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

Gina Landucci¹, David H Gustafson¹, Marie-Louise Mares²

¹Center for Health Enhancement Systems Studies, University of Wisconsin-Madison, Madison, WI, United States.

|September 17, 2025

Summary

This summary is machine-generated.

This study found no significant differences in pain interference or quality of life for older adults using ElderTree on smart displays versus laptops. Gender moderated outcomes, with women showing decreased pain interference in the combined intervention group.

Keywords:

aged chronic pain eHealth geriatrics health expenditures multiple chronic conditions primary care quality of life smart displays smart speakers

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Area of Science:

Gerontology
Health Informatics
Digital Health

Background:

Older adults with chronic pain and multimorbidities may benefit from accessible eHealth interventions.
Previous research indicated socioemotional benefits of ElderTree in specific subgroups.

Purpose of the Study:

To evaluate the effectiveness of the ElderTree eHealth intervention delivered via smart display compared to a touchscreen laptop in older adults with chronic pain.
To assess differences in pain interference and psychosocial quality of life between intervention groups and a control group.

Main Methods:

A randomized controlled trial involving 269 participants aged 60+ with chronic pain and multiple comorbidities.
Participants were assigned to a smart display with ElderTree, a touchscreen laptop with ElderTree, or usual care alone.
Primary outcomes included pain interference and psychosocial quality of life, assessed via surveys at baseline, 4, and 8 months.

Main Results:

No significant differences were observed between the smart display and laptop groups for primary outcomes.
The combined ElderTree intervention (smart display + laptop) did not show significant differences compared to the control group for pain interference or quality of life.
Gender moderated the effects: women in the combined intervention group experienced decreased pain interference, while men in the control group also showed decreased pain interference.

Conclusions:

The ElderTree intervention, whether delivered via smart display or laptop, did not yield significant improvements in primary outcomes compared to usual care.
Gender was identified as a moderator, suggesting differential effects of the intervention based on sex for specific outcomes.