Zheng Amy, Bergh Marissa, Patel Murali Komal, Sadarangani Tina
New York University Rory Meyers College of Nursing, New York, NY, United States.
Hartford Institute for Geriatric Nursing, New York University Rory Meyers College of Nursing, New York, NY, United States.
JMIR Form Res. 2024 Mar 1;8:e49492. doi: 10.2196/49492.
Adult day services (ADS) provide community-based health care for older adults with complex chronic conditions but rely on outdated methods for communicating users' health information with providers. CareMOBI, a novel mobile health (mHealth) app, was developed to address the need for a technological platform to improve bidirectional information exchange and communication between the ADS setting and providers.
This study aims to examine the feasibility and acceptability of CareMOBI in the ADS setting.
A concurrent-triangulation mixed methods design was used, and participants were client-facing ADS staff members, including direct care workers (paid caregivers), nurses, and social workers. Interviews were conducted to describe barriers and facilitators to the adoption of the CareMOBI app. The acceptability of the app was measured using an adapted version of the Technology Acceptance Model questionnaire. Data were integrated into 4 themes as anchors of an informational matrix: ease of use, clinical value, fit within workflow, and likelihood of adoption.
A mix of ADS staff (N=22) participated in the study. Participants reported high levels of acceptability across the 4 domains. Qualitative findings corroborated the questionnaire results; participants viewed the app as useful and were likely to implement CareMOBI in their practice. However, participants expressed a need for proper training and technical support throughout the implementation process.
The CareMOBI app has the potential to improve care management in the ADS setting by promoting effective communication through an easy-to-use and portable method. While the integration of CareMOBI is acceptable and feasible, developing role-specific training modules and technical assistance programs is imperative for successful implementation within the ADS setting.
成人日托服务（ADS）为患有复杂慢性病的老年人提供基于社区的医疗保健服务，但在与提供者沟通用户健康信息方面依赖过时的方法。CareMOBI是一款新型移动健康（mHealth）应用程序，旨在满足对技术平台的需求，以改善成人日托服务机构与提供者之间的双向信息交换和沟通。
本研究旨在检验CareMOBI在成人日托服务环境中的可行性和可接受性。
采用同步三角混合方法设计，参与者为面向客户的成人日托服务工作人员，包括直接护理人员（带薪护理员）、护士和社会工作者。进行访谈以描述采用CareMOBI应用程序的障碍和促进因素。使用技术接受模型问卷的改编版来衡量该应用程序的可接受性。数据被整合为4个主题，作为信息矩阵的锚点：易用性、临床价值、与工作流程的契合度以及采用的可能性。
共有22名成人日托服务工作人员参与了该研究。参与者在4个领域的可接受性水平都很高。定性研究结果证实了问卷调查结果；参与者认为该应用程序很有用，并可能在实践中使用CareMOBI。然而，参与者表示在整个实施过程中需要适当的培训和技术支持。
CareMOBI应用程序有可能通过一种易于使用且便于携带的方法促进有效沟通，从而改善成人日托服务环境中的护理管理。虽然CareMOBI的整合是可接受且可行的，但开发针对特定角色的培训模块和技术援助计划对于在成人日托服务环境中成功实施至关重要。
