Faculty, Staff and Student Publications

Publication Date

12-15-2023

Journal

PEC Innovation

Abstract

OBJECTIVE: To examine the use of a web-based, self-directed health priorities identification tool for older adults with multiple chronic conditions (MCCs).

METHODS: We recruited a gender- and racially-diverse, highly educated sample of older adults with MCCs to engage with our My Health Priorities tool, then complete a semi-structured interview. Thematic analysis was used to examine interview transcripts.

RESULTS: Twenty-one participants shared perspectives on the acceptability and use of the tool. Three themes (with eleven subthemes) were generated to describe: website

CONCLUSION: Participants found this tool acceptable and easy to use, describing a variety of benefits of the priorities self-identification process and offered suggestions for refinement and broader implementation. Older adults with limited internet navigation abilities or misconceptions about the self-directed process may benefit from clinicians clarifying the purpose of the process or initiating priorities-aligned discussions.

INNOVATION: This novel tool can help older adults with MCCs define what matters most for their health and healthcare, informing a variety of health decisions. This tool may enable and motivate patients to lead health priorities decision-making discussions with clinicians and care partners.

Keywords

User-centered design, Patient priorities care, Geriatrics, Healthcare decision-making, My health priorities, Web-based tool

DOI

10.1016/j.pecinn.2023.100242

PMID

38161685

PMCID

PMC10757242

PubMedCentral® Posted Date

12-8-2023

PubMedCentral® Full Text Version

Post-print

Published Open-Access

yes

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