Department of Public Health, University of Copenhagen, København, Denmark.
Department of Health, SINTEF Digital, Oslo, Norway.
JMIR Hum Factors. 2024 Oct 8;11:e63222. doi: 10.2196/63222.
As a reaction to the global demographic increase in older adults (aged 60+ years), policy makers call for initiatives to enable healthy aging. This includes a focus on person-centered care and access to long-term care for older adults, such as developing different services and digital health technologies. This can enable patients to engage in their health and reduce the burden on the health care systems and health care professionals. The European Union project Smart Inclusive Living Environments (SMILE) focuses on well-being and aging in place using new digital health technologies. The novelty of the SMILE project is the use of a cocreational approach focused on the needs and preferences of older adults with chronic obstructive pulmonary disease (COPD) in technology development, to enhance access, adaptation, and usability and to reduce stigma.
The study aimed to describe the perspective, needs, and preferences of older adults living with COPD in the context of the design and development of a conversational agent.
This study carried out a data-driven thematic analysis of interview data from 11 cocreation workshops with 33 older adults living with COPD.
The three particular features that the workshop participants wanted to implement in a new technology were (1) a "my health" function, to use technology to manage and learn more about their condition; (2) a "daily activities" function, including an overview and information about social and physical activities in their local area; and (3) a "sleep" function, to manage circadian rhythm and enhance sleep quality, for example, through online video guides. In total, 2 overarching themes were identified for the 3 functions: measurements, which were actively discussed and received mixed interest among the participants, and health literacy, due to an overall interest in learning more about their condition in relation to everyday life.
The future design of digital health technology must embrace the complexities of the everyday life of an older adult living with COPD and cater to their needs and preferences. Measurements should be optional and personalized, and digital solutions should be used as a supplement to health care professionals, not as substitute.
随着全球老年人口（60 岁以上）的增加，政策制定者呼吁采取措施，促进健康老龄化。这包括关注以患者为中心的护理和为老年人提供长期护理，例如开发不同的服务和数字健康技术。这可以使患者能够参与自己的健康管理，减轻医疗保健系统和医疗保健专业人员的负担。欧盟项目“智能包容的生活环境”（SMILE）专注于使用新的数字健康技术促进幸福感和安老。SMILE 项目的新颖之处在于采用共创方法，关注患有慢性阻塞性肺疾病（COPD）的老年人的需求和偏好，以增强可及性、适应性和可用性，并减少污名化。
本研究旨在描述患有 COPD 的老年人在设计和开发对话代理时的观点、需求和偏好。
本研究对 11 次共创工作坊中 33 名患有 COPD 的老年人的访谈数据进行了数据驱动的主题分析。
工作坊参与者希望在新技术中实现三个特定功能：（1）“我的健康”功能，使用技术来管理和更多地了解自己的病情；（2）“日常活动”功能，包括社交和体育活动的概述和信息；（3）“睡眠”功能，管理昼夜节律，提高睡眠质量，例如通过在线视频指南。总的来说，针对这 3 个功能确定了 2 个总体主题：测量，这在参与者中得到了积极的讨论，并引起了不同的兴趣；健康素养，因为参与者普遍对了解与日常生活相关的病情感兴趣。
未来的数字健康技术设计必须应对患有 COPD 的老年人日常生活的复杂性，并满足他们的需求和偏好。测量应该是可选的和个性化的，数字解决方案应该作为医疗保健专业人员的补充，而不是替代品。
