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Using Smart Displays to Implement an eHealth System for Older Adults With Multiple Chronic Conditions: Protocol for a

David H Gustafson1,2, Marie-Louise Mares3, Darcie C Johnston1

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This study compares voice-controlled smart displays to laptops for delivering health interventions to older adults with chronic conditions. Results will inform the use of voice technology for improved patient well-being and care.

Keywords:
agedchronic paineHealthgeriatricshealth expendituresmobile phonemultiple chronic conditionsprimary carequality of lifesmart displayssmart speakers

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Area of Science:

  • Digital health interventions
  • Geriatric medicine
  • Health technology assessment

Background:

  • Voice-controlled smart devices offer potential for eHealth interventions, particularly for older adults with chronic conditions and physical limitations.
  • Previous research focused on laptop and smartphone interventions, with limited large-scale trials on voice-controlled platforms.
  • Older adults often face challenges with traditional devices, making voice-controlled options a promising alternative.

Purpose of the Study:

  • To evaluate the effectiveness of an evidence-based intervention (ElderTree) delivered via a smart display compared to a laptop and a control group.
  • To assess changes in pain interference and quality of life in older adults with multiple chronic conditions.
  • To compare system usage, pain intensity, health outcomes, and patient well-being across intervention groups.

Main Methods:

  • A randomized controlled trial involving 291 adults aged 60+ with chronic pain and multiple comorbidities.
  • Participants were assigned to receive the ElderTree intervention on a smart display, a laptop, or usual care alone for 8 months.
  • Primary outcomes included pain interference and psychosocial quality of life, with secondary outcomes assessing system use, physical quality of life, pain intensity, and other health indicators.

Main Results:

  • Recruitment is ongoing, with the intervention period concluding in December 2023.
  • Findings will be disseminated through peer-reviewed publications.
  • Data collection includes participant surveys and continuous system logs.

Conclusions:

  • This is the first large-scale, long-term study comparing voice-controlled smart devices to laptops for health interventions in older adults with multiple chronic conditions.
  • The findings have significant implications for patient well-being and healthcare costs.
  • Optimizing the use of current and emerging technologies is crucial for improving care for this population.