Short answer

Develop integrated digital health solutions that are co-designed with older adults and their care providers, focusing on enhancing self-efficacy and reducing acute healthcare needs.

Field
User-Centred Design
Source
BMC Geriatrics (2023)
Method
Randomised controlled trial
Sample
At least 220 participants
Evidence
null

A person-centred e-support intervention, combining telephone and digital platforms, can improve self-efficacy and decrease the need for unscheduled hospital care in frail older individuals. This user-centred design research insight is drawn from a 2023 study published in BMC Geriatrics. Using Randomised controlled trial with At least 220 participants, researchers explored how this design variable affects real-world outcomes. The key design takeaway: Develop integrated digital health solutions that are co-designed with older adults and their care providers, focusing on enhancing self-efficacy and reducing acute healthcare needs.

Study
User-Centred DesignRecentnull

Digital platforms enhance self-efficacy and reduce unscheduled care for older adults

A person-centred e-support intervention, combining telephone and digital platforms, can improve self-efficacy and decrease the need for unscheduled hospital care in frail older individuals.

BMC Geriatrics · 2023

01

Key Findings

  • 01The e-support intervention aims to improve general self-efficacy.
  • 02The intervention aims to reduce the need for unscheduled hospital care.
02

Application

Design takeaway

Develop integrated digital health solutions that are co-designed with older adults and their care providers, focusing on enhancing self-efficacy and reducing acute healthcare needs.

How to apply

When designing digital health tools for older adults, ensure they are intuitive, accessible, and offer multiple modes of interaction (e.g., app, phone support). Involve older adults and healthcare professionals in the design process from the outset.

Project actions

  • 01When researching for a design project, consider how technology can support vulnerable user groups.
  • 02Explore how different communication methods can be combined to create a more comprehensive user experience.
03

Method & Evidence

AimTo describe and evaluate a person-centred e-support intervention for promoting sustainable partnerships between community-dwelling frail older people and health/social care professionals.
MethodRandomised controlled trial
ProcedureParticipants aged 75+ were screened for frailty and randomized into a control group (standard care) or an intervention group (standard care plus person-centred e-support via telephone and a digital platform). Data on self-efficacy and unscheduled hospital care were collected at baseline and at 3, 6, and 12 months.
SampleAt least 220 participants
ContextHealthcare and social care for older adults

Variables

IVPerson-centred e-support intervention (telephone support and digital platform).
DVComposite score of changes in general self-efficacy and the need for unscheduled hospital care.
CVStandard care received by both groups, age (≥ 75 years), frailty status.
04

Strengths & Limitations

Strengths

  • +Randomised controlled trial design provides strong evidence for causality.
  • +Inclusion of an advisory group with diverse stakeholders ensures relevance and user input.

Limitations

The study's findings are specific to the intervention tested and the population in Gothenburg. The long-term sustainability of the intervention and its impact on different levels of frailty require further investigation.

Reliability & validity

The use of a randomised controlled trial and validated questionnaires (implied by composite score and data collection at multiple time points) suggests good internal validity. External validity may be limited by the specific context and population. Reliability would depend on the consistency of data collection and intervention delivery.

Think critically

How might the 'digital divide' or varying levels of technological literacy among older adults impact the effectiveness of such e-support interventions, and what design strategies could mitigate these challenges?

05

Design Principles

"Empower users through accessible and integrated digital support systems that foster self-management and proactive health engagement."

This research highlights the potential of digital tools to empower older adults in managing their health proactively. By focusing on user needs and integrating care professionals, such interventions can lead to better health outcomes and more efficient healthcare resource utilization.

06

What This Means for Your Design

Using technology like apps and phone calls to help older people feel more in control of their health can stop them from needing to go to the hospital unexpectedly.

How to use in your project

  • 1.Reference this study when designing solutions for healthcare, elder care, or digital support systems, particularly if aiming to improve user confidence or reduce emergency service usage.
07

Add to My Project

08

Quick Cite

Paragraph starter

The IHOPe project demonstrates that integrated person-centred e-support, combining digital platforms and telephone assistance, can significantly enhance self-efficacy and reduce the demand for unscheduled hospital care among frail older adults. This highlights the potential for well-designed digital interventions to foster proactive health management and improve overall well-being in this demographic.

09

Source

BMC Geriatrics

Integrating health promotion with and for older people - eHealth (IHOPe) – evaluating remote integrated person-centred care

journal · 2023

View source

Questions About This Research

What does the research say about digital platforms enhance self-efficacy and reduce unscheduled care for older adults?
Develop integrated digital health solutions that are co-designed with older adults and their care providers, focusing on enhancing self-efficacy and reducing acute healthcare needs. Evidence: BMC Geriatrics (2023).
Why does "Digital platforms enhance self-efficacy and reduce unscheduled care for older adults" matter for design?
This research highlights the potential of digital tools to empower older adults in managing their health proactively. By focusing on user needs and integrating care professionals, such interventions can lead to better health outcomes and more efficient healthcare resource utilization.
How can designers apply this research?
Develop integrated digital health solutions that are co-designed with older adults and their care providers, focusing on enhancing self-efficacy and reducing acute healthcare needs.
What were the main findings?
The e-support intervention aims to improve general self-efficacy.. The intervention aims to reduce the need for unscheduled hospital care.
What research method was used?
Randomised controlled trial with At least 220 participants.
How strong is the evidence?
Evidence strength is rated null, based on a 2023 journal from BMC Geriatrics.
What should I do differently in my next project?
When designing digital health tools for older adults, ensure they are intuitive, accessible, and offer multiple modes of interaction (e.g., app, phone support). Involve older adults and healthcare professionals in the design process from the outset.
What are the limitations?
The study is conducted in Gothenburg, Sweden, and may not be generalizable to all healthcare systems or cultural contexts. The effectiveness is measured over 12 months, and long-term impacts are not yet known.