{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T17:23:13Z","timestamp":1778865793120,"version":"3.51.4"},"reference-count":39,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2023,8,19]],"date-time":"2023-08-19T00:00:00Z","timestamp":1692403200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000780","name":"European Regional Development Fund of the European Union and Greek national funds through the Operational Program Competitiveness, Entrepreneurship and Innovation","doi-asserted-by":"publisher","award":["T2EDK-00586"],"award-info":[{"award-number":["T2EDK-00586"]}],"id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background and Objectives: Older patients\u2019 needs are rarely examined beforehand, and thus, although technology-based tools can enhance self-management, acceptability rates are still low. This study aimed to examine and compare self-reported needs, priorities, and preferences of older patients with heart failure (HF), diabetes mellitus type II (DM2), and chronic obstructive pulmonary disease (COPD) toward technology use to enhance self-management. Materials and Methods: A convenience sample of 473 participants over 60 s (60.5% females), diagnosed with HF (n= 156), DM2 (n = 164), or COPD (n = 153) was recruited. They were administered a questionnaire about the usefulness of technology in general and in specific areas of disease management. Results: Most participants (84.7%) admitted that technology is needed for better disease management. This was equally recognized across the three groups both for the overall and specific areas of disease management (in order of priority: \u201cInformation\u201d, \u201cCommunication with Physicians and Caregivers\u201d, and \u201cQuality of Life and Wellbeing\u201d). Sociodemographic differences were found. Cell phones and PCs were the devices of preference. The four common features prioritized by all three groups were related to \u2018information about disease management\u2019 (i.e., monitoring symptoms, reminders for medication intake, management and prevention of complications), whereas the fifth one was related to \u2018communication with physicians and caregivers (i.e., in case of abnormal or critical signs). The top disease-specific feature was also monitoring systems (of respiratory rate or blood sugar or blood pressure, and oxygen), whereas other disease-specific features followed (i.e., maintaining normal weight for HF patients, adjusting insulin dose for DM2 patients, and training on breathing exercises for COPD patients). Conclusions: Older individuals in these three groups seem receptive to technology in disease management. mHealth tools, incorporating both common and disease-specific features and addressing different chronic patients, and also being personalized at the same time, could be cost-saving and useful adjuncts in routine clinical care to improve self-management.<\/jats:p>","DOI":"10.3390\/medicina59081493","type":"journal-article","created":{"date-parts":[[2023,8,21]],"date-time":"2023-08-21T01:33:11Z","timestamp":1692581591000},"page":"1493","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Promoting Self-Management and Independent Living of Older Individuals with Chronic Diseases through Technology: A Study of Self-Reported Needs, Priorities, and Preferences"],"prefix":"10.3390","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6416-9740","authenticated-orcid":false,"given":"Argyroula","family":"Kalaitzaki","sequence":"first","affiliation":[{"name":"Department of Social Work, School of Health Sciences, Hellenic Mediterranean University, Gianni Kornarou, Estavromenos 1, 71410 Heraklion, Greece"},{"name":"Laboratory of Interdisciplinary Approaches for the Enhancement of Quality of Life (QoLab), 71410 Heraklion, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0471-0117","authenticated-orcid":false,"given":"Michael","family":"Rovithis","sequence":"additional","affiliation":[{"name":"Laboratory of Interdisciplinary Approaches for the Enhancement of Quality of Life (QoLab), 71410 Heraklion, Greece"},{"name":"Department of Business Administration and Tourism, School of Management and Economics Sciences, Hellenic Mediterranean University, Gianni Kornarou, Estavromenos 1, 71410 Heraklion, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexios","family":"Dimitropoulos","sequence":"additional","affiliation":[{"name":"TECHAPPS HEALTHIER IK\u0395, 56 Ippokratous Str., 10680 Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0358-1405","authenticated-orcid":false,"given":"Sofia","family":"Koukouli","sequence":"additional","affiliation":[{"name":"Department of Social Work, School of Health Sciences, Hellenic Mediterranean University, Gianni Kornarou, Estavromenos 1, 71410 Heraklion, Greece"},{"name":"Laboratory of Interdisciplinary Approaches for the Enhancement of Quality of Life (QoLab), 71410 Heraklion, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3849-3907","authenticated-orcid":false,"given":"Manolis","family":"Linardakis","sequence":"additional","affiliation":[{"name":"Department of Social Medicine, Faculty of Medicine, University of Crete, Andrea Kalokerinou 13, Giofirakia, 71500 Heraklion, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6215-2574","authenticated-orcid":false,"given":"Elli","family":"Katsiri","sequence":"additional","affiliation":[{"name":"Innosense \u0399\u039a\u0395, 18 Esperidon Str., 13674 Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6731-8473","authenticated-orcid":false,"given":"Nikos","family":"Rikos","sequence":"additional","affiliation":[{"name":"Laboratory of Interdisciplinary Approaches for the Enhancement of Quality of Life (QoLab), 71410 Heraklion, Greece"},{"name":"Department of Nursing, Faculty of Health Sciences, Hellenic Mediterranean University, Gianni Kornarou, Estavromenos 1, 71410 Heraklion, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7753-1553","authenticated-orcid":false,"given":"George","family":"Vasilopoulos","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Health and Care Sciences, University of West Attica, Ag. Spyridonos Str., 12243 Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George","family":"Tsolas","sequence":"additional","affiliation":[{"name":"Institute of Nursing Research and Health Policy, 73 Aristotelous Str., 10434 Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aikaterini","family":"Papachristou","sequence":"additional","affiliation":[{"name":"Institute of Nursing Research and Health Policy, 73 Aristotelous Str., 10434 Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anastasia","family":"Dimitrantzou","sequence":"additional","affiliation":[{"name":"TECHAPPS HEALTHIER IK\u0395, 56 Ippokratous Str., 10680 Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dimitrios","family":"Katsiris","sequence":"additional","affiliation":[{"name":"Innosense \u0399\u039a\u0395, 18 Esperidon Str., 13674 Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8616-3884","authenticated-orcid":false,"given":"Areti","family":"Stavropoulou","sequence":"additional","affiliation":[{"name":"Laboratory of Interdisciplinary Approaches for the Enhancement of Quality of Life (QoLab), 71410 Heraklion, Greece"},{"name":"Department of Nursing, Faculty of Health and Care Sciences, University of West Attica, Ag. Spyridonos Str., 12243 Athens, Greece"},{"name":"Faculty of Health, Science, Social Care and Education, Kingston University, KT2 7LB London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,8,19]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2018, December 05). Noncommunicable Diseases (NCDs) and Mental Health Challenges and Solutions. Available online: https:\/\/www.who.int\/beat-ncds\/en\/."},{"key":"ref_2","unstructured":"Centers for Disease Control and Prevention (2018, October 12). 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