{
  "abstract": "Objective 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.Design 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.Data sources Five databases were searched including EMBASE, MEDLINE, PsychInfo, CINAHL and Cochrane Library from January 2012 to 30 March 2026.Eligibility criteria 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.Data extraction and synthesis 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.Results 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.Conclusion 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.",
  "authors": [
    {
      "affiliations": [
        "School of Health Sciences, The University of Manchester, Manchester, UK"
      ],
      "name": "Syeda Taqya Amna Arslan"
    },
    {
      "affiliations": [
        "Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King’s College London, London, UK"
      ],
      "name": "Siobhan O’Connor"
    },
    {
      "affiliations": [
        "School of Health Sciences, The University of Manchester, Manchester, UK"
      ],
      "name": "Bibhusha Karki"
    },
    {
      "affiliations": [
        "School of Health Sciences, The University of Manchester, Manchester, UK"
      ],
      "name": "Chloe French"
    },
    {
      "affiliations": [
        "School of Health Sciences, The University of Manchester, Manchester, UK",
        "School of Health Sciences and Manchester Academic Health Science Centre (MAHSC), University of Manchester, Manchester, UK",
        "Manchester University NHS Foundation Trust, Manchester, UK"
      ],
      "name": "Emma Stanmore"
    }
  ],
  "title": "Human-centred design of digital health dashboards in care of older adults: a scoping review",
  "uid": "ffcee161-bb1b-5cc9-9d9a-ff4727211409"
}