Ecological Momentary Assessment Within a Digital Health Intervention for Reminiscence in Persons With Dementia and Caregivers: User Engagement Study
| Autor: | Deborah Goode, Claire McCauley, Assumpta Ryan, Raymond Bond, Elizabeth A. Laird, Maurice Mulvenna, Courtney Potts |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
Evening Ecological Momentary Assessment Population Psychological intervention carers Health Informatics Information technology 03 medical and health sciences 0302 clinical medicine EMA Intervention (counseling) Reminiscence Humans Generalizability theory 030212 general & internal medicine event logging education behaviour analytics mHealth app Aged reminiscence Aged 80 and over education.field_of_study Original Paper Ecology T58.5-58.64 Digital health Caregivers Research Design Dementia Female Public aspects of medicine RA1-1270 Psychology reminiscing 030217 neurology & neurosurgery |
| Zdroj: | JMIR mHealth and uHealth JMIR mHealth and uHealth, Vol 8, Iss 7, p e17120 (2020) |
| ISSN: | 2291-5222 |
| Popis: | BackgroundUser-interaction event logs provide rich and large data sets that can provide valuable insights into how people engage with technology. Approaches such as ecological momentary assessment (EMA) can be used to gather accurate real-time data in an individual’s natural environment by asking questions at any given instant.ObjectiveThe purpose of this study was to evaluate user engagement and responses to EMA questions using InspireD, an app used for reminiscence by persons with dementia and their caregivers. Research findings can be used to inform EMA use within digital health interventions.MethodsA feasibility trial was conducted in which participants (n=56) used the InspireD app over a 12-week period. Participants were a mean age of 73 (SD 13) and were either persons with dementia (n=28) or their caregivers (n=28). Questions, which they could either answer or choose to dismiss, were presented to participants at various instants after reminiscence with personal or generic photos, videos, and music. Presentation and dismissal rates for questions were compared by hour of the day and by trial week to investigate user engagement.ResultsOverall engagement was high, with 69.1% of questions answered when presented. Questions that were presented in the evening had the lowest dismissal rate; the dismissal rate for questions presented at 9 PM was significantly lower than the dismissal rate for questions presented at 11 AM (9 PM: 10%; 11 AM: 50%; χ21=21.4, PConclusionsThe main limitation of our study was the lack of generalizability of results to a larger population given the quasi-experimental design and older demographic where half of participants were persons with dementia; however, this study shows that older people are willing to participate and engage in EMA. Based on this study, we propose a series of recommendations for app design to increase user engagement with EMA. These include presenting questions no more than once per day, after 8 PM in the evening, and only if the user is not trying to complete a task within the app. |
| Databáze: | OpenAIRE |
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