scholarly journals Identifying Consumer’s Needs of Health Information Technology through an Innovative Participatory Design Approach among English- and Spanish-speaking Urban Older Adults

2014 ◽  
Vol 05 (04) ◽  
pp. 943-957 ◽  
Author(s):  
B. Sheehan ◽  
P. Yen ◽  
O. Velez ◽  
D. Nobile-Hernandez ◽  
V. Tiase ◽  
...  

SummaryObjectives: We describe an innovative community-centered participatory design approach, Consumer-centered Participatory Design (C2PD), and the results of applying C2PD to design and develop a web-based fall prevention system.Methods: We conducted focus groups and design sessions with English- and Spanish-speaking community-dwelling older adults. Focus group data were summarized and used to inform the context of the design sessions. Descriptive content analysis methods were used to develop categorical descriptions of design session informant’s needs related to information technology.Results: The C2PD approach enabled the assessment and identification of informant’s needs of health information technology (HIT) that informed the development of a falls prevention system. We learned that our informants needed a system that provides variation in functions/content; differentiates between actionable/non-actionable information/structures; and contains sensory cues that support wide-ranging and complex tasks in a varied, simple, and clear interface to facilitate self-management.Conclusions: The C2PD approach provides community-based organizations, academic researchers, and commercial entities with a systematic theoretically informed approach to develop HIT innovations. Our community-centered participatory design approach focuses on consumer’s technology needs while taking into account core public health functions.Citation: Lucero RJ, Sheehan B, Yen P-Y, Velez O, Nobile-Hernandez DL, Tiase VL. Identifying consumer’s needs of health hnformation technology through an innovative participatory design approach among English-and Spanish-speaking urban older adults. Appl Clin Inf 2014; 5: 943–957http://dx.doi.org/10.4338/ACI-2014-07-RA-0058

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 101-101
Author(s):  
Maryum Zaidi ◽  
Priscilla Gazarian ◽  
Heather Mattie ◽  
Lisa Kennedy Sheldon ◽  
C Ann Gakumo

Abstract This study investigates the role of Health Information Technology (HIT) in the process of patient engagement in treatment decision making in older adults in cancer care. Despite the role of HIT in patient engagement processes and government incentives for HIT development, research regarding HIT is lacking among older adults. The following study is a secondary data analysis of a subset of the Health Information National Trend Survey (HINTS 4, Cycle 3), including individuals 65 years old and above. Chi-square tests, logistic regression, and linear regression models were fit to study several sociodemographic, socioeconomic, and psychosocial variables in this study. The results show that education, poverty status, and self-management domain of the patient activation (which is a precursor of the engagement process) were significantly associated with access to and utilization of HIT. No significant differences between access to and utilization of HIT and the diagnosis of cancer were found. However, fatalistic beliefs about the diagnosis of cancer significantly impacted the use of HIT in all models, including those controlling for cancer diagnosis and access to HIT. Specifically, a one-point increase in cancer fatalism score is associated with a 59% decrease in the utilization of HIT, giving evidence that fatalistic beliefs about cancer can drive engagement behaviors regardless of a diagnosis of cancer. Our study provides vital information for providers and policy researchers to take into account for future implementation and development strategies of HIT in cancer care for older adults.


2014 ◽  
Vol 83 (9) ◽  
pp. 624-635 ◽  
Author(s):  
Shira H. Fischer ◽  
Daniel David ◽  
Bradley H. Crotty ◽  
Meghan Dierks ◽  
Charles Safran

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