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共同设计一款用于改善老年人用药管理的在线患者决策支持工具的初步步骤。

First steps in co-designing an online patient decision support tool for enhanced medication management in older people.

作者信息

Afolabi Temitope Esther, Hilmer Sarah N, Etherton-Beer Christopher, Kouladjian O'Donnell Lisa

机构信息

Laboratory of Ageing and Pharmacology, Faculty of Medicine and Health, Kolling Institute, The University of Sydney and the Northern Sydney Local Health District, St Leonards, New South Wales, Australia.

School of Medicine, University of Western Australia, Crawley, WA, Australia.

出版信息

Australas J Ageing. 2025 Jun;44(2):e70053. doi: 10.1111/ajag.70053.

Abstract

OBJECTIVE

To develop a preliminary version (minimum viable product [MVP]) of an online medication management patient decision support for older people informed by a stakeholder committee (SC).

METHODS

A SC comprising of consumers, health-care practitioners and researchers was recruited to inform the development of the MVP. The SC met via videoconferencing, individually or in groups, with investigators to provide guidance and advice on the design and features of the MVP. Brief content analysis was performed on data extracted from video-recorded meetings, meeting minutes, notes and email correspondence to inform the MVP development.

RESULTS

The SC comprised two older people, one carer, pharmacist, nurse, geriatrician, general practitioner and two digital health researchers (n = 9) from three Australian states. In collaboration with the SC, an MVP called My Medicine Goals (mymedicinegoals.com) was developed for older people. It supports consumers to document and update their medicines list; identify, plan and communicate goals of care; and provides a medicines information resource hub. Other tools include interactive versions of the revised Patient's Attitudes Towards Deprescribing questionnaire and self-assessment of medication risks.

CONCLUSIONS

This project presents an approach empowering older people and carers to play active roles in co-design research to develop relevant and impactful online patient-facing health-care applications for older people.

摘要

目的

在利益相关者委员会(SC)的指导下,开发一个针对老年人的在线药物管理患者决策支持的初步版本(最小可行产品 [MVP])。

方法

招募了一个由消费者、医疗保健从业者和研究人员组成的SC,以指导MVP的开发。SC通过视频会议,单独或分组与研究人员会面,就MVP的设计和功能提供指导和建议。对从视频会议记录、会议纪要、笔记和电子邮件通信中提取的数据进行简要内容分析,以指导MVP的开发。

结果

SC由来自澳大利亚三个州的两名老年人、一名护理人员、药剂师、护士、老年病学家、全科医生和两名数字健康研究人员(n = 9)组成。与SC合作,为老年人开发了一个名为“我的药物目标”(mymedicinegoals.com)的MVP。它支持消费者记录和更新他们的药物清单;制定、沟通护理目标;并提供一个药物信息资源中心。其他工具包括修订后的患者对减药态度问卷的互动版本和药物风险自我评估。

结论

该项目提出了一种方法,使老年人和护理人员能够在共同设计研究中发挥积极作用,以开发相关且有影响力的面向老年人的在线患者医疗保健应用程序。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b39/12163865/250bbc70e376/AJAG-44-0-g001.jpg

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