Self-management via Health Kiosk by community-residing older adults

Self-management via Health Kiosk by Community-Residing Older Adults

Project Period: 09/30/2014 - 09/29/2019 PI: Judith Matthews, PhD, MPH, RN
Funding Source: AHRQ R01
Researchers: Rich Schulz, Julie Klinger, Jennifer Lingler

Supported by an Agency for Healthcare Reserach (AHRQ) grant from the National Institute of Health, the project's objective is to understand factors influencing older adults' use of ahealth kiosk as a measurement and intervention delivery system, relative to their identified needs for a healthier lifestyle and improved self-management of chronic disease. Over an 18 month period, the interactions of the study participants with the kiosk and the kiosk's adaptations to its users will be tracked. Overall, the aims include (1) describe the self-management needs, motivations, design preferences, and patterns of health kiosk use among diverse community-residing older adults; (2) determine factors that influence intensity of kiosk use with a range of needs for a healthier lifestyle and improved self-management of chronic disease; and (3) explore the use of primary care, emergency room visits, and hospitalizations during kiosk access. In addition, kiosk collect information regarding the individual's need for a caregiver, or if they provide caregiving assistance themselves. If the individuals are caregivers, how long have they been in that role and to what extent do they perceive these responsibilities as stressful.  

Information collected at the kiosk from study participants will periodically be shared with their primary care provider to serve as a springboard for communication between patient and provider. To that end, kiosks also provide educational content and specific strategies for communicated with healthcare providers either (a) on behalf of oneself during a medical encounter alone; (b) when accompanied by someone such as an adult; and (c) when accompanying someone during a medical encounter. 

Publications

Antonio MG, Courtney KL, Lingler JH, Matthews JT. Translating Behavior Change Techniques to New Delivery Mediums. Stud Health Technol Inform. 2017;234:18-23.
Schulz R, Beach SR, Matthews JT, Courtney K, De Vito Dabbs A, Mecca LP. Caregivers' Willingness to Pay for Technologies to Support Caregiving. Gerontologist. 2016;56(5): 817-829. PMID 26035899 PMC5019044.