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Needs and views on healthy lifestyles for the prevention of dementia and the potential role for mobile health (mHealth) interventions in China: a qualitative study

OBJECTIVES: Over the coming decades, China is expected to face the largest worldwide increase in dementia incidence. Mobile health (mHealth) may improve the accessibility of dementia prevention strategies, targeting lifestyle-related risk factors. Our aim is to explore the needs and views of Chinese...

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Autores principales: Zhang, Jinxia, Eggink, Esmé, Zhang, Xiaoyu, Li, Xingming, Jiang, Bin, Liu, Hongmei, Ge, Siqi, Zhang, Wei, Lyu, Jihui, Niu, Yixuan, Yu, Yueyi, Hou, Haifeng, Xu, Xizhu, Ye, Xiaoyan, Wang, Wenzhi, Terlou, Ruben, Richard, Edo, Wang, Wei, Wang, Youxin, Moll van Charante, Eric P, Song, Manshu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9684993/
https://www.ncbi.nlm.nih.gov/pubmed/36414280
http://dx.doi.org/10.1136/bmjopen-2022-061111
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author Zhang, Jinxia
Eggink, Esmé
Zhang, Xiaoyu
Li, Xingming
Jiang, Bin
Liu, Hongmei
Ge, Siqi
Zhang, Wei
Lyu, Jihui
Niu, Yixuan
Yu, Yueyi
Hou, Haifeng
Xu, Xizhu
Ye, Xiaoyan
Wang, Wenzhi
Terlou, Ruben
Richard, Edo
Wang, Wei
Wang, Youxin
Moll van Charante, Eric P
Song, Manshu
author_facet Zhang, Jinxia
Eggink, Esmé
Zhang, Xiaoyu
Li, Xingming
Jiang, Bin
Liu, Hongmei
Ge, Siqi
Zhang, Wei
Lyu, Jihui
Niu, Yixuan
Yu, Yueyi
Hou, Haifeng
Xu, Xizhu
Ye, Xiaoyan
Wang, Wenzhi
Terlou, Ruben
Richard, Edo
Wang, Wei
Wang, Youxin
Moll van Charante, Eric P
Song, Manshu
author_sort Zhang, Jinxia
collection PubMed
description OBJECTIVES: Over the coming decades, China is expected to face the largest worldwide increase in dementia incidence. Mobile health (mHealth) may improve the accessibility of dementia prevention strategies, targeting lifestyle-related risk factors. Our aim is to explore the needs and views of Chinese older adults regarding healthy lifestyles to prevent cardiovascular disease (CVD) and dementia through mHealth, supporting the Prevention of Dementia using Mobile Phone Applications (PRODEMOS) study. DESIGN: Qualitative semi-structured interview study, using thematic analysis. SETTING: Primary and secondary care in Beijing and Tai’an, China. PARTICIPANTS: Older adults aged 55 and over without dementia with an increased dementia risk, possessing a smartphone. Participants were recruited through seven hospitals participating in the PRODEMOS study, purposively sampled on age, sex, living area and history of CVD and diabetes. RESULTS: We performed 26 interviews with participants aged 55–86 years. Three main themes were identified: valuing a healthy lifestyle, sociocultural expectations and need for guidance. First, following a healthy lifestyle was generally deemed important. In addition to generic healthy behaviours, participants regarded certain specific Chinese lifestyle practices as important to prevent disease. Second, the sociocultural context played a crucial role, as an important motive to avoid disease was to limit the care burden put on family members. However, time-consuming family obligations and other social values could also impede healthy behaviours such as regular physical activity. Finally, there seemed to be a need for reliable and personalised lifestyle advice and for guidance from a health professional. CONCLUSIONS: The Chinese older adults included in this study highly value a healthy lifestyle. They express a need for personalised lifestyle support in order to adopt healthy behaviours. Potentially, the PRODEMOS mHealth intervention can meet these needs through blended lifestyle support to improve risk factors for dementia and CVD. TRIAL REGISTRATION NUMBER: ISRCTN15986016; Pre-results.
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spelling pubmed-96849932022-11-25 Needs and views on healthy lifestyles for the prevention of dementia and the potential role for mobile health (mHealth) interventions in China: a qualitative study Zhang, Jinxia Eggink, Esmé Zhang, Xiaoyu Li, Xingming Jiang, Bin Liu, Hongmei Ge, Siqi Zhang, Wei Lyu, Jihui Niu, Yixuan Yu, Yueyi Hou, Haifeng Xu, Xizhu Ye, Xiaoyan Wang, Wenzhi Terlou, Ruben Richard, Edo Wang, Wei Wang, Youxin Moll van Charante, Eric P Song, Manshu BMJ Open Qualitative Research OBJECTIVES: Over the coming decades, China is expected to face the largest worldwide increase in dementia incidence. Mobile health (mHealth) may improve the accessibility of dementia prevention strategies, targeting lifestyle-related risk factors. Our aim is to explore the needs and views of Chinese older adults regarding healthy lifestyles to prevent cardiovascular disease (CVD) and dementia through mHealth, supporting the Prevention of Dementia using Mobile Phone Applications (PRODEMOS) study. DESIGN: Qualitative semi-structured interview study, using thematic analysis. SETTING: Primary and secondary care in Beijing and Tai’an, China. PARTICIPANTS: Older adults aged 55 and over without dementia with an increased dementia risk, possessing a smartphone. Participants were recruited through seven hospitals participating in the PRODEMOS study, purposively sampled on age, sex, living area and history of CVD and diabetes. RESULTS: We performed 26 interviews with participants aged 55–86 years. Three main themes were identified: valuing a healthy lifestyle, sociocultural expectations and need for guidance. First, following a healthy lifestyle was generally deemed important. In addition to generic healthy behaviours, participants regarded certain specific Chinese lifestyle practices as important to prevent disease. Second, the sociocultural context played a crucial role, as an important motive to avoid disease was to limit the care burden put on family members. However, time-consuming family obligations and other social values could also impede healthy behaviours such as regular physical activity. Finally, there seemed to be a need for reliable and personalised lifestyle advice and for guidance from a health professional. CONCLUSIONS: The Chinese older adults included in this study highly value a healthy lifestyle. They express a need for personalised lifestyle support in order to adopt healthy behaviours. Potentially, the PRODEMOS mHealth intervention can meet these needs through blended lifestyle support to improve risk factors for dementia and CVD. TRIAL REGISTRATION NUMBER: ISRCTN15986016; Pre-results. BMJ Publishing Group 2022-11-22 /pmc/articles/PMC9684993/ /pubmed/36414280 http://dx.doi.org/10.1136/bmjopen-2022-061111 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Qualitative Research
Zhang, Jinxia
Eggink, Esmé
Zhang, Xiaoyu
Li, Xingming
Jiang, Bin
Liu, Hongmei
Ge, Siqi
Zhang, Wei
Lyu, Jihui
Niu, Yixuan
Yu, Yueyi
Hou, Haifeng
Xu, Xizhu
Ye, Xiaoyan
Wang, Wenzhi
Terlou, Ruben
Richard, Edo
Wang, Wei
Wang, Youxin
Moll van Charante, Eric P
Song, Manshu
Needs and views on healthy lifestyles for the prevention of dementia and the potential role for mobile health (mHealth) interventions in China: a qualitative study
title Needs and views on healthy lifestyles for the prevention of dementia and the potential role for mobile health (mHealth) interventions in China: a qualitative study
title_full Needs and views on healthy lifestyles for the prevention of dementia and the potential role for mobile health (mHealth) interventions in China: a qualitative study
title_fullStr Needs and views on healthy lifestyles for the prevention of dementia and the potential role for mobile health (mHealth) interventions in China: a qualitative study
title_full_unstemmed Needs and views on healthy lifestyles for the prevention of dementia and the potential role for mobile health (mHealth) interventions in China: a qualitative study
title_short Needs and views on healthy lifestyles for the prevention of dementia and the potential role for mobile health (mHealth) interventions in China: a qualitative study
title_sort needs and views on healthy lifestyles for the prevention of dementia and the potential role for mobile health (mhealth) interventions in china: a qualitative study
topic Qualitative Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9684993/
https://www.ncbi.nlm.nih.gov/pubmed/36414280
http://dx.doi.org/10.1136/bmjopen-2022-061111
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