Structure of Resilience in Older Adults with Chronic Conditions

Introduction: Promoting resilience in older adults with chronic conditions is one of the goals of professional nursing. However, few studies have been conducted in world on this issue. In our country, Iran, no study, either qualitative or quantitative, has been done in this area .The aim of this study was to explore the structure of resilience in older adults with chronic conditions. Method: In this study with descriptive phenomenological approach, participants were selected using purposive sampling method. Overall, 24 interview sessions were held with 22 participants. The minimum duration of an interview was 25 and the maximum was 75 minutes. The data were collected through semi-structured interviews and analyzed using the Colaizzi`s proposed stages. Results: Four themes were emerged that could illustrate the perspective of older adults with chronic conditions from the external structure of resilience in particular socio-cultural context of Iranian society. The themes were supportive resources, welfare status, cut-of benefit, and attitude to the elderly patient. Conclusion: Results of this study revealed important concepts in the structure of resilience in older adult patients with chronic diseases. Our fidings can help health care providers to understand the effective resources on the resilience and comprehensive care planning to grow and increase the resilience among older adults. Keywords: Resilience, Older adults, Phenomenolog

Investigating the Development and Psychometric Testing of the Information and Communication Technology Use Scale in Iranian Patients With Chronic Conditions

Background: The high prevalence and associated costs of chronic diseases have challenged global community health. The use of information and communication technology offers patients and healthcare providers the ability to respond to healthcare needs. This study develops an information and communication technology use scale for patients with chronic diseases and evaluates its psychometric properties. Methods: This exploratory sequential mixed-method study was conducted in Kashan City, Iran from September 2020 to July 2021. In the qualitative phase, 18 patients with chronic conditions were recruited via the purposeful sampling method. The initial pool of 33 items was extracted in this phase. Psychometric evaluation of the scale was examined through face, content, and construct validity. The internal consistency of the scale was assessed with the Cronbach α and its stability was examined by the test re-test. To evaluate the scale’s construct validity, a cross-sectional study was performed with 300 patients referring to hospital wards and private centers that provide services to patients with chronic diseases. A sequential sampling method was used to select the subjects. The exploratory factor analysis was performed using principal component analysis and the varimax rotation method in the SPSS software, version 16. Results: The initial version of the scale consisted of 33 items. A total of 6 items were removed in the face and content validity evaluation phase. Factor analysis with the removal of 4 items resulted in the extraction of 4 factors that explained 67.45% of the variance in the total scale score. The Cronbach α coefficient and intra-class correlation coefficient were estimated at 0.93 and 0.88, respectively. Conclusion: The scale developed in this study is a valid and reliable tool for measuring formation and communication technology use (including its dimensions) in patients with chronic diseases

Development and psychometric properties of the online health information-seeking skill scale

Aims: Given the dearth of research about middle-aged people's ability to seek online health information in developing countries, this study was conducted to develop the Online Health Information-Seeking Skill Scale (OHI-SSS) and evaluate its psychometric properties. Materials and Methods: This is a methodological study in which a scale was developed within three factors and was validated by face validity, content validity, and structural validity methods. Four hundred and twenty middle-aged individuals completed the questionnaires. Internal consistency and test–retest were used to evaluate the reliability of the scale. Finding: The initial scale, consisting of 38 items on a 5-point Likert scale, was reduced to a 26-item scale following face and content validity measurement. The exploratory factor analysis extracted three subscales in OHIO-SSS that includes “information reception,” “provide and exchange information, and “identification and trust.” Internal consistency of the scale was confirmed by Cronbach's alpha coefficient (0.93). Cronbach's alpha coefficient for subscales was 0.87, 0.795, and 0.74, respectively. Reliability analysis with test–retest revealed an acceptable estimate for the total score (intraclass correlation coefficient = 0.92). Conclusion: The 20-item OHI-SSS has acceptable validity and reliability. Therefore, it can be employed as an appropriate instrument for the evaluation of middle-aged people's skills in seeking online health information

Examining the physical structure of hospitals of Kashan university of Medical Sciences based on elderly-friendly criteria and the elderly's satisfaction

Background: Older adults are one of the large groups that use hospitals and have a longer hospitalization period than other age groups. The study aimed to examining the physical structure of hospitals affiliated to Kashan university of Medical Sciences based on elderly-friendly hospitals and the elderly's satisfaction. Materials and Methods: This cross-sectional study was conducted on hospitals affiliated to Kashan University of Medical Sciences (Shaheed Beheshti, Matini, and Naqvi) and 700 older adults who were referred to these hospitals, 1401. Data were collected using a checklist and a researcher-made questionnaire in two stages. The census sampling was for hospitals and Sequential for older adults. Data were analyzed by Pearson correlation test and one-way analysis of variance (ANOVA) in statistical Software SPSS version16. Results: The mean score of the hospital structure was in a relatively good range (42.3±1.52) with a score range of 0 to 72 and the mean score satisfaction of the elderly was 24.6±3.8 with a range of 0 to 45. There was a statistically significant difference in the satisfaction of the elderly with the physical structure of hospitals based on the type of hospital and its services (P<0.001). Conclusion: The physical structure of hospitals affiliated to Kashan university of Medical Sciences was in a relatively good range, and the satisfaction of the elderly was average, also. Therefore, they should be modified based on the criteria of the elderly-friendly hospital to increase the satisfaction of older adults, especially the eldest, and to prevent their possible injuries

Older adults' barriers to use technology in daily life: A qualitative study

Background: Aging is associated with declines in individuals' physical and mental abilities. Technological assistance can improve older adults' independence, functional performance, and health. Objectives: The purpose of this study was to explore experiences regarding barriers to use technology in daily life among older adults. Methods: This qualitative study was conducted on twenty older adults referred to Urban Comprehensive Health Service Centers, Kashan. The main interview questions were "What does the word technology bring to your mind? Which electrical household appliances do you use during your daily life? and What are the barriers you experience during the use of technology?" Data were collected through semi-structured interviews and analyzed using conventional content analysis. Results: Three main themes emerged: aging-related barriers (physical and mental limitations), individual barriers (educational limitations, limited access to technology, and unfavorable attitudes toward technology), and barriers related to the appliances. Conclusion: Older adults experience multiple barriers to use technology in their daily life. Educational interventions may enhance older adults' utilization of technology in daily life of this population

Older adults' barriers to use technology in daily life: A qualitative study

Background: Aging is associated with declines in individuals' physical and mental abilities. Technological assistance can improve older adults' independence, functional performance, and health. Objectives: The purpose of this study was to explore experiences regarding barriers to use technology in daily life among older adults. Methods: This qualitative study was conducted on twenty older adults referred to Urban Comprehensive Health Service Centers, Kashan. The main interview questions were What does the word technology bring to your mind? Which electrical household appliances do you use during your daily life? and What are the barriers you experience during the use of technology? Data were collected through semi-structured interviews and analyzed using conventional content analysis. Results: Three main themes emerged: aging-related barriers (physical and mental limitations), individual barriers (educational limitations, limited access to technology, and unfavorable attitudes toward technology), and barriers related to the appliances. Conclusion: Older adults experience multiple barriers to use technology in their daily life. Educational interventions may enhance older adults' utilization of technology in daily life of this population