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This review explores the conceptual frameworks, methods, barriers and facilitators associated with the human-centred design (HCD) process employed when developing digital health dashboards (DHDs) for the care of older adults.
This scoping review is designed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Review (PRISMA-ScR) guidelines, ensuring a systematic approach to identifying and synthesising relevant literature.
Five databases were searched including EMBASE, MEDLINE, PsychInfo, CINAHL and Cochrane Library from January 2012 to 30 March 2026.
Studies were eligible if they involved the HCD of DHDs for health management in older adults aged 60 years and over. The design process could involve a range of stakeholders, including older adults, healthcare professionals, carers, technology experts and other relevant parties involved in dashboard design.
Search terms included older persons, ageing, decision support systems, dashboards, human-centred design etc. Study screening was done in Rayyan, and data extraction was conducted in MS Excel using the Joanna Briggs Institute data extraction tool. HCD approaches were mapped to the Double Diamond framework using thematic analysis.
A total of 15 studies were included which employed iterative HCD approaches, involving stakeholders at various stages of dashboard development. Several conceptual frameworks were identified including user-centred design and behaviour change frameworks as well as HCD methods identified including user interviews, focus groups, co-design workshops, usability testing and surveys. Key facilitators included ongoing user engagement, multidisciplinary collaboration and iterative prototyping. Barriers included limited digital literacy among older adults, challenges in recruiting diverse user groups and resource constraints impacting the breadth of HCD activities.
Dashboards developed using HCD approaches suggest improved usability, acceptability and relevance for older adults, supporting better self-management of health conditions. However, inconsistent frameworks, lack of research outside Europe, America and Australia and underuse of dashboard analytics were identified as challenges. Future research should adopt validated HCD frameworks, address acceptability factors and evaluate real-world use to develop more inclusive and sustainable digital health tools for older adults.
by Deepa Karki, Anuraj Phunyal, Tika Ram Lamichhane, Deepika Karki, Achyut Adhikari
The total phenolic content and flavonoid content of the Usnea cornuta extract were evaluated as 210.31 ± 2.87 mg GAE/g and 22.42 ± 0.78 mg QE/g, respectively. The crude extract exhibited strong antioxidant activity (IC50: 32.91 ± 1.27 µg/mL) and notable anti-diabetic effects via α-glucosidase inhibition, with IC50 values of 2.59 ± 2.23 µg/mL for the dichloromethane extract. LC-MS analysis identified eleven metabolites like D-mannitol (1), galbinic acid (2), conhypoprotocetraric acid (3), roccellaric acid (4), diffractatic acid (5), haemathamnolic acid isomer (6), conprotocetraric acid (7), constictic acid I (8), salazinic acid II (9), menegazziaic acid (10), and one unknown compound (11). Among these, menegazziaic acid exhibited the strongest binding affinity of −9.7 kcal/mol with the target (PDB ID 3A4A), favorable molecular dynamics, binding free energy (MM/GBSA, and pharmacokinetic profiles. Furthermore, the extract showed strong antimicrobial activity, with inhibition zones of 23 mm and 26 mm at 10 mg/mL against Staphylococcus aureus ATCC 29213 and ATCC 245, respectively. These findings highlight the therapeutic potential of Usnea cornuta, specifically for managing oxidative stress, microbial infections, and type 2 diabetes.by Sudim Sharma, Anjali Neupane, Dikshya Kandel, Pratibha Chalisay, Sabina Marasini, Budhi Setiawan, Deepak Chandra Bajracharya, Shyam Raj Upreti, Leela Khanal, Haruko Yokote, Chahana Singh, Kshitij Karki
BackgroundHome-Based Records (HBRs) are personal health documents intended to improve continuity of care and caregiver engagement across reproductive, maternal, newborn, and child health (RMNCH) services. In Nepal, both standalone (sHBR) and integrated (iHBR) models are implemented, yet comparative evidence on their utilization and implementation challenges is limited. This study examined utilization patterns and system-level barriers associated with sHBR in Madhesh Province and iHBR in Koshi Province.
MethodsWe conducted a comparative qualitative study with descriptive quantitative profiling between May 17 and August 27, 2024. A total of 100 semi-structured in-depth interviews were completed with caregivers, health workers, Female Community Health Volunteers, and program managers across two provinces. The study applied “kuragraphy,” an ethnographic approach integrating interviews and field observations to construct contextual case narratives. Socio-demographic data were analyzed descriptively using the statistical package for the social Sciences (SPSS). Informed by the Human Centered Design (HCD) approach, the qualitative data were thematically analyzed in Excel using the Journey to Health and Immunization (JTHI) framework.
ResultsCaregivers widely perceived HBRs as essential documents, primarily for immunization tracking and future service access. The iHBR was viewed as more comprehensive and user-friendly, particularly due to its illustrations, which improved comprehension among low-literacy users. However, understanding remained limited among illiterate and marginalized populations. Family involvement in record management was minimal and largely confined to mothers. Implementation barriers included inadequate training – particularly for iHBR use, limited decision-making authority among frontline health workers, incomplete documentation of non-immunization components, poor material quality of sHBR, and concerns regarding the sustainability of donor-supported iHBR initiatives.
ConclusionHBR utilization in Nepal is shaped by caregiver literacy, gender dynamics, and health-system readiness. Strengthening training, supportive supervision, user-centered design, and sustainable supply mechanisms will be essential to optimize HBR effectiveness and support equitable RMNCH service delivery.
FreshRSS 