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Perceived Facilitators and Barriers, From the Perspective of Users, of a Multicomponent Intervention in Older People Using an Asynchronous Telehealth Modality During the COVID-19 Pandemic: A Qualitative Research
Indexado
WoS WOS:001457505800001
Scopus SCOPUS_ID:105004678876
DOI 10.1155/JARE/6839569
Año 2025
Tipo artículo de investigación

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



Objective: The COVID-19 pandemic interrupted multicomponent face-to-face interventions with older people, which became an opportunity for the implementation of these interventions in telehealth modality, as well as the analysis of the facilitators and barriers. This qualitative study examines the facilitators and barriers, from the users' perspective, of a promotional-preventive multicomponent intervention in older people using an asynchronous telehealth modality during the COVID-19 pandemic, as a continuation of the face-to-face intervention.Methods: Semistructured in-depth interviews were used. An intentional sampling was conducted over eight groups of older people in a city, who were part of a multicomponent (physical activity, cognitive stimulation, and education) telehealth (videos, infographics, manual, and WhatsApp) promotional-preventive intervention, who came from the same face-to-face intervention. After intervention, two groups were identified (intervention and control). Telephone interviews, until theoretical saturation was reached, were audio-recorded and transcribed. Thematic analysis was conducted using Atlas.ti.Results: Twenty-six older people of both sexes, aged 60-88 years, were interviewed (14 intervened and 12 controls). Six themes were identified: positive aspects of telehealth, telehealth facilitators, preference for face-to-face modality over telehealth modality, telehealth barriers, reasons for not performing telehealth, and coping strategies in the pandemic: specifically, as facilitators, participating in the company of others, having participated in the same intervention previously (face-to-face modality), good knowledge of digital literacy, self-motivation, commitment to the program, and the emergence of innate leaders, and as barriers, pain during physical activity, complexity of cognitive exercises included in cognitive stimulation, poor digital literacy, and not having support from others.Conclusion: This is the first qualitative study that identifies facilitators and barriers of a multicomponent intervention in an asynchronous telehealth modality, as a continuation of the same face-to-face intervention. The asynchronous telehealth modality could be used regularly with older people in rural areas, in situations of disability and/or with care needs, pandemic scenarios, or natural disasters.

Revista



Revista ISSN
Journal Of Aging Research 2090-2204

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Disciplinas de Investigación



WOS
Geriatrics & Gerontology
Scopus
Sin Disciplinas
SciELO
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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

Colaboración Institucional



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Autores - Afiliación



Ord. Autor Género Institución - País
1 Pizarro-Mena, Rafael - Universidad San Sebastián - Chile
2 Duran-Aguero, Samuel - Universidad San Sebastián - Chile
3 Causa-Vera, Maria - Universidad Santo Tomás - Chile
4 Rios-Duran, Camilo - Programa MAS Adultos Mayores Autovalentes AMA - Chile
5 Parra-Soto, Solange Mujer Universidad del Bío Bío - Chile

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Financiamiento



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