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Australasian journal on ageing. 2025 Jun;44(2):e70053. doi: 10.1111/ajag.70053 Q31.82025

First steps in co-designing an online patient decision support tool for enhanced medication management in older people

老年患者改善用药管理在线决策支持工具的协同设计第一步 翻译改进

Temitope Esther Afolabi  1, Sarah N Hilmer  1, Christopher Etherton-Beer  2, Lisa Kouladjian O'Donnell  1  3

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作者单位

  • 1 Laboratory of Ageing and Pharmacology, Faculty of Medicine and Health, Kolling Institute, The University of Sydney and the Northern Sydney Local Health District, St Leonards, New South Wales, Australia.
  • 2 School of Medicine, University of Western Australia, Crawley, WA, Australia.
  • 3 Faculty of Medicine and Health, School of Pharmacy, The University of Sydney, Camperdown, New South Wales, Australia.
  • DOI: 10.1111/ajag.70053 PMID: 40511600

    摘要 中英对照阅读

    Objective: To develop a preliminary version (minimum viable product [MVP]) of an online medication management patient decision support for older people informed by a stakeholder committee (SC).

    Methods: A SC comprising of consumers, health-care practitioners and researchers was recruited to inform the development of the MVP. The SC met via videoconferencing, individually or in groups, with investigators to provide guidance and advice on the design and features of the MVP. Brief content analysis was performed on data extracted from video-recorded meetings, meeting minutes, notes and email correspondence to inform the MVP development.

    Results: The SC comprised two older people, one carer, pharmacist, nurse, geriatrician, general practitioner and two digital health researchers (n = 9) from three Australian states. In collaboration with the SC, an MVP called My Medicine Goals (mymedicinegoals.com) was developed for older people. It supports consumers to document and update their medicines list; identify, plan and communicate goals of care; and provides a medicines information resource hub. Other tools include interactive versions of the revised Patient's Attitudes Towards Deprescribing questionnaire and self-assessment of medication risks.

    Conclusions: This project presents an approach empowering older people and carers to play active roles in co-design research to develop relevant and impactful online patient-facing health-care applications for older people.

    Keywords: ageing; co‐design; health technology; patient decision support; steering committee.

    Keywords:medication management; older people

    目标: 开发一个初步版本(最小可行产品[MVP])的在线药物管理患者决策支持系统,该系统由利益相关者委员会(SC)指导。

    方法: 招募了一个包括消费者、医疗保健从业者和研究人员在内的SC来为MVP的发展提供信息。SC通过视频会议与研究者单独或分组会面,以对MVP的设计和功能提供指导和建议。通过对视频记录的会议、会议纪要、笔记以及电子邮件往来中提取的数据进行简短的内容分析,进一步推动了MVP的发展。

    结果: SC由两名老年人、一名护理人员、一名药剂师、一名护士、一位老年医学专家和一位全科医生以及两位数字健康研究员(共9人)组成,来自澳大利亚的三个州。与SC合作开发了一个名为“我的药物目标”(mymedicinegoals.com)的MVP,旨在帮助老年人记录并更新他们的药物清单;识别、规划和沟通照护目标;并提供一个药物信息资源中心。其他工具包括修订版患者对去药化态度问卷的互动版本以及自我评估药物风险。

    结论: 本项目提出了一种方法,赋予老年人及其护理人员在共设计研究中积极发挥作用的能力,以开发出适用于老年人的相关且有影响力的在线医疗保健应用系统。

    关键词: 老龄化;共同设计;健康技术;患者决策支持;指导委员会。

    关键词:在线患者决策支持工具; 药物管理; 老年人群

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    期刊名:Australasian journal on ageing

    缩写:AUSTRALAS J AGEING

    ISSN:1440-6381

    e-ISSN:1741-6612

    IF/分区:1.8/Q3

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