Tailored Self-Management App to Support Older Adults With Cancer and Multimorbidity: Development and Usability Testing.
JMIR Aging
; 7: e53163, 2024 May 08.
Article
en En
| MEDLINE
| ID: mdl-38717806
ABSTRACT
BACKGROUND:
Globally, cancer predominates in adults aged older than 60 years, and 70% of older adults have ≥1 chronic condition. Cancer self-management interventions can improve symptom management and confidence, but few interventions target the complex needs of older adults with cancer and multimorbidity. Despite growing evidence of digital health tools in cancer care, there is a paucity of theoretically grounded digital self-management supports for older adults. Many apps for older adults have not been co-designed with older adults to ensure that they are tailored to their specific needs, which would increase usability and uptake.OBJECTIVE:
We aim to report on the user evaluations of a self- and symptom-management app to support older adults living with cancer and multimorbidity.METHODS:
This study used Grey's self-management framework, a design thinking approach, and involved older adults with lived experiences of cancer to design a medium-fidelity app prototype. Older adults with cancer or caregivers were recruited through community organizations or support groups to participate in co-designing or evaluations of the app. Data from interviews were iteratively integrated into the design process and analyzed using descriptive statistics and thematic analyses.RESULTS:
In total, 15 older adults and 3 caregivers (n=18) participated in this study 10 participated (8 older adults and 2 caregivers) in the design of the low-fidelity prototype, and 10 evaluated (9 older adults and 1 caregiver) the medium-fidelity prototype (2 older adults participated in both phases). Participants emphasized the importance of tracking functions to make sense of information across physical symptoms and psychosocial aspects; a clear display; and the organization of notes and reminders to communicate with care providers. Participants also emphasized the importance of medication initiation or cessation reminders to mitigate concerns related to polypharmacy.CONCLUSIONS:
This app has the potential to support the complex health care needs of older adults with cancer, creating a "home base" for symptom management and support. The findings from this study will position the researchers to conduct feasibility testing and real-world implementation.Palabras clave
ageing; aging; app; application; applications; apps; cancer; co-design; comorbid; comorbidities; comorbidity; design; design thinking; develop; development; elder; elderly; geriatric; geriatrics; gerontology; mHealth; mobile health; multimorbidities; multimorbidity; older adult; older adults; older people; older person; oncology; self-management; symptom; symptoms; usability; usability testing
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Aplicaciones Móviles
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Automanejo
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Multimorbilidad
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Neoplasias
Límite:
Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
JMIR Aging
Año:
2024
Tipo del documento:
Article
País de afiliación:
Canadá
Pais de publicación:
Canadá