Mroz Emily L, Hernandez-Bigos Kizzy, Esterson Jessica, Kiwak Eliza, Naik Aanand, Tinetti Mary E
Section of Geriatrics, Department of Internal Medicine Yale School of Medicine, New Haven, CT, USA.
Institute on Aging, University of Texas Health Science Center, Houston, TX, USA.
PEC Innov. 2023 Dec 8;3:100242. doi: 10.1016/j.pecinn.2023.100242. eCollection 2023 Dec 15.
To examine the use of a web-based, self-directed health priorities identification tool for older adults with multiple chronic conditions (MCCs).
We recruited a gender- and racially-diverse, highly educated sample of older adults with MCCs to engage with our My Health Priorities tool, then complete a semi-structured interview. Thematic analysis was used to examine interview transcripts.
Twenty-one participants shared perspectives on the acceptability and use of the tool. Three themes (with eleven subthemes) were generated to describe: website , the , and the tool's
Participants found this tool acceptable and easy to use, describing a variety of benefits of the priorities self-identification process and offered suggestions for refinement and broader implementation. Older adults with limited internet navigation abilities or misconceptions about the self-directed process may benefit from clinicians clarifying the purpose of the process or initiating priorities-aligned discussions.
This novel tool can help older adults with MCCs define what matters most for their health and healthcare, informing a variety of health decisions. This tool may enable and motivate patients to lead health priorities decision-making discussions with clinicians and care partners.
研究一种基于网络的、自我导向的健康优先事项识别工具在患有多种慢性病(MCCs)的老年人中的使用情况。
我们招募了一个性别和种族多样、受过高等教育的患有MCCs的老年人样本,让他们使用我们的“我的健康优先事项”工具,然后完成一次半结构化访谈。采用主题分析法对访谈记录进行分析。
21名参与者分享了对该工具可接受性和使用情况的看法。生成了三个主题(包含11个子主题)来描述:网站、工具以及……(原文此处不完整)
参与者认为该工具可接受且易于使用,描述了优先事项自我识别过程的各种益处,并为改进和更广泛的实施提供了建议。互联网导航能力有限或对自我导向过程存在误解的老年人可能会受益于临床医生阐明该过程的目的或发起与优先事项一致的讨论。
这种新颖的工具可以帮助患有MCCs的老年人确定对他们的健康和医疗保健最重要的事情,为各种健康决策提供信息。该工具可能使患者能够并激励他们与临床医生和护理伙伴进行健康优先事项决策讨论。