Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
skip to main content
10.1145/3240925.3240982acmotherconferencesArticle/Chapter ViewAbstractPublication PagespervasivehealthConference Proceedingsconference-collections
research-article

Designing Digital Goal Support Systems for Multimorbidity Self-Management: Insights from Older Adults and their Care Network

Published: 21 May 2018 Publication History

Abstract

Older people with multiple chronic conditions face significant challenges self-managing health and wellbeing. Digital behaviour change interventions can motivate and empower self-management. Goal-setting, combined with progress feedback, is a technique often used in such interventions. However, there is little knowledge of digital goal-setting practices of older people, particularly those with multiple complex health conditions. In this paper, we describe an extensive qualitative study with older people with multiple chronic conditions and members of their care network, exploring issues around current practices setting and meeting health and wellbeing goals. Our findings indicate that there are unique challenges for this cohort that may prevent them from setting and meeting goals, including lack of support and feedback, and the impact of their illnesses. We outline a series of digital design features to address challenges relating to goals for this cohort, highlighting those specific to multimorbidity.

References

[1]
E. Agapie, D. Avrahami, and J. Marlow. 2016. Staying the course: System-driven lapse management for supporting behaviour change. In CHI 2016, pp. 1072--1083.
[2]
A. Bandura. 1977. Self-efficacy: Toward a unifying theory of behavior change. In Psychol Rev, 84, 2, pp. 191--215.
[3]
BCC Research. 2013. Mobile devices driving unprecedented growth in self-monitoring technologies market. Available at: https://www.bccresearch.com/pressroom/hlc/mobile-devices-driving-unprecedented-growth-in-self-monitoring-technologies-markets
[4]
T.W. Bickmore, L. Caruso and K. Clough-Gorr. 2005. Acceptance and usability of a relational agent interface by urban older adults. In CHI Ext Abstracts.
[5]
S. Consolvo, K. Everitt, I. Smith and J.A. Landay. 2006. Design requirements for technologies that encourage physical activity. In CHI '06.
[6]
S. Consolvo, P. Klasnja, D.W. McDonald and J.A. Landay. 2014. Designing for healthy lifestyles: Design considerations of mobile technologies to encourage consumer health and wellness. In Journal of Foundations and Trends in Human-Computer Interaction, 6, (3-4), pp. 167--315.
[7]
S. Consolvo, P. Klasnja, D.W McDonald, et al. 2008. Flowers or a robot army? Encouraging awareness and activity with personal, mobile displays. In International Conference on Ubiquitous Computing, Ubi-Comp, pp. 54--63.
[8]
A. Coulter, S. Roberts, A. Dixon. 2013. Delivering better services for people with long-term conditions. Building the house of care. London: The Kings Fund.
[9]
G.T. Doran. 1981. There's a S.M.A.R.T way to write management's goals and objectives. In Management Review. AMA Forum, 70, (11).
[10]
J. Doyle, N. Caprani and R. Bond. 2015. Older adults' attitudes to self-management of health and wellness through smart home data. In Pervasive Health.
[11]
G. Eyesnbach, J. Powell, M. Englesakis, C. Rizo and A. Stern. 2004. Health related virtual communities and electronic support groups: systematic review of the effects of online peer to peer interaction. In BMJ, 328 (7449).
[12]
J. Gunn, D. Ayton, K. Densley, J. Pallant, P. Chondros, H. Herman and C. Dowrick. 2012. The association between chronic illness, multimorbidity and depressive symptoms in an Australian primary care cohort. In Social Psychiatry and Psychiatric Epidemiology, 47, (2), pp. 175--184.
[13]
R. Haas, W. Mason and T.P. Haines. 2014. Difficulties experienced in setting and achieving goals by participants of a falls prevention programme: A mixed-methods evaluation. In Phystiother Can, 66, (4).
[14]
A. Konrad, V. Belotti, N. Crenshaw, et al. 2015. Finding the adaptive sweet spot: Balancing compliance and achievement in automated stress reduction. In CHI.
[15]
J.J. Lin, L. Mamykina, S. Lindtner, G. Delajoux and H.B. Strub. 2006. Fish 'n' Steps: Encouraging physical activity with an interactive computer game. In UbiComp '06, pp. 261--278.
[16]
E.A. Locke and G.P. Latham. 2002. Building a practically useful theory of goal setting and task motivation. A 35-year odyssey. In Am Psychology, 57, (9).
[17]
E.A. Locke, A. Marvam and J.A. Wagner III. 1997. Participation in decision making: An information exchange perspective. In Research in Personnel and Human Resources Management, pp. 293--331. Greenwich, CT: JAI Press.
[18]
A. Marengoni, S. Angleman, R. Melis, F. Mangialasche, A. Karp, A. Garmen, B. Meinow and L. Fragilioni. 2011. Aging with multimorbidity: A systematic review of the literature. In Ageing Res Rev, 10, (4), pp. 430--9.
[19]
K. Mercer, M. Li, L. Giangregorio, C. Burns, C and K. Grindrod. 2016. Behavior change techniques present in wearable activity trackers: A critical analysis. In JMIR Mhealth Uhealth, 4, (2).
[20]
W.C.N. Mischel. 1996. Principles of self-regulation: The nature of willpower and self-control. In Social Psychology. Handbook of Principles, New York: Guilford.
[21]
H.L. Morris, K.E. Carlyle and J. Elston Larfata. 2016. Adding the patient's voice to our understanding of collaborative goal setting: How do patients with diabetes define collaborative goal setting. In Journal of Chronic Illness, 12, (4).
[22]
L.G. Morrison. 2015. Theory-based strategies for enhancing the impact and usage of digital health behavior change interventions: A review. In Digital Health, 1.
[23]
L.G. Morrison, R. Moss-Morris, S. Michie and L. Yardley. 2014. Optimizing engagement with Internet-based health behaviour change interventions: Comparison of self-assessment with and without tailored feedback using a mixed-methods approach. In British Journal of Health Psychology, 19, (4), pp. 839--855.
[24]
L.G. Morrison, L. Yardley, J. Powell and S. Michie. 2012. What design features are used in effective e-Health interventions? A review using techniques from Critical Interpretive Synthesis. In Telemedicine and e-Health, 18, pp. 137--144.
[25]
DB Reuben and ME Tinetti. 2012. Goal-oriented pateient care -- An alternative health outcomes paradigm. In New England Journal of Medicine, 366, (9).
[26]
M. Rijken, V. Struckmann, M. Dyakova, et al. 2013. ICARE4EU: Improving care for people with multiple chronic conditions in Europe. In Eurohealth Incorporating Euro Observer, 19, (3).
[27]
P.R. Sama, Z.J. Eapen, K.P. Weinfurt, B.R. Shah and K.A. Schulman. 2014. An evaluation of mobile health application tools. In JMIR mHealth and uHealth, 2, (2).
[28]
B. Starsfield, L. Shi and J. Macinko. 2005. Contribution of primary care to health systems and health. In Millbank Q, 83, pp. 457--502.
[29]
L. Yardley, L. Morrison, K. Bradbury and I. Muller. 2015. The person-based approach to intervention development: application to digital health-related behavior change interventions. In Journal of Medical Internet Research, 17(1), e30.

Cited By

View all
  • (2024)Augmenting K-Means Clustering With Qualitative Data to Discover the Engagement Patterns of Older Adults With Multimorbidity When Using Digital Health Technologies: Proof-of-Concept TrialJournal of Medical Internet Research10.2196/4628726(e46287)Online publication date: 28-Mar-2024
  • (2023)Technologies for Managing the Health of Older Adults with Multiple Chronic Conditions: A Systematic Literature ReviewHealthcare10.3390/healthcare1121289711:21(2897)Online publication date: 3-Nov-2023
  • (2022)Formative Evaluation of a Tablet Application to Support Goal-Oriented Care in Community-Dwelling Older AdultsProceedings of the ACM on Human-Computer Interaction10.1145/35467436:MHCI(1-21)Online publication date: 20-Sep-2022
  • Show More Cited By

Recommendations

Comments

Information & Contributors

Information

Published In

cover image ACM Other conferences
PervasiveHealth '18: Proceedings of the 12th EAI International Conference on Pervasive Computing Technologies for Healthcare
May 2018
413 pages
ISBN:9781450364508
DOI:10.1145/3240925
Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

In-Cooperation

  • EAI: The European Alliance for Innovation

Publisher

Association for Computing Machinery

New York, NY, United States

Publication History

Published: 21 May 2018

Permissions

Request permissions for this article.

Check for updates

Author Tags

  1. Ageing
  2. Digital Behaviour Change
  3. Health and Wellbeing
  4. Multimorbidity

Qualifiers

  • Research-article
  • Research
  • Refereed limited

Conference

PervasiveHealth '18

Acceptance Rates

Overall Acceptance Rate 55 of 116 submissions, 47%

Contributors

Other Metrics

Bibliometrics & Citations

Bibliometrics

Article Metrics

  • Downloads (Last 12 months)31
  • Downloads (Last 6 weeks)0
Reflects downloads up to 13 Jan 2025

Other Metrics

Citations

Cited By

View all
  • (2024)Augmenting K-Means Clustering With Qualitative Data to Discover the Engagement Patterns of Older Adults With Multimorbidity When Using Digital Health Technologies: Proof-of-Concept TrialJournal of Medical Internet Research10.2196/4628726(e46287)Online publication date: 28-Mar-2024
  • (2023)Technologies for Managing the Health of Older Adults with Multiple Chronic Conditions: A Systematic Literature ReviewHealthcare10.3390/healthcare1121289711:21(2897)Online publication date: 3-Nov-2023
  • (2022)Formative Evaluation of a Tablet Application to Support Goal-Oriented Care in Community-Dwelling Older AdultsProceedings of the ACM on Human-Computer Interaction10.1145/35467436:MHCI(1-21)Online publication date: 20-Sep-2022
  • (2021)Präventionspotenziale bei älteren pflegebedürftigen Menschen im häuslichen SettingPublic Health Forum10.1515/pubhef-2021-005329:3(194-197)Online publication date: 4-Sep-2021
  • (2020)ProACT - A Digital Platform to Support Self-Management of Multiple Chronic Conditions: Findings in Relation to Engagement during a one-year Proof-of-Concept Trial (Preprint)Journal of Medical Internet Research10.2196/22672Online publication date: 20-Jul-2020
  • (2020)Digital Health Platform for Integrated and ProACTive Patient Centred Care (ProACT): Protocol for an Action-Research Proof of Concept Trial. (Preprint)JMIR Research Protocols10.2196/22125Online publication date: 5-Jul-2020
  • (2020)Barriers and Facilitators of Technology in Cardiac Rehabilitation and Self-Management: Systematic Qualitative Grounded Theory Review (Preprint)Journal of Medical Internet Research10.2196/18025Online publication date: 29-Jan-2020
  • (2019)Managing MultimorbidityProceedings of the 2019 CHI Conference on Human Factors in Computing Systems10.1145/3290605.3300629(1-14)Online publication date: 2-May-2019

View Options

Login options

View options

PDF

View or Download as a PDF file.

PDF

eReader

View online with eReader.

eReader

Media

Figures

Other

Tables

Share

Share

Share this Publication link

Share on social media