Internet use by older adults with bipolar disorder: international survey results

Rita Bauer; Tasha Glenn; Sergio Strejilevich; Jörn Conell; Martin Alda; Raffaella Ardau; Bernhard T. Baune; Michael Berk; Yuly Bersudsky; Amy Bilderbeck; Alberto Bocchetta; Angela M.Paredes Castro; Eric Y.W. Cheung; Caterina Chillotti; Sabine Choppin; Alessandro Cuomo; Maria Del Zompo; Rodrigo Dias; Seetal Dodd; Anne Duffy; Bruno Etain; Andrea Fagiolini; Miryam Fernández Hernandez; Julie Garnham; John Geddes; Jonas Gildebro; Michael J. Gitlin; Ana Gonzalez-Pinto; Guy M. Goodwin; Paul Grof; Hirohiko Harima; Stefanie Hassel; Chantal Henry; Diego Hidalgo-Mazzei; Anne Hvenegaard Lund; Vaisnvy Kapur; Girish Kunigiri; Beny Lafer; Erik R. Larsen; Ute Lewitzka; Rasmus W. Licht; Blazej Misiak; Patryk Piotrowski; Ângela Miranda-Scippa; Scott Monteith; Rodrigo Munoz; Takako Nakanotani; René E. Nielsen; Claire O’Donovan; Yasushi Okamura; Yamima Osher; Andreas Reif; Philipp Ritter; Janusz K. Rybakowski; Kemal Sagduyu; Brett Sawchuk; Elon Schwartz; Claire Slaney; Ahmad H. Sulaiman; Kirsi Suominen; Aleksandra Suwalska; Peter Tam; Yoshitaka Tatebayashi; Leonardo Tondo; Julia Veeh; Eduard Vieta; Maj Vinberg; Biju Viswanath; Mark Zetin; Peter C. Whybrow; Michael Bauer

doi:10.1186/s40345-018-0127-7

Internet use by older adults with bipolar disorder: international survey results

Rita Bauer, Tasha Glenn, Sergio Strejilevich, Jörn Conell, Martin Alda, Raffaella Ardau, Bernhard T. Baune, Michael Berk, Yuly Bersudsky, Amy Bilderbeck, Alberto Bocchetta, Angela M.Paredes Castro, Eric Y.W. Cheung, Caterina Chillotti, Sabine Choppin, Alessandro Cuomo, Maria Del Zompo, Rodrigo Dias, Seetal Dodd, Anne DuffyBruno Etain, Andrea Fagiolini, Miryam Fernández Hernandez, Julie Garnham, John Geddes, Jonas Gildebro, Michael J. Gitlin, Ana Gonzalez-Pinto, Guy M. Goodwin, Paul Grof, Hirohiko Harima, Stefanie Hassel, Chantal Henry, Diego Hidalgo-Mazzei, Anne Hvenegaard Lund, Vaisnvy Kapur, Girish Kunigiri, Beny Lafer, Erik R. Larsen, Ute Lewitzka, Rasmus W. Licht, Blazej Misiak, Patryk Piotrowski, Ângela Miranda-Scippa, Scott Monteith, Rodrigo Munoz, Takako Nakanotani, René E. Nielsen, Claire O’Donovan, Yasushi Okamura, Yamima Osher, Andreas Reif, Philipp Ritter, Janusz K. Rybakowski, Kemal Sagduyu, Brett Sawchuk, Elon Schwartz, Claire Slaney, Ahmad H. Sulaiman, Kirsi Suominen, Aleksandra Suwalska, Peter Tam, Yoshitaka Tatebayashi, Leonardo Tondo, Julia Veeh, Eduard Vieta, Maj Vinberg, Biju Viswanath, Mark Zetin, Peter C. Whybrow, Michael Bauer^*

^*Corresponding author for this work

Department of Clinical Medicine

9 Citations (Scopus)

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Abstract

Background: The world population is aging and the number of older adults with bipolar disorder is increasing. Digital technologies are viewed as a framework to improve care of older adults with bipolar disorder. This analysis quantifies Internet use by older adults with bipolar disorder as part of a larger survey project about information seeking. Methods: A paper-based survey about information seeking by patients with bipolar disorder was developed and translated into 12 languages. The survey was anonymous and completed between March 2014 and January 2016 by 1222 patients in 17 countries. All patients were diagnosed by a psychiatrist. General estimating equations were used to account for correlated data. Results: Overall, 47% of older adults (age 60 years or older) used the Internet versus 87% of younger adults (less than 60 years). More education and having symptoms that interfered with regular activities increased the odds of using the Internet, while being age 60 years or older decreased the odds. Data from 187 older adults and 1021 younger adults were included in the analysis excluding missing values. Conclusions: Older adults with bipolar disorder use the Internet much less frequently than younger adults. Many older adults do not use the Internet, and technology tools are suitable for some but not all older adults. As more health services are only available online, and more digital tools are developed, there is concern about growing health disparities based on age. Mental health experts should participate in determining the appropriate role for digital tools for older adults with bipolar disorder.

Original language	English
Article number	20
Journal	International Journal of Bipolar Disorders
Volume	6
Issue number	1
ISSN	2194-7511
DOIs	https://doi.org/10.1186/s40345-018-0127-7
Publication status	Published - 2018

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Internet use by older adults with bipolar disorder: international survey resultsFinal published version, 727 KBLicence: CC BY

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Bauer, R., Glenn, T., Strejilevich, S., Conell, J., Alda, M., Ardau, R., Baune, B. T., Berk, M., Bersudsky, Y., Bilderbeck, A., Bocchetta, A., Castro, A. M. P., Cheung, E. Y. W., Chillotti, C., Choppin, S., Cuomo, A., Del Zompo, M., Dias, R., Dodd, S., ... Bauer, M. (2018). Internet use by older adults with bipolar disorder: international survey results. International Journal of Bipolar Disorders, 6(1), [20]. https://doi.org/10.1186/s40345-018-0127-7

Bauer, R, Glenn, T, Strejilevich, S, Conell, J, Alda, M, Ardau, R, Baune, BT, Berk, M, Bersudsky, Y, Bilderbeck, A, Bocchetta, A, Castro, AMP, Cheung, EYW, Chillotti, C, Choppin, S, Cuomo, A, Del Zompo, M, Dias, R, Dodd, S, Duffy, A, Etain, B, Fagiolini, A, Fernández Hernandez, M, Garnham, J, Geddes, J, Gildebro, J, Gitlin, MJ, Gonzalez-Pinto, A, Goodwin, GM, Grof, P, Harima, H, Hassel, S, Henry, C, Hidalgo-Mazzei, D, Lund, AH, Kapur, V, Kunigiri, G, Lafer, B, Larsen, ER, Lewitzka, U, Licht, RW, Misiak, B, Piotrowski, P, Miranda-Scippa, Â, Monteith, S, Munoz, R, Nakanotani, T, Nielsen, RE, O’Donovan, C, Okamura, Y, Osher, Y, Reif, A, Ritter, P, Rybakowski, JK, Sagduyu, K, Sawchuk, B, Schwartz, E, Slaney, C, Sulaiman, AH, Suominen, K, Suwalska, A, Tam, P, Tatebayashi, Y, Tondo, L, Veeh, J, Vieta, E, Vinberg, M, Viswanath, B, Zetin, M, Whybrow, PC & Bauer, M 2018, 'Internet use by older adults with bipolar disorder: international survey results', International Journal of Bipolar Disorders, vol. 6, no. 1, 20. https://doi.org/10.1186/s40345-018-0127-7

@article{006b6244701d44d9b06a33238decc08b,

title = "Internet use by older adults with bipolar disorder: international survey results",

abstract = "Background: The world population is aging and the number of older adults with bipolar disorder is increasing. Digital technologies are viewed as a framework to improve care of older adults with bipolar disorder. This analysis quantifies Internet use by older adults with bipolar disorder as part of a larger survey project about information seeking. Methods: A paper-based survey about information seeking by patients with bipolar disorder was developed and translated into 12 languages. The survey was anonymous and completed between March 2014 and January 2016 by 1222 patients in 17 countries. All patients were diagnosed by a psychiatrist. General estimating equations were used to account for correlated data. Results: Overall, 47% of older adults (age 60 years or older) used the Internet versus 87% of younger adults (less than 60 years). More education and having symptoms that interfered with regular activities increased the odds of using the Internet, while being age 60 years or older decreased the odds. Data from 187 older adults and 1021 younger adults were included in the analysis excluding missing values. Conclusions: Older adults with bipolar disorder use the Internet much less frequently than younger adults. Many older adults do not use the Internet, and technology tools are suitable for some but not all older adults. As more health services are only available online, and more digital tools are developed, there is concern about growing health disparities based on age. Mental health experts should participate in determining the appropriate role for digital tools for older adults with bipolar disorder.",

author = "Rita Bauer and Tasha Glenn and Sergio Strejilevich and J{\"o}rn Conell and Martin Alda and Raffaella Ardau and Baune, {Bernhard T.} and Michael Berk and Yuly Bersudsky and Amy Bilderbeck and Alberto Bocchetta and Castro, {Angela M.Paredes} and Cheung, {Eric Y.W.} and Caterina Chillotti and Sabine Choppin and Alessandro Cuomo and {Del Zompo}, Maria and Rodrigo Dias and Seetal Dodd and Anne Duffy and Bruno Etain and Andrea Fagiolini and {Fern{\'a}ndez Hernandez}, Miryam and Julie Garnham and John Geddes and Jonas Gildebro and Gitlin, {Michael J.} and Ana Gonzalez-Pinto and Goodwin, {Guy M.} and Paul Grof and Hirohiko Harima and Stefanie Hassel and Chantal Henry and Diego Hidalgo-Mazzei and Lund, {Anne Hvenegaard} and Vaisnvy Kapur and Girish Kunigiri and Beny Lafer and Larsen, {Erik R.} and Ute Lewitzka and Licht, {Rasmus W.} and Blazej Misiak and Patryk Piotrowski and {\^A}ngela Miranda-Scippa and Scott Monteith and Rodrigo Munoz and Takako Nakanotani and Nielsen, {Ren{\'e} E.} and Claire O{\textquoteright}Donovan and Yasushi Okamura and Yamima Osher and Andreas Reif and Philipp Ritter and Rybakowski, {Janusz K.} and Kemal Sagduyu and Brett Sawchuk and Elon Schwartz and Claire Slaney and Sulaiman, {Ahmad H.} and Kirsi Suominen and Aleksandra Suwalska and Peter Tam and Yoshitaka Tatebayashi and Leonardo Tondo and Julia Veeh and Eduard Vieta and Maj Vinberg and Biju Viswanath and Mark Zetin and Whybrow, {Peter C.} and Michael Bauer",

year = "2018",

doi = "10.1186/s40345-018-0127-7",

language = "English",

volume = "6",

journal = "International Journal of Bipolar Disorders",

issn = "2194-7511",

publisher = "SpringerOpen",

number = "1",

}

TY - JOUR

T1 - Internet use by older adults with bipolar disorder

T2 - international survey results

AU - Bauer, Rita

AU - Glenn, Tasha

AU - Strejilevich, Sergio

AU - Conell, Jörn

AU - Alda, Martin

AU - Ardau, Raffaella

AU - Baune, Bernhard T.

AU - Berk, Michael

AU - Bersudsky, Yuly

AU - Bilderbeck, Amy

AU - Bocchetta, Alberto

AU - Castro, Angela M.Paredes

AU - Cheung, Eric Y.W.

AU - Chillotti, Caterina

AU - Choppin, Sabine

AU - Cuomo, Alessandro

AU - Del Zompo, Maria

AU - Dias, Rodrigo

AU - Dodd, Seetal

AU - Duffy, Anne

AU - Etain, Bruno

AU - Fagiolini, Andrea

AU - Fernández Hernandez, Miryam

AU - Garnham, Julie

AU - Geddes, John

AU - Gildebro, Jonas

AU - Gitlin, Michael J.

AU - Gonzalez-Pinto, Ana

AU - Goodwin, Guy M.

AU - Grof, Paul

AU - Harima, Hirohiko

AU - Hassel, Stefanie

AU - Henry, Chantal

AU - Hidalgo-Mazzei, Diego

AU - Lund, Anne Hvenegaard

AU - Kapur, Vaisnvy

AU - Kunigiri, Girish

AU - Lafer, Beny

AU - Larsen, Erik R.

AU - Lewitzka, Ute

AU - Licht, Rasmus W.

AU - Misiak, Blazej

AU - Piotrowski, Patryk

AU - Miranda-Scippa, Ângela

AU - Monteith, Scott

AU - Munoz, Rodrigo

AU - Nakanotani, Takako

AU - Nielsen, René E.

AU - O’Donovan, Claire

AU - Okamura, Yasushi

AU - Osher, Yamima

AU - Reif, Andreas

AU - Ritter, Philipp

AU - Rybakowski, Janusz K.

AU - Sagduyu, Kemal

AU - Sawchuk, Brett

AU - Schwartz, Elon

AU - Slaney, Claire

AU - Sulaiman, Ahmad H.

AU - Suominen, Kirsi

AU - Suwalska, Aleksandra

AU - Tam, Peter

AU - Tatebayashi, Yoshitaka

AU - Tondo, Leonardo

AU - Veeh, Julia

AU - Vieta, Eduard

AU - Vinberg, Maj

AU - Viswanath, Biju

AU - Zetin, Mark

AU - Whybrow, Peter C.

AU - Bauer, Michael

PY - 2018

Y1 - 2018

N2 - Background: The world population is aging and the number of older adults with bipolar disorder is increasing. Digital technologies are viewed as a framework to improve care of older adults with bipolar disorder. This analysis quantifies Internet use by older adults with bipolar disorder as part of a larger survey project about information seeking. Methods: A paper-based survey about information seeking by patients with bipolar disorder was developed and translated into 12 languages. The survey was anonymous and completed between March 2014 and January 2016 by 1222 patients in 17 countries. All patients were diagnosed by a psychiatrist. General estimating equations were used to account for correlated data. Results: Overall, 47% of older adults (age 60 years or older) used the Internet versus 87% of younger adults (less than 60 years). More education and having symptoms that interfered with regular activities increased the odds of using the Internet, while being age 60 years or older decreased the odds. Data from 187 older adults and 1021 younger adults were included in the analysis excluding missing values. Conclusions: Older adults with bipolar disorder use the Internet much less frequently than younger adults. Many older adults do not use the Internet, and technology tools are suitable for some but not all older adults. As more health services are only available online, and more digital tools are developed, there is concern about growing health disparities based on age. Mental health experts should participate in determining the appropriate role for digital tools for older adults with bipolar disorder.

AB - Background: The world population is aging and the number of older adults with bipolar disorder is increasing. Digital technologies are viewed as a framework to improve care of older adults with bipolar disorder. This analysis quantifies Internet use by older adults with bipolar disorder as part of a larger survey project about information seeking. Methods: A paper-based survey about information seeking by patients with bipolar disorder was developed and translated into 12 languages. The survey was anonymous and completed between March 2014 and January 2016 by 1222 patients in 17 countries. All patients were diagnosed by a psychiatrist. General estimating equations were used to account for correlated data. Results: Overall, 47% of older adults (age 60 years or older) used the Internet versus 87% of younger adults (less than 60 years). More education and having symptoms that interfered with regular activities increased the odds of using the Internet, while being age 60 years or older decreased the odds. Data from 187 older adults and 1021 younger adults were included in the analysis excluding missing values. Conclusions: Older adults with bipolar disorder use the Internet much less frequently than younger adults. Many older adults do not use the Internet, and technology tools are suitable for some but not all older adults. As more health services are only available online, and more digital tools are developed, there is concern about growing health disparities based on age. Mental health experts should participate in determining the appropriate role for digital tools for older adults with bipolar disorder.

U2 - 10.1186/s40345-018-0127-7

DO - 10.1186/s40345-018-0127-7

M3 - Journal article

C2 - 30178112

AN - SCOPUS:85056224773

SN - 2194-7511

VL - 6

JO - International Journal of Bipolar Disorders

JF - International Journal of Bipolar Disorders

IS - 1

M1 - 20

ER -

Internet use by older adults with bipolar disorder: international survey results

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