Demand analysis of an intelligent medication administration system for older adults with chronic diseases based on the Kano model.
Jiayi Mao, Liling Xie, Qinghua Zhao and 4 others
PMID 35079606WHAT IT FOUND
After two weeks using a medication system, older adults wanted larger text, simpler operation, scheduled reminders and reliable hardware as essentials; WeChat drug instructions, a more sensitive system and longer battery life were bonuses.
Key findings
01After using the medication system for two weeks, 354 older adults rated larger font size, simpler operation process, scheduled medication reminders and reliable hardware as must-be features.
02Three features, searching drug instructions through WeChat, a more sensitive system and longer battery life, were rated attractive, and one feature, viewing disease-related information through WeChat, was rated one-dimensional.
03Nine participants classified ordering medications through WeChat as reverse, mainly because they preferred pharmacist consultation and worried about online medication quality.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Participants were recruited by convenience sampling from hospitals only, partly because of COVID-19, so community-dwelling older adults and those with severe cognitive, hearing or vision problems were not represented. The study analysed 354 of 360 agreed participants; six did not complete all questions because of privacy concerns. The findings are self-reported feature preferences after two weeks of use, not long-term use or medication adherence outcomes. The Kano questions asked how participants would feel if features were provided or absent, which may not match real behaviour. The reverse-attribute explanations came from only nine and three participants, so they are not broad.
Declared interests
Funding came from Chongqing Health Commission and Chongqing Science and Technology Bureau (grant number 2020MSXM077). The authors declared no conflict of interest.
The easy way to misread this
Do not read these findings as proof that the medication system improves adherence or health. This paper reports older adults' feature preferences after two weeks of use, not a comparison of clinical outcomes.