Participation, Retention, and Utilization of a Web-Based Chronic Disease Self-Management Intervention Among Older Adults

Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association
Jennifer Dickman Portz, Walter F LaMendola

Abstract

Web-based self-management (web-based SM) interventions provide a potential resource for older adults to engage in their own chronic disease management. The purpose of this study is to investigate the effect of age on participation, retention, and utilization of a web-based SM intervention. This study reports the results of a secondary data analysis of the effects of age in a randomized trial of a web-based diabetes SM intervention. Participation, reasons for nonenrollment, retention, reasons for disenrollment, and website utilization were examined by age using discriminant function, survival analysis, and multivariate analysis of variance as appropriate. Website utilization by all participants dropped after 6 months but did not vary significantly with age. Though older adults (>60 of age) were less likely to choose to participate (F = 57.20, p < 0.001), a slight majority of participants in the experiment (53%) were over 66 years of age. Enrolled older adults utilized website management tools at a rate equivalent to younger participants. At termination, they often reported the experiment as burdensome, but tended to stay in the study longer than younger participants. Web-based SM offers a feasible approach for older adults with ...Continue Reading

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Citations

Mar 28, 2020·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Sandra da Silva MattosFelipe Alves Mourato
Nov 11, 2020·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Cindy A CrumpLauretta Cathers

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