Stakeholder Perspectives on Needs, Preferences, and Perceived Barriers for a Smart Integrated Care Platform for Older Adults with Cardiometabolic Multimorbidity: A Qualitative Study.
4 affiliations
- 1Administrative Department, The Seventh Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, People's Republic of China.
- 2Xinjiang Regional Center for Population Health and Healthcare Research, Urumqi, Xinjiang, People's Republic of China.
- 3School of Nursing, Xinjiang Medical University, Urumqi, Xinjiang, People's Republic of China.
- 4General Practice Department, The Seventh Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, People's Republic of China.
Abstract
Purpose
Guided by stakeholder theory, this study explored the functional needs, usage preferences, and anticipated challenges in use of older adults with cardiometabolic multimorbidity (CMM) regarding the smart integrated care platform from the perspectives of four key groups-patients, family caregivers, physicians, and nurses-so as to provide a basis for platform development and optimization.Patients and methods
A qualitative descriptive design was employed. A total of 24 participants-including older adults with CMM, family caregivers, physicians, and nurses-were recruited via maximum-variation purposive sampling and underwent semi-structured interviews. Data were analyzed using Braun and Clarke's thematic analysis framework, supported by NVivo 15.0 software.Results
Three main themes and twelve subthemes were identified: (1) health needs, (2) technical needs, and (3) anticipated challenges in use.Conclusion
From multiple stakeholder perspectives, the perceived needs of older adults with CMM for smart integrated care platforms are diverse. Perceived barriers to use include technical complexity, poor health, privacy concerns, and economic burden, while age-appropriate design and technical training serve as potential facilitators. This study provides insights into the design of smart integrated care platforms for this population. Future research is needed to examine the long-term adoption and adherence of such platforms.
Related
- The Informal Care Burden of Older Adults with Disability, Dementia, and Concurrent Cardiometabolic Multimorbidity: A Qualitative Study Based on Social Ecosystem Theory
- From young aces to injury cases: a qualitative study of stakeholder perspectives on injury risk in junior to elite badminton
- Stakeholder perspectives on sustainable antenatal point-of-care ultrasound (APOCUS) implementation in rural Australia: a qualitative study of professional body submissions and clinician focus groups.
- Stakeholder perspectives and preferences for long-acting injectables for tuberculosis treatment and prevention: a multi-regional mixed-methods study
- Stakeholder perspectives on the lower-sodium salt substitutes (LSSS) uptake in Malaysia: a qualitative study
BibTeX
@article{wu2026stakeholder,
title = {{Stakeholder Perspectives on Needs, Preferences, and Perceived Barriers for a Smart Integrated Care Platform for Older Adults with Cardiometabolic Multimorbidity: A Qualitative Study.}},
author = {Xing Wu and Shanshan Dou and Xu Yao and Tian Qiu and Jiahui Lv and Yajuan Feng},
journal = {Patient preference and adherence},
year = {2026},
month = oct,
doi = {10.2147/ppa.s630325},
url = {https://europepmc.org/article/MED/42890694},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - Stakeholder Perspectives on Needs, Preferences, and Perceived Barriers for a Smart Integrated Care Platform for Older Adults with Cardiometabolic Multimorbidity: A Qualitative Study.
AU - Xing Wu
AU - Shanshan Dou
AU - Xu Yao
AU - Tian Qiu
AU - Jiahui Lv
AU - Yajuan Feng
PY - 2026
DA - 2026/10/12
JO - Patient preference and adherence
DO - 10.2147/ppa.s630325
UR - https://europepmc.org/article/MED/42890694
AB - Purpose Guided by stakeholder theory, this study explored the functional needs, usage preferences, and anticipated challenges in use of older adults with cardiometabolic multimorbidity (CMM) regarding the smart integrated care platform from the perspectives of four key groups-patients, family caregivers, physicians, and nurses-so as to provide a basis for platform development and optimization.Patients and methods A qualitative descriptive design was employed. A total of 24 participants-including older adults with CMM, family caregivers, physicians, and nurses-were recruited via maximum-variation purposive sampling and underwent semi-structured interviews. Data were analyzed using Braun and Clarke's thematic analysis framework, supported by NVivo 15.0 software.Results Three main themes and twelve subthemes were identified: (1) health needs, (2) technical needs, and (3) anticipated challenges in use.Conclusion From multiple stakeholder perspectives, the perceived needs of older adults with CMM for smart integrated care platforms are diverse. Perceived barriers to use include technical complexity, poor health, privacy concerns, and economic burden, while age-appropriate design and technical training serve as potential facilitators. This study provides insights into the design of smart integrated care platforms for this population. Future research is needed to examine the long-term adoption and adherence of such platforms.
SN - 1177-889X
ER -