{
  "abstract": "Objective: To address the supply–demand mismatch in smart home-based older adult(s) care platforms, overcome the limitations of static Kano classifications, and strengthen sample validity, this study aims to identify the authentic needs of older adults and multi-stakeholder groups.\n\nMethods: Focusing on older adults aged 65 years and above with basic smartphone operational capacity, this study adopted an exploratory mixed-methods design integrating semi-structured interviews with family members and service personnel ( n = 8) and cross-sectional Kano-model questionnaires ( n = 506 valid responses from older adults). Sample stability was verified using Chapman-Callegaro criteria; reliability and validity were assessed via Cronbach’s α and the Kaiser-Meyer-Olkin (KMO) test. Berger’s Better-Worse coefficients with Bootstrap 95% confidence intervals (1,000 resamples) were calculated for demand sensitivity grading. Stratified Pearson Chi-square ( χ ² ) tests were performed across subgroups defined by age, living arrangement (living alone versus co-living with caregivers), and educational level. Parallel simplified Kano questionnaires were distributed to family caregivers ( n = 58) and front-line service providers ( n = 41). Nineteen demand items categorized under User (U1–U8), Service (S1–S7), and Environment (E1–E4) dimensions were mapped onto functional, physical, and interaction domains to build a “Creation–Analysis–Application” design model, further validated through back-testing against four real-world deployed platforms.\n\nResults: Across 19 demand items, 8 were classified as Must-be (M), 4 as One-dimensional (O), 5 as Attractive (A), and 2 as Indifferent (I). Social Entertainment (U6) shifted from Attractive (A) toward Indifferent (I) among the 80 + age group ( χ ² = 8.94, p < 0.05). Service Status Awareness (U8) was reclassified from One-dimensional (O) to Must-be (M) from the family caregiver perspective. Participants with primary-school education showed higher proportions of Indifferent judgements for complex digital-oriented demands; the 65–70-year-old cohort demonstrated greater prior exposure to digital devices compared with participants older than 70 years.\n\nConclusion: The improved Kano analytical framework incorporating age-stratified heterogeneity, multi-stakeholder perspectives, living-arrangement differences, and educational-level heterogeneity effectively remedies weaknesses of conventional static Kano classification. Findings provide empirical support for developing graded, user-group-oriented service packages instead of one-size-fits-all feature lists for smart home-based older adult(s)-care platforms.",
  "abstract_shown": true,
  "affiliations": [
    "Nantong Institute of Technology",
    "University of Science and Technology Liaoning"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Zheng Xianheng"
    },
    {
      "affs": [
        0
      ],
      "name": "Wang Ling"
    },
    {
      "affs": [
        1
      ],
      "name": "Zhou Tao"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/aedxrw7wnxmck.bib",
  "cited_by": 0,
  "doi": "10.3389/fpubh.2026.1962040",
  "fulltext_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13729860/?tool=EBI",
  "id": "aedxrw7wnxmck",
  "issns": [
    "2296-2565"
  ],
  "landing_url": "https://www.frontiersin.org/articles/10.3389/fpubh.2026.1962040/full",
  "language": "eng",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Original Research"
    ],
    [
      "openalex",
      "3317|Technology Use by Older Adults"
    ]
  ],
  "openalex": "W7223028028",
  "pdf_url": "https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2026.1962040/pdf",
  "pmcid": "PMC13729860",
  "pmid": "42979473",
  "published": "2026-10-20",
  "publisher": "Frontiers Media SA",
  "ris": "https://research.draconitic.com/paper/aedxrw7wnxmck.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:24Z",
      "native_id": "10.3389/fpubh.2026.1962040",
      "source": "crossref",
      "url": "https://www.frontiersin.org/articles/10.3389/fpubh.2026.1962040/full"
    },
    {
      "first_seen": "2026-11-04T15:20:45Z",
      "native_id": "PMC:PMC13729860",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13729860"
    },
    {
      "first_seen": "2026-11-07T12:22:35Z",
      "native_id": "PMC13729860",
      "source": "pmc",
      "url": "https://doi.org/10.3389/fpubh.2026.1962040"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "issn:2296-2565",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Research on requirements for smart home-based older adult(s) care service platforms based on the Kano model",
  "title_text": "Research on requirements for smart home-based older adult(s) care service platforms based on the Kano model",
  "type": "peer-reviewed",
  "updated_at": "2026-11-07T12:22:35Z",
  "url": "https://research.draconitic.com/paper/aedxrw7wnxmck",
  "venue": "Frontiers in Public Health",
  "versions": []
}