scholarly journals Benefits, Barriers, and Needs for an AI-powered Medication Information Voice Chatbot for Older Adults: A Qualitative Analysis (Preprint)

JMIR Aging ◽  
10.2196/32169 ◽  
2021 ◽  
Author(s):  
Meghana Gudala ◽  
Sunitha Mogalla ◽  
Mandi Lyons ◽  
Padmavathy Ramaswamy ◽  
Mary Ellen Trail Ross ◽  
...  
Keyword(s):  
Older Adults ◽  
Qualitative Analysis ◽  
Medication Information

Benefits, Barriers, and Needs for an AI-powered Medication Information Chatbot for Older Adults: A Qualitative Analysis (Preprint)

2021 ◽  
Author(s):  
Meghana Gudala ◽  
Sunitha Mogalla ◽  
Mandi Lyons ◽  
Padmavathy Ramaswamy ◽  
Mary Ellen Trail Ross ◽  
...  
Keyword(s):  
Older Adults ◽  
Qualitative Analysis ◽  
Information Needs ◽  
Security And Privacy ◽  
Structured Interviews ◽  
Medical Needs ◽  
Medication Information ◽  
Use Of Technology ◽  
Medication Side ◽  
The Many

BACKGROUND One of the most complicated medical needs of older adults is managing their complex medication regimens. However, the use of technology to aid older adults in this endeavor is impeded by the fact that their technological capabilities are lower than much of the rest of the population. What is needed to help manage medications, then, is a technology that seamlessly integrates within their comfort levels, including the use of AI (Artificial Intelligence) agents. OBJECTIVE To assess the benefits, barriers, and information needs that can be provided by an AI-powered medication information chatbot for older adults. METHODS Eight semi-structured interviews were conducted with geriatric experts. All interviews were audio recorded and transcribed. Each interview was coded by two investigators using a semi-open coding method for qualitative analysis and reconciliation was performed with a third investigator. All codes are organized into Benefit/Non-Benefit , Barrier/Non-Barrier, and Need categories. Iterative re-coding and member checking was performed until convergence was reached for all interviews. RESULTS The greatest Benefits of a medication information chatbot would be to overcome vision and dexterity hurdles experienced by most older adults as it uses voice-based technology. Next, it also helps with increasing older adult’s medication knowledge, adherence and supports their overall health. The main Barriers were technology familiarity and cost, especially in lower socio-economic older adults as well as security and privacy concerns. It was noted, however, that technology familiarity was not an insurmountable Barrier for younger seniors (ages 65-75), who have mostly owned smartphones, whereas older seniors (75+) may have never been major users of technology in the first place. The most important Needs were to be usable, to help patients with reminders, and to provide information on medication side effects and usage instructions. CONCLUSIONS Our needs analysis derived from expert interviews clarifies that a voice-based chatbot could be very beneficial to improve adherence and overall health if it is built to serve the many medication information needs of older adults like reminders, instructions, etc. However, the chatbot would have to be usable and affordable for its widespread use.

scholarly journals Mindfulness for Chronic Low Back Pain: A Qualitative Analysis

Pain Medicine ◽  
2017 ◽  
Vol 19 (11) ◽  
pp. 2138-2145 ◽  
Author(s):  
José G Luiggi-Hernandez ◽  
Jean Woo ◽  
Megan Hamm ◽  
Carol M Greco ◽  
Debra K Weiner ◽  
...  
Keyword(s):  
Older Adults ◽  
Low Back Pain ◽  
Back Pain ◽  
Qualitative Analysis ◽  
Focus Groups ◽  
Chronic Low Back Pain ◽  
Complete Agreement ◽  
Low Back ◽  
Fear Of Pain ◽  
Body Therapy

Abstract Objective Mindfulness is a nonpharmacologic mind-body therapy that has been shown to be effective in older adults with chronic low back pain (cLBP). There are few first-person accounts in the literature that describe the older adult experience and perspective while learning mindfulness and meditation to treat pain. The objective of this study was to investigate dominant themes present in the experiences of older adults applying mindfulness and meditation to cope with cLBP. Design Qualitative analysis of four focus groups. Subject Twenty-five adults age 65 years or older who had completed an eight-week mindfulness program. Methods The focus groups met for a comprehensive discussion session about their experience with mindfulness and meditation. The audio for each session was recorded, and the discussions were transcribed. Codebook development, qualitative coding, and thematic analysis were performed. The coders each coded all four transcripts, following which they met to adjudicate all coding differences until they were in complete agreement on coding. Results Several key themes were brought up by older adults utilizing mindfulness as a means of coping with pain, which included overcoming fear of pain (“Before [learning mindfulness], I used to dread pain”), pain awareness (“You’re focusing more on being aware than the pain; now that’s what helps me”), and pain significance (“It becomes insignificant”). Conclusions The themes identify several ways mindfulness impacts older adults with cLBP, including decreased negative emotions related to chronic pain such as fear of pain, a different perspective or change in awareness about pain, and reducing the significance of pain.

What are older adults wellness priorities? A qualitative analysis of priorities within multiple domains of wellness

2018 ◽  
Vol 7 (2) ◽  
pp. e21 ◽  
Author(s):  
Kelley Strout ◽  
Fayeza Ahmed ◽  
Karyn Sporer ◽  
Elizabeth P. Howard ◽  
Elizabeth Sassatelli ◽  
...  
Keyword(s):  
Older Adults ◽  
Qualitative Analysis ◽  
Multiple Domains

scholarly journals Usability Testing of a Sensor-Controlled Digital Game to Engage Older Adults with Heart Failure in Physical Activity and Weight Monitoring

2020 ◽  
Vol 11 (05) ◽  
pp. 873-881
Author(s):  
Kavita Radhakrishnan ◽  
Christine Julien ◽  
Matthew O'Hair ◽  
Thomas Baranowski ◽  
Grace Lee ◽  
...  
Keyword(s):  
Heart Failure ◽  
Older Adults ◽  
Qualitative Analysis ◽  
Self Management ◽  
Future Research ◽  
Game Playing ◽  
Semistructured Interview ◽  
Digital Game ◽  
Weight Monitoring ◽  
Behavior Tracking

Abstract Background Poor self-management of heart failure (HF) has contributed to poor health outcomes. Sensor-controlled digital games (SCDGs) integrates data from behavior-tracking sensors to trigger progress, rewards, content, and positive feedback in a digital game to motivate real-time behaviors. Objectives To assess the usability of an SCDG prototype over a week of game-playing among 10 older adults with HF in their homes. Methods During initial play, participants' SCDG experiences were observed in their homes using a checklist based on the seven-item Serious Game User Evaluator (SeGUE) instrument. After a week of game-playing, participants completed a survey guided by the Intrinsic Motivation Inventory, to provide their perceptions of the SCDG's usability. Qualitative analysis via semistructured interview-derived themes on experiences playing the SCDG, perceptions regarding engaging with the SCDG, and any usability issues encountered. Results Ten HF participants (50% women and 50% White) played the SCDG for an average of 6 out of 7 days. Nine found the SCDG to be interesting, satisfying, and easy to play. The average step count over a week was 4,117 steps (range: 967–9,892). Average adherence with weight monitoring was 5.9 days in a week. Qualitative analysis yielded outcomes regarding attitudes toward SCDG, and barriers and facilitators that influenced participants' engagement with the SCDG. Conclusion To the best of the authors' knowledge, this usability and feasibility study is the first to report an SCDG designed to improve HF self-management behaviors of older adults in their homes. Future research should consider several issues, such as user profiles, prior game-playing experiences, and network conditions most suitable for connected health interventions for older adults living in the community.

scholarly journals Overcoming Health Promotion Barriers in Rural Health: A Qualitative Analysis

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 128-128
Author(s):  
John Batsis
Keyword(s):  
Older Adults ◽  
Health Promotion ◽  
Weight Loss ◽  
Qualitative Analysis ◽  
Rural Areas ◽  
Team Member ◽  
Adult Weight ◽  
Health Promotion Interventions ◽  
Weight Loss Interventions ◽  
Weight Loss Study

Abstract Weight loss interventions are fraught with difficulties for older adults in rural areas due to transportation difficulties, reduced availability of staff, and lack of programs. Telemedicine can overcome these barriers. A qualitative analysis of data from 44 exit-interviews from a rural-based, older adult weight loss study, informed by thematic analysis, was conducted. Participant’s age was 73 years (73% female) and BMI was 36.5kg/m2. Distance to the site was 24 miles (31 min). Key themes included: a) telemedicine can help improve one’s health, is more practical than in-person visits, is less costly, and time efficient; b) the majority (60%) were initially apprehensive about using telemedicine, a fear that resolved quickly; c) setting up telemedicine was easy and acceptable, despite a quick learning curve; d) having a team member for troubleshooting was important. Using telemedicine in older adults with obesity residing in rural areas should be considered in health promotion interventions.

Sign in / Sign up

Export Citation Format

Share Document