[go: up one dir, main page]

Skip to main content

An Exploration of Engagement and Collaboration Between Healthcare Professionals and Older Adults with Multimorbidity Using a Digital Health Platform

  • Conference paper
  • First Online:
Human Aspects of IT for the Aged Population (HCII 2024)

Abstract

Multimorbidity, the occurrence of two or more chronic conditions in an individual, is a significant global health issue. It requires individuals to engage in complex self-management. It is understood that support from a care network, including healthcare professionals (HCPs), is crucial and can motivate adherence to self-management, act as an enabler to effective self-management and guide and reassure the person. However, people with multimorbidity (PwMs) often report challenges in their relationships with HCPs. Digital health technologies have potential to facilitate PwMs to share responsibility in their care by equipping them with the tools to better self-manage and to collaborate with their HCPs. This paper reports on findings from 60 PwM and 16 HCP participants who took part in the ProACT trial, whereby PwMs used the platform for a period of 12 months. Semi-structured interviews with participants resulted in four themes relating to engagement and collaboration in care, including HCP Scenarios of Engagement; The PwM Becoming a Collaborator in their Care; The Utility of Data; and Towards Integration of Care – Benefits and Challenges.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 59.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 79.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Disclosure of Interests

The authors have no competing interests to declare that are relevant to the content of this article.

Notes

  1. 1.

    https://cordis.europa.eu/project/id/689996.

References

  1. Multimorbidity: a priority for global health research. Academy of Medical Sciences. (2018). https://acmedsci.ac.uk/file-download/82222577. Accessed 19 Dec 2023

  2. Chowdhury, S., Chandra Das, D., Sunna, T., Beyenne, J., Hossain, A.: Global and regional prevalence of multimorbidity in the adult population in community settings: a systematic review and meta-analysis. EClinicalMedicine 57, 101860 (2023)

    Google Scholar 

  3. Rijken, M., Struckmann, V., Dyakova, M., Melchiorre, M.G., et al.: ICARE4EU: improving care for people with multiple chronic conditions in Europe. Eurohealth 19(3), 29–31 (2013)

    Google Scholar 

  4. Figueroa, C., Harrison, R., Chauhan, A., Meyer, L.: Priorities and challenges for health leadership and workforce management globally: a rapid review. BMC Health Serv. Res. 19, 239 (2019)

    Article  Google Scholar 

  5. Liddy, C., Blazkho, V., Mill, K.: Challenges of self-management when living with multiple chronic conditions: systematic review of the qualitative literature. Can. Fam. Physician 60(12), 1123–1133 (2014)

    Google Scholar 

  6. Breckner, A., Roth, C., Glassen, K., Wensing, M.: Self-management perspectives of elderly patients with multimorbidity and practitioners – status, challenges and further support needed? BMC Family Pract. 22(238) (2021)

    Google Scholar 

  7. Technical series on safer primary care: Multimorbidity. World Health Organization (2016). https://www.who.int/publications/i/item/9789241511650. Accessed 19 Dec 2023

  8. Kernick, D., Graham, C.A., O’Flynn, N.: Multimorbidity: clinical assessment and management. NICE Institute for Health and Care Excellence (2016). https://www.nice.org.uk/guidance/ng56. Accessed 19 Dec 2023

  9. Aramrat, C., et al.: Advancing multimorbidity management in primary care: a narrative review. Prim. Health Care Res. Dev. 23, e36 (2022)

    Google Scholar 

  10. Berry, A.B.L., et al.: Supporting communication about values between people with multiple chronic conditions and their providers. In: CHI 2019 Proceedings of the CHI 2019 Conference on Human Factors in Computing Systems (2019)

    Google Scholar 

  11. Ongwere, T., Cantor, G.S., Clawson, J., Shih, P.C., Connolly, K.: Design and care for discordance chronic comorbidities: a comparison of healthcare providers’ perspectives. In: Pervasive Health, Proceedings of the 14th EAI Conference on Pervasive Computing Technologies for Healthcare (2020)

    Google Scholar 

  12. Doyle, J., et al.: The role of phone-based triage nurses in supporting older adults with multimorbidity to digitally self-manage – findings from the ProACT proof-of-concept study. Digit. Health 8, 205520762211311 (2022)

    Google Scholar 

  13. Doyle, J., Murphy, E., Gavin, S., et al.: 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. J. Med. Internet Res. (JMIR) 23(12), e22672 (2021)

    Google Scholar 

  14. Doyle, J., et al.: Managing multimorbidity: identifying design requirements for a digital self-management tool to support older adults with multiple chronic conditions. In: CHI 2019 Proceedings of the CHI 2019 Conference on Human Factors in Computing Systems (2019)

    Google Scholar 

  15. Eton, D.T., Ramalho de Oliviera, D., Egginton, J.S., Ridgeway, J.L., et al.: Building a measurement framework of burden of treatment in complex patients with chronic conditions: a qualitative study. Patient Relat. Outcome Meas. (3), 39–49 (2012)

    Google Scholar 

  16. Tudor-Locke, C., Crai, C.L., Aoyagi, Y., Bell, R.C., Karen, A., et al.: How many steps/day are enough? For older adults and special populations. Int. J. Behav. Nutr. Phys. Act. 8, 80 (2011)

    Google Scholar 

  17. Dinsmore, J., et al.: Digital health platform for integrated and ProACTive patient centred care (ProACT): protocol for an action-research proof of concept trial. JMIR Res. Protoc. 10(12), e22125 (2021)

    Google Scholar 

  18. Braun, V., Clarke, V.: Using thematic analysis in psychology. Qual. Res. Psychol. 3(2), 77–101 (2006)

    Google Scholar 

  19. Sheng, Y., Doyle, J., Bond, R., Jaiswal, R., Gavin, S., Dinsmore, J.: Home-based digital health technologies for older adults to self-manage multiple chronic conditions: a data-informed analysis of user engagement from a longitudinal trial. Digit. Health 8, 20552076221125957 (2022)

    Google Scholar 

  20. Mentis, H.M., et al.: Crafting a view of self-tracking data in the clinical visit. In: Proceedings of the CHI 2017 Conference on Human Factors in Computing System (2017)

    Google Scholar 

  21. Ongwere, T., Cantor, G., Martin, S.R., et al.: Design hotspots for care of discordant chronic condition: patients perspectives. In: Proceedings of the 10th Nordic Conference on Human Computer Interaction (NordiCHI) (2018)

    Google Scholar 

  22. Pichon, A., et al.: Divided we stand: the collaborative work of patients and providers in an enigmatic chronic disease. ACM Hum. Comput. Interact. 4, No. CSCW3 (2020)

    Google Scholar 

  23. Morton, K., Dennison, L., May, C., et al.: Using digital interventions for self-management of chronic physical conditions: a meta-ethnography review of published studies. Patient Educ. Couns. 100(4), 616–635 (2017)

    Google Scholar 

  24. Tighe, S., Doyle, J., Harvey, S.: Co-design of a data summary feature with older adults as part of a digital health platform to support multimorbidity self-management. In: Pervasive Health, 17th EAI International Conference on Pervasive Computing Technologies for Healthcare (2023)

    Google Scholar 

  25. Redelmeier, D.A., Tversky, A.: On the belief that arthritis pain is related to the weather. Proc. Natl. Acad. Sci. 93(7), 2895–2896 (1996)

    Google Scholar 

Download references

Acknowledgments

This work was part-funded by the ProACT and SEURO projects and has received funding from the European Union’s Horizon 2020 research and innovation programme under Grant Agreement numbers 689996 and 945449. We would like to extend our gratitude to all participants who dedicated time to participating in the research.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Julie Doyle .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2024 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Doyle, J., McAleer, P., Murphy, E., Smith, S., Galvin, M., Dinsmore, J. (2024). An Exploration of Engagement and Collaboration Between Healthcare Professionals and Older Adults with Multimorbidity Using a Digital Health Platform. In: Gao, Q., Zhou, J. (eds) Human Aspects of IT for the Aged Population. HCII 2024. Lecture Notes in Computer Science, vol 14726. Springer, Cham. https://doi.org/10.1007/978-3-031-61546-7_2

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-61546-7_2

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-61545-0

  • Online ISBN: 978-3-031-61546-7

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics