Document Type
Journal Article
Publication Title
BMJ Open
Volume
12
Issue
11
Publisher
BMJ
School
School of Medical and Health Sciences / Centre for Precision Health
Funders
European Union’s Horizon 2020 Research and Innovation Programme (Number 779 238)
National Key R&D Programme of China (2017YFE0118800)
Abstract
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.
DOI
10.1136/bmjopen-2022-061111
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial 4.0 License
Comments
Zhang, J., Eggink, E., Zhang, X., Li, X., Jiang, B., Liu, H., ... & Song, M. (2022). 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, 12(11), Article e061111.
http://dx.doi.org/10.1136/bmjopen-2022-061111