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Co-Creating a Digital Life-Integrated Self-Assessment for Older Adults: User Experience Study

BACKGROUND: Older adults are at increased risk of developing health disorders and functional decline. However, owing to time constraints and considerable effort, physicians rarely conduct comprehensive assessments to detect early signs of negative trajectories. If designed properly, digital technolo...

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Autores principales: Böttinger, Melissa J, Litz, Elena, Gordt-Oesterwind, Katharina, Jansen, Carl-Philipp, Memmer, Nicole, Mychajliw, Christian, Radeck, Leon, Bauer, Jürgen M, Becker, Clemens
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10565622/
https://www.ncbi.nlm.nih.gov/pubmed/37751274
http://dx.doi.org/10.2196/46738
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author Böttinger, Melissa J
Litz, Elena
Gordt-Oesterwind, Katharina
Jansen, Carl-Philipp
Memmer, Nicole
Mychajliw, Christian
Radeck, Leon
Bauer, Jürgen M
Becker, Clemens
author_facet Böttinger, Melissa J
Litz, Elena
Gordt-Oesterwind, Katharina
Jansen, Carl-Philipp
Memmer, Nicole
Mychajliw, Christian
Radeck, Leon
Bauer, Jürgen M
Becker, Clemens
author_sort Böttinger, Melissa J
collection PubMed
description BACKGROUND: Older adults are at increased risk of developing health disorders and functional decline. However, owing to time constraints and considerable effort, physicians rarely conduct comprehensive assessments to detect early signs of negative trajectories. If designed properly, digital technologies could identify health risks already at a preclinical stage, thereby facilitating preventive efforts and targeted intervention. For this purpose, a Life-integrated Self-Assessment (LiSA) tablet system will be developed through a structured co-creation process. OBJECTIVE: This study aims to investigate older adults’ perceptions of different self-assessment domains, components affecting user experience, risks and benefits associated with LiSA, characteristics of potential LiSA users, and the LiSA concept in general. METHODS: A total of 10 community-dwelling older adults aged ≥70 years were recruited. In total, 6 co-creation workshops were held and started with expert input followed by semistructured discussion rounds. Participants performed hands-on activities with a tablet, including testing of preinstalled self-assessment apps. All workshops were audio recorded and additionally documented by the researchers using flipcharts, notes, and photos. Qualitative content analysis was used to analyze the data following a deductive-inductive approach guided by the Optimized Honeycomb Model for user experience. RESULTS: The group (mean age 77.8, SD 5.1 years) was heterogeneous in terms of previous technology experience and health status. The mean workshop duration was 2 hours (122.5, SD 4.43 min), and an average of 8 (SD 1.15) participants attended each workshop. A total of 11 thematic categories were identified, covering results on all research questions. Participants emphasized a strong interest in conducting a digital self-assessment of physical activity and function and sensory and cognitive functions and requested additional features such as recommendations for actions or reminders. LiSA was perceived as empowering and a motivator to engage in active health care planning as well as enabling shared and informed decision-making. Concerns and barriers included the lack of technical competence, feelings of frustration, and fear of being left alone, with negative assessment results. In essence, participants expressed a positive attitude toward using LiSA repeatedly and identified it as an option to increase the chances of maintaining independence when growing older. CONCLUSIONS: The co-creation participants supported the LiSA approach and were interested in performing regular self-assessments on a long-term basis. In their opinion, LiSA should include relevant assessments capturing physical activity and function and sensory and cognitive functions as well as recommendations for actions. It should be customizable to individual needs. These results will form the basis for a prototype. Iterative development and validation will aim to make LiSA accessible in the public domain as a reliable tablet-based system for self-assessment.
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spelling pubmed-105656222023-10-12 Co-Creating a Digital Life-Integrated Self-Assessment for Older Adults: User Experience Study Böttinger, Melissa J Litz, Elena Gordt-Oesterwind, Katharina Jansen, Carl-Philipp Memmer, Nicole Mychajliw, Christian Radeck, Leon Bauer, Jürgen M Becker, Clemens JMIR Aging Original Paper BACKGROUND: Older adults are at increased risk of developing health disorders and functional decline. However, owing to time constraints and considerable effort, physicians rarely conduct comprehensive assessments to detect early signs of negative trajectories. If designed properly, digital technologies could identify health risks already at a preclinical stage, thereby facilitating preventive efforts and targeted intervention. For this purpose, a Life-integrated Self-Assessment (LiSA) tablet system will be developed through a structured co-creation process. OBJECTIVE: This study aims to investigate older adults’ perceptions of different self-assessment domains, components affecting user experience, risks and benefits associated with LiSA, characteristics of potential LiSA users, and the LiSA concept in general. METHODS: A total of 10 community-dwelling older adults aged ≥70 years were recruited. In total, 6 co-creation workshops were held and started with expert input followed by semistructured discussion rounds. Participants performed hands-on activities with a tablet, including testing of preinstalled self-assessment apps. All workshops were audio recorded and additionally documented by the researchers using flipcharts, notes, and photos. Qualitative content analysis was used to analyze the data following a deductive-inductive approach guided by the Optimized Honeycomb Model for user experience. RESULTS: The group (mean age 77.8, SD 5.1 years) was heterogeneous in terms of previous technology experience and health status. The mean workshop duration was 2 hours (122.5, SD 4.43 min), and an average of 8 (SD 1.15) participants attended each workshop. A total of 11 thematic categories were identified, covering results on all research questions. Participants emphasized a strong interest in conducting a digital self-assessment of physical activity and function and sensory and cognitive functions and requested additional features such as recommendations for actions or reminders. LiSA was perceived as empowering and a motivator to engage in active health care planning as well as enabling shared and informed decision-making. Concerns and barriers included the lack of technical competence, feelings of frustration, and fear of being left alone, with negative assessment results. In essence, participants expressed a positive attitude toward using LiSA repeatedly and identified it as an option to increase the chances of maintaining independence when growing older. CONCLUSIONS: The co-creation participants supported the LiSA approach and were interested in performing regular self-assessments on a long-term basis. In their opinion, LiSA should include relevant assessments capturing physical activity and function and sensory and cognitive functions as well as recommendations for actions. It should be customizable to individual needs. These results will form the basis for a prototype. Iterative development and validation will aim to make LiSA accessible in the public domain as a reliable tablet-based system for self-assessment. JMIR Publications 2023-09-26 /pmc/articles/PMC10565622/ /pubmed/37751274 http://dx.doi.org/10.2196/46738 Text en ©Melissa J Böttinger, Elena Litz, Katharina Gordt-Oesterwind, Carl-Philipp Jansen, Nicole Memmer, Christian Mychajliw, Leon Radeck, Jürgen M Bauer, Clemens Becker. Originally published in JMIR Aging (https://aging.jmir.org), 26.09.2023. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Aging, is properly cited. The complete bibliographic information, a link to the original publication on https://aging.jmir.org, as well as this copyright and license information must be included.
spellingShingle Original Paper
Böttinger, Melissa J
Litz, Elena
Gordt-Oesterwind, Katharina
Jansen, Carl-Philipp
Memmer, Nicole
Mychajliw, Christian
Radeck, Leon
Bauer, Jürgen M
Becker, Clemens
Co-Creating a Digital Life-Integrated Self-Assessment for Older Adults: User Experience Study
title Co-Creating a Digital Life-Integrated Self-Assessment for Older Adults: User Experience Study
title_full Co-Creating a Digital Life-Integrated Self-Assessment for Older Adults: User Experience Study
title_fullStr Co-Creating a Digital Life-Integrated Self-Assessment for Older Adults: User Experience Study
title_full_unstemmed Co-Creating a Digital Life-Integrated Self-Assessment for Older Adults: User Experience Study
title_short Co-Creating a Digital Life-Integrated Self-Assessment for Older Adults: User Experience Study
title_sort co-creating a digital life-integrated self-assessment for older adults: user experience study
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10565622/
https://www.ncbi.nlm.nih.gov/pubmed/37751274
http://dx.doi.org/10.2196/46738
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