FindMyApps eHealth intervention improves quality, not quantity, of home tablet use by people with dementia

David P. Neal; Leanne Kuiper; Daniela Pistone; Channah Osinga; Sanne Nijland; Teake Ettema; Karin Dijkstra; Majon Muller; Rose Marie Dröes

doi:10.3389/fmed.2023.1152077

FindMyApps eHealth intervention improves quality, not quantity, of home tablet use by people with dementia

David P. Neal^*, Leanne Kuiper, Daniela Pistone, Channah Osinga, Sanne Nijland, Teake Ettema, Karin Dijkstra, Majon Muller, Rose Marie Dröes

^*Corresponding author for this work

Clinical Neuropsychology

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

INTRODUCTION: FindMyApps is a tablet-based eHealth intervention, designed to improve social health in people with mild dementia or mild cognitive impairment.

METHODS: FindMyApps has been subject to a randomized controlled trial (RCT), Netherlands Trial Register NL8157. Following UK Medical Research Council guidance, a mixed methods process evaluation was conducted. The goal was to investigate the quantity and quality of tablet use during the RCT, and which context, implementation, and mechanisms of impact (usability, learnability and adoption) factors might have influenced this. For the RCT, 150 community dwelling people with dementia and their caregivers were recruited in the Netherlands. For the process evaluation, tablet-use data were collected by proxy-report instrument from all participants' caregivers, FindMyApps app-use data were registered using analytics software among all experimental arm participants, and semi-structured interviews (SSIs) were conducted with a purposively selected sample of participant-caregiver dyads. Quantitative data were summarized and between group differences were analyzed, and qualitative data underwent thematic analysis.

RESULTS: There was a trend for experimental arm participants to download more apps, but there were no statistically significant differences between experimental and control arm participants regarding quantity of tablet use. Qualitative data revealed that experimental arm participants experienced the intervention as easier to use and learn, and more useful and fun than control arm participants. Adoption of tablet app use was lower than anticipated in both arms.

CONCLUSIONS: A number of context, implementation and mechanism of impact factors were identified, which might explain these results and may inform interpretation of the pending RCT main effect results. FindMyApps seems to have had more impact on the quality than quantity of home tablet use.

Original language	English
Article number	1152077
Pages (from-to)	1152077
Journal	Frontiers in medicine
Volume	10
DOIs	https://doi.org/10.3389/fmed.2023.1152077 https://doi.org/10.3389/fmed.2023.1152077
Publication status	Published - 2023

Bibliographical note

Funding Information:
This research was carried out within the framework of the Dementia: Intersectorial Strategy for Training and Innovation Network for Current Technology (DISTINCT) Innovative Training Network, which received funding from the European Union's Horizon 2020 research and innovation program under the Marie Sklodowska-Curie grant agreement 813196.

Publisher Copyright:
Copyright © 2023 Neal, Kuiper, Pistone, Osinga, Nijland, Ettema, Dijkstra, Muller and Dröes.

Funding

This research was carried out within the framework of the Dementia: Intersectorial Strategy for Training and Innovation Network for Current Technology (DISTINCT) Innovative Training Network, which received funding from the European Union's Horizon 2020 research and innovation program under the Marie Sklodowska-Curie grant agreement 813196.

Funders	Funder number
Horizon 2020	813196

Keywords

clinical trial
dementia
eHealth
process evaluation
social health

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Neal, D. P., Kuiper, L., Pistone, D., Osinga, C., Nijland, S., Ettema, T., Dijkstra, K., Muller, M., & Dröes, R. M. (2023). FindMyApps eHealth intervention improves quality, not quantity, of home tablet use by people with dementia. Frontiers in medicine, 10, 1152077. Article 1152077. https://doi.org/10.3389/fmed.2023.1152077, https://doi.org/10.3389/fmed.2023.1152077

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abstract = "INTRODUCTION: FindMyApps is a tablet-based eHealth intervention, designed to improve social health in people with mild dementia or mild cognitive impairment.METHODS: FindMyApps has been subject to a randomized controlled trial (RCT), Netherlands Trial Register NL8157. Following UK Medical Research Council guidance, a mixed methods process evaluation was conducted. The goal was to investigate the quantity and quality of tablet use during the RCT, and which context, implementation, and mechanisms of impact (usability, learnability and adoption) factors might have influenced this. For the RCT, 150 community dwelling people with dementia and their caregivers were recruited in the Netherlands. For the process evaluation, tablet-use data were collected by proxy-report instrument from all participants' caregivers, FindMyApps app-use data were registered using analytics software among all experimental arm participants, and semi-structured interviews (SSIs) were conducted with a purposively selected sample of participant-caregiver dyads. Quantitative data were summarized and between group differences were analyzed, and qualitative data underwent thematic analysis.RESULTS: There was a trend for experimental arm participants to download more apps, but there were no statistically significant differences between experimental and control arm participants regarding quantity of tablet use. Qualitative data revealed that experimental arm participants experienced the intervention as easier to use and learn, and more useful and fun than control arm participants. Adoption of tablet app use was lower than anticipated in both arms.CONCLUSIONS: A number of context, implementation and mechanism of impact factors were identified, which might explain these results and may inform interpretation of the pending RCT main effect results. FindMyApps seems to have had more impact on the quality than quantity of home tablet use.",

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author = "Neal, {David P.} and Leanne Kuiper and Daniela Pistone and Channah Osinga and Sanne Nijland and Teake Ettema and Karin Dijkstra and Majon Muller and Dr{\"o}es, {Rose Marie}",

note = "Funding Information: This research was carried out within the framework of the Dementia: Intersectorial Strategy for Training and Innovation Network for Current Technology (DISTINCT) Innovative Training Network, which received funding from the European Union's Horizon 2020 research and innovation program under the Marie Sklodowska-Curie grant agreement 813196. Publisher Copyright: Copyright {\textcopyright} 2023 Neal, Kuiper, Pistone, Osinga, Nijland, Ettema, Dijkstra, Muller and Dr{\"o}es.",

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AU - Neal, David P.

AU - Kuiper, Leanne

AU - Pistone, Daniela

AU - Osinga, Channah

AU - Nijland, Sanne

AU - Ettema, Teake

AU - Dijkstra, Karin

AU - Muller, Majon

AU - Dröes, Rose Marie

N1 - Funding Information: This research was carried out within the framework of the Dementia: Intersectorial Strategy for Training and Innovation Network for Current Technology (DISTINCT) Innovative Training Network, which received funding from the European Union's Horizon 2020 research and innovation program under the Marie Sklodowska-Curie grant agreement 813196. Publisher Copyright: Copyright © 2023 Neal, Kuiper, Pistone, Osinga, Nijland, Ettema, Dijkstra, Muller and Dröes.

PY - 2023

Y1 - 2023

N2 - INTRODUCTION: FindMyApps is a tablet-based eHealth intervention, designed to improve social health in people with mild dementia or mild cognitive impairment.METHODS: FindMyApps has been subject to a randomized controlled trial (RCT), Netherlands Trial Register NL8157. Following UK Medical Research Council guidance, a mixed methods process evaluation was conducted. The goal was to investigate the quantity and quality of tablet use during the RCT, and which context, implementation, and mechanisms of impact (usability, learnability and adoption) factors might have influenced this. For the RCT, 150 community dwelling people with dementia and their caregivers were recruited in the Netherlands. For the process evaluation, tablet-use data were collected by proxy-report instrument from all participants' caregivers, FindMyApps app-use data were registered using analytics software among all experimental arm participants, and semi-structured interviews (SSIs) were conducted with a purposively selected sample of participant-caregiver dyads. Quantitative data were summarized and between group differences were analyzed, and qualitative data underwent thematic analysis.RESULTS: There was a trend for experimental arm participants to download more apps, but there were no statistically significant differences between experimental and control arm participants regarding quantity of tablet use. Qualitative data revealed that experimental arm participants experienced the intervention as easier to use and learn, and more useful and fun than control arm participants. Adoption of tablet app use was lower than anticipated in both arms.CONCLUSIONS: A number of context, implementation and mechanism of impact factors were identified, which might explain these results and may inform interpretation of the pending RCT main effect results. FindMyApps seems to have had more impact on the quality than quantity of home tablet use.

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FindMyApps eHealth intervention improves quality, not quantity, of home tablet use by people with dementia

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