Using the NIATx Model to Implement User-Centered Design of Technology for Older Adults

Gustafson, David H.; Maus, Adam; Judkins, Julianne; Dinauer, Susan; Isham, Andrew; Johnson, Ryan F.; Landucci, Gina; Atwood, Amy K.

doi:10.2196/humanfactors.4853

Cited by 18 publications

(18 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Older adults comprise an increasing proportion of the US population. One way for technology companies to increase adoption of mobile phones for older adults is to include them in participatory design and usability testing [62,63]. Adapting devices and tailoring online advanced features to meet the needs of older homeless adults could facilitate their inclusion in the digital economy.…”

Section: Discussionmentioning

confidence: 99%

Mobile Phone, Computer, and Internet Use Among Older Homeless Adults: Results from the HOPE HOME Cohort Study

Raven¹,

Kaplan²,

Rosenberg³

et al. 2018

JMIR Mhealth Uhealth

View full text Add to dashboard Cite

BackgroundThe median age of single homeless adults is approximately 50 years. Older homeless adults have poor social support and experience a high prevalence of chronic disease, depression, and substance use disorders. Access to mobile phones and the internet could help lower the barriers to social support, social services, and medical care; however, little is known about access to and use of these by older homeless adults.ObjectiveThis study aimed to describe the access to and use of mobile phones, computers, and internet among a cohort of 350 homeless adults over the age of 50 years.MethodsWe recruited 350 participants who were homeless and older than 50 years in Oakland, California. We interviewed participants at 6-month intervals about their health status, residential history, social support, substance use, depressive symptomology, and activities of daily living (ADLs) using validated tools. We performed clinical assessments of cognitive function. During the 6-month follow-up interview, study staff administered questions about internet and mobile technology use. We assessed participants’ comfort with and use of multiple functions associated with these technologies.ResultsOf the 343 participants alive at the 6-month follow-up, 87.5% (300/343) completed the mobile phone and internet questionnaire. The median age of participants was 57.5 years (interquartile range 54-61). Of these, 74.7% (224/300) were male, and 81.0% (243/300) were black. Approximately one-fourth (24.3%, 73/300) of the participants had cognitive impairment and slightly over one-third (33.6%, 100/300) had impairments in executive function. Most (72.3%, 217/300) participants currently owned or had access to a mobile phone. Of those, most had feature phones, rather than smartphones (89, 32.1%), and did not hold annual contracts (261, 94.2%). Just over half (164, 55%) had ever accessed the internet. Participants used phones and internet to communicate with medical personnel (179, 64.6%), search for housing and employment (85, 30.7%), and to contact their families (228, 82.3%). Those who regained housing were significantly more likely to have mobile phone access (adjusted odds ratio [AOR] 3.81, 95% CI 1.77-8.21). Those with ADL (AOR 0.53, 95% CI 0.31-0.92) and executive function impairment (AOR 0.49; 95% CI 0.28-0.86) were significantly less likely to have mobile phones. Moderate to high risk amphetamine use was associated with reduced access to mobile phones (AOR 0.27, 95% CI 0.10-0.72).ConclusionsOlder homeless adults could benefit from portable internet and phone access. However, participants had a lower prevalence of smartphone and internet access than adults aged over 65 years in the general public or low-income adults. Participants faced barriers to mobile phone and internet use, including financial barriers and functional and cognitive impairments. Expanding access to these basic technologies could result in improved outcomes.

show abstract

Section: Discussionmentioning

confidence: 99%

Mobile Phone, Computer, and Internet Use Among Older Homeless Adults: Results from the HOPE HOME Cohort Study

Raven¹,

Kaplan²,

Rosenberg³

et al. 2018

JMIR Mhealth Uhealth

View full text Add to dashboard Cite

show abstract

“…This resulted in delays and some instances of redesigning elements of Engage that should have been tested with end-users prior to the usability evaluation phase. Even when an agile approach is not explicitly used, there are good examples of rapid-cycle testing of CHIT that have avoided the time delays experienced in the present study (e.g., Gustafson Jr. et al, 2016). …”

Section: Discussionmentioning

confidence: 99%

Human Factors Analysis, Design, and Evaluation of Engage, a Consumer Health IT Application for Geriatric Heart Failure Self-Care

Srinivas

Cornet

Holden

2016

International Journal of Human–Computer Interaction

View full text Add to dashboard Cite

Human factors and ergonomics (HFE) and related approaches can be used to enhance research and development of consumer-facing health IT systems, including technologies supporting the needs of people with chronic disease. We describe a multiphase HFE study of health IT supporting self-care of chronic heart failure by older adults. The study was based on HFE frameworks of “patient work” and incorporated the three broad phases of user-centered design: study or analysis; design; and evaluation. In the study phase, data from observations, interviews, surveys, and other methods were analyzed to identify gaps in and requirements for supporting heart failure self-care. The design phase applied findings from the study phase throughout an iterative process, culminating in the design of the Engage application, a product intended for continuous use over 30 days to stimulate self-care engagement, behavior, and knowledge. During the evaluation phase, we identified a variety of usability issues through expert heuristic evaluation and laboratory-based usability testing. We discuss the implications of our findings regarding heart failure self-care in older adults and the methodological challenges of rapid translational field research and development in this domain.

show abstract

“… 13 29 30 However, more recently, progress has been made in the development of eHealth applications suitable for the elderly. 31 Studies have shown that eHealth can be used by older patients, without difficulties, for example, by older men with prostate cancer. 32 Furthermore, the interviewed GPs considered poorly educated patients not capable of understanding the feedback and personalised advice on their reported outcomes in Oncokompas 2.0 .…”

Section: Discussionmentioning

confidence: 99%

Primary care-led survivorship care for patients with colon cancer and the use of eHealth: a qualitative study on perspectives of general practitioners

Duineveld¹,

Wieldraaijer

Wind

et al. 2016

BMJ Open

View full text Add to dashboard Cite

ObjectivesThe aim of this study was to explore the perspectives of general practitioners (GPs) regarding their current and future role in survivorship care of patients with colon cancer, and to assess their perspectives on patients’ self-management capacities and the value of the eHealth application Oncokompas2.0 used by patients.SettingGPs from the central part of the Netherlands were interviewed at their location of preference.Participants20 GPs participated (10 men, 10 women, age range 34–65 years, median age 49.5 years). The median years of experience as a GP was 14.5 years (range 3–34 years).ResultsGPs indicated attempting to keep in contact with patients after colon cancer treatment and mentioned being aware of symptoms of recurrent disease. Most participants would have liked to be more involved and expected to be able to provide survivorship care of colon cancer. Requirements mentioned were agreements with secondary care and a protocol. GPs considered Oncokompas2.0, which stimulates patients to structure their own survivorship care, as a useful additional tool for a specific group of patients (ie, young and highly-educated patients).ConclusionsBased on the perspectives of the GPs, survivorship care of colon cancer in primary care is deemed feasible and the use of an eHealth application such as Oncokompas2.0 is expected to benefit specific groups of patients after colon cancer treatment.

show abstract

Using the NIATx Model to Implement User-Centered Design of Technology for Older Adults

Cited by 18 publications

References 23 publications

Mobile Phone, Computer, and Internet Use Among Older Homeless Adults: Results from the HOPE HOME Cohort Study

Mobile Phone, Computer, and Internet Use Among Older Homeless Adults: Results from the HOPE HOME Cohort Study

Human Factors Analysis, Design, and Evaluation of Engage, a Consumer Health IT Application for Geriatric Heart Failure Self-Care

Primary care-led survivorship care for patients with colon cancer and the use of eHealth: a qualitative study on perspectives of general practitioners

Contact Info

Product

Resources

About