Stakeholder Perspectives on Needs, Preferences, and Perceived Barriers for a Smart Integrated Care Platform for Older Adults with Cardiometabolic Multimorbidity: A Qualitative Study.

IF 2.6 3区医学 Q2 MEDICINE, GENERAL & INTERNAL

Patient preference and adherence Pub Date : 2026-10-12 eCollection Date: 2026-01-01 DOI:10.2147/PPA.S630325

Xing Wu, Shanshan Dou, Xu Yao, Tian Qiu, Jiahui Lv, Yajuan Feng

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引用次数: 0

Abstract

Purpose: Guided by stakeholder theory, this study explored the functional needs, usage preferences, and anticipated challenges in use of older adults with cardiometabolic multimorbidity (CMM) regarding the smart integrated care platform from the perspectives of four key groups-patients, family caregivers, physicians, and nurses-so as to provide a basis for platform development and optimization.

Patients and methods: A qualitative descriptive design was employed. A total of 24 participants-including older adults with CMM, family caregivers, physicians, and nurses-were recruited via maximum-variation purposive sampling and underwent semi-structured interviews. Data were analyzed using Braun and Clarke's thematic analysis framework, supported by NVivo 15.0 software.

Results: Three main themes and twelve subthemes were identified: (1) health needs, (2) technical needs, and (3) anticipated challenges in use.

Conclusion: From multiple stakeholder perspectives, the perceived needs of older adults with CMM for smart integrated care platforms are diverse. Perceived barriers to use include technical complexity, poor health, privacy concerns, and economic burden, while age-appropriate design and technical training serve as potential facilitators. This study provides insights into the design of smart integrated care platforms for this population. Future research is needed to examine the long-term adoption and adherence of such platforms.

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利益相关者对老年人心脏代谢多病智能综合护理平台的需求、偏好和感知障碍的观点：一项定性研究

目的：本研究以利益相关者理论为指导，从患者、家庭看护人、医生和护士四个关键群体的角度，探讨老年心血管代谢多发病（CMM）患者对智能综合护理平台的功能需求、使用偏好和预期挑战，为平台开发和优化提供依据。患者和方法：采用定性描述设计。通过最大变异有目的抽样，共招募了24名参与者，包括患有慢性mm的老年人、家庭护理人员、医生和护士，并进行了半结构化访谈。数据分析采用Braun和Clarke的专题分析框架，并由NVivo 15.0软件支持。结果：确定了三个主题和十二个分主题：(1)健康需求，(2)技术需求，(3)使用中预期的挑战。结论：从多个利益相关者的角度来看，CMM老年人对智能综合护理平台的感知需求是多样化的。人们认为的使用障碍包括技术复杂性、健康状况不佳、隐私问题和经济负担，而适合年龄的设计和技术培训是潜在的促进因素。本研究为这一人群的智能综合护理平台的设计提供了见解。未来的研究需要检查这些平台的长期采用和坚持。

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来源期刊

Patient preference and adherence MEDICINE, GENERAL & INTERNAL-

CiteScore

3.60

自引率

4.50%

发文量

354

审稿时长

6-12 weeks

期刊介绍： Patient Preference and Adherence is an international, peer reviewed, open access journal that focuses on the growing importance of patient preference and adherence throughout the therapeutic continuum. The journal is characterized by the rapid reporting of reviews, original research, modeling and clinical studies across all therapeutic areas. Patient satisfaction, acceptability, quality of life, compliance, persistence and their role in developing new therapeutic modalities and compounds to optimize clinical outcomes for existing disease states are major areas of interest for the journal. As of 1st April 2019, Patient Preference and Adherence will no longer consider meta-analyses for publication.