The personalized reminder information and social management system (PRISM) trial: rationale, methods and baseline characteristics
Open accessAbstract
Technology holds promise in terms of providing support to older adults. To date, there have been limited robust systematic efforts to evaluate the psychosocial benefits of technology for older people and identify factors that influence both the usability and uptake of technology systems. In response to these issues, we developed the Personal Reminder Information and Social Management System (PRISM), a software application designed for older adults to support social connectivity, memory, knowledge about topics, leisure activities and access to resources. This trail is evaluating the impact of access to the PRISM system on outcomes such as social isolation, social support and connectivity. This paper reports on the approach used to design the PRISM system, study design, methodology and baseline data for the trial. The trial is multi-site randomized field trial. PRISM is being compared to a Binder condition where participants received a binder that contained content similar to that found on PRISM. The sample includes 300 older adults, aged 65-98 years, who lived alone and at risk for being isolated. The primary outcome measures for the trial include indices of social isolation and support and well-being. Secondary outcomes measures include indices of computer proficiency, technology uptake and attitudes towards technology. Follow-up assessments occurred at 6 and 12 months post-randomization. The results of this study will yield important information about the potential value of technology for older adults. The study also demonstrates how a user-centered iterative design approach can be incorporated into the design and evaluation of an intervention protocol.
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The iterative UCD process begins with a needs assessment of both the end user and the content experts, including interviews and focus groups.
“The iterative process begins with a needs assessment of both the end user and the content experts, including interviews and focus groups [19,23,44,47].”
From Co-Designing the MOSAIC mHealth App With Breast Cancer Survivors: User-Centered Design Approach (2024) · cites this paper as [47]
The Methods section (The PRISM Condition; page unavailable) describes early surveys and focus groups with older adults to identify useful features and guide the initial design. The Introduction calls the process iterative and user-centered. Our copy does not describe an initial needs assessment of content experts or interviews as part of that initial design work. (LLM, conf=0.84)
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Current and Emerging Technologies for Supporting Successful Aging
Rogers, W. A., Blocker, K. A., & Dupuy, L. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108552684.044 · Cited by 4 · see citing works
Falzarano, F. B., Lucius-Milliman, D., Ceruso, M., & Czaja, S. J. (2024) · Journal of Applied Gerontology · doi:10.1177/07334648241248294 · Cited by 4 · see citing works
Self-citationAlfaro, A. J., Wielgosz, J., Kuhn, E. R., Carlson, C., & Gould, C. E. (2023) · Journal of Clinical Psychology · doi:10.1002/jclp.23636 · Cited by 4 · see citing works
Rosen, T., Shaw, A. L., Elman, A., Baek, D., Gottesman, E., Park, S., Costantini, H., Hincapie, M. C., Moxley, J. H., Ceruso, M., et al. (2025) · BMJ Open · doi:10.1136/bmjopen-2024-085172 · Cited by 2 · see citing works
Self-citationGould, C. E., Zapata, A. M. L., Shinsky, D. N., & Goldstein, M. K. (2017) · Educational Gerontology · doi:10.1080/03601277.2017.1395986 · Cited by 2 · see citing works
Zhang, S.-H., Dieciuc, M. A., Dilanchian, A. T., Lustria, M., Carr, D., Terracciano, A., He, Z., Chakraborty, S., Charness, N., & Boot, W. (2025) · Contemporary Clinical Trials · doi:10.1016/j.cct.2025.108056 · Cited by 1 · see citing works
Self-citationBoot, W. R., Sharit, J., Czaja, S. J., Charness, N. H., & Rogers, W. A. (2016) · Lecture notes in computer science · doi:10.1007/978-3-319-39949-2_29 · Cited by 1 · see citing works
Self-citationAging, mind and brain: A human factors engineering perspective
Czaja, S. (2017) · doi:10.1002/9781118772034.ch30
Self-citationGitlin, L. N., & Hodgson, N. A. (2018) · Elsevier eBooks · doi:10.1016/b978-0-12-811928-0.00008-9
Pech, M., Gbessemehlan, A., Dupuy, L., Sauzeon, H., Lafitte, S., Bachelet, P., Amieva, H., & Pérès, K. (2022) · doi:10.2196/preprints.39185
Selecting, recruiting, and retaining study participants
Gitlin, L. N., & Czaja, S. J. (2025) · Elsevier eBooks · doi:10.1016/b978-0-443-21664-0.00037-4
Self-citationPublishing: A key component of behavioral intervention research
Gitlin, L. N., & Czaja, S. J. (2025) · Elsevier eBooks · doi:10.1016/b978-0-443-21664-0.00031-3
Self-citationGitlin, L. N., & Czaja, S. J. (2025) · Elsevier eBooks · doi:10.1016/b978-0-443-21664-0.00046-5
Self-citationGitlin, L. N., & Czaja, S. J. (2025) · Elsevier eBooks · doi:10.1016/b978-0-443-21664-0.00012-x
Self-citationApproaches for developing and advancing effective interventions
Gitlin, L. N., & Czaja, S. J. (2025) · Elsevier eBooks · doi:10.1016/b978-0-443-21664-0.00048-9
Self-citationAssessment Considerations in Older Adults
Sadowski, C. A. (2025) · Springer eBooks · doi:10.1007/978-3-032-10050-4_29
- Authors
- Czaja, S. J., Boot, W. R., Charness, N., A. Rogers, W., Sharit, J., Fisk, A. D., Lee, C. C., & Nair, S. N.
- Affiliations
- University of Miami (US)
- Florida State University (US)
- Georgia Institute of Technology (US)
- Venue
- Contemporary Clinical Trials
- Publisher
- Elsevier BV
- Published
- 2015-01
- Volume
- 40
- Pages
- 35-46
- ISSN
- 1551-7144 (ISSN-L)
- PMC
- PMC4314316
- OpenAlex
- W2029439589
- Cited by
- 58
- References
- 59
- Citations by year
- 2025: 9 · 2024: 4 · 2023: 6 · 2022: 5 · 2021: 5 · 2020: 6 · 2019: 2 · 2018: 10 · 2017: 2 · 2016: 7 · 2015: 1 · 2014: 1
- FWCI
- 10.12
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Contemporary Clinical Trials (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (NIA 3 PO1 AG017211)
- National Institute on Aging (P01AG017211, 3 PO1 AG017211)
- Topics
- Social Sciences › Demography › Technology Use by Older Adults
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Social Sciences › Psychology › Social Psychology › Social Robot Interaction and HRI
- Keywords
- older adults, social isolation, social support, social connectedness, technology for older people, user-centered design, technology adoption, computer proficiency, attitudes toward technology, well-being, living alone, memory support, leisure
- MeSH terms
- Aged, Aged, 80 and over, Attitude to Computers, Female, Humans, Health Knowledge, Attitudes, Practice, Loneliness, Male, Memory, Quality of Life, Research Design, Self Care, Social Support, Software Design, Reminder Systems, Social Participation
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