Evidence map›Paper›PMID 34081773›Full record

ArticleJournal of the American Geriatrics Society2021

Developing eHealth tools for diverse older adults: Lessons learned from the PREPARE for Your Care Program.

Charlotte Scheerens, Joni Gilissen, Aiesha M Volow, Jana L Powell, Clarissa M Ferguson, David Farrell, Brookelle Li, Corinne Berry, Rebecca L Sudore

Abstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. PEC innovation · 2026
    Article
  2. Article
  3. Article
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  5. Requirements of health professionals and affected persons for an App-based dual-task training for hearing impaired older adults - a Delphi survey.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2025
    Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Locking the Revolving Door: Racial Disparities in Cardiovascular Disease.Journal of the American Heart Association · 2023
    Review
  11. Article
  12. Review
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Charlotte ScheerensDivision of Geriatrics, Department of Medicine, University of California, San Francisco, California, USA.
Joni GilissenDepartment of Public Health and Primary Health Care, Ghent University, Ghent, Belgium.ORCID 0000-0002-5388-495X
Aiesha M VolowDivision of Geriatrics, Department of Medicine, University of California, San Francisco, California, USA.
Jana L PowellDivision of Geriatrics, Department of Medicine, University of California, San Francisco, California, USA.
Clarissa M FergusonDivision of Geriatrics, Department of Medicine, University of California, San Francisco, California, USA.
David FarrellPeople Designs, Inc., Durham, North Carolina, USA.
Brookelle LiDivision of Geriatrics, Department of Medicine, University of California, San Francisco, California, USA.
Corinne BerryCommunicate Health, Northampton, Massachusetts, USA.
Rebecca L SudoreDivision of Geriatrics, Department of Medicine, University of California, San Francisco, California, USA.

Funding

Improving advance care planning for seniors at risk for Alzheimers disease and related dementias and their caregiversR01AG045043 · NIA · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI SUDORE, REBECCA L · 2013 to 2017
$3.2M
Mentoring Researchers in Advance Care Planning for Underrepresented Older Adults at Risk for Alzheimer’s Disease and Related Dementias and Their CaregiversK24AG054415 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI REBECCA L SUDORE · 2017 to 2026
$1.7M
NIA NIH HHS K24 AG054415NIA NIH HHS K24AG054415NIA NIH HHS R01 AG045043
6 · The paper itself

Abstract

BACKGROUND/

objectivesElectronic Health (eHealth) tools offer opportunities for people to access health information online; yet, most tools are not designed to meet the unique needs of diverse older adults, leading to health disparities. Our goal was to provide guidance for the development of eHealth tools for diverse older populations for use in geriatric care models.

designGuidance for eHealth tools was compiled from user design resources and eHealth design literature. Pragmatic examples were provided from an evidenced-based eHealth tool called PREPAREforYourCare.org (PREPARE). We used quantitative feasibility data from PREPARE research studies and qualitative analysis of PREPARE focus groups, cognitive interviews, and feedback from randomized trials to further inform our recommendations.

resultsGuidance and lessons learned include: (1) define clear objectives and a conceptual framework; (2) co-create with the target population; (3) optimize the design and layout for accessibility and ease of use, such as text at the 5th grade reading level, closed captioning, etc.; (4) use simple, standardized navigation design; (5) use actionable information to enhance behavior change, such as modeling of behaviors; (6) align accompanying written materials with the eHealth tool; and (7) create tracking mechanisms for ongoing user feedback. PREPARE is used as a case example to provide pragmatic illustrations for how the guidance may be operationalized.

conclusioneHealth tools can be tailored to the unique characteristics, preferences, and needs of diverse older populations. Following the "lessons learned" may help decrease health disparities among diverse older adults and ensure eHealth tools are readily accessible and culturally appropriate.

Indexed as

Health Services for the AgedTelemedicineAgedAged, 80 and overFeasibility StudiesFemaleFocus GroupsGeriatricsHealth Services AccessibilityHumansMaleProgram EvaluationQualitative ResearchUser-Centered Designadvance care planningcomputer literacye-health toolshealth disparitieshealth literacy

Identifiers

PMID34081773
PMCPMC8497394

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.