Usability and acceptability of internet-based interventions for family carers of people living with dementia: systematic review

Ottaviani, Ana Carolina; Monteiro, Diana Quirino; Oliveira, Déborah; Gratão, Aline Cristina Martins; Jacinto, Alessandro Ferrari; Campos, Camila Rafael Ferreira; Barham, Elizabeth Joan; Orlandi, Fabiana de Souza; Cruz, Keila Cristianne Trindade da; Corrêa, Larissa Rosa; Zazzetta, Marisa Silvana; Pavarini, Sofía Cristina Iost

doi:10.1080/13607863.2021.1975095

Cited by 10 publications

(9 citation statements)

References 45 publications

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“…Despite the increasing number of online interventions developed in recent years, studies assessing the acceptability of those interventions remain scarce. A recent systematic review on usability and acceptability of internet-based interventions for family carers of people with dementia found that only three out of ten studies used qualitative interviews to explore carers’ in-depth views on acceptability (Ottaviani et al, 2021 ). None of those three interventions focused solely on psychological components; instead, their main focus was the provision of an online social support platform or education.…”

Section: Discussionmentioning

confidence: 99%

Internet-delivered guided self-help Acceptance and Commitment Therapy for family carers of people with dementia (iACT4CARERS): a qualitative study of carer views and acceptability

Contreras

Hout

Farquhar

et al. 2022

International Journal of Qualitative Studies on Health and Well

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Purpose To explore carers’ views and acceptability of internet-delivered, therapist-guided, self-help Acceptance and Commitment Therapy (ACT) for family carers of people with dementia (iACT4CARERS). Methods A qualitative approach with semi-structured interviews was employed with family carers (N = 23) taking part in a feasibility study of iACT4CARERS. The interviews were audio-recorded, transcribed and analysed using thematic analysis. Results Four overarching themes were identified: 1) usefulness and relevance of the content of the sessions, 2) sense of connectedness, 3) the impact of the intervention on participants and 4) acceptability of the online delivery. Positive carer experiences and intervention acceptability were facilitated by learning helpful ACT skills, perceiving the content of the session as relatable to the carers’ needs, feeling connected to other carers and the therapist during the intervention, noticing the benefits of the intervention and the user-friendliness of the online platform. Recommendations for a full-scale trial were identified, such as the inclusion of some “face-to-face” interactions (e.g., via video call) between carers and therapists to facilitate a bidirectional interaction and the provision of an additional aide-memoire to improve the learning experiences. Conclusion Overall, the intervention was acceptable to the family carers. The proposed recommendations should be considered in a full-scale trial.

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Section: Discussionmentioning

confidence: 99%

Internet-delivered guided self-help Acceptance and Commitment Therapy for family carers of people with dementia (iACT4CARERS): a qualitative study of carer views and acceptability

Contreras

Hout

Farquhar

et al. 2022

International Journal of Qualitative Studies on Health and Well

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“…The following were considered to assess acceptability: perception of usefulness (from 0 = not very useful to 10 = very useful), recommending the program to other caregivers (1 = yes, 2 = no), reasons that hindered using the program (lack of time/privacy/interest, death or change of residence of the person who has dementia, unexpected demands, difficulty concentrating, and no reason), preference regarding the program’s format (online, with professional, and printed), other suggestions and how they organized to use the program (open answer). This questionnaire was developed based on the review study by Ottaviani et al ( 17 ), in which it was investigated which variables are relevant for usability and acceptability in Internet-based interventions for caregivers of older adults.…”

Section: Methodsmentioning

confidence: 99%

“…A review study on the usability and acceptability of Internet-based interventions developed with caregivers of people who have dementia shows that, for the most part, they are effective, efficient and satisfactory, as well as being considered useful and acceptable by this population ( 17 ). Involvement of the target audience in the process of developing and implementing new technologies that use the Internet is extremely important to improve usability and acceptability of the program ( 14 ).…”

Section: Introductionmentioning

confidence: 99%

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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“…107 The demand for effective technologies to support caregivers will become more prominent. 52 Evidence suggests that family caregivers would adopt technologies in their care activities, 108 and this the adoption would be supported by the nurse and LTC staff before large implementation. 61,109 Thus, the design and implementation of mobile technologies should consider addressing caregiving needs and expectations, 110 which is critical because users have high expectations of new healthcare technologies.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Technology Acceptance of a Mobile Application to Support Family Caregivers in a Long-Term Care Facility

et al. 2022

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Background: Family caregivers are unpaid individuals who provide care to people with chronic conditions or disabilities. Family caregivers generally do not have formal care-related training. However, they are an essential source of care. Mobile technologies can benefit family caregivers by strengthening communication with care staff and supporting the monitoring of care recipients. Objective: We conducted a mixed-method study to evaluate the acceptance and usability of mobile technology called the Smart Care System. Methods: Using convenience sampling, we recruited 27 family caregivers to evaluate the mobile Smart Care System. In the quantitative phase, we administered initial and exit questionnaires based on the Unified Theory of Acceptance and Use of Technology model. In the qualitative phase, we conducted focus groups to explore family caregivers’ perspectives and opinions on the usability of the mobile Smart Care System. With the quantitative data, we employed univariate, bivariate, and partial least squares analyses, and we used content analysis with the qualitative data. Results: We observed a high level of comfort using digital technologies among participants. On average, participants were caregivers for an average of 6.08 years (SD = 6.63), and their mean age was 56.65 years (SD = 11.62). We observed a high level of technology acceptance among family caregivers (7.69, SD = 2.11). Behavioral intention (β = 0.509, p-value = 0.004) and facilitating conditions (β = 0.310, p-value = 0.049) were statistically significant and related to usage behavior. In terms of qualitative results, participants reported that the mobile application supported care coordination and communication with staff and provided peace of mind to family caregivers. Conclusion: The technology showed a high technology acceptance and intention to use among family caregivers in a long-term care setting. Facilitating conditions influenced acceptance. Therefore, it would be important to identify and optimize these conditions to ensure technology uptake.

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Usability and acceptability of internet-based interventions for family carers of people living with dementia: systematic review

Cited by 10 publications

References 45 publications

Internet-delivered guided self-help Acceptance and Commitment Therapy for family carers of people with dementia (iACT4CARERS): a qualitative study of carer views and acceptability

Internet-delivered guided self-help Acceptance and Commitment Therapy for family carers of people with dementia (iACT4CARERS): a qualitative study of carer views and acceptability

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

Technology Acceptance of a Mobile Application to Support Family Caregivers in a Long-Term Care Facility

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