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GamePlan4Care,一种基于网络的针对痴呆症患者家庭照顾者的增强阿尔茨海默病照顾者健康II干预资源改编版:形成性、定性可用性测试研究。

GamePlan4Care, a Web-Based Adaptation of the Resources for Enhancing Alzheimer's Caregiver Health II Intervention for Family Caregivers of Persons Living With Dementia: Formative, Qualitative Usability Testing Study.

作者信息

Cho Jinmyoung, Birchfield Thomas, Thorud Jennifer L, Ory Marcia G, Stevens Alan B

机构信息

Center for Applied Health Research, Baylor Scott & White Research Institute, 2401 S 31st St, Temple, TX, 76508, United States, 1 2542159795.

Saint Louis University School of Medicine, St. Louis, MO, United States.

出版信息

JMIR Form Res. 2025 Jul 11;9:e60143. doi: 10.2196/60143.


DOI:10.2196/60143
PMID:40654018
Abstract

BACKGROUND: The negative consequences of caregiving can be mitigated by providing caregivers with support programs that increase their dementia care skills and provide emotional and tangible support. Web-based technology can increase the availability of evidence-based caregiver interventions. GamePlan4Care (GP4C) is a web-based adaptation of the Resources for Enhancing Alzheimer's Caregiver Health II (REACH II) intervention, redesigned and reformatted for web-based delivery. OBJECTIVE: The goal of GP4C is to create a web-based family caregiver support platform that facilitates self-directed exposure to evidence-based skills training and support for caregivers of persons living with dementia. This multidimensional approach of using technology enhanced with live support has the potential for improved scalability and sustainability. In preparation for a randomized clinical trial of the new intervention, the GP4C platform underwent user interface/user experience (UI/UX) testing with caregivers as part of an iterative design process. METHODS: UI/UX testing of caregivers' reactions to technical and content-related aspects of the platform was conducted with 31 caregivers recruited through partnerships with community-based organizations in central Texas. Usability testing consisted of performing system tasks, answering open-ended questions on the tasks, and providing feedback on their experience with the platform. Two researchers used an inductive thematic approach to data analysis using transcripts of individual audio and screen-recorded sessions with each participant. The analysis consisted of 3 phases: data familiarization, coding, and theme formulation. RESULTS: In total, 18 participants tested technical-related aspects of the GP4C platform, and 13 participants tested content-related aspects. The average age of participants was 62 (SD 12.2, range 31-86). A majority of participants were female (27/31, 87.1%) and White or Caucasian (26/31, 83.1%) while almost one-third were Hispanic (10/31, 32.3%). The thematic analysis revealed 3 themes: supportive resources as a common theme, active engagement for technical aspects of the platform, and a comprehensive approach for content aspects of the platform. Participants also suggested changes in navigation and content. CONCLUSIONS: Findings from the usability testing sessions indicate that the platform provided engaging, useful content that the caregiver would continue to use, resonated with their caregiving experience, helped the caregivers think through their choices and emotions, and could be used to help communicate with the person living with dementia. Caregivers appreciated the personalization based on what they had already completed and the concept of having a Dementia Care Navigator when they needed additional help. Caregivers also provided multiple suggestions on how to improve the system, including changes for easier navigation and inclusiveness. This positive feedback indicates that with a few changes, the platform would be beneficial to meet the needs and provide resources for caregivers of persons living with dementia. The process of involving end users in usability testing during the development stage ensures that the finished tool will better meet users' expectations and current needs.

摘要

背景:通过为照护者提供支持项目来提高他们的痴呆症护理技能,并给予情感和实际支持,可以减轻照护带来的负面后果。基于网络的技术可以提高循证照护者干预措施的可及性。“关爱计划4照护”(GP4C)是对“增强阿尔茨海默病照护者健康资源II”(REACH II)干预措施的基于网络的改编版本,为基于网络的交付进行了重新设计和格式化。 目的:GP4C的目标是创建一个基于网络的家庭照护者支持平台,促进自我指导地接触循证技能培训,并为痴呆症患者的照护者提供支持。这种利用技术并辅以实时支持的多维度方法具有提高可扩展性和可持续性的潜力。在准备对新干预措施进行随机临床试验时,GP4C平台作为迭代设计过程的一部分,对照护者进行了用户界面/用户体验(UI/UX)测试。 方法:通过与德克萨斯州中部的社区组织合作招募了31名照护者,对他们对平台技术和内容相关方面的反应进行UI/UX测试。可用性测试包括执行系统任务、回答关于任务的开放式问题,以及提供对其平台体验的反馈。两名研究人员采用归纳主题法对与每位参与者的单独音频和屏幕录制会话的文字记录进行数据分析。分析包括三个阶段:数据熟悉、编码和主题形成。 结果:共有18名参与者测试了GP4C平台的技术相关方面,13名参与者测试了内容相关方面。参与者的平均年龄为62岁(标准差12.2,范围31 - 86岁)。大多数参与者为女性(27/31,87.1%),白人或高加索人(26/31,83.1%),而近三分之一是西班牙裔(10/31,32.3%)。主题分析揭示了三个主题:支持性资源这一共同主题、对平台技术方面的积极参与,以及对平台内容方面的综合方法。参与者还建议了导航和内容方面的更改。 结论:可用性测试环节的结果表明,该平台提供了引人入胜且有用的内容,照护者会继续使用,与他们的照护经历产生共鸣,帮助照护者思考他们的选择和情绪,并且可用于帮助与痴呆症患者进行沟通。照护者赞赏基于他们已完成内容的个性化设置以及在需要额外帮助时有痴呆症护理导航员的概念。照护者还就如何改进系统提供了多项建议,包括为便于导航和包容性而进行的更改。这种积极反馈表明,只需进行一些更改,该平台将有利于满足需求并为痴呆症患者的照护者提供资源。在开发阶段让最终用户参与可用性测试的过程可确保成品工具将更好地满足用户的期望和当前需求。

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本文引用的文献

[1]
2024 Alzheimer's disease facts and figures.

Alzheimers Dement. 2024-5

[2]
A Web-Based Intervention Based on Acceptance and Commitment Therapy for Family Caregivers of People With Dementia: Mixed Methods Feasibility Study.

JMIR Aging. 2024-4-4

[3]
Usability study of SOSteniamoci: An internet-based intervention platform to support informal caregivers in Italy.

Digit Health. 2024-1-15

[4]
Designing a Mobile e-Coaching App for Immigrant Informal Caregivers: Qualitative Study Using the Persuasive System Design Model.

JMIR Mhealth Uhealth. 2023-11-9

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JMIR Aging. 2023-9-6

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Disabil Rehabil Assist Technol. 2024-5

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JMIR Aging. 2023-4-5

[8]
Impact and Perceived Value of iGeriCare e-Learning Among Dementia Care Partners and Others: Pilot Evaluation Using the IAM4all Questionnaire.

JMIR Aging. 2022-12-22

[9]
eHealth and Web-Based Interventions for Informal Carers of People With Dementia in the Community: Umbrella Review.

J Med Internet Res. 2022-7-22

[10]
The Effectiveness of Multi-Component Interventions on the Positive and Negative Aspects of Well-Being among Informal Caregivers of People with Dementia: A Systematic Review and Meta-Analysis.

Int J Environ Res Public Health. 2022-6-7

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