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Full-Text Articles in Social and Behavioral Sciences

Usability Testing Of Asthmawise With Older Adults, Pippa Burns, Sandra C. Jones, Don Iverson, Peter Caputi Mar 2014

Usability Testing Of Asthmawise With Older Adults, Pippa Burns, Sandra C. Jones, Don Iverson, Peter Caputi

Sandra Jones

There are many reasons why online self-management education is attractive to both patients and providers. AsthmaWise, an online self-management program, was developed using a Moodle platform, to enable older adults to learn asthma self-management skills. This study aimed to improve AsthmaWise through conducting: usability testing with a sample of end users; a cognitive walk-through undertaken by an independent health researcher; and assessment of content readability. A Perceived Health Web Site Usability Questionnaire score of 67% was achieved, indicating that there were usability issues that needed to be addressed. The cognitive walk-through and readability assessment identified unique issues that were not …


Where Do Older Australians Receive Their Health Information? Health Information Sources And Their Perceived Reliability, Pippa Burns, Sandra C. Jones, Donald C. Iverson, Peter Caputi Mar 2014

Where Do Older Australians Receive Their Health Information? Health Information Sources And Their Perceived Reliability, Pippa Burns, Sandra C. Jones, Donald C. Iverson, Peter Caputi

Sandra Jones

Background: Chronic disease prevalence is increasing, in part due to the ageing population, adding further pressure to Australia's over-stretched primary health care services. While patients are encouraged to self-manage their chronic disease(s) in order to minimise the impact on their day-to-day functioning, little is known about where older adults receive health information and their perceptions of the reliability of these sources. Such knowledge would facilitate the development of self-management support strategies using health information sources that are acceptable to older adults. Methods: A cross-sectional design was utilised to investigate where older adults receive their health information and their perceptions of …


Asthmawise - A Field Of Dreams? The Results Of An Online Education Program Targeting Older Adults With Asthma, Pippa Burns, Sandra C. Jones, Donald C. Iverson, Peter Caputi Mar 2014

Asthmawise - A Field Of Dreams? The Results Of An Online Education Program Targeting Older Adults With Asthma, Pippa Burns, Sandra C. Jones, Donald C. Iverson, Peter Caputi

Sandra Jones

Objectives: The aim of this study was to establish the feasibility and acceptability of an online asthma self-management program developed for older Australians with asthma. Methods: AsthmaWise, an internet education self-management program, was piloted for a 3-month period at the beginning of 2012. Participants were recruited using both online and offline strategies and were required to complete surveys, both pre- and post-intervention, in a repeated measures design. Results: Matched data were collected from 51 participants; the results showed AsthmaWise to be a feasible and acceptable method of delivering asthma education to the target population. Self-reported measures showed an increase in …


'Get Your Life Back': Process And Impact Evaluation Of An Asthma Social Marketing Campaign Targeting Older Adults, Uwana Evers, Sandra C. Jones, Donald C. Iverson, Peter Caputi Mar 2014

'Get Your Life Back': Process And Impact Evaluation Of An Asthma Social Marketing Campaign Targeting Older Adults, Uwana Evers, Sandra C. Jones, Donald C. Iverson, Peter Caputi

Sandra Jones

Background: Asthma in older adults is underdiagnosed and poorly self-managed. This population has little knowledge about the key symptoms, the prevalence among older adults, and the serious consequences of untreated asthma. The purpose of this study was to undertake a multifaceted evaluation of a social marketing campaign to increase asthma awareness among older adults in a regional Australian community. Methods: A cohort of older adults in an intervention region (n = 316) and a control region (n = 394) were surveyed immediately prior to and following the social marketing campaign. Campaign awareness, message recall, materials recognition, and actions taken as …


Promoting Asthma Awareness To Older Adults: Formative Research For A Social Marketing Campaign, Uwana Evers, Sandra C. Jones, Peter Caputi, Donald C. Iverson Mar 2014

Promoting Asthma Awareness To Older Adults: Formative Research For A Social Marketing Campaign, Uwana Evers, Sandra C. Jones, Peter Caputi, Donald C. Iverson

Sandra Jones

The limited existing research on the asthma perceptions of older adults suggests that this population perceives asthma to be a childhood disease and, therefore, believe that they are not susceptible to developing the condition as an adult. The asthma mortality rate is much higher for older adults than for children, and there is considerable negative impact on health-related quality of life. However, health promotion regarding asthma is rarely aimed at this population. To address this issue, social marketing campaign messages and materials about asthma were developed for an older adult population based on quantitative survey data. Through a series of …


The Devil Is In The Detail: Determining The Content Of An Internet Intervention For Older Adults With Asthma, Pippa Burns, Sandra C. Jones, Donald C. Iverson, Peter Caputi Mar 2014

The Devil Is In The Detail: Determining The Content Of An Internet Intervention For Older Adults With Asthma, Pippa Burns, Sandra C. Jones, Donald C. Iverson, Peter Caputi

Sandra Jones

Introduction: The Internet can support people to self-manage their asthma, while overcoming barriers frequently found in primary care. A user-centred design process was utilised to explore the types of asthma information older adults perceived to be beneficial in helping them manage their asthma and the website features they felt were desirable for an asthma education website. Methods: A survey package was mailed to 9,000 adults aged 55 years and over, whose contact details had been obtained from the Australian Electoral Commission. Four focus groups were also conducted covering: asthma management; asthma Internet information; and website features. The Technology Acceptance Model …


Asthma In Older Adults: The Need For Asthma Health Promotion Interventions, Uwana Evers, Sandra C. Jones, Peter Caputi, Donald C. Iverson Mar 2014

Asthma In Older Adults: The Need For Asthma Health Promotion Interventions, Uwana Evers, Sandra C. Jones, Peter Caputi, Donald C. Iverson

Sandra Jones

Asthma is a serious health issue for older adults. Among Australians aged 55 years and older, asthma prevalence, morbidity, and mortality are relatively high by international comparison and compared to other age groups. As people age, the diagnosis of asthma becomes more complicated, primarily due to comorbid conditions. Treatment and self-management are also more difficult in this age group due to the different medications prescribed for multiple conditions. At the same time, older adults do not perceive that they are susceptible to developing asthma, and they do not consider asthma to be a particularly serious disease, especially compared to other …


The Asthma Knowledge And Perceptions Of Older Australian Adults: Implications For Social Marketing Campaigns, Uwana Evers, Sandra C. Jones, Peter Caputi, Donald C. Iverson Mar 2014

The Asthma Knowledge And Perceptions Of Older Australian Adults: Implications For Social Marketing Campaigns, Uwana Evers, Sandra C. Jones, Peter Caputi, Donald C. Iverson

Sandra Jones

Objective: The purpose of this research is to gain an understanding of the asthma perceptions of older adults and identify gaps in their asthma knowledge. Methods: In regional New South Wales, Australia, a stratified, random sample of 4066 adults, aged 55 years and over, both with and without an asthma diagnosis, completed a survey based on the Health Belief Model about asthma knowledge and perceptions. Results: Almost half of the sample had experienced symptoms of breathlessness in the past four weeks. Breathlessness was a predictor of lower health ratings and poorer mood. Older adults reported low susceptibility to developing asthma. …


Combining The Health Belief Model And Social Marketing To Develop A Community-Level Campaign About Asthma For Older Adults, Uwana Evers, Sandra C. Jones, Peter Caputi, Donald C. Iverson Jul 2013

Combining The Health Belief Model And Social Marketing To Develop A Community-Level Campaign About Asthma For Older Adults, Uwana Evers, Sandra C. Jones, Peter Caputi, Donald C. Iverson

Sandra Jones

This conceptual paper provides a rationale for combining health behaviour theory with a social marketing framework in order to develop a community-level asthma campaign for adults aged 55 years and older. The prevalence of asthma in older adults in Australia is approximately 10%, higher than in many other countries, and asthma mortality increases with age. In addition, older adults' perceptions of asthma causes and treatments are often inaccurate. Many older adults believe that asthma is a childhood disease and that the effects of the condition are relatively minor and would not impact on daily life. In order to address these …


Profiling The Silver Surfers: Which Older Australians Are Using The Internet?, Pippa Burns, Sandra C. Jones, Donald C. Iverson Jul 2013

Profiling The Silver Surfers: Which Older Australians Are Using The Internet?, Pippa Burns, Sandra C. Jones, Donald C. Iverson

Sandra Jones

Abstract presented at the 10th national emerging researchers in ageing conference, 24-25 November 2011


Breathlessness Is Not A Normal Part Of Aging: Development And Testing Of Asthma Awareness Messages For Older Australians, Sandra C. Jones, Uwana Evers, Donald C. Iverson, Peter Caputi, Sara Morgan, Michele Goldman Jul 2013

Breathlessness Is Not A Normal Part Of Aging: Development And Testing Of Asthma Awareness Messages For Older Australians, Sandra C. Jones, Uwana Evers, Donald C. Iverson, Peter Caputi, Sara Morgan, Michele Goldman

Sandra Jones

At least 420,000 Australian adults aged 55 years and over, or one in 10, currently have asthma (Australian Centre for Asthma Monitoring 2008). Asthma is under-diagnosed, often misdiagnosed, and undertreated in the older adult population in Australia (Gibson, McDonald and Marks 2010, Marks and Poulos 2005, Wilson et al 2001) as it is overseas. Contrary to the perception that asthma is a childhood disease, asthma can develop in older adults (Adams and Ruffin 2005). The risk of dying from asthma increases with age (AIHW 2010). While the overall mortality rate has decreased by almost 70% since 1989, much of this …


Assessing Alcohol Consumption In Older Adults: Looking For A Solution To Inform Evaluation Of Social Marketing Campaigns, Sandra C. Jones, Lance Barrie, Laura Robinson Jul 2013

Assessing Alcohol Consumption In Older Adults: Looking For A Solution To Inform Evaluation Of Social Marketing Campaigns, Sandra C. Jones, Lance Barrie, Laura Robinson

Sandra Jones

Alcohol consumption in older people presents unique challenges due to changes in body composition, co-morbid conditions and associated mediations, as well as a reduction in metabolic capacity. As such, this generation has been identified as an at-risk group by the NHRMC (NHRMC, 2011). For the purpose of this paper "older" adults are individuals aged 65 years and over. The NHMRC produced guidelines for minimising the risks associated with alcohol consumption in 2001 (NHMRC, 2001). While the 2001 NHMRC guidelines did not provide specific recommendations regarding levels of consumption for older people the revised 2009 guidelines recommend, 'Older people are advised …


The Older Patient, The Doctor And The Trainee: Patients' Attitudes And Implications For Models Of Care, Andrew Bonney, Sandra Jones, Donald Iverson Jun 2013

The Older Patient, The Doctor And The Trainee: Patients' Attitudes And Implications For Models Of Care, Andrew Bonney, Sandra Jones, Donald Iverson

Sandra Jones

Aims & rationale/Objectives Population ageing poses major challenges for health systems. Additionally, training future general practitioners in the management of older and chronically ill patients is potentially hampered by the reluctance of these patients to consult trainees for chronic care. This paper reports a cross-sectional study investigating the attitudes of older patients to trainees, to inform strategies to improve older patient-trainee interaction. Methods The survey instrument was distributed to 1900 patients aged 60 and over from 38 training practices from five Australian states using a stratified, randomised cluster sampling process. Generalised estimating equation models were used for analysis. Principal findings …


Riding The Wave Or Paddling In The Shallows? Understanding Older Australians' Use Of The Internet, Pippa Burns, Sandra C. Jones, Don Iverson, Peter Caputi Jun 2013

Riding The Wave Or Paddling In The Shallows? Understanding Older Australians' Use Of The Internet, Pippa Burns, Sandra C. Jones, Don Iverson, Peter Caputi

Sandra Jones

Issues addressed: Australia's ageing population is set to become an increasing burden on an already over-stretched primary health care system. Potential strategies to alleviate this pressure need to be investigated. Increased knowledge of older Australians? use of the internet would allow the appropriateness of online health intervention to be assessed. This initial, exploratory study examined the proportion of people aged 55 years and older who accessed the internet. It investigated their duration of use, level of comfort, use of the internet to seek health information and perceived reliability of information found on the internet. Methods: A paper based survey was …


General Practice Registrars: Attitudes Of Older Patients, Andrew D. Bonney, Sandra C. Jones, Lyn Phillipson, Donald C. Iverson Nov 2011

General Practice Registrars: Attitudes Of Older Patients, Andrew D. Bonney, Sandra C. Jones, Lyn Phillipson, Donald C. Iverson

Sandra Jones

Previous research indicates that older patients may be less willing to consult general practice registrars (GPRs), reducing training opportunities in chronic/complex care. This survey explores older patients’ attitudes in order to inform models of interaction that would be acceptable to patients. METHODS Ten training general practices distributed questionnaires for self completion to 50 patients aged 60 years and over. Chi-square, Spearman’s rho and logistic regression were used for analysis. RESULTS The response rate was 47%. Ninetysix percent wanted ongoing contact with their general practitioner if they saw a GPR. Twenty-four percent were comfortable with GPR chronic/complex care, increasing to 73% …


Preparing For An Ageing Population: A Survey Of Older Patients' Attitudes To General Practice Registrars, Andrew D. Bonney, Sandra C. Jones, Lyn Phillipson, Donald C. Iverson Nov 2011

Preparing For An Ageing Population: A Survey Of Older Patients' Attitudes To General Practice Registrars, Andrew D. Bonney, Sandra C. Jones, Lyn Phillipson, Donald C. Iverson

Sandra Jones

The ageing population makes it imperative to provide appropriate training for general practice registrars (GPRs) in the community-based care of older patients. However, data suggest that older patients may be less willing to consult GPRs for chronic/complex care; adversely affecting training opportunities and potentially the satisfaction of older patients in training practices. This cross-sectional study was undertaken to investigate this concern in the Australian context and develop models of older patient-GPR interaction that are acceptable to patients.


Older Patients' Attitudes To General Practice Registrars: A Qualitative Study, Andrew D. Bonney, Lyn Phillipson, Sandra C. Jones, Donald Iverson Dec 2010

Older Patients' Attitudes To General Practice Registrars: A Qualitative Study, Andrew D. Bonney, Lyn Phillipson, Sandra C. Jones, Donald Iverson

Sandra Jones

Background Research suggests that older patients may be reluctant to engage general practice registrars (GPRs) in their care. The authors undertook a qualitative study of the attitudes of older patients to GPRs to investigate this issue. Method Thirty-eight patients aged 60 years and over from three training practices participated in semistructured telephone interviews, which explored patients responses to GPRs. The interviews were recorded, transcribed and analysed using a template analysis approach. Results Analysis of the interviews produced five major themes concerning patient attitudes to GPRs: desire for continuity, desire for access, openness, trust and a desire for meaningful communication. Discussion …