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Using Human-Centered Design to Build a Digital Health Advisor for Patients With Complex Needs: Persona and Prototype

Onil Bhattacharyya1,2, Kathryn Mossman1, Lovisa Gustafsson3

  • 1Institute for Health Systems Solutions and Virtual Care, Women's College Hospital, University of Toronto, Toronto, ON, Canada.

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A comprehensive digital health advisor can now be built to support patients with complex health needs. Key features include tracking, advice, holistic views, and communication, addressing patient-centered goals.

Keywords:
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Area of Science:

  • Digital Health
  • Gerontology
  • Health Informatics

Background:

  • A comprehensive digital health advisor was proposed 20 years ago to empower patients.
  • Current digital health applications are often limited in scope and target healthier individuals, neglecting those with significant health challenges.

Purpose of the Study:

  • To identify the unmet needs and essential features of a digital health advisor.
  • Focus on frail elderly individuals and those with multiple chronic conditions, including their caregivers.

Main Methods:

  • Utilized in-depth interviews to develop patient personas and use cases.
  • Created a low-fidelity prototype based on iterative participant feedback.
  • Shared findings with developers, investors, regulators, and health system leaders for input on development and dissemination.

Main Results:

  • Patients prioritized goals such as "live my life," "love my life," "manage my health," and "feel understood."
  • Patients and caregivers desired functions including tracking and insights, advice, a holistic patient overview, and improved coordination/communication.
  • Experts deemed the prototype technically feasible and suggested dissemination through partnerships between healthcare organizations and consumer-focused entities.

Conclusions:

  • The study outlines key features for a comprehensive digital health advisor.
  • Further development requires addressing the business case and overcoming policy, organizational, and cultural barriers.
  • Prioritizing patient goals is crucial for centering health system tools.