Demand analysis of an intelligent medication administration system for older adults with chronic diseases based on the Kano model

Abstract

Objectives Gerontechnology has great potential in promoting older adults’ well-being. With the accelerated aging process, gerontechnology has a promising market prospect. However, most technological developers and healthcare professionals attached importance to products’ effectiveness, and ignored older adults’ demands and user experience, which reduced older adults' adoption intention of gerontechnology use. The inclusion of older adults in the design process of technologies is essential to maximize the effect. This study explored older adults’ demands for a self-developed intelligent medication administration system and proposed optimization schemes, thus providing reference to developing geriatric-friendly technologies and products. Methods A cross-sectional survey was conducted to explore older adults’ technological demands for the self-developed intelligent medication administration system, and data were analyzed based on the Kano model. A self-made questionnaire was administered from July 2020 to October 2020 after participants used this system for two weeks. The study was registered with the Chinese Clinical Trial Registry (ChiCTR2000040644). Results A total of 354 older adults participated in the survey. Four items, namely larger font size, simpler operation process, scheduled medication reminders and reliable hardware, were classified as must-be attributes; three items, namely searching drug instructions through WeChat, more sensitive system and longer battery life, as attractive attributes; one item, viewing disease-related information through WeChat, as the one-dimensional attribute; and the rest were indifferent attributes, including simple and beautiful displays, blocking advertisements automatically, providing user privacy protection protocol, viewing personal medical information only by logged-in users, recording all the medications, ordering medications through WeChat. The satisfaction values were between 0.24 and 0.69, and dissatisfaction values were between 0.06 and 0.94. Conclusion This study suggested that older adults had personalized technology demands. Including their technological demands and desire may assist in decreasing the digital divide and promoting the satisfaction of e-health and/or m-health. Based on older adults’ demands, our study proposed optimization schemes of the intelligent medication administration system, which may help developers design geriatric-friendly intelligent products and nurses to perform older adults-centered and efficient medication management.

Demand analysis of health care services for community-dwelling breast cancer survivors based on the Kano model: A cross-sectional study

“…Moreover, the limited supply of health care services specifically tailored to cancer survivors could contribute to their limited understanding and awareness of these services. Previous research on health care services focused on specific populations such as older individuals, disabilities, and chronic diseases [ [32] , [33] , [34] ]. Health care services for community-dwelling survivors are relatively underdeveloped and fragmented, with a lack of standardized caregiver skills and standardized community care models [ 35 ].…”

Effect of nursing interventions based on the Kano model on symptom relief and parental psychological behavior in children with febrile seizures

“…In addition, in view of the complex structure of EEG monitoring equipment for children with FS, there are many probes for children to wear, so the compliance is poor, how to appease children so that they do not reject real-time EEG monitoring equipment has not been a good solution at present, which is an important topic to continue to explore in the future nursing management research of FS children. Attractive quality is a potential demand that the children’s families themselves did not expect, if this demand is met, the overall satisfaction of the family members can be improved to a large extent, but if it is not met, the satisfaction will not be affected too much ( Mao et al, 2021 ). In this study, the nursing measures that focus on attractive quality, such as optimizing the inpatient environment, setting up a information fetch area and playing cartoons in the waiting area, on one hand, meet the knowledge needs of the family and enable them to play a better monitoring role in the nursing process, on another hand, the improvement of the environment can also help to adjust the original tense atmosphere, improve the compliance of children, which in turn could fully exploit the effect of all treatment and nursing interventions, accelerating the relief of the child’s symptoms and contributing to the psychological behavior of the child and his or her family.…”

Keeping the Customer Satisfied: Applying a Kano Model to Improve Vaccine Promotion in the Philippines

“…16 More recently, the Kano approach has informed assessments of mHealth technologies, 17 teleconsulting applications, 18 and intelligent medication administration systems. 19 However, we are not aware of studies investigating the potential of the Kano model to inform research on or the practice of developing novel global health communication interventions. In this study, we aim to contribute to filling this gap as we use and expand on the Kano approach to identify the roles of different quality attributes of vaccine confidence messaging in the Philippines and outline how these insights can meaningfully inform design practice.…”

“… 16 More recently, the Kano approach has informed assessments of mHealth technologies, 17 teleconsulting applications, 18 and intelligent medication administration systems. 19 …”