Co-Designing a Fall Prevention Exercise Website to Meet Aged Care Community Needs

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing Pub Date : 2026-08-07 DOI:10.1111/ajag.70216

Rik Dawson, Lauren Cameron, Marin B. Pinheiro, Katrina Jarratt, Catherine Sherrington, Abby Haynes

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引用次数: 0

Abstract

Objectives

Falls among older people are a significant health issue. Exercise reduces falls, yet many older people do not meet physical activity guidelines. Digital health platforms may improve access to fall prevention programs, but limited research has explored how these platforms meet older people's needs. This study aimed to use co-design principles to develop a website supporting delivery of the TOP UP program in aged care. A secondary aim explored older people's experiences of participating in the co-design process.

Methods

A three-phase co-design study was conducted. Phase 1 used interviews, focus groups and heuristic evaluation to inform development of a prototype website. Participants included 14 older people receiving aged care services (median age 84 years), 10 care staff and six physiotherapists. Phase 2 used think-aloud usability interviews with 11 older people, including Likert scale ratings, to assess navigation, clarity and functionality and refine the prototype. Phase 3 explored participants' experiences of the co-design process.

Results

Thematic analysis identified eight design themes highlighting priorities related to simplicity, accessibility, relatability, safety, customisation and engaging features that supported motivation while minimising staff burden. Feedback on the website was positive and informed improvements in readability, navigation and credibility. Participants reported positive co-design experiences and valued contributing to the development of a digital fall prevention resource.

Conclusions

Co-design is valuable in developing user-centred digital health solutions for aged care. Findings highlight the importance of aligning digital platforms with older people's needs to improve accessibility, engagement and scalability, supporting implementation of programs such as TOP UP.

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共同设计一个预防跌倒运动网站，以满足长者护理社区的需要。

目标：老年人跌倒是一个重大的健康问题。运动可以减少跌倒，但许多老年人没有达到身体活动指南的要求。数字健康平台可能会改善预防跌倒项目的获取，但关于这些平台如何满足老年人需求的研究有限。本研究旨在使用协同设计原则来开发一个网站，以支持在老年护理中提供TOP UP计划。第二个目的是探索老年人参与共同设计过程的经验。方法：采用三期协同设计研究。第一阶段使用访谈、焦点小组和启发式评估来为原型网站的开发提供信息。参与者包括14名接受老年护理服务的老年人（中位年龄84岁），10名护理人员和6名物理治疗师。第二阶段对11位老年人进行了可用性思考访谈，包括李克特量表评分，以评估导航、清晰度和功能，并完善原型。第三阶段探讨了参与者在共同设计过程中的经验。结果：主题分析确定了八个设计主题，突出了与简单性、可访问性、相关性、安全性、定制性和引人入胜的功能相关的优先事项，这些功能在支持动机的同时最大限度地减少了员工的负担。对网站的反馈是积极的，在可读性、导航和可信度方面都有所改善。参与者报告了积极的共同设计经验，并重视为数字跌倒预防资源的开发做出贡献。结论：共同设计在开发以用户为中心的老年护理数字健康解决方案方面具有重要价值。调查结果强调了将数字平台与老年人的需求结合起来以提高可访问性、参与度和可扩展性的重要性，并支持实施诸如TOP UP之类的计划。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australasian Journal on Ageing 医学-老年医学

CiteScore

3.10

自引率

6.20%

发文量

114

审稿时长

>12 weeks

期刊介绍： Australasian Journal on Ageing is a peer reviewed journal, which publishes original work in any area of gerontology and geriatric medicine. It welcomes international submissions, particularly from authors in the Asia Pacific region.