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. 2026 Sep 30;28:e97466. doi: 10.2196/97466

Table 3.

Mapping influencing factors to age-friendly design dimensions.

Design dimension and specific barrier Influencing factor level Design solution
Perceptibility

Age-related visual/auditory decline and forgetfulness Individual Multimodal reminders (visual, auditory, and tactile), large fonts, high-contrast colors, and voice broadcasts.
Comprehensibility

Low digital literacy and technology anxiety Individual Use simple, clear interfaces, videos, images, and skeuomorphic design (eg, a “virtual pillbox”) to reduce the learning curve.

Information overload and alert fatigue Interventional Prioritize essential information, allow user-controlled reminder schedules, and transparent data handling.
Operability

Complex navigation and small touch targets Technical Large touch targets, gesture tolerance, voice commands, and adaptive interface that simplifies with use.
Emotional warmth

Weak health motivation Individual Positive reinforcement messages and personalized encouragement (eg, “Great job this week!”).

Lack of family/peer support Social-environmental Family/caregiver communication channels and peer group features.

Living alone Social-environmental Incorporate regular human-like check-ins and avoid purely automated, impersonal systems.
Security-interoperability

No integration with clinical workflows Technical and interventional Bidirectional EHRa integration, seamless clinician feedback loops, and strengthened information security.

aEHR: electronic health record.