Shelly K McCrady-Spitzer, Chinmay U Manohar, Gabriel A Koepp, James A Levine
Low-cost and Scalable Classroom Equipment to Promote Physical Activity and Improve Education
Journal of physical activity & health
covid19 pandemic forced spread digital health tools address limited clinical resources chronic health management also illuminated population older patients requiring informal caregiver ic access care due accessibility technological literacy english proficiency concerns patients heart failure hf rapid transition exacerbated demand ics pushed canadians toward dyadic care model patients ics comanage care previous work identified opportunity improve dyadic hf experience shared model dyadic digital health call alternative model care caretown medly empowers ics concurrently expand patients selfcare abilities acknowledging ics eagerness provide greater support present systematic design development caretown medly dyadic management module hf outlined use case outline design methodology report 6 core diseaseinvariant features applied dyadic shared care hf management work lays foundation future usability assessments caretown medly conducted qualitative humancentered design study based 25 semistructured interviews selfidentified ics loved ones living hf interviews underwent thematic content analysis 2 coders independently themes derived deductively eg based interview guide inductively refined build caretown medly model 1 leveraged knowledge action kta framework translate knowledge action 2 borrowed google sprints ability quickly solve big problems test new ideas effective medical digital health spaces specifically blended 2 concepts new framework called kta sprint identified 6 core diseaseinvariant features support ics care dyads provide effective care capitalizing dyadic cares synergistic benefits features designed customizability suit patients condition informed stakeholder analysis corroborated literature vetted user needs assessments features include 1 live reports enhance data sharing facilitate appropriate ic support 2 care cards enhance guidance caregiving role 3 direct messaging dissolve disconnect across circle care 4 medication wallet improve guidance managing complex medication regimens 5 medical events timeline improve consolidate management organization 6 caregiver resources provide diseasespecific education support selfcare diseaseinvariant features designed address ics needs supporting care partner anticipate implementation features empower shared model care chronic disease management digital health improve outcomes care dyads