | vol. 3 | iss. 1 | p.1 XSL·FO RenderX Developing a Plan for the Sustainable Implementation of an Electronic Health Intervention (Partner in Balance) to Support Caregivers of People With Dementia: Case Study (e18624) Hannah Christie, Lizzy Boots, Kirsten Peetoom, Huibert Tange, Frans Verhey, Marjolein de Vugt. 79 Descriptive Evaluation and Accuracy of a Mobile App to Assess Fall Risk in Seniors: Retrospective Case-Control Study (e16131) Sophie Rabe, Arash Azhand, Wolfgang Pommer, Swantje Müller, Anika Steinert. 93 The Roles of YouTube and WhatsApp in Dementia Education for the Older Chinese American Population: Longitudinal Analysis (e18179) Sara Shu, Benjamin Woo. 103 The Use of Internet-Based Health and Care Services by Elderly People in Europe and the Importance of the Country Context: Multilevel Study (e15491) Sebastian Merkel, Moritz Hess. 108 A Smartphone App for Self-Management of Heart Failure in Older African Americans: Feasibility and Usability Study (e17142) Sue Heiney, Sara Donevant, Swann Arp Adams, Pearman Parker, Hongtu Chen, Sue Levkoff. 119 Digital Media as a Proponent for Healthy Aging in the Older Chinese American Population: Longitudinal Analysis (e20321) Sara Shu, Benjamin Woo. 129 Existing Mobile Phone Apps for Self-Care Management of People With Alzheimer Disease and Related Dementias: Systematic Analysis (e15290) Yuqi Guo, Fan Yang, Fei Hu, Wei Li, Nicole Ruggiano, Hee Lee. 135 A Dual-Pronged Approach to Improving Heart Failure Outcomes: A Quality Improvement Project (e13513) Marcia Johansson, Ponrathi Athilingam. 145 Mobile Apps to Support Caregiver-Resident Communication in Long-Term Care: Systematic Search and Content Analysis (e17136) Rozanne Wilson, Diana Cochrane, Alex Mihailidis, Jeff Small. 153 Corrigenda and Addenda Correction: Existing Mobile Phone Apps for Self-Care Management of People With Alzheimer Disease and Related Dementias: Systematic Analysis (e18754) Yuqi Guo, Fan Yang, Fei Hu, Wei Li, Nicole Ruggiano, Hee Lee. 176 JMIR Aging 2020 | vol. 3 | iss. 1 | p.2 XSL·FO RenderX JMIR AGING Edelman et al Editorial Mitigating the Effects of a Pandemic: Facilitating Improved Nursing Home Care Delivery Through Technology Linda S Edelman1, MPhil, PhD, RN; Eleanor S McConnell2,3, PhD, RN; Susan M Kennerly4, WCC, CNE, PhD, RN; Jenny Alderden1, PhD, APRN, CCRN, CCNS; Susan D Horn5, PhD; Tracey L Yap2, PhD, RN, WCC, CNE, FGSA, FAAN 1College of Nursing, University of Utah, Salt Lake City, UT, United States 2School of Nursing, Duke University, Durham, NC, United States 3Geriatric Research, Education and Clinical Center (GRECC), Durham VA Healthcare System, Department of Veterans Affairs, Durham, NC, United States 4College of Nursing, East Carolina University, Greenville, NC, United States 5Department of Population Health Sciences, School of Medicine, University of Utah, Salt Lake City, UT, United States Corresponding Author: Linda S Edelman, MPhil, PhD, RN College of Nursing University of Utah 10 South 2000 EAST Salt Lake City, UT, 84112 United States Phone: 1 18015859187 Email: [email protected] Abstract The coronavirus disease (COVID-19) pandemic has been particularly challenging for nursing home staff and residents. Centers for Medicare & Medicaid Services regulation waivers are burdening staff and affecting how care is delivered. Residents are experiencing social isolation, which can result in physical and behavioral health issues, particularly for persons with dementia. These challenges can be addressed in part through technology adaptations. Full integration of electronic health record systems can improve workflow and care quality. Telehealth can improve access to outside providers, provide remote monitoring, and improve social connectedness. Electronic and audiovisual programs can be used for end-of-life planning and information sharing between nursing home staff and families. Online learning systems and other online resources provide flexible options for staff education and training. Investing in and adapting technology can help mitigate workforce stress and improve the quality of nursing home care during and after the COVID-19 crisis. (JMIR Aging 2020;3(1):e20110) doi:10.2196/20110 KEYWORDS nursing home; technology; social isolation; covid-19 rooms and intensive care units (ICUs), but also in nursing Introduction homes, where staff provide care for vulnerable older adults in The coronavirus disease (COVID-19) pandemic has placed settings that are at risk for infectious disease outbreaks. Nursing unprecedented strain on the US health care system, and the home staff face unique challenges during the COVID-19 possibility that it could become endemicÐmeaning it will be pandemic because they care for older adults with a high level a common dweller that regularly infects humansÐsuggests that of vulnerability to COVID-19 and experience constraints that this strain will persist for some time. As COVID-19 cases far exceed those imposed in acute care settings. Telehealth accelerate, health care workers are becoming more vital than strategies, automatic clinical decision-making reports, and other ever, and they are rightly being hailed as heroes for their uses of technology commonly found in other care settings hold generous, brave dedication to caring for patients at the risk of great promise to improve nursing home care and outcomes. their own health. Providing these heroes with resources to safely By 2030, almost 1 in 5 Americans will be 65 years or older [1], deliver high-quality care to their patients and themselves is and today, >1.3 million people live in 15,600 nursing homes imperative not only in acute care settings such as emergency http://aging.jmir.org/2020/1/e20110/ JMIR Aging 2020 | vol. 3 | iss. 1 | e20110 | p.3 (page number not for citation purposes) XSL·FO RenderX JMIR AGING Edelman et al [2]; in society, these people are some of the most frail and institutional home setting. While the strict regulatory controls vulnerable to viral infections such as COVID-19 because they currently in place for nursing homes have likely prevented are older, have other medical conditions such as heart and further spread of COVID-19 and subsequent deaths, nursing respiratory disease, and live in group settings. US nursing homes home staff are being challenged with new work patterns, longer are familiar with disease outbreaks, including seasonal influenza hours, and the need to find new ways to communicate with and norovirus; although COVID-19 shares similarities with families. These measures pose additional risks for nursing home these outbreaks, it will be more devastating because there are residents, such as isolation, which limits their mobility and no approved therapeutics to slow the course of its toll on the social interactions. Furthermore, family members are not able human body and because there is currently no vaccine available to visit their loved ones, which can be particularly devastating to combat it. when residents have dementia or are at end-of-life. Together, residents, families, and nursing home staff are facing Because of these vulnerabilities, nursing homes were early unprecedented stress as they navigate these challenges and their reporters of positive COVID-19 cases. The first reported own fears about the virus. COVID-19 death in the United States was a nursing home resident in Kirkland, Washington, reported on February 28, Impact of CMS Regulations on Care Delivery 2020.
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