Sensorimotor and Cognitive Abilities Associated With Touchscreen Tablet App Performance to Support Self-Management of Type 2 Diabetes.
Importance: Self-management programs (facilitated by mobile devices) may improve health and prevent secondary complications for older adults with diabetes. However, older adults may have difficulties using mobile devices because of neuropathy or cognitive dysfunction. Objective: To identify sensorim...
| Publicado en: | American Journal of Occupational Therapy Vol. 75; no. 1; pp. 1 - 10 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
American Occupational Therapy Association
Jan/Feb2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=147924420&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 147924420 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02729490 44I jtl: American Journal of Occupational Therapy issn: 02729490 maglogo: N pubinfo: dt: Jan/Feb2021 vid: 75 iid: 1 pid: 6680 pub: American Occupational Therapy Association place: North Bethesda, Maryland artinfo: ui: 147924420 147924420 147924420 10.5014/ajot.2021.040600 147924420 ppf: 1 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Sensorimotor and Cognitive Abilities Associated With Touchscreen Tablet App Performance to Support Self-Management of Type 2 Diabetes. aug: au: Kravitz, Neta Levanon, Yafi Cukierman-Yaffe, Tali Nota, Ayala Kizony, Rachel Rand, Debbie affil: Neta Kravitz, OT, MSc, is Occupational Therapist, Department of Hand Rehabilitation, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel. At the time of the study, Kravitz was Master's Student, Department of Occupational Therapy, Stanley Steyer School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. sug: subj: Diabetic Patients Sensory Motor Integration Evaluation Cognition Evaluation Diabetes Mellitus, Type 2 Prevention and Control Self-Management Methods Computers, Portable Utilization Mobile Applications Utilization Occupational Therapy Human Cross Sectional Studies Agility Touch Sensation Executive Function Clinical Assessment Tools Age Factors Severity of Illness Middle Age Aged Aged, 80 and Over Descriptive Statistics Parametric Statistics Pearson's Correlation Coefficient Spearman's Rank Correlation Coefficient Multiple Linear Regression Data Analysis Software Male Female Grip Strength Disease Duration Upper Extremity Dominance, Cerebral Glycated Hemoglobin Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Importance: Self-management programs (facilitated by mobile devices) may improve health and prevent secondary complications for older adults with diabetes. However, older adults may have difficulties using mobile devices because of neuropathy or cognitive dysfunction. Objective: To identify sensorimotor and cognitive abilities associated with touchscreen tablet app performance to support self-management of diabetes in older adults. Design: Cross-sectional study. Setting: Outpatient Center for Successful Aging With Diabetes. Participants: Forty-five older adults with Type 2 diabetes. Outcomes and Measures: Dexterity (Purdue Pegboard Test), touch sensation (Semmes–Weinstein monofilaments), pinch strength (pinch gauge), cognition (Montreal Cognitive Assessment), and executive functioning (Trail Making Test) were assessed. Two apps were then used: Dexteria and SuCare. Demographic data, prior mobile device use, and diabetes severity (hemoglobin A1C [HbA1C]) were collected. Results: Age and HbA1C accounted for 29.8% and 9.7%, respectively, of the total variance of Dexteria performance time (dominant hand). Dexterity (dominant hand) accounted for an additional 5.4% of the total variance of 45.1%, F(4, 40) = 10.021, p <.001. Prior mobile device use, age, and diabetes severity accounted for 6.4%, 11.8%, and 26.4%, respectively, of the total variance of SuCare performance time. Executive functioning and dominant-hand dexterity accounted for an additional 9.5% and 9.4%, respectively, of the total variance of 61.0%, F(5, 39) = 14.75, p <.001. Conclusions and Relevance: Beyond age and diabetes severity, executive functioning and dominant-hand dexterity contributed to app performance, highlighting the importance of diabetes self-management. These findings may help determine suitable candidates for tablet use for self-management. What This Article Adds: App performance is explained by the executive functioning and dexterity of older adults with Type 2 diabetes. These factors, in addition to age and diabetes severity, should be taken into consideration by occupational therapy practitioners in future mobile self-management programs. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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