Multi-part quality evaluation of a customized mobile application for monitoring elderly patients with functional loss and helping caregivers

Autor: Alexandre Sztajnberg, Matheus Costa Stutzel, Rosa Maria Esteves Moreira da Costa, Luciana Branco da Motta, Célia Pereira Caldas, Michel Pedro Filippo, André da Silva Brites
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
020205 medical informatics
Home Nursing
Mobile application
Health Informatics
Context (language use)
02 engineering and technology
lcsh:Computer applications to medicine. Medical informatics
Health informatics
Quality evaluation
SmaI
03 medical and health sciences
0302 clinical medicine
Nursing
Activities of Daily Living
0202 electrical engineering
electronic engineering
information engineering
Humans
Mobile technology
030212 general & internal medicine
Usability evaluation
Aged
Monitoring
Physiologic
Caregiver support
Internet
Attitude to Computers
Family caregivers
business.industry
Elderly monitoring
Communication
Health Policy
System usability scale
Usability
Focus Groups
Middle Aged
Mobile Applications
Focus group
Computer Science Applications
Caregivers
Chronic Disease
lcsh:R858-859.7
Female
Psychology
business
Research Article
Zdroj: BMC Medical Informatics and Decision Making, Vol 19, Iss 1, Pp 1-18 (2019)
BMC Medical Informatics and Decision Making
ISSN: 1472-6947
DOI: 10.1186/s12911-019-0839-3
Popis: Background The challenges faced by caregivers of the elderly with chronic diseases are always complex. In this context, mobile technologies have been used with promising results, but often have restricted functionality, or are either difficult to use or do not provide the necessary support to the caregiver - which leads to declining usage over time. Therefore, we developed the Mobile System for Elderly Monitoring, SMAI. The purpose of SMAI is to monitor patients with functional loss and to improve the support to caregivers’ communication with the health team professionals, informing them the data related to the patients’ daily lives, while providing the health team better tools. Method SMAI is composed of mobile applications developed for the caregivers and health team, and a web portal that supports management activities. Caregivers use an Android application to send information and receive care advice and feedback from the health team. The system was constructed using a refinement stage approach. Each stage involved caregivers and the health team in prototype release-test-assessment-refinement cycles. SMAI was evaluated during 18 months. We studied which features were being used the most, and their use pattern throughout the week. We also studied the users’ qualitative perceptions. Finally, the caregiver application was also evaluated for usability. Results SMAI functionalities showed to be very useful or useful to caregivers and health professionals. The Focus Group interviews reveled that among caregivers the use of the application gave them the sensation of being connected to the health team. The usability evaluation identified that the interface design and associated tasks were easy to use and the System Usability Scale, SUS, presented very good results. Conclusions In general, the use of SMAI represented a positive change for the family caregivers and for the NAI health team. The overall qualitative results indicate that the approach used to construct the system was appropriate to achieve the objectives.
Databáze: OpenAIRE
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