Designing an eHealth Coaching Solution to Improve Transitional Care of Seniors' with Heart Failure: End-User Needs

Stud Health Technol Inform. 2021 May 27:281:530-534. doi: 10.3233/SHTI210227.

Abstract

Based on scientific studies, heart failure is the principal cause of hospitalization among seniors. More than 50% of elderly with heart failure are readmitted to hospital within six months. Readmission is linked with poor compliance with medical treatment and recommendations, emphasizing the need for a tool to help seniors better comply with post-discharge measures. The goal of this study was to identify end-user needs for the development of a coaching solution aiming to support elderly patients but also formal and informal caregivers. End-user needs were identified through interviews with the three end-user profiles: seniors with heart failure and formal and informal caregivers. The results present six categories of needs: daily treatment follow-up; healthcare network communication; transfer of information; synchronization with current digital tools; information access; and psychosocial support. The identified needs will help to develop an eHealth solution to improve care management and coaching after discharge.

Keywords: Elderly; heart failure; home care services; needs assessment; patient care; patient discharge; patient readmission; robotics; transitional care; treatment adherence and compliance; user-centered design; user-computer interface.

MeSH terms

  • Aftercare
  • Aged
  • Heart Failure* / therapy
  • Humans
  • Mentoring*
  • Patient Discharge
  • Telemedicine*
  • Transitional Care*