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Comparison of Smart Display Versus Laptop Platforms for an eHealth Intervention to Improve Functional Health for Older Adults With Multiple Chronic Conditions: Protocol for a Randomized Clinical Trial

Comparison of Smart Display Versus Laptop Platforms for an eHealth Intervention to Improve Functional Health for Older Adults With Multiple Chronic Conditions: Protocol for a Randomized Clinical Trial

In the United States, chronic conditions such as diabetes, hypertension, and arthritis affect almost 95% of adults aged 60 years and older [4]. Among Medicare beneficiaries, about two-thirds have 3 or more chronic conditions and nearly one-fourth have 5 or more [5,6]. Treatment of co-occurring morbidities is complicated and costly given their complexity, prevalence, and ongoing nature [5,7]. For these same reasons, self-management is a vital aspect of patient care.

David H Gustafson Sr, Marie-Louise Mares, Darcie C Johnston, John J Curtin, Klaren Pe-Romashko, Gina Landucci

JMIR Res Protoc 2025;14:e64449

Barriers and Determinants of Referral Adherence in AI-Enabled Diabetic Retinopathy Screening for Older Adults in Northern India During the COVID-19 Pandemic: Mixed Methods Pilot Study

Barriers and Determinants of Referral Adherence in AI-Enabled Diabetic Retinopathy Screening for Older Adults in Northern India During the COVID-19 Pandemic: Mixed Methods Pilot Study

In India, 10.9% (7.2%‐16.3%) of individuals aged 65 years and above with diabetes have DR, with 2.3% (1.2%‐4.4%) suffering from vision-threatening diabetic retinopathy (VTDR) [1], characterized by severe retinopathy or macular edema [2]. DR is typically asymptomatic in its early stages, and it can lead to visual impairment or blindness if left untreated [3]. The rate of blindness due to VTDR is expected to rise proportionately to the exponential increase in DM prevalence [4,5].

Anshul Chauhan, Anju Goyal, Ritika Masih, Gagandeep Kaur, Lakshay Kumar, ­ Neha, Harsh Rastogi, Sonam Kumar, Bidhi Lord Singh, Preeti Syal, Vishali Gupta, Luke Vale, Mona Duggal

JMIR Form Res 2025;9:e67047

A Smartphone-Based Timed Up and Go Test Self-Assessment for Older Adults: Validity and Reliability Study

A Smartphone-Based Timed Up and Go Test Self-Assessment for Older Adults: Validity and Reliability Study

An ICC value A total of 52 community-dwelling older adults aged between 66 and 88 years (mean 73.6, SD 5.4) were measured, with a similar distribution of men (25/52, 48%) and women (27/52, 52%) and a mean BMI of 27.1 kg/m2 (SD 4.1). Of those who provided the data, all were retired, almost all were German citizens (49/52, 98%) and one third (16/52, 33%) lived alone. Participants indicated an average of 2.3 (SD 1.7) comorbidities according to the Groll Index.

Melissa Johanna Böttinger, Sabato Mellone, Jochen Klenk, Carl-Philipp Jansen, Marios Stefanakis, Elena Litz, Anastasia Bredenbrock, Jan-Philipp Fischer, Jürgen M Bauer, Clemens Becker, Katharina Gordt-Oesterwind

JMIR Aging 2025;8:e67322

A Self-Adaptive Serious Game to Improve Motor Learning Among Older Adults in Immersive Virtual Reality: Short-Term Longitudinal Pre-Post Study on Retention and Transfer

A Self-Adaptive Serious Game to Improve Motor Learning Among Older Adults in Immersive Virtual Reality: Short-Term Longitudinal Pre-Post Study on Retention and Transfer

Inclusion criteria were individuals aged 65 years and older, possessing corrected-to-normal vision, and demonstrating the ability to comprehend simple instructions. Older adults with orthopedic or neurological disorders that might have impacted their capacity to handle a controller or that could alter upper extremity movements were excluded from the study. Participants’ cognition was screened using the Montreal Cognitive Assessment [48].

Gauthier Everard, Louise Declerck, Thierry Lejeune, Martin Gareth Edwards, Justine Bogacki, Cléo Reiprich, Kelly Delvigne, Nicolas Legrain, Charles Sebiyo Batcho

JMIR Aging 2025;8:e64004

A New Computer-Based Cognitive Measure for Early Detection of Dementia Risk (Japan Cognitive Function Test): Validation Study

A New Computer-Based Cognitive Measure for Early Detection of Dementia Risk (Japan Cognitive Function Test): Validation Study

A review and recommendation on routine screening for cognitive impairment in adults aged 65 years and older by the US Preventive Services Task Force asks that clinicians remain alert to early signs of cognitive impairment for individual evaluation [3]. A systematic review on digital cognitive tests reported that most of these tests showed diagnostic performance comparable with that of paper-and-pencil tests for mild cognitive impairment (MCI) and dementia [8].

Hiroyuki Shimada, Takehiko Doi, Kota Tsutsumimoto, Keitaro Makino, Kenji Harada, Kouki Tomida, Masanori Morikawa, Hyuma Makizako

J Med Internet Res 2025;27:e59015

A Comparison of Patient and Provider Perspectives on an Electronic Health Record–Based Discharge Communication Tool: Survey Study

A Comparison of Patient and Provider Perspectives on an Electronic Health Record–Based Discharge Communication Tool: Survey Study

For the patient survey, the sample size was determined based on the inpatient discharge statistics for patients aged 65 years or older in 2015, as provided by the Hospital Authority. In order to achieve a precision level of ±4% with a 95% CI, a minimum of 1450 respondents was required for pre-post rounds. Assuming a 50% response rate, at least 2900 patients were randomly selected from the discharge records for each round.

Dorothy Yingxuan Wang, Eliza Lai-Yi Wong, Annie Wai-Ling Cheung, Kam-Shing Tang, Eng-Kiong Yeoh

JMIR Aging 2025;8:e60506

Estimating the Effect of Adhering to the Recommendations of the 2019 Canada’s Food Guide on Health Outcomes in Older Adults: Protocol for a Target Trial Emulation

Estimating the Effect of Adhering to the Recommendations of the 2019 Canada’s Food Guide on Health Outcomes in Older Adults: Protocol for a Target Trial Emulation

However, evidence from a nationally representative survey of adults aged ≥65 years from Canada suggested that greater adherence to recommendations was insufficient to meet calcium, vitamin D, and folate requirements [3]. In Canada, one-third of community-dwelling older adults are at high nutrition risk [4,5], highlighting the importance of maintaining adequate nutritional status in this stratum of the population.

Didier Brassard, Nancy Presse, Stéphanie Chevalier

JMIR Res Protoc 2025;14:e65182

Adapting the Technology Acceptance Model to Examine the Use of Information Communication Technologies and Loneliness Among Low-Income, Older Asian Americans: Cross-Sectional Survey Analysis

Adapting the Technology Acceptance Model to Examine the Use of Information Communication Technologies and Loneliness Among Low-Income, Older Asian Americans: Cross-Sectional Survey Analysis

The 2019 California Health Interview Survey (CHIS) found that 1 in 4 (25.7%) Asian Americans aged 65 years and older were lonely [1]. Loneliness is defined as a subjective experience stemming from perceived isolation or a disparity in one’s desired and actual social interactions [2]. In the CHIS, Asian American older adults reported significantly lower levels of perceived social and emotional support (56%) as compared with non–Asian American older adults (80%) [3].

Pauline DeLange Martinez, Daniel Tancredi, Misha Pavel, Lorena Garcia, Heather M Young

JMIR Aging 2025;8:e63856

The Needs and Experiences of People With Early-Stage Dementia Using an Application for Cognitive and Physical Activation in Germany: Qualitative Study

The Needs and Experiences of People With Early-Stage Dementia Using an Application for Cognitive and Physical Activation in Germany: Qualitative Study

The study included participants aged 50-90 years with mild cognitive impairment or early-stage dementia. They had to reside in Germany and were required to have sufficient verbal communication skills and adequate vision and hearing. Previous experience with mobile devices was intentionally not set as an inclusion criterion.

Melina Klein, Alexa von Bosse, Christophe Kunze

JMIR Aging 2024;7:e62689