Perceived Need and Acceptability of an App to Support Activities of Daily Living in People With Cognitive Impairment and Their Carers: Pilot Survey Study

Bibliographic Details
Title: Perceived Need and Acceptability of an App to Support Activities of Daily Living in People With Cognitive Impairment and Their Carers: Pilot Survey Study
Authors: Lai, Rhoda, Tensil, Maria, Kurz, Alexander, Lautenschlager, Nicola T, Diehl-Schmid, Janine
Source: JMIR mHealth and uHealth, Vol 8, Iss 7, p e16928 (2020)
Publisher Information: JMIR Publications, 2020.
Publication Year: 2020
Collection: LCC:Information technology
LCC:Public aspects of medicine
Subject Terms: Information technology, T58.5-58.64, Public aspects of medicine, RA1-1270
More Details: BackgroundModern technologies, including smartphone apps, have the potential to assist people with cognitive impairment with activities of daily living, allowing them to maintain their independence and reduce carer burden. However, such tools have seen a slow rate of uptake in this population, and data on the acceptability of assistive technologies in this population are limited. ObjectiveThis pilot study included older adults with cognitive impairment and their carers, and explored the perceived needs for and acceptability of an app that was designed to be a simple assistive tool for activities of daily living. In particular, this study aimed to assess the acceptability of common app functions such as communication, reminder, navigation, and emergency tools in this population, and to compare patients’ and carers’ responses to them. MethodsA total of 24 German participants with mild cognitive impairment or dementia and their family carers separately completed two short questionnaires. The first questionnaire asked the participants with cognitive impairment and their carers to self-rate the patients’ cognitive impairment levels and affinity to technology. Following a demonstration of the app, participants rated the usability and acceptability of the app and its functions in a second questionnaire. ResultsParticipants rated themselves as much less cognitively impaired than their carers did (P=.01), and insight into the level of support they received was low. The majority of the participants (19/24, 79%) and their carers (20/24, 83%) had low affinity to technology, and even after the demonstration, 63% (15/24) of the participants had low interest in using the app. A breakdown of acceptability responses by app function revealed that participants were more amenable to the reminder function, the emergency feature, and a wearable form of the app. Features that centered around carers monitoring participants’ movements were reported to be less acceptable to participants. ConclusionsThis study highlights the importance of focusing on acceptability and the consumer’s perceptions in the development of assistive technology for older adults with cognitive impairment. Participants showed an aversion to functions they perceived as eroding their independence, while functions that more closely aligned with independence and autonomy were perceived as more acceptable.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2291-5222
Relation: http://mhealth.jmir.org/2020/7/e16928/; https://doaj.org/toc/2291-5222
DOI: 10.2196/16928
Access URL: https://doaj.org/article/83cce0d4cdcc4c7ab0154ca3c350eadf
Accession Number: edsdoj.83cce0d4cdcc4c7ab0154ca3c350eadf
Database: Directory of Open Access Journals
More Details
ISSN:22915222
DOI:10.2196/16928
Published in:JMIR mHealth and uHealth
Language:English