TY  - JOUR
AU  - Wegener, Emilie Kauffeldt
AU  - M Bergschöld, Jenny
AU  - Kramer, Tina
AU  - Schmidt, Camilla Wong
AU  - Borgnakke, Karen
PY  - 2024
DA  - 2024/10/8
TI  - Co-Designing a Conversational Agent With Older Adults With Chronic Obstructive Pulmonary Disease Who Age in Place: Qualitative Study
JO  - JMIR Hum Factors
SP  - e63222
VL  - 11
KW  - eHealth
KW  - aging in place
KW  - digital health technology
KW  - health literacy
KW  - everyday life
KW  - co-design
KW  - co-designing
KW  - conversational agent
KW  - older adults
KW  - elderly
KW  - COPD
KW  - thematic analysis
KW  - design
KW  - development
KW  - interview data
KW  - cocreation
KW  - chronic obstructive pulmonary disease
KW  - mobile phone
AB  - Background: As a reaction to the global demographic increase in older adults (aged 60+ years), policy makers call for initiatives to enable healthy aging. This includes a focus on person-centered care and access to long-term care for older adults, such as developing different services and digital health technologies. This can enable patients to engage in their health and reduce the burden on the health care systems and health care professionals. The European Union project Smart Inclusive Living Environments (SMILE) focuses on well-being and aging in place using new digital health technologies. The novelty of the SMILE project is the use of a cocreational approach focused on the needs and preferences of older adults with chronic obstructive pulmonary disease (COPD) in technology development, to enhance access, adaptation, and usability and to reduce stigma. Objective: The study aimed to describe the perspective, needs, and preferences of older adults living with COPD in the context of the design and development of a conversational agent. Methods: This study carried out a data-driven thematic analysis of interview data from 11 cocreation workshops with 33 older adults living with COPD. Results: The three particular features that the workshop participants wanted to implement in a new technology were (1) a “my health” function, to use technology to manage and learn more about their condition; (2) a “daily activities” function, including an overview and information about social and physical activities in their local area; and (3) a “sleep” function, to manage circadian rhythm and enhance sleep quality, for example, through online video guides. In total, 2 overarching themes were identified for the 3 functions: measurements, which were actively discussed and received mixed interest among the participants, and health literacy, due to an overall interest in learning more about their condition in relation to everyday life. Conclusions: The future design of digital health technology must embrace the complexities of the everyday life of an older adult living with COPD and cater to their needs and preferences. Measurements should be optional and personalized, and digital solutions should be used as a supplement to health care professionals, not as substitute. 
SN  - 2292-9495
UR  - https://humanfactors.jmir.org/2024/1/e63222
UR  - https://doi.org/10.2196/63222
UR  - http://www.ncbi.nlm.nih.gov/pubmed/39378067
DO  - 10.2196/63222
ID  - info:doi/10.2196/63222
ER  -