A Usability Analysis on the Development of Caregiver Assessment Using Serious Gaming Technology (CAST) Version 2.0: A Research Update

Hughes, Jennifer; Evans, Joanna; Goodman, Garrett; Oliver, Alexandrea; Banerjee, Tanvi; Hughes, John G.; Lawhorne, Larry Wayne

doi:10.1080/15228835.2020.1861576

Cited by 3 publications

(11 citation statements)

References 27 publications

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“…The other standard questionnaires used in the studies were the Single Ease Question and Mobile Phone Usability Questionnaire [64,67]. Qualitative methods were also used in the form of audio [45,47,55,59,69,74,75,80,87], field notes [45,47,69,80], or video-recorded [62] interviews and focus groups [47,60,67,75]. In addition, several methods were used for the observational approach, which included think aloud [64,71,78], field notes, and audio [50,55,57,64] or video recordings [55,62,64,67,72,82].…”

Section: Research Aim 3: Methodologies Used For the Usability Evaluat...mentioning

confidence: 99%

“…Half (22/44, 50%) of the studies included both people living with dementia and informal caregivers. A total of 27% (12/44) of the studies recruited only people living with dementia, and 18% (8/44) of the studies [46,[66][67][68]71,75,79,80] involved only caregivers. A total of 5% (2/44) of the studies [76,81] did not specify the participant type, one of which [76] combined participants with cognitive impairment, whereas the other [81] did not specify whether the participants were informal caregivers or people living with dementia.…”

Section: Participant Attributesmentioning

confidence: 99%

“…A total of 76% (38/50) of the apps were used specifically for people living with dementia, whereas 12% (6/50) were developed solely for caregivers [66,67,74,75,79,80] and 12% (6/50) were developed for both people living with dementia and their informal caregivers [60,68,71,82,84,85]. In total, 60% (30/50) of the apps had a single feature, meaning that an app served a single purpose, such as apps for reminders, reminiscence, or brain games [84].…”

Section: Overviewmentioning

confidence: 99%

“…The studies highlighted that apps should be intuitive to use [46,65,71,80], which could enhance the learnability of people living with dementia [65] and facilitate independent app use [61]. The text and icons should be large enough to improve readability for people living with dementia and older adults, especially individuals with vision problems [50,52,61,71,88] The button should have dimensions, for example, a drop shadow or animation, to indicate to users that the button can be clicked or selected.…”

Section: App User Interfacementioning

confidence: 99%

“…Caregivers also indicated the importance of app flexibility in meeting their various needs [46,80]. The customization or personalization of an app is desired to suit a range of users.…”

Section: Personalization Of An Appmentioning

confidence: 99%

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Researched Apps Used in Dementia Care for People Living With Dementia and Their Informal Caregivers: Systematic Review on App Features, Security, and Usability

Ye,

Chu,

Bayat

et al. 2023

J Med Internet Res

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Background Studies have shown that mobile apps have the potential to serve as nonpharmacological interventions for dementia care, improving the quality of life of people living with dementia and their informal caregivers. However, little is known about the needs for and privacy aspects of these mobile apps in dementia care. Objective This review seeks to understand the landscape of existing mobile apps in dementia care for people living with dementia and their caregivers with respect to app features, usability testing, privacy, and security. Methods ACM Digital Library, Cochrane Central Register of Controlled Trials, Compendex, Embase, Inspec, Ovid MEDLINE, PsycINFO, and Scopus were searched. Studies were included if they included people with dementia living in the community, their informal caregivers, or both; focused on apps in dementia care using smartphones or tablet computers; and covered usability evaluation of the app. Records were independently screened, and 2 reviewers extracted the data. The Centre for Evidence-Based Medicine critical appraisal tool and Mixed Methods Appraisal Tool were used to assess the risk of bias in the included studies. Thematic synthesis was used, and the findings were summarized and tabulated based on each research aim. Results Overall, 44 studies were included in this review, with 39 (89%) published after 2015. In total, 50 apps were included in the study, with more apps developed for people living with dementia as end users compared with caregivers. Most studies (27/44, 61%) used tablet computers. The most common app feature was cognitive stimulation. This review presented 9 app usability themes: user interface, physical considerations, screen size, interaction challenges, meeting user needs, lack of self-awareness of app needs, stigma, technological inexperience, and technical support. In total, 5 methods (questionnaires, interviews, observations, logging, and focus groups) were used to evaluate usability. There was little focus on the privacy and security aspects, including data transfer and protection, of mobile apps for people living with dementia. Conclusions The limitations of this review include 1 reviewer conducting the full-text screening, its restriction to studies published in English, and the exclusion of apps that lacked empirical usability testing. As a result, there may be an incomplete representation of the available apps in the field of dementia care. However, this review highlights significant concerns related to the usability, privacy, and security of existing mobile apps for people living with dementia and their caregivers. The findings of this review provide a valuable framework to guide app developers and researchers in the areas of privacy policy development, app development strategies, and the importance of conducting thorough usability testing for their apps. By considering these factors, future work in this field can be advanced to enhance the quality and effectiveness of dementia care apps. Trial Registration PROSPERO CRD42020216141; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=216141 International Registered Report Identifier (IRRID) RR2-10.1159/000514838

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Section: Research Aim 3: Methodologies Used For the Usability Evaluat...mentioning

confidence: 99%

Section: Participant Attributesmentioning

confidence: 99%

Section: Overviewmentioning

confidence: 99%

Section: App User Interfacementioning

confidence: 99%

“…Caregivers also indicated the importance of app flexibility in meeting their various needs [46,80]. The customization or personalization of an app is desired to suit a range of users.…”

Section: Personalization Of An Appmentioning

confidence: 99%

See 3 more Smart Citations

Researched Apps Used in Dementia Care for People Living With Dementia and Their Informal Caregivers: Systematic Review on App Features, Security, and Usability

Ye,

Chu,

Bayat

et al. 2023

J Med Internet Res

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DigiTRAC: Qualitative insights from knowledge users to inform the development of a Digital Toolkit for enhancing resilience among multiple sclerosis caregivers

Fakolade,

Jackson,

Cardwell

et al. 2024

Multiple Sclerosis and Related Disorders

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Researched Apps Used in Dementia Care for People Living With Dementia and Their Informal Caregivers: Systematic Review on App Features, Security, and Usability (Preprint)

Ye¹,

Chu²,

Bayat³

et al. 2023

Preprint

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BACKGROUND Studies have shown that mobile applications (apps) have the potential to serve as a non-pharmacological intervention for dementia care and improve the quality of life of people living with dementia (PLwD) and their informal caregivers. However, little is known about the needs and privacy aspects of these mobile apps in dementia care. OBJECTIVE This review sought to understand the landscape of existing mobile apps in dementia care for PLwD and their caregivers with respect to app features, usability testing, privacy and security. METHODS An extensive database search was conducted. Records were independently screened, and two reviewers abstracted data. Findings were summarized and tabulated based on each research aim. RESULTS Forty-four studies were included in this review, with 39 published after 2015. Fifty apps were included in the study, with more apps developed for PLwD as end-users compared to caregivers. Eight themes that contributed to app usability were found. Five methods (questionnaires, interviews, observations, logging, and focus groups) were used to evaluate usability. The reliability of usability testing may be improved by using objective measures. There was little focus on the privacy and security aspects, including the data transfer and protection, of mobile applications for PLwD. CONCLUSIONS This review highlighted key issues related to usability, privacy and security of existing mobile apps for PLwD and their caregivers. To advance future work, our findings provide a guiding framework to app developers/researchers for their privacy policy generation, app development strategy, and usability testing of their app. CLINICALTRIAL CRD42020216141 INTERNATIONAL REGISTERED REPORT RR2-10.1159/000514838

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A Usability Analysis on the Development of Caregiver Assessment Using Serious Gaming Technology (CAST) Version 2.0: A Research Update

Cited by 3 publications

References 27 publications

Researched Apps Used in Dementia Care for People Living With Dementia and Their Informal Caregivers: Systematic Review on App Features, Security, and Usability

Researched Apps Used in Dementia Care for People Living With Dementia and Their Informal Caregivers: Systematic Review on App Features, Security, and Usability

DigiTRAC: Qualitative insights from knowledge users to inform the development of a Digital Toolkit for enhancing resilience among multiple sclerosis caregivers

Researched Apps Used in Dementia Care for People Living With Dementia and Their Informal Caregivers: Systematic Review on App Features, Security, and Usability (Preprint)

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