Evidence map›Paper›PMID 40424610›Full record

ArticleJMIR aging2025

Socioculturally Appropriate Internet-Based Geriatric Care Model for Older Adults Living With HIV: Experience-Based Co-Design Approach.

Kristina M Kokorelias, Marina B Wasilewski, Dean Valentine, Andrew D Eaton, Erica Dove, Paige Brown, Stuart McKinlay, Christine L Sheppard, Esther Su, Hardeep K Singh and 8 more

Abstract read
In one paragraph

Article in JMIR aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

18 authors.

Kristina M KokoreliasSection of Geriatric Medicine, Department of Medicine, Sinai Health System and University Health Network, Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-1277-472X
Marina B WasilewskiDepartment of Occupational Science and Occupational Therapy, University of Toronto, Toronto, ON, Canada.ORCID https://orcid.org/0000-0003-1198-2292
Dean ValentineSection of Geriatric Medicine, Department of Medicine, Sinai Health System and University Health Network, Toronto, ON, Canada.ORCID https://orcid.org/0009-0003-8831-7837
Andrew D EatonFaculty of Social Work, Saskatoon Campus, University of Regina, Saskatoon, SK, Canada.ORCID https://orcid.org/0000-0003-1331-1222
Erica DoveRehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-4016-5630
Paige BrownUndergraduate Medical Education, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.ORCID https://orcid.org/0009-0006-7158-2804
Stuart McKinlayUndergraduate Medical Education, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.ORCID https://orcid.org/0000-0001-6460-9307
Christine L SheppardFactor-Inwentash School of Social Work, University of Toronto, Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-6487-3287
Esther SuSection of Geriatric Medicine, Department of Medicine, Sinai Health System and University Health Network, Toronto, ON, Canada.ORCID https://orcid.org/0009-0000-5854-5028
Hardeep K SinghDepartment of Occupational Science and Occupational Therapy, University of Toronto, Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-7429-5580
Ashley FlanaganNational Institute on Ageing, Toronto Metropolitan University, Toronto, ON, Canada.ORCID https://orcid.org/0000-0001-7202-8342
Alice ZhabokritskyInfectious Diseases, Department of Medicine, University Health Network, Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-2306-0677
Reham AbdelhalimBurlington Ontario Health Team, Joseph Brant Memorial Hospital, Burlington, ON, Canada.ORCID https://orcid.org/0000-0003-0052-7331
Rabea ParpiaSt Michael's Hospital, Toronto, ON, Canada.ORCID https://orcid.org/0009-0007-6383-8221
Rahel ZewudeDivision of Infectious Diseases, Department of Medicine, University of Toronto, Toronto, ON, Canada.ORCID https://orcid.org/0000-0003-0044-7665
Laura JamiesonOntario Federation of Indigenous Friendship Centres, Toronto, ON, Canada.ORCID https://orcid.org/0009-0002-0105-4679
Sharon WalmsleyInfectious Diseases, Department of Medicine, University Health Network, Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-3959-5692
Luxey SirisegaramSection of Geriatric Medicine, Department of Medicine, Sinai Health System and University Health Network, Toronto, ON, Canada.ORCID https://orcid.org/0009-0005-6135-6638

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOlder adults living with HIV face challenges accessing regular geriatric care, and while virtual care services could offer a solution, they may come with limitations.

objectiveThis study aimed to co-design a culturally appropriate virtual care model tailored to older adults' needs using the experience-based co-design methodology.

methodsWe used a qualitative, experience-based co-design approach with 19 older adults living with HIV. The process involved 3 phases: identifying needs through interviews and questionnaires, codeveloping a care model prototype through focus groups and a workshop, and refining the model using feedback from a world café format. Data were analyzed using thematic content analysis.

resultsThe co-design process led to a virtual care model prototype that directly addressed participants' key needs. These included personalized communication methods, simplified technology interfaces for easier access, and culturally responsive care practices. Participants emphasized the importance of privacy in virtual consultations, flexible scheduling to accommodate health fluctuations, and ongoing support for managing both HIV and aging-related conditions. Their feedback shaped a model designed to bridge service gaps, offering a more inclusive, accessible, and patient-centered approach to virtual geriatric care.

conclusionsThis study co-designed a potential virtual geriatric care model grounded in the experiences of older adults living with HIV. By integrating participants' insights throughout the design process, the model offers a promising approach to improving care for this vulnerable population. Future directions for research to test this model are proposed.

Indexed as

HIV InfectionsInternetAgedFemaleFocus GroupsHumansMaleMiddle AgedQualitative ResearchSurveys and QuestionnairesTelemedicineco-designHIVolder adultsqualitative researchvirtual care

Identifiers

PMID40424610
PMCPMC12152441

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.