Abstract

Objective

Mobile-based interventions have the potential to promote healthy aging among older adults. However, the adoption and use of mobile health applications are often low due to inappropriate designs. The aim of this systematic review is to identify, synthesize, and report interface and persuasive feature design recommendations of mobile health applications for elderly users to facilitate adoption and improve health-related outcomes.

Materials and Methods

We searched PubMed, Embase, PsycINFO, CINAHL, and Scopus databases to identify studies that discussed and evaluated elderly-friendly interface and persuasive feature designs of mobile health applications using an elderly cohort.

Results

We included 74 studies in our analysis. Our analysis revealed a total of 9 elderly-friendly interface design recommendations: 3 recommendations were targeted at perceptual capabilities of elderly users, 2 at motor coordination problems, and 4 at cognitive and memory deterioration. We also compiled and reported 5 categories of persuasive features: reminders, social features, game elements, personalized interventions, and health education.

Discussion

Only 5 studies included design elements that were based on theories. Moreover, the majority of the included studies evaluated the application as a whole without examining end-user perceptions and the effectiveness of each single design feature. Finally, most studies had methodological limitations, and better research designs are needed to quantify the effectiveness of the application designs rigorously.

Conclusions

This review synthesizes elderly-friendly interface and persuasive feature design recommendations for mobile health applications from the existing literature and provides recommendations for future research in this area and guidelines for designers.

中文翻译：

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老年人移动健康应用程序：界面和说服性功能设计的系统审查

 抽象的

 客观的

基于移动的干预措施有可能促进老年人的健康老龄化。然而，由于设计不当，移动健康应用程序的采用和使用往往较低。本系统综述的目的是识别、综合和报告针对老年用户的移动健康应用程序的界面和有说服力的功能设计建议，以促进采用和改善与健康相关的结果。

 材料和方法

我们检索了 PubMed、Embase、PsycINFO、CINAHL 和 Scopus 数据库，以找出讨论和评估老年人友好型界面以及使用老年人群体的移动健康应用程序的说服性功能设计的研究。

 结果

我们的分析中纳入了 74 项研究。我们的分析总共揭示了 9 条适合老年人的界面设计建议：3 条针对老年用户的感知能力，2 条针对运动协调问题，4 条针对认知和记忆衰退。我们还整理并报告了5类说服功能：提醒、社交功能、游戏元素、个性化干预和健康教育。

 讨论

只有 5 项研究包含基于理论的设计元素。此外，大多数纳入的研究对整个应用程序进行了评估，而没有检查最终用户的看法和每个设计功能的有效性。最后，大多数研究都存在方法学局限性，需要更好的研究设计来严格量化应用程序设计的有效性。

 结论

这篇综述综合了现有文献中针对老年人的友好界面和有说服力的移动健康应用程序的功能设计建议，并为该领域的未来研究提供了建议，并为设计人员提供了指南。