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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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-11-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/11/e061111.full |
| _version_ | 1811218579675152384 |
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| author | Edo Richard Wei Wang Bin Jiang Hongmei Liu Wei Zhang Xiaoyu Zhang Wenzhi Wang Siqi Ge Manshu Song Youxin Wang Jihui Lyu Eric P Moll van Charante Xingming Li Esmé Eggink Haifeng Hou Yixuan Niu Xiaoyan Ye Yueyi Yu Jinxia Zhang Xizhu Xu Ruben Terlou |
| author_facet | Edo Richard Wei Wang Bin Jiang Hongmei Liu Wei Zhang Xiaoyu Zhang Wenzhi Wang Siqi Ge Manshu Song Youxin Wang Jihui Lyu Eric P Moll van Charante Xingming Li Esmé Eggink Haifeng Hou Yixuan Niu Xiaoyan Ye Yueyi Yu Jinxia Zhang Xizhu Xu Ruben Terlou |
| author_sort | Edo Richard |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-04-12T07:10:49Z |
| format | Article |
| id | doaj.art-af0ce6229e394d9fab8c75d112100cad |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-12T07:10:49Z |
| publishDate | 2022-11-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-af0ce6229e394d9fab8c75d112100cad2022-12-22T03:42:38ZengBMJ Publishing GroupBMJ Open2044-60552022-11-01121110.1136/bmjopen-2022-061111Needs and views on healthy lifestyles for the prevention of dementia and the potential role for mobile health (mHealth) interventions in China: a qualitative studyEdo Richard0Wei Wang1Bin Jiang2Hongmei Liu3Wei Zhang4Xiaoyu Zhang5Wenzhi Wang6Siqi Ge7Manshu Song8Youxin Wang9Jihui Lyu10Eric P Moll van Charante11Xingming Li12Esmé Eggink13Haifeng Hou14Yixuan Niu15Xiaoyan Ye16Yueyi Yu17Jinxia Zhang18Xizhu Xu19Ruben Terlou20Neurology, Radboudumc, Nijmegen, Gelderland, NetherlandsCentre for Complex Interventions, Centre for Addiction and Mental Health, Toronto, Ontario, CanadaDepartment of Pharmacy Administration and Clinical Pharmacy, Peking University School of Pharmaceutical Sciences, Beijing, China1 Clinical Research Center, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaCancer Biology Research Center (Key Laboratory of the Ministry of Education), Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaDepartment of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, China15 Beijing Neurosurgical Institute, Beijing, ChinaDepartment of Neuroepidemiology, Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Capital Medical University, Beijing, China3 Beijing Key Laboratory of Clinical Epidemiology, Capital Medical University School of Public Health, Beijing, ChinaDepartment of Epidemiology and Health Statistics, School of Public Health, Capital Medical University, Beijing, China16 Center for Cognitive Disorders, Beijing Geriatric Hospital, Beijing, China5 Department of Public and Occupational Health, Amsterdam UMC, location AMC, Amsterdam Public Health Research Institute, University of Amsterdam, Amsterdam, The NetherlandsDepartment of Epidemiology, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences; School of Basic Medicine, Peking Union Medical College, Beijing, PR China1 Department of General Practice, Amsterdam UMC Locatie AMC, Amsterdam, The Netherlands4 Edith Cowan University School of Medical and Health Sciences, Joondalup, Western Australia, Australia17 Department of Geriatrics, The Second Medical Centre and National Clinical Research Centre for Geriatric Diseases, Chinese PLA General Hospital, Beijing, China18 Fuzhou Comvee Network & Technology Co., Ltd, Fuzhou, China19 Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, ChinaBeijing Key Laboratory of Clinical Epidemiology, School of Public Health, Capital Medical University, Beijing, ChinaSchool of Public Health, Shandong First Medical University & Shandong Academy of Medical Science, Tai`an, Shandong, ChinaDe Blinde Uil B.V, Amsterdam, The NetherlandsObjectives 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.https://bmjopen.bmj.com/content/12/11/e061111.full |
| spellingShingle | Edo Richard Wei Wang Bin Jiang Hongmei Liu Wei Zhang Xiaoyu Zhang Wenzhi Wang Siqi Ge Manshu Song Youxin Wang Jihui Lyu Eric P Moll van Charante Xingming Li Esmé Eggink Haifeng Hou Yixuan Niu Xiaoyan Ye Yueyi Yu Jinxia Zhang Xizhu Xu Ruben Terlou 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 BMJ Open |
| 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 |
| url | https://bmjopen.bmj.com/content/12/11/e061111.full |
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