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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

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机构： [1]Beijing Key Laboratory of Clinical Epidemiology, School of Public Health, Capital Medical University, Beijing, China [2]Department of General Practice, Amsterdam University Medical Centre, University of Amsterdam, Amsterdam, The Netherlands [3]Department of Health Administration and Policy, School of Public Health, Capital Medical University, Beijing, China [4]Department of Neuroepidemiology, Beijing Neurosurgical Institute, Beijing, China [5]Centre for Cognitive Neurology, Department of Neurology, Beijing Tiantan Hospital,Capital Medical University, Beijing, China [6]Centre for Cognitive Disorders, Beijing Geriatric Hospital, Beijing, China [7]Department of Geriatrics, The Second Medical Centre & National Clinical Research Centre for Geriatric Diseases, Chinese PLA General Hospital, Beijing, China [8]Innovation Centre for Neurological Disorders, Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China [9]School of Medical and Health Sciences, Edith Cowan University, Perth, Western Australia, Australia [10]School of Public Health, Shandong First Medical University & Shandong Academy of Medical Science, Tai'an, Shandong, China [11]Comvee Research Institute, Fuzhou Comvee Network & Technology Co., Ltd, Fuzhou, China [12]De Blinde Uil B.V, Amsterdam, The Netherlands [13]Department of Public and Occupational Health, Amsterdam University Medical Centre, University of Amsterdam, Amsterdam, The Netherlands [14]Department of Neurology, Radboud University Donders Institute for Brain Cognition and Behaviour, Nijmegen, The Netherlands [15]Centre for Precision Health, Edith Cowan University, Perth, Western Australia, Australia

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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.Qualitative semi-structured interview study, using thematic analysis.Primary and secondary care in Beijing and Tai'an, China.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.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.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.ISRCTN15986016; Pre-results.© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

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出版当年[2021]版：

大类 | 4 区医学

小类 | 3 区医学：内科

最新[2023]版：

大类 | 3 区医学

小类 | 3 区医学：内科

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出版当年[2020]版：

Q2 MEDICINE, GENERAL & INTERNAL

最新[2023]版：

Q1 MEDICINE, GENERAL & INTERNAL

影响因子： 2.4 最新[2023版] 2.7 最新五年平均 2.692 出版当年[2020版] 3.424 出版当年五年平均 2.496 出版前一年[2019版] 3.007 出版后一年[2021版]

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第一作者机构： [1]Beijing Key Laboratory of Clinical Epidemiology, School of Public Health, Capital Medical University, Beijing, China

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通讯机构： [1]Beijing Key Laboratory of Clinical Epidemiology, School of Public Health, Capital Medical University, Beijing, China [9]School of Medical and Health Sciences, Edith Cowan University, Perth, Western Australia, Australia

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