Understanding Technology Preferences and Requirements for Health Information Technologies Designed to Improve and Maintain the Mental Health and Well-Being of Older Adults: Participatory Design Study

LaMonica, Haley M; Davenport, Tracey A; Roberts, Anna; Hickie, Ian B.

doi:10.2196/21461

Cited by 55 publications

(50 citation statements)

References 44 publications

(53 reference statements)

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“…Additionally, the systematisation of the assessment and monitoring process ensures transparency of outcomes for both consumers and health professionals, which is particularly relevant as health professionals tend to overestimate the benefits of care relative to measured outcomes [36]. Importantly, our own research has shown that the ability to track data over time is valued by consumers as a means to better understand what information, resources and intervention strategies are associated with positive health outcomes [37]. Furthermore, symptom tracking and real-time feedback improves engagement and promotes behaviour change [38].…”

Section: Technology-enabled Enhancements In Care Based On Key Performmentioning

confidence: 99%

Optimising the integration of technology-enabled solutions to enhance primary mental health care: a service mapping study

LaMonica

Davenport

Ottavio

et al. 2021

BMC Health Serv Res

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Background Despite the widely acknowledged potential for health information technologies to improve the accessibility, quality and clinical safety of mental health care, implementation of such technologies in services is frequently unsuccessful due to varying consumer, health professional, and service-level factors. The objective of this co-design study was to use process mapping (i.e. service mapping) to illustrate the current consumer journey through primary mental health services, identify barriers to and facilitators of quality mental health care, and highlight potential points at which to integrate the technology-enabled solution to optimise the provision of care based on key service performance indicators. Methods Interactive, discussion-based workshops of up to six hours were conducted with representative stakeholders from each participating service, including health professionals, service managers and administrators from Open Arms – Veterans & Families Counselling Service (Sydney), a counselling service for veterans and their families, and five headspace centres in the North Coast Primary Health Network, primary youth mental health services. Service maps were drafted and refined in real time during the workshops. Through both group discussion and the use of post-it notes, participants worked together to evaluate performance indicators (e.g. safety) at each point in the consumer journey (e.g. intake) to indicate points of impact for the technology-enabled solution, reviewing and evaluating differing opinions in order to reach consensus. Results Participants (n=84 across participating services) created service maps illustrating the current consumer journey through the respective services and highlighting barriers to and facilitators of quality mental health care. By consensus, the technology-enabled solution as facilitated by the InnoWell Platform was noted to enable the early identification of risk, reduce or eliminate lengthy intake processes, enable routine outcome monitoring to revise treatment plans in relation to consumer response, and serve as a personal data record for consumers, driving person-centred, coordinated care. Conclusions Service mapping was shown to be an effective methodology to understand the consumer’s journey through a service and served to highlight how the co-designed technology-enabled solution can optimise service pathways to improve the accessibility, quality and clinical safety of care relative to key service performance indicators, facilitating the delivery of the right care.

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Section: Technology-enabled Enhancements In Care Based On Key Performmentioning

confidence: 99%

Optimising the integration of technology-enabled solutions to enhance primary mental health care: a service mapping study

LaMonica

Davenport

Ottavio

et al. 2021

BMC Health Serv Res

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“…As the global population rapidly ages, there has been an increased focus on the development of strategies to support and maintain health and well-being in later life. As described in detail in our previous work [1], the international literature indicates that approximately two-thirds of adults aged ≥65 years report internet use [2,3], and these older adults also represent the fastest growing group of internet users [4]. Globally, government initiatives have been launched to improve the digital literacy and web-based safety of older adults [5,6].…”

Section: Capitalizing On Technology To Support Health and Well-beingmentioning

confidence: 99%

“…Through participatory design, we configured a prototype of the InnoWell Platform specifically for older adults, including modification of health domains, informational material, and care options, to ensure relevance and appropriateness for this end user group [1]. This study, a supplement to the original co-design research, aims to evaluate the usability and acceptability of the prototyped older adult configuration of the InnoWell Platform.…”

Section: The Innowell Platformmentioning

confidence: 99%

“…As the study design was naturalistic, there was no predetermined sample size in relation to the number of participants who were able to engage with the prototype. To align with our previous work, we defined older adults as aged ≥50 years [1,12], as age 50 years relates to the onset of disorders in later life [19] as well as the identified age range during which it is recommended to address risk factors (ie, cardiovascular disease, obesity, diabetes, etc) known to interfere with healthy aging [20].…”

Section: Participantsmentioning

confidence: 99%

“…Although older adults are interested in and willing to engage with HITs to support health and well-being [1,12], because of age-related changes in cognition, vision, hearing, and perception as well as health-related needs and risk factors, it is critical that HITs are tailored to the older adult community, accounting for their unique requirements as users. Having engaged with the prototype of the InnoWell Platform for older adults, participants did not report difficulty in using the digital tool, with several describing it as easy to use; however, overall usability scores were subpar, potentially because of a lack of relevance to the individuals' current circumstances and health-related needs (or lack thereof in the case of this generally healthy sample).…”

Section: Principal Findingsmentioning

confidence: 99%

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Evaluation of the Usability and Acceptability of the InnoWell Platform as Rated by Older Adults: Survey Study

LaMonica¹,

Roberts²,

Davenport³

et al. 2021

JMIR Aging

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Background As the global population ages, there is increased interest in developing strategies to promote health and well-being in later life, thus enabling continued productivity, social engagement, and independence. As older adults use technologies with greater frequency, proficiency, and confidence, health information technologies (HITs) now hold considerable potential as a means to enable broader access to tools and services for the purposes of screening, treatment, monitoring, and ongoing maintenance of health for this group. The InnoWell Platform is a digital tool co-designed with lived experience to facilitate better outcomes by enabling access to a comprehensive multidimensional assessment, the results of which are provided in real time to enable consumers to make informed decisions about clinical and nonclinical care options independently or in collaboration with a health professional. Objective This study aims to evaluate the usability and acceptability of a prototype of the InnoWell Platform, co-designed and configured with and for older adults, using self-report surveys. Methods Participants were adults 50 years and older who were invited to engage with the InnoWell Platform naturalistically (ie, at their own discretion) for a period of 90 days. In addition, they completed short web-based surveys at baseline regarding their background, health, and mental well-being. After 90 days, participants were asked to complete the System Usability Scale to evaluate the usability and acceptability of the prototyped InnoWell Platform, with the aim of informing the iterative redesign and development of this digital tool before implementation within a health service setting. Results A total of 19 participants consented to participate in the study; however, only the data from the 16 participants (mean age 62.8 years, SD 7.5; range 50-72) who completed at least part of the survey at 90 days were included in the analyses. Participants generally reported low levels of psychological distress and good mental well-being. In relation to the InnoWell Platform, the usability scores were suboptimal. Although the InnoWell Platform was noted to be easy to use, participants had difficulty identifying the relevance of the tool for their personal circumstances. Ease of use, the comprehensive nature of the assessment tools, and the ability to track progress over time were favored features of the InnoWell Platform, whereas the need for greater personalization and improved mobile functionality were cited as areas for improvement. Conclusions HITs such as the InnoWell Platform have tremendous potential to improve access to cost-effective and low-intensity interventions at scale to improve and maintain mental health and well-being in later life. However, to promote adoption of and continued engagement with such tools, it is essential that these HITs are personalized and relevant for older adult end users, accounting for differences in background, clinical profiles, and levels of need.

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Technologies for Health Assessment, Promotion, and Intervention: Focus on Aging and Functional Health

Schmitter‐Edgecombe

Luna²,

Cook³

2022

Positive Neuropsychology

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Understanding Technology Preferences and Requirements for Health Information Technologies Designed to Improve and Maintain the Mental Health and Well-Being of Older Adults: Participatory Design Study

Cited by 55 publications

References 44 publications

Optimising the integration of technology-enabled solutions to enhance primary mental health care: a service mapping study

Optimising the integration of technology-enabled solutions to enhance primary mental health care: a service mapping study

Evaluation of the Usability and Acceptability of the InnoWell Platform as Rated by Older Adults: Survey Study

Technologies for Health Assessment, Promotion, and Intervention: Focus on Aging and Functional Health

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