Family carers’ needs related to management of functional disability in dementia care and use of mHealth applications in health information seeking: An online survey

Rathnayake, Sarath; Moyle, Wendy; Jones, Cindy; Calleja, Pauline

doi:10.1016/j.colegn.2019.09.001

Cited by 10 publications

(18 citation statements)

References 59 publications

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“…However, social support is another construct relevant to older adults’ technology adoption that reflects the quality of social relationships [ 67 , 68 ] and may affect caregivers’ adoption of mHealth apps. For example, previous qualitative studies have suggested that some dementia caregivers have poor technology literacy and rely on family to assist with using technology [ 68 , 69 ], although quantitative studies have found that dementia caregivers have good eHealth literacy [ 21 ]. A recent cross-sectional study supported that both subjective norm and social relationships were significant correlates of the intention to adopt mHealth apps among older adults [ 70 ].…”

Section: Discussionmentioning

confidence: 99%

“…mHealth strategies are effective in improving self-management and health outcomes of persons living with diabetes, mental health conditions, and cancer, among other chronic conditions [ 16 - 19 ]. However, family caregivers are less likely to use mobile apps for health-related needs than the general population [ 20 ], and fewer than 50% of the dementia caregivers use mHealth apps for their own health [ 21 ]. The reasons for these findings are largely unknown and require additional study [ 20 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

“…However, family caregivers are less likely to use mobile apps for health-related needs than the general population [ 20 ], and fewer than 50% of the dementia caregivers use mHealth apps for their own health [ 21 ]. The reasons for these findings are largely unknown and require additional study [ 20 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

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Factors Associated With Intention to Adopt mHealth Apps Among Dementia Caregivers With a Chronic Condition: Cross-sectional, Correlational Study

Mendez

Budhathoki

Labrique

et al. 2021

JMIR Mhealth Uhealth

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Background In the United States, nearly 80% of family caregivers of people with dementia have at least one chronic condition. Dementia caregivers experience high stress and burden that adversely affect their health and self-management. mHealth apps can improve health and self-management among dementia caregivers with a chronic condition. However, mHealth app adoption by dementia caregivers is low, and reasons for this are not well understood. Objective The purpose of this study is to explore factors associated with dementia caregivers’ intention to adopt mHealth apps for chronic disease self-management. Methods We conducted a cross-sectional, correlational study and recruited a convenience sample of dementia caregivers. We created a survey using validated instruments and collected data through computer-assisted telephone interviews and web-based surveys. Before the COVID-19 pandemic, we recruited dementia caregivers through community-based strategies, such as attending community events. After nationwide closures due to the pandemic, the team focused on web-based recruitment. Multiple logistic regression analyses were used to test the relationships between the independent and dependent variables. Results Our sample of 117 caregivers had an average age of 53 (SD 17.4) years, 16 (SD 3.3) years of education, and 4 (SD 2.5) chronic conditions. The caregivers were predominantly women (92/117, 78.6%) and minorities (63/117, 53.8%), experienced some to extreme income difficulties (64/117, 54.7%), and were the child or child-in-law (53/117, 45.3%) of the person with dementia. In logistic regression models adjusting for the control variables, caregiver burden (odds ratio [OR] 1.3, 95% CI 0.57-2.8; P=.57), time spent caregiving per week (OR 1.7, 95% CI 0.77-3.9; P=.18), and burden of chronic disease and treatment (OR 2.3, 95% CI 0.91-5.7; P=.08) were not significantly associated with the intention to adopt mHealth apps. In the final multiple logistic regression model, only perceived usefulness (OR 23, 95% CI 5.6-97; P<.001) and the interaction term for caregivers’ education and burden of chronic disease and treatment (OR 31, 95% CI 2.2-430; P=.01) were significantly associated with their intention to adopt mHealth apps. Perceived ease of use (OR 2.4, 95% CI 0.67-8.7; P=.18) and social influence (OR 1.8, 95% CI 0.58-5.7; P=.31) were not significantly associated with the intention to adopt mHealth apps. Conclusions When designing mHealth app interventions for dementia caregivers with a chronic condition, it is important to consider caregivers’ perceptions about how well mHealth apps can help their self-management and which app features would be most useful for self-management. Caregiving factors may not be relevant to caregivers’ intention to adopt mHealth apps. This is promising because mHealth strategies may overcome barriers to caregivers’ self-management. Future research should investigate reasons why caregivers with a low education level and low burden of chronic disease and treatment have significantly lower intention to adopt mHealth apps for self-management.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Factors Associated With Intention to Adopt mHealth Apps Among Dementia Caregivers With a Chronic Condition: Cross-sectional, Correlational Study

Mendez

Budhathoki

Labrique

et al. 2021

JMIR Mhealth Uhealth

View full text Add to dashboard Cite

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“…Nowadays, evolving wireless mobile technologies such as mobile applications create various services such as m-banking, m-learning, m-paying, and mHealth that facilitate our lives (Al-Okaily et al 2020b, 2020cAlkhamees et al 2020;Al-Dmour et al 2020;Alsyouf 2020;Rathnayake et al 2020;Khassawneh 2014). Internet availability plays a critical role in accelerating platforms for different applications related to health informatics to provide faster health information services to consumers.…”

Section: Mhealthmentioning

confidence: 99%

Risk of Fear and Anxiety in Utilising Health App Surveillance Due to COVID-19: Gender Differences Analysis

Alsyouf

Masa’deh

Albugami

et al. 2021

Risks

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Although technology trends and acceptance have been considered crucial topics, limited research has examined stress-specific factors such as health anxiety in the context of the COVID-19 pandemic based on people’s attitudes toward a mobile health app using the Technology Acceptance Model (TAM). Accordingly, this study primarily highlights the psychological determinants stemming from the COVID-19 pandemic that affect the usage of a mobile health app. The study followed a cross-sectional design and adopted a snowball sampling technique to collect the data. The findings showed a significant association between perceived usefulness, perceived ease of use, and event-related fear and Tabaud App intention. The relationships between Tabaud App intention and COVID-19 anxiety on Tabaud App usage were also revealed. The study found a significant association between perceived ease of use and perceived usefulness. Additionally, the multi-group analysis showed that only two paths related to Tabaud App intention, perceived ease of use and perceived usefulness, differed significantly between males and females. Additionally, women experienced anxiety disorders more than men. The study contributes to the previous knowledge on the field by examining the psychological determinants resulting from the COVID-19 pandemic that influence using a mobile health app, namely, event-related fear and COVID-19 anxiety. The study results may help governments, health policymakers, and health organisations in Saudi Arabia contain the spread of the COVID-19 pandemic.

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“…In addition, group compositions vary within other groups, which may contribute to reducing biases, such as the effect of social desirability. Most of the participants in both stages of the study had high schooling (≥12 years) and previous experience in using electronic equipment with the Internet; therefore, the results do not reflect the perceptions of caregivers with lower schooling levels and who probably have less digital literacy (35,36). In fact, Teles et al (21) point out that it is possible that iSupport is more frequently used by a specific segment of caregivers of people who have dementia, such as more educated caregivers, secondary caregivers (less involved with care than primary caregivers) and caregivers with concomitant formal work activity.…”

Section: Discussionmentioning

confidence: 96%

ISupport-Brasil: Preliminary results of the usability and acceptability assessment by caregivers of people who have dementia

et al. 2022

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ObjectiveTo assess usability and acceptability of iSupport-Brasil (iSupport-BR) to virtually support family caregivers of people who have dementia.Materials and methodsIn the first stage, nine caregivers/former caregivers assessed the interface of the platform that hosts iSupport-BR. In the second stage, 10 caregivers assessed acceptability of the platform and answered the System Usability Scale (SUS), which varies from 0 to 100 points. A descriptive analysis of the quantitative data was performed, as well as a thematic analysis on the open questions. All the ethical aspects were respected.ResultsThe results of the first stage indicated a user-friendly interface of the system and relevant content of the program, with 55.6 and 77.8% of the participants assigning the maximum grade to these questions, respectively. Of the five possible points, the system’s mean score was 3.7. In Stage 2, 80% of the caregivers rated the program as very useful and 100% would recommend it to other caregivers. Perception of the program’s usability by the SUS scale was excellent (M = 86.5 ± 11.5).ConclusionThis research allowed elaborating the final version of iSupport-BR, considering usability and acceptability of the platform and the program for computers/notebooks, being a pioneer in evaluating it for use in smartphones. Future research studies will have to assess the effects of iSupport-BR on the caregivers’ mental health.

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Family carers’ needs related to management of functional disability in dementia care and use of mHealth applications in health information seeking: An online survey

Cited by 10 publications

References 59 publications

Factors Associated With Intention to Adopt mHealth Apps Among Dementia Caregivers With a Chronic Condition: Cross-sectional, Correlational Study

Factors Associated With Intention to Adopt mHealth Apps Among Dementia Caregivers With a Chronic Condition: Cross-sectional, Correlational Study

Risk of Fear and Anxiety in Utilising Health App Surveillance Due to COVID-19: Gender Differences Analysis

ISupport-Brasil: Preliminary results of the usability and acceptability assessment by caregivers of people who have dementia

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