Acceptability and Use of an Online Health Priorities Self-identification Tool for Older Adults: A Qualitative Investigation

Overview

Journal PEC Innov

Specialty Health Services

Date 2024 Jan 1

PMID 38161685

Authors

Emily L Mroz

Kizzy Hernandez-Bigos

Jessica Esterson

Eliza Kiwak

Aanand Naik

Mary E Tinetti

Affiliations

Soon will be listed here.

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 , the , and the tool's

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.

Citing Articles

Leveraging an Electronic Health Record Patient Portal to Help Patients Formulate Their Health Care Goals: Mixed Methods Evaluation of Pilot Interventions.

Naimark J, Tinetti M, Delbanco T, Dong Z, Harcourt K, Esterson J JMIR Form Res. 2024; 8:e56332.

PMID: 39207829 PMC: 11393498. DOI: 10.2196/56332.

Clinicians' perceptions of care partner involvement in health priorities identification for people living with dementia.

Monin J, Mroz E, Bonds Johnson K, Samper-Ternent R, Vu T, Tinetti M J Am Geriatr Soc. 2024; 72(8):2604-2606.

PMID: 38709115 PMC: 11323148. DOI: 10.1111/jgs.18937.

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