Technology versus Touch: Targeting Heart Failure Self-Care in Older Adults

In the early stages of the design process, designers often benefit from the use of personas, or archetypes of target users presented in a vivid way to highlight design-relevant characteristics. In the growing efforts to create health information technology (HIT) for older adults, empirically derived personas could help orchestrate more user-centered design activities. However, there is a lack of ready-to-use personas for older adult HIT users and more so for those designing in specific domains such as heart failure self-care. This paper presents personas of older adults derived from qualitative analysis of interviews with 24 older patients with heart failure. Analyses unearthed key dimensions distinguishing patients based on their dispositions towards the self-management of their chronic condition, including locus of control, relationship with the health/support system, information needs, and activities of self-care. Two personas are presented: Direction Follower and Researcher, with subtypes for the latter codified as Investigator and Explorer. Our work contributes to future design of systems including HIT to support chronically ill older adults.

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Uncertainty and health literacy: Correlates of self-care in older adults with heart failure one month after hospitalization

Heart & Lung ◽

10.1016/j.hrtlng.2013.06.022 ◽

2013 ◽

Vol 42 (4) ◽

pp. 296

Author(s):

M.S. Mock ◽

K. Sethares

Keyword(s):

Heart Failure ◽

Older Adults ◽

Health Literacy ◽

Self Care

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HEART FAILURE SELF-CARE IN VULNERABLE OLDER ADULTS: A CROSS-SECTIONAL ANALYSIS OF THE FRAILTY-HF STUDY

Canadian Journal of Cardiology ◽

10.1016/j.cjca.2020.07.134 ◽

2020 ◽

Vol 36 (10) ◽

pp. S66

Author(s):

A. Joshi ◽

R. Mancini ◽

J. Wong ◽

C. Michel ◽

R. Sheppard ◽

...

Keyword(s):

Heart Failure ◽

Older Adults ◽

Self Care ◽

Cross Sectional ◽

Cross Sectional Analysis ◽

Sectional Analysis

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Relationship Between Self-care and Health-Related Quality of Life in Older Adults With Moderate to Advanced Heart Failure

The Journal of Cardiovascular Nursing ◽

10.1097/jcn.0b013e3182106299 ◽

2012 ◽

Vol 27 (1) ◽

pp. 8-15 ◽

Cited By ~ 55

Author(s):

Harleah G. Buck ◽

Christopher S. Lee ◽

Debra K. Moser ◽

Nancy M. Albert ◽

Terry Lennie ◽

...

Keyword(s):

Quality Of Life ◽

Heart Failure ◽

Older Adults ◽

Self Care ◽

Advanced Heart Failure ◽

Health Related Quality ◽

Related Quality ◽

Health Related

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Promoting Self-Care in Caregivers of Older Adults Living With Chronic Illness: The iCare4Me Study

Innovation in Aging ◽

10.1093/geroni/igab046.1451 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. 376-376

Author(s):

Lauren Massimo ◽

Karen Hirschman ◽

Harleah Buck

Keyword(s):

Heart Failure ◽

Older Adults ◽

Chronic Illness ◽

Emotional Health ◽

Controlled Trial ◽

Self Care ◽

Health Coaching ◽

Cross Sectional ◽

Qualitative Descriptive ◽

Sectional Analysis

Abstract Informal caregivers provide a substantial amount of social support to older adults which can be stressful and lead to poor self-care. When stressed, caregivers of persons living with chronic illness are less vigilant and less motivated to engage in self-care behaviors that are important for maintaining their own physical and emotional health. Support interventions can encourage self-care by helping caregivers to focus on values, solve problems, and transform their goals into action. In this symposium, we will discuss the iCareMe study, a randomized controlled trial (RCT) (NCT03988621) that tests a virtual support intervention which utilizes health coaching to increase self-care behaviors in caregivers of older adults living with chronic illnesses, such as heart failure and dementia. The first session will discuss the translation of self-care theory to the basis for the “Virtual Caregiver Coach for You” (ViCCY) intervention and will provide an overview of the iCare4Me randomized control trial designed for caregivers of persons living with advanced heart failure. The second session will describe the adaptation of the iCare4Me RCT to caregivers of persons living with dementia. The third session will highlight findings from a qualitative descriptive study examining the characteristics of effective health coaching used in these two RCTs. Finally, the last session will share findings from a cross-sectional analysis examining moderators of self-care in heart failure caregivers. Together, these presentations will illustrate the unique and innovative approach that iCare4Me has taken to improve self-care in caregivers of older adults living with chronic illness.

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