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Updated: Apr 15, 2026

The Immersive Cleveland Clinic Virtual Reality Shopping Platform for the Assessment of Instrumental Activities of Daily Living

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Published on: July 28, 2022

Development of the Windmill Model for Mapping Older Adults' Intrinsic Capacity Using Digital Twin Technology:

Yirou Niu¹, Zehui Xuan¹, Yanling Wang¹

¹School of Nursing, Capital Medical University, No.10 Xi-tou-tiao,You-an-men Wai Street, Fengtai District, Beijing, 100069, China, 86 17843103693.

|April 13, 2026

Summary

Digital twin (DT) technology offers a promising way to map older adults' intrinsic capacity (IC). A conceptual "windmill" model was developed to guide the creation of personalized DTs for effective IC management.

Keywords:

DT IC aging avatar digital twin intrinsic capacity qualitative research

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Area of Science:

Gerontology
Digital Health
Human-Computer Interaction

Background:

Intrinsic capacity (IC) assessment is resource-intensive.
Digital twin (DT) technology presents an efficient alternative for mapping ICs.
Understanding older adults' perspectives on DTs for IC mapping is crucial.

Purpose of the Study:

To explore older adults' views on DT technology.
To understand how DTs can represent older adults' ICs.
To develop a framework for DT-based IC management.

Main Methods:

Qualitative study design.
Face-to-face semistructured interviews with 23 older adults.
Verbatim transcription and content analysis.

Main Results:

Five themes emerged: decisions on DT use, ideal avatar preferences, DT's role in mapping ICs, perceived benefits, and user expectations.
Multimodal reminders and synchronized avatar changes improved IC comprehension.
A conceptual "windmill" model was developed for building tailored DTs.

Conclusions:

DT technology is a viable tool for mapping older adults' ICs.
The "windmill" model provides a framework for creating personalized DTs.
Findings can inform the development of DT models for IC management.