Centre for Nursing Research, Sector Health Care, Saxion University of Applied Sciences, Deventer, The Netherlands.
Department of Psychiatry, Amsterdam Public Health Institute, Amsterdam University Medical Centres, Location VUmc, Amsterdam, The Netherlands.
Disabil Rehabil Assist Technol. 2022 Jan;17(1):85-99. doi: 10.1080/17483107.2020.1765420. Epub 2020 Jun 19.
We tested the feasibility, implementation strategy and mechanism of impact of FindMyApps. FindMyApps is a tablet intervention consisting of a selection tool to help people with dementia find usable apps for self-management and meaningful activities, including training to support informal carers in employing errorless learning principles to help people with dementia learn tablet and tool usage.
We conducted an exploratory, pilot randomized controlled trial with a mixed-methods design. Twenty persons with mild dementia and carer dyads were randomly assigned to the FindMyApps group ( = 10), receiving either the FindMyApps training and selection tool, or a control condition ( = 10), receiving only a short tablet training. Pre- and post-test measurements at a three month follow-up, consisted of questionnaires and post-test semi-structured interviews.
The FindMyApps tool was mostly perceived as useful and easy to use. Persons with dementia were generally able to learn how to use the tool, though they regularly needed support from informal carers. Persons with dementia found apps through the tool, which they used regularly. Persons with dementia and informal carers were positive about the training and support they received. No significant differences were found on outcome measures of persons with dementia, but based on effect sizes FindMyApps is a promising intervention.
Qualitative results indicate that the FindMyApps intervention has the potential to positively influence the self-management abilities and engagement in meaningful activities of people with dementia. Remarks are made to improve the intervention and recommendations are given for future effectiveness studies.Implications for rehabilitationThe person-centred tablet intervention FindMyApps has the potential to positively influence the self-management and engagement in meaningful activities in people with dementia.Based on the input of persons with dementia and informal carers, the FindMyApps intervention and study procedure will be further improved and evaluated in terms of effectiveness in an RCT.
我们测试了 FindMyApps 的可行性、实施策略和影响机制。FindMyApps 是一种平板电脑干预措施，包括一个选择工具，帮助痴呆症患者找到可用于自我管理和有意义活动的应用程序，包括培训，以支持非专业护理人员运用无错误学习原则帮助痴呆症患者学习平板电脑和工具的使用。
我们采用混合方法设计进行了一项探索性、试点随机对照试验。20 名轻度痴呆症患者及其照护者配对随机分为 FindMyApps 组（n=10），接受 FindMyApps 培训和选择工具，或对照组（n=10），仅接受短期平板电脑培训。在三个月的随访中进行了预测试和后测试测量，包括问卷调查和后测试半结构化访谈。
FindMyApps 工具被认为是有用且易于使用的。痴呆症患者通常能够学习如何使用该工具，但他们经常需要非专业护理人员的支持。痴呆症患者通过该工具找到了应用程序，并经常使用。痴呆症患者和非专业护理人员对他们所接受的培训和支持表示肯定。在痴呆症患者的结果测量上没有发现显著差异，但根据效应大小，FindMyApps 是一种有前途的干预措施。
定性结果表明，FindMyApps 干预有可能积极影响痴呆症患者的自我管理能力和参与有意义的活动。对干预措施进行了改进，并提出了未来有效性研究的建议。
以患者为中心的平板电脑干预措施 FindMyApps 有可能积极影响痴呆症患者的自我管理和参与有意义的活动。
根据痴呆症患者和非专业护理人员的意见，将进一步改进 FindMyApps 干预措施，并在 RCT 中评估其有效性。
