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Tailored Self-Management App to Support Older Adults With Cancer and Multimorbidity: Development and Usability

Sang-Wha Sien1, Francis Kyerepagr Kobekyaa1, Martine Puts2

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A new app co-designed with older adults helps manage cancer symptoms and chronic conditions. This digital tool aims to be a central hub for symptom tracking and communication with care providers.

Keywords:
ageingagingappapplicationapplicationsappscancerco-designcomorbidcomorbiditiescomorbiditydesigndesign thinkingdevelopdevelopmentelderelderlygeriatricgeriatricsgerontologymHealthmobile healthmultimorbiditiesmultimorbidityolder adultolder adultsolder peopleolder persononcologyself-managementsymptomsymptomsusabilityusability testing

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Area of Science:

  • Gerontology
  • Oncology
  • Digital Health

Background:

  • Cancer is a leading cause of morbidity in adults over 60, often co-occurring with multiple chronic conditions (multimorbidity).
  • Existing self-management interventions and digital health tools often fail to address the complex needs of older adults with cancer and multimorbidity.
  • Many digital health applications lack co-design with older adults, hindering usability and adoption.

Purpose of the Study:

  • To evaluate a co-designed digital self- and symptom-management application for older adults with cancer and multimorbidity.
  • To assess user feedback on the usability and features of a prototype application.

Main Methods:

  • Utilized Grey's self-management framework and design thinking principles.
  • Involved older adults with cancer and caregivers in the co-design and evaluation of a medium-fidelity app prototype.
  • Employed qualitative interviews, descriptive statistics, and thematic analysis for data interpretation.

Main Results:

  • 18 participants (15 older adults, 3 caregivers) contributed to the design and evaluation phases.
  • Key features emphasized by users include symptom tracking, clear display, organized notes, and reminders for medication management.
  • Participants highlighted the need for features addressing polypharmacy concerns.

Conclusions:

  • The developed app shows potential as a "home base" for symptom management and support for older adults with cancer.
  • User feedback is crucial for refining the app to meet the complex needs of this population.
  • Findings will inform future feasibility testing and real-world implementation of the digital health tool.