View in EDS HTML Full Text PDF Full Text

A Mixed-Methods Usability Pilot of a Value-Goal Elicitation Tool in the Inpatient Setting for Older Adults Anticipating Post-Acute Care.

Saved in:
Bibliographic Details
Title: A Mixed-Methods Usability Pilot of a Value-Goal Elicitation Tool in the Inpatient Setting for Older Adults Anticipating Post-Acute Care.
Authors: Piazza, Kirstin M.1 kirstin.piazza@va.gov, Pascal, Caroline2, Patel, Syama R.3, Sefcik, Caroline1, Schapira, Marilyn M.2,3,4, Madrigal, Caroline5, Ritchey, Katherine C.6,7, Yip, Longyi8, Naik, Aanand D.9,10, Burke, Robert E.2,3,4
Source: Inquiry (00469580). 4/24/2025, Vol. 62, p1-11. 11p.
Subject Terms: *Research methodology evaluation, *Age, *Research methodology, Research funding, Medical care of veterans, Research evaluation, Medical care, Pilot projects, Discharge planning, Descriptive statistics, Patient-centered care, Subacute care, Surveys, Thematic analysis, Psychometrics, Hospital care of older people, User-centered system design, Old age
Geographic Terms: United States
Abstract: Age-Friendly Health Systems (AFHS) emphasize aligning care with "What Matters" most to older adults. Hospitalization represents a critical period where value-based goals could shape key decisions about post-acute care transitions. However, few tools designed for eliciting such goals have been adapted for use in the inpatient setting, where the acute nature of care poses unique challenges. This mixed-methods study evaluates the usability of the Health Priorities Primer Tool (HPPT) in older hospitalized adults who anticipate needing post-acute care, aiming to identify necessary adaptations for the inpatient setting. We conducted interviews, observations, and surveys with older hospitalized patients to understand their experiences using the HPPT. We combined thematic analysis with descriptive statistics to analyze the data. Of the 26 participants, 73% expressed positive views toward completing a value-goal elicitation tool while hospitalized, with 53% supporting the HPPT. For open-ended questions, many participants shared broad goals like "getting better" without providing specific outcomes to achieve. For pre-determined checkbox-based questions, some participants found response options overwhelming or irrelevant. Most participants (85%) preferred facilitated administration of the tool over self-administration. Key Recommendations include simplifying the tool's format, personalizing content, and improving framing about how and why values and goals would be used. Our findings highlight the potential usability of value-goal elicitation tools like HPPT to guide post-acute care planning for hospitalized adults. Key adaptations, including facilitated administration and clinician involvement, may enhance usability. Early user engagement and tailoring are essential for successful implementation in busy inpatient settings. [ABSTRACT FROM AUTHOR]
Copyright of Inquiry (00469580) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: ehh
DbLabel: Education Research Complete
An: 184747635
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: A Mixed-Methods Usability Pilot of a Value-Goal Elicitation Tool in the Inpatient Setting for Older Adults Anticipating Post-Acute Care.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Piazza%2C+Kirstin+M%2E%22">Piazza, Kirstin M.</searchLink><relatesTo>1</relatesTo><i> kirstin.piazza@va.gov</i><br /><searchLink fieldCode="AR" term="%22Pascal%2C+Caroline%22">Pascal, Caroline</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Patel%2C+Syama+R%2E%22">Patel, Syama R.</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Sefcik%2C+Caroline%22">Sefcik, Caroline</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Schapira%2C+Marilyn+M%2E%22">Schapira, Marilyn M.</searchLink><relatesTo>2,3,4</relatesTo><br /><searchLink fieldCode="AR" term="%22Madrigal%2C+Caroline%22">Madrigal, Caroline</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22Ritchey%2C+Katherine+C%2E%22">Ritchey, Katherine C.</searchLink><relatesTo>6,7</relatesTo><br /><searchLink fieldCode="AR" term="%22Yip%2C+Longyi%22">Yip, Longyi</searchLink><relatesTo>8</relatesTo><br /><searchLink fieldCode="AR" term="%22Naik%2C+Aanand+D%2E%22">Naik, Aanand D.</searchLink><relatesTo>9,10</relatesTo><br /><searchLink fieldCode="AR" term="%22Burke%2C+Robert+E%2E%22">Burke, Robert E.</searchLink><relatesTo>2,3,4</relatesTo>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Inquiry+%2800469580%29%22">Inquiry (00469580)</searchLink>. 4/24/2025, Vol. 62, p1-11. 11p.
– Name: Subject
  Label: Subject Terms
  Group: Su
  Data: *<searchLink fieldCode="DE" term="%22Research+methodology+evaluation%22">Research methodology evaluation</searchLink><br />*<searchLink fieldCode="DE" term="%22Age%22">Age</searchLink><br />*<searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+of+veterans%22">Medical care of veterans</searchLink><br /><searchLink fieldCode="DE" term="%22Research+evaluation%22">Research evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Pilot+projects%22">Pilot projects</searchLink><br /><searchLink fieldCode="DE" term="%22Discharge+planning%22">Discharge planning</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Patient-centered+care%22">Patient-centered care</searchLink><br /><searchLink fieldCode="DE" term="%22Subacute+care%22">Subacute care</searchLink><br /><searchLink fieldCode="DE" term="%22Surveys%22">Surveys</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Psychometrics%22">Psychometrics</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+care+of+older+people%22">Hospital care of older people</searchLink><br /><searchLink fieldCode="DE" term="%22User-centered+system+design%22">User-centered system design</searchLink><br /><searchLink fieldCode="DE" term="%22Old+age%22">Old age</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Age-Friendly Health Systems (AFHS) emphasize aligning care with "What Matters" most to older adults. Hospitalization represents a critical period where value-based goals could shape key decisions about post-acute care transitions. However, few tools designed for eliciting such goals have been adapted for use in the inpatient setting, where the acute nature of care poses unique challenges. This mixed-methods study evaluates the usability of the Health Priorities Primer Tool (HPPT) in older hospitalized adults who anticipate needing post-acute care, aiming to identify necessary adaptations for the inpatient setting. We conducted interviews, observations, and surveys with older hospitalized patients to understand their experiences using the HPPT. We combined thematic analysis with descriptive statistics to analyze the data. Of the 26 participants, 73% expressed positive views toward completing a value-goal elicitation tool while hospitalized, with 53% supporting the HPPT. For open-ended questions, many participants shared broad goals like "getting better" without providing specific outcomes to achieve. For pre-determined checkbox-based questions, some participants found response options overwhelming or irrelevant. Most participants (85%) preferred facilitated administration of the tool over self-administration. Key Recommendations include simplifying the tool's format, personalizing content, and improving framing about how and why values and goals would be used. Our findings highlight the potential usability of value-goal elicitation tools like HPPT to guide post-acute care planning for hospitalized adults. Key adaptations, including facilitated administration and clinician involvement, may enhance usability. Early user engagement and tailoring are essential for successful implementation in busy inpatient settings. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Inquiry (00469580) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=184747635
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1177/00469580251332131
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 11
        StartPage: 1
    Subjects:
      – SubjectFull: Research methodology evaluation
        Type: general
      – SubjectFull: Age
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Medical care of veterans
        Type: general
      – SubjectFull: Research evaluation
        Type: general
      – SubjectFull: Medical care
        Type: general
      – SubjectFull: Pilot projects
        Type: general
      – SubjectFull: Discharge planning
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Patient-centered care
        Type: general
      – SubjectFull: Subacute care
        Type: general
      – SubjectFull: Surveys
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Psychometrics
        Type: general
      – SubjectFull: Hospital care of older people
        Type: general
      – SubjectFull: User-centered system design
        Type: general
      – SubjectFull: Old age
        Type: general
      – SubjectFull: United States
        Type: general
    Titles:
      – TitleFull: A Mixed-Methods Usability Pilot of a Value-Goal Elicitation Tool in the Inpatient Setting for Older Adults Anticipating Post-Acute Care.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Piazza, Kirstin M.
      – PersonEntity:
          Name:
            NameFull: Pascal, Caroline
      – PersonEntity:
          Name:
            NameFull: Patel, Syama R.
      – PersonEntity:
          Name:
            NameFull: Sefcik, Caroline
      – PersonEntity:
          Name:
            NameFull: Schapira, Marilyn M.
      – PersonEntity:
          Name:
            NameFull: Madrigal, Caroline
      – PersonEntity:
          Name:
            NameFull: Ritchey, Katherine C.
      – PersonEntity:
          Name:
            NameFull: Yip, Longyi
      – PersonEntity:
          Name:
            NameFull: Naik, Aanand D.
      – PersonEntity:
          Name:
            NameFull: Burke, Robert E.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 24
              M: 04
              Text: 4/24/2025
              Type: published
              Y: 2025
          Identifiers:
            – Type: issn-print
              Value: 00469580
          Numbering:
            – Type: volume
              Value: 62
          Titles:
            – TitleFull: Inquiry (00469580)
              Type: main
ResultId 1