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A User-Centered Interface Design Framework for the DELONELINESS System in Older Adults: Design Indicator Development

Yi Zhou1, Jessica Rees2, Faith Matcham3

  • 1Department of Engineering, King's College London, Strand Campus, Strand, London, WC2R 2LS, United Kingdom, 44 020 7836 5454.

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Summary
This summary is machine-generated.

This study developed a user-centered design framework for digital tools to combat loneliness in older adults. Trust, safety, ease of use, and accessibility are key indicators for effective technology engagement.

Keywords:
digital healthhuman-computer interactioninterface designlonelinessolder adultsuser-centered design

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Area of Science:

  • Gerontology
  • Human-Computer Interaction
  • Digital Health

Background:

  • Loneliness in older adults is a significant public health issue linked to cognitive decline and depression.
  • Digital health technologies offer potential for monitoring and mitigating loneliness.
  • Effective digital health solutions require user interfaces designed for older adults' understanding, trust, and comfort.

Purpose of the Study:

  • To develop a user-centered hierarchical framework of interface design indicators for older adults.
  • To build upon the DELONELINESS (Design for Healthy Ageing: a Smart System to Decrease Loneliness for Older People) system.

Main Methods:

  • A mixed-methods approach integrating literature review, focus groups, and expert consultation.
  • Analytic Hierarchy Process (AHP) used for weighting 7 first-level and 26 second-level indicators by 20 experts.
  • Technique for Order Preference by Similarity to Ideal Solution (TOPSIS) used to evaluate 3 interface design solutions.

Main Results:

  • Expert consensus achieved with consistent AHP matrices (CR <0.1) and good inter-rater agreement (Kendall's W).
  • Top-weighted first-level indicators: trust and safety (0.206), ease of use (0.187), and accessibility (0.167).
  • Design solution 2 scored highest (C=0.877) in TOPSIS, highlighting clear pathways, visual clarity, and guided feedback.

Conclusions:

  • A user-centered framework for interface design in older adult loneliness monitoring was established.
  • The framework integrates user insights, literature, and expert consensus for data-driven design prioritization.
  • Provides practical guidance for creating empathetic, inclusive, and trustworthy digital mental health technologies for seniors.