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FindMyApps eHealth intervention improves quality, not quantity, of home tablet use by people with dementia

INTRODUCTION: FindMyApps is a tablet-based eHealth intervention, designed to improve social health in people with mild dementia or mild cognitive impairment. METHODS: FindMyApps has been subject to a randomized controlled trial (RCT), Netherlands Trial Register NL8157. Following UK Medical Research...

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Autores principales: Neal, David P., Kuiper, Leanne, Pistone, Daniela, Osinga, Channah, Nijland, Sanne, Ettema, Teake, Dijkstra, Karin, Muller, Majon, Dröes, Rose-Marie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10262310/
https://www.ncbi.nlm.nih.gov/pubmed/37324141
http://dx.doi.org/10.3389/fmed.2023.1152077
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author Neal, David P.
Kuiper, Leanne
Pistone, Daniela
Osinga, Channah
Nijland, Sanne
Ettema, Teake
Dijkstra, Karin
Muller, Majon
Dröes, Rose-Marie
author_facet Neal, David P.
Kuiper, Leanne
Pistone, Daniela
Osinga, Channah
Nijland, Sanne
Ettema, Teake
Dijkstra, Karin
Muller, Majon
Dröes, Rose-Marie
author_sort Neal, David P.
collection PubMed
description INTRODUCTION: FindMyApps is a tablet-based eHealth intervention, designed to improve social health in people with mild dementia or mild cognitive impairment. METHODS: FindMyApps has been subject to a randomized controlled trial (RCT), Netherlands Trial Register NL8157. Following UK Medical Research Council guidance, a mixed methods process evaluation was conducted. The goal was to investigate the quantity and quality of tablet use during the RCT, and which context, implementation, and mechanisms of impact (usability, learnability and adoption) factors might have influenced this. For the RCT, 150 community dwelling people with dementia and their caregivers were recruited in the Netherlands. For the process evaluation, tablet-use data were collected by proxy-report instrument from all participants' caregivers, FindMyApps app-use data were registered using analytics software among all experimental arm participants, and semi-structured interviews (SSIs) were conducted with a purposively selected sample of participant-caregiver dyads. Quantitative data were summarized and between group differences were analyzed, and qualitative data underwent thematic analysis. RESULTS: There was a trend for experimental arm participants to download more apps, but there were no statistically significant differences between experimental and control arm participants regarding quantity of tablet use. Qualitative data revealed that experimental arm participants experienced the intervention as easier to use and learn, and more useful and fun than control arm participants. Adoption of tablet app use was lower than anticipated in both arms. CONCLUSIONS: A number of context, implementation and mechanism of impact factors were identified, which might explain these results and may inform interpretation of the pending RCT main effect results. FindMyApps seems to have had more impact on the quality than quantity of home tablet use.
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spelling pubmed-102623102023-06-15 FindMyApps eHealth intervention improves quality, not quantity, of home tablet use by people with dementia Neal, David P. Kuiper, Leanne Pistone, Daniela Osinga, Channah Nijland, Sanne Ettema, Teake Dijkstra, Karin Muller, Majon Dröes, Rose-Marie Front Med (Lausanne) Medicine INTRODUCTION: FindMyApps is a tablet-based eHealth intervention, designed to improve social health in people with mild dementia or mild cognitive impairment. METHODS: FindMyApps has been subject to a randomized controlled trial (RCT), Netherlands Trial Register NL8157. Following UK Medical Research Council guidance, a mixed methods process evaluation was conducted. The goal was to investigate the quantity and quality of tablet use during the RCT, and which context, implementation, and mechanisms of impact (usability, learnability and adoption) factors might have influenced this. For the RCT, 150 community dwelling people with dementia and their caregivers were recruited in the Netherlands. For the process evaluation, tablet-use data were collected by proxy-report instrument from all participants' caregivers, FindMyApps app-use data were registered using analytics software among all experimental arm participants, and semi-structured interviews (SSIs) were conducted with a purposively selected sample of participant-caregiver dyads. Quantitative data were summarized and between group differences were analyzed, and qualitative data underwent thematic analysis. RESULTS: There was a trend for experimental arm participants to download more apps, but there were no statistically significant differences between experimental and control arm participants regarding quantity of tablet use. Qualitative data revealed that experimental arm participants experienced the intervention as easier to use and learn, and more useful and fun than control arm participants. Adoption of tablet app use was lower than anticipated in both arms. CONCLUSIONS: A number of context, implementation and mechanism of impact factors were identified, which might explain these results and may inform interpretation of the pending RCT main effect results. FindMyApps seems to have had more impact on the quality than quantity of home tablet use. Frontiers Media S.A. 2023-05-30 /pmc/articles/PMC10262310/ /pubmed/37324141 http://dx.doi.org/10.3389/fmed.2023.1152077 Text en Copyright © 2023 Neal, Kuiper, Pistone, Osinga, Nijland, Ettema, Dijkstra, Muller and Dröes. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medicine
Neal, David P.
Kuiper, Leanne
Pistone, Daniela
Osinga, Channah
Nijland, Sanne
Ettema, Teake
Dijkstra, Karin
Muller, Majon
Dröes, Rose-Marie
FindMyApps eHealth intervention improves quality, not quantity, of home tablet use by people with dementia
title FindMyApps eHealth intervention improves quality, not quantity, of home tablet use by people with dementia
title_full FindMyApps eHealth intervention improves quality, not quantity, of home tablet use by people with dementia
title_fullStr FindMyApps eHealth intervention improves quality, not quantity, of home tablet use by people with dementia
title_full_unstemmed FindMyApps eHealth intervention improves quality, not quantity, of home tablet use by people with dementia
title_short FindMyApps eHealth intervention improves quality, not quantity, of home tablet use by people with dementia
title_sort findmyapps ehealth intervention improves quality, not quantity, of home tablet use by people with dementia
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10262310/
https://www.ncbi.nlm.nih.gov/pubmed/37324141
http://dx.doi.org/10.3389/fmed.2023.1152077
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