scholarly journals Care Me Too: A Mobile App for Engaging Chinese Immigrant Caregivers in Self-Care and Its User-Experience Testing

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 100-100
Author(s):  
Mandong Liu ◽  
Tongge Jiang ◽  
Kexin Yu ◽  
Shinyi Wu ◽  
Maryalice Jordan-Marsh ◽  
...  
Keyword(s):  
User Experience ◽  
Self Care ◽  
Design Guidelines ◽  
Mobile App ◽  
Chinese Immigrant ◽  
Face To Face ◽  
Home Testing ◽  
App Design ◽  
Chinese Caregivers

Abstract Caregiving and self-care are challenging for Chinese immigrants in the U.S. due to limited accessible support and resources. The team developed a Care Me Too app for engaging Chinese immigrant caregivers in self-care and conducted a user-experience test to assess its usability and acceptability. The aims of this paper are to report the testing results and develop guidelines to support mHealth app design for immigrant caregiver populations. Twenty-two Chinese caregivers participated in the test, which consisted of two parts: in-lab testing and one-week at-home testing. In-depth face-to-face interviews and follow-up phone interviews were used to test the app’s usability and acceptability and solicit participants’ feedback for app design and functions. Directed content analysis was used to analyze testing transcripts. Participants reported uniformly positive ratings of usability and acceptability of the app and provided detailed suggestions for app improvement. We generated some mHealth app design guidelines, including weighing flexibility vs. targeting majority preferences, increasing text sizes, using colors effectively, providing engaging and playful visual designs and functions, simplifying navigation, simplifying login process, design functions to cater to the population’s context, etc. We concluded that culturally and linguistically appropriate mHealth apps are appealing to immigrant caregivers for health promotion.

scholarly journals Care Me Too, a Mobile App for Engaging Chinese Immigrant Caregivers in Self-Care: Qualitative Usability Study

10.2196/20325 ◽  
2020 ◽  
Vol 4 (12) ◽  
pp. e20325
Author(s):  
Mandong Liu ◽  
Tongge Jiang ◽  
Kexin Yu ◽  
Shinyi Wu ◽  
Maryalice Jordan-Marsh ◽  
...  
Keyword(s):  
User Experience ◽  
Associate Degree ◽  
Self Care ◽  
The United States ◽  
Mobile App ◽  
Chinese Immigrant ◽  
Face To Face ◽  
Home Testing ◽  
App Design ◽  
Chinese Caregivers

Background Caregiving and self-care are challenging for Chinese immigrants in the United States due to limited accessible support and resources. Few interventions exist to assist Chinese immigrant caregivers in better performing self-care. To address this gap in the literature, our team developed the Care Me Too app to engage Chinese immigrant caregivers in self-care and conducted a user experience test to assess its usability and acceptability. Objective This paper aims to report the results of the app’s usability and acceptability testing with Chinese immigrant caregivers and to solicit participants’ feedback of the app design and functions. Methods A total of 22 Mandarin-speaking Chinese caregivers participated in the study, which consisted of 2 parts: the in-lab testing and the 1-week at-home testing. In-depth face-to-face interviews and follow-up phone interviews were used to assess user experience of the app’s usability and acceptability and to solicit feedback for app design and functions. Directed content analysis was used to analyze the qualitative data. Results Among the 22 participants, the average age was 60.5 (SD 8.1) years, ranging from 46 to 80 years; 17 (77%) participants were women and 14 (64%) had an associate degree or higher. Participants reported uniformly positive ratings of the usability and acceptability of the app and provided detailed suggestions for app improvement. We generated guidelines for mobile health (mHealth) app designs targeting immigrant caregivers, including weighing flexibility versus majority preferences, increasing text sizes, using colors effectively, providing engaging and playful visual designs and functions, simplifying navigation, simplifying the log-in process, improving access to and the content on the help document, designing functions to cater to the population’s context, and ensuring offline access. Conclusions The main contribution of this study is the improved understanding of Chinese caregivers’ user experiences with a language-appropriate mHealth app for a population that lacks accessible caregiving and self-care resources and support. It is recommended that future researchers and app designers consider the proposed guidelines when developing mHealth apps for their population to enhance user experience and harness mHealth’s value.

scholarly journals Care Me Too, a Mobile App for Engaging Chinese Immigrant Caregivers in Self-Care: Qualitative Usability Study (Preprint)

2020 ◽  
Author(s):  
Mandong Liu ◽  
Tongge Jiang ◽  
Kexin Yu ◽  
Shinyi Wu ◽  
Maryalice Jordan-Marsh ◽  
...  
Keyword(s):  
User Experience ◽  
Associate Degree ◽  
Self Care ◽  
The United States ◽  
Mobile App ◽  
Chinese Immigrant ◽  
Face To Face ◽  
Home Testing ◽  
App Design ◽  
Chinese Caregivers

BACKGROUND Caregiving and self-care are challenging for Chinese immigrants in the United States due to limited accessible support and resources. Few interventions exist to assist Chinese immigrant caregivers in better performing self-care. To address this gap in the literature, our team developed the Care Me Too app to engage Chinese immigrant caregivers in self-care and conducted a user experience test to assess its usability and acceptability. OBJECTIVE This paper aims to report the results of the app’s usability and acceptability testing with Chinese immigrant caregivers and to solicit participants’ feedback of the app design and functions. METHODS A total of 22 Mandarin-speaking Chinese caregivers participated in the study, which consisted of 2 parts: the in-lab testing and the 1-week at-home testing. In-depth face-to-face interviews and follow-up phone interviews were used to assess user experience of the app’s usability and acceptability and to solicit feedback for app design and functions. Directed content analysis was used to analyze the qualitative data. RESULTS Among the 22 participants, the average age was 60.5 (SD 8.1) years, ranging from 46 to 80 years; 17 (77%) participants were women and 14 (64%) had an associate degree or higher. Participants reported uniformly positive ratings of the usability and acceptability of the app and provided detailed suggestions for app improvement. We generated guidelines for mobile health (mHealth) app designs targeting immigrant caregivers, including weighing flexibility versus majority preferences, increasing text sizes, using colors effectively, providing engaging and playful visual designs and functions, simplifying navigation, simplifying the log-in process, improving access to and the content on the help document, designing functions to cater to the population’s context, and ensuring offline access. CONCLUSIONS The main contribution of this study is the improved understanding of Chinese caregivers’ user experiences with a language-appropriate mHealth app for a population that lacks accessible caregiving and self-care resources and support. It is recommended that future researchers and app designers consider the proposed guidelines when developing mHealth apps for their population to enhance user experience and harness mHealth’s value.

Usability, user experience and acceptance evaluation of CAPACITY: a technological ecosystem for remote follow-up of frailty (Preprint)

2021 ◽  
Author(s):  
Rodrigo Pérez-Rodríguez ◽  
Elena Villalba-Mora ◽  
Myriam Valdés-Aragonés ◽  
Cristian Moral-Martos ◽  
Marta Mas-Romero ◽  
...  
Keyword(s):  
Adverse Events ◽  
User Experience ◽  
Older Persons ◽  
Research Work ◽  
Mobile App ◽  
Design Stage ◽  
Final Sample ◽  
System Usability Scale ◽  
Frail Older Persons

BACKGROUND Frailty is a highly prevalent condition that predisposes older persons to adverse events. According to the WHO, there is a pressing need to develop comprehensive community-based approaches, and to introduce interventions to prevent functional decline. In this regards, Information and Communication Technologies can play a crucial role to promote ageing in place, for instance by collecting fresh and periodic information on variables associated to poor health outcomes. The CAPACITY technological ecosystem tackles this problem, providing a means to remotely monitor variables with high predictive power for adverse events (ie, gait speed, muscle power and involuntary weight loss) that enable personalized early interventions aimed to prevent disability. OBJECTIVE This study aims to present a novel mobile app designed using a participatory methodology to be used by frail older persons to interact with the services offered by the CAPACITY technological ecosystem, Furthermore, this research work pursues evaluating its usability, user experience and acceptance. METHODS Usability, User Experience and acceptance were assessed at 3 different sampling points during 6 months of continued use of CAPACITY to receive a multicomponent intervention to prevent/reverse frailty. Usability was assessed using the System Usability Scale (SUS); User Experience using the User Experience Questionnaire (UEQ); and acceptance with the Technology Acceptance Model (TAM) and a customized quantitative questionnaire. Data were collected at baseline (recruitment), and after 3 and 6 months of use. RESULTS Forty-six participants used the technology for six months at their homes, and 9 dropped out during the follow-up, leaving a final sample of 37 subjects. All of them completed the questionnaires about usability, user experience and acceptance evaluation in the intermediate and final sample collection points; 25 subjects completed the whole evaluation set at baseline. Usability, measured as SUS reached a maximum averaged value of 83.68 after 6 months of use; no statistically significant values have been found to demonstrate that usability improves with use. User experience, measured as UEQ, obtained averages scores higher or very close to 2 in all 6 categories. Finally, acceptance in terms of TAM reached a maximum of 51.54 points, showing an improvement trend. CONCLUSIONS Results indicate the success of the participatory methodology, and support User Centered Design as the key methodology to follow when designing technologies for frail older persons. Involving potential end users and giving them voice during the design stage maximizes usability and acceptance.

scholarly journals Discerning Unmet Self-Care Need and Co-Design of a Mobile App With Chinese Immigrant Caregivers to Promote Self-Care

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 27-27
Author(s):  
Kexin Yu ◽  
Haojun Jiang ◽  
Mandong Liu ◽  
Shinyi Wu ◽  
Maryalice Jordan-Marsh ◽  
...  
Keyword(s):  
Mobile Technology ◽  
Self Care ◽  
The United States ◽  
Mobile App ◽  
Chinese Immigrant ◽  
Work Related ◽  
Care Recipients ◽  
Raising Awareness ◽  
Care Information ◽  
Technology Tool

Abstract Immigrant caregivers are the backbone for supporting frail older adults in the United States. However, caregivers' own self-care need is often neglected, especially among racial/ethnic minorities. In the current study, a co-design approach was employed to develop a mobile app for raising awareness and promoting behaviors of self-care among Chinese immigrant caregivers. Individual in-depth interviews conducted through two co-design phases, i.e., conceptual design and prototype design. Twelve caregiver participants voiced their unmet self-care need and expressed their opinions about adopting the co-designed mobile App to access self-care information. The unmet self-care need includes both self-care barriers and supportive resources, and App features the caregivers wish to have. Three self-care barriers were identified in the co-design interviews, including culture-specific stressors, immigrant-status related challenges, and work-related restrictions. Caregiver participants expressed that they wish the care recipients could have education on the boundaries between them and a caregiver. Additionally, the participants reported wanted to learn about handling care emergencies with the co-design app and would like to see short videos and stories included in the App. Participants expressed mixed opinions towards adopting mobile technology – while most of the participants appreciated the content provided, some were concerned that learning with mobile technology could add to their burdens, and technical difficulties could prevent them from using the App. Designing the App to be engaging and fun emerged as highly desirable. The co-design process appears to be beneficial in having participants to articulate both current self-care barriers and preference for a mobile technology tool.

Symptoms Experienced by Women at Home and Self-Care Agency after Breast-Conserving Surgery

2021 ◽  
pp. 108482232110117
Author(s):  
Gul Cankaya ◽  
Rabia Saglam
Keyword(s):  
Self Care ◽  
Breast Conserving Surgery ◽  
Wound Area ◽  
Face To Face ◽  
Symptom Check List ◽  
The Mean ◽  
Description Form ◽  
Care Agency ◽  
At Home

This study was conducted to determine the symptoms experienced by women at home and self-care agency after breast-conserving surgery. The study was carried out in a public hospital in Istanbul between January and June 2018. The sample of the study consisted of 65 women. The data were collected through face-to-face interviews using Patient Description Form, Symptom Check List and Self-Care Agency Scale during outpatient check-ups in the first and third weeks following discharge. The mean age of the women was 52.68 ± 13.24. Fatigue, weakness, pain and insomnia were mostly experienced symptoms in the first and third weeks after discharge while fever, discharge from the wound area and nausea-vomiting symptoms were the least experienced symptoms in these weeks. It was determined that women had moderate self-care agency in the first and third weeks of discharge. Women who were married and whose income was equal to their expenses had higher self-care agency, and those living alone had lower self-care agency than those living with their spouses and children ( p < 0.05). The self-care agency scores of those who did not have a chronic disease were higher than those with chronic diseases ( p < 0.05). It is found that women with breast-conserving surgery experience symptoms related to the operation in the first and third weeks of discharge. Women’s self care agency was moderate during the follow up period, meaning that these patients should be supported by nurses with regard to self care agency and symptoms experienced at home.

scholarly journals A Study to Develop and Evaluate the Effectiveness of a Mobile App: Samrudheart on Self-Care Management of a Patient with Heart Failure in Terms of Knowledge, Practice, and Adherence to Treatment among Heart Failure Patients in Safdarjung Hospital, New Delhi

2021 ◽  
Vol 11 (6) ◽  
pp. 234-248
Author(s):  
Poonam . ◽  
Madhumita Dey ◽  
R. G Mathur
Keyword(s):  
Heart Failure ◽  
Care Management ◽  
Self Care ◽  
Mobile App ◽  
New Delhi ◽  
Adherence To Treatment ◽  
Heart Failure Patients ◽  
Knowledge Practice ◽  
Safdarjung Hospital

Topic: A study to develop and evaluate the effectiveness of mobile app: Samrudheart on self-care management of patient with heart failure in terms of knowledge, practice, and adherence to treatment among heart failure patients in Safdarjung Hospital, New Delhi. Objectives: The objectives of the study were to develop and evaluate the effectiveness of mobile app: Samrudheart on self-care management of patient with heart failure, to assess and evaluate the knowledge, practice, and adherence to the treatment of heart failure patients, to find the relationship between knowledge, practice, and adherence to treatment after the administration of mobile app, on heart failure patients, to find the association between knowledge, practice, and adherence to treatment of heart failure patients after the administration of mobile app on selfcare management of heart failure with selected variables like age, sex, education status, family income, BMI, duration of illness, smoking, tobacco use, alcohol intake, lifestyle, diet, regular follow-up. Methodology: The research approach was the quasi-experimental approach. The Research design was one group pre-test and post-test control group design. The research setting selected for the study was cardiology OPD of VMMC and Safdarjung Hospital, New Delhi. The sample was comprised of (60) Heart Failure patients attending cardiology OPD. The independent variable in the study was a mobile app: Samrudheart and reminder call for adherence to treatment on self-care management of a patient with heart failure and the dependent variable was knowledge, practice, and adherence to treatment on self-care management of heart failure. The tool used for data collection were demographic data of sample characteristics, health determinant data of sample characteristics, structured knowledge questionnaire, structured practice checklist, structured adherence to the treatment rating scale, and structured opinionnaire. The KR-20, inter-observer and cronbach alpha formula was used to assess the reliability of tools. Results: Major findings of the study revealed that initially, the heart failure patients had poor knowledge, practice, and adherence to treatment on self-care management of heart failure. The mobile app was found to be effective in improving the knowledge, practice, and adherence to treatment of heart failure patients. There was no significant association between the knowledge, treatment adherence and not influenced by the selected variables except the practice scores are influenced by the regular follow up. Conclusion: Findings revealed that the mobile app: Samrudheart was found to be an effective strategy in improving the knowledge, practice, and adherence to treatment on self-care management of a patient with heart failure. Key words: Mobile App, Self-care management, Knowledge, Practice, Adherence, Heart Failure Patients.

Psychopathology 8½ Years Post Parasuicide

Crisis ◽  
1999 ◽  
Vol 20 (3) ◽  
pp. 115-120 ◽  
Author(s):  
Stephen Curran ◽  
Michael Fitzgerald ◽  
Vincent T Greene
Keyword(s):  
Rating Scales ◽  
Psychiatric Morbidity ◽  
Parental Bonding ◽  
Social Maladjustment ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Face To Face ◽  
Long Term Follow Up

There are few long-term follow-up studies of parasuicides incorporating face-to-face interviews. To date no study has evaluated the prevalence of psychiatric morbidity at long-term follow-up of parasuicides using diagnostic rating scales, nor has any study examined parental bonding issues in this population. We attempted a prospective follow-up of 85 parasuicide cases an average of 8½ years later. Psychiatric morbidity, social functioning, and recollections of the parenting style of their parents were assessed using the Clinical Interview Schedule, the Social Maladjustment Scale, and the Parental Bonding Instrument, respectively. Thirty-nine persons in total were interviewed, 19 of whom were well and 20 of whom had psychiatric morbidity. Five had died during the follow-up period, 3 by suicide. Migration, refusals, and untraceability were common. Parasuicide was associated with parental overprotection during childhood. Long-term outcome is poor, especially among those who engaged in repeated parasuicides.

Extended Routine Follow-up of Primary Uncomplicated Hip and Knee Arthroplasty is not Necessary

2019 ◽  
Vol 13 (1) ◽  
pp. 266-271
Author(s):  
Georgina Kakra Wartemberg ◽  
Thomas Goff ◽  
Simon Jones ◽  
James Newman
Keyword(s):  
Aseptic Loosening ◽  
Revision Surgery ◽  
Revision Arthroplasty ◽  
Cost Effective ◽  
Face To Face ◽  
Primary Surgery ◽  
Effective System ◽  
Knee Revision Surgery ◽  
Knee Revision

Aims: To create a more effective system to identify patients in need of revision surgery. Background: There are over 160,000 total hip and knee replacements performed per year in England and Wales. Currently, most trusts review patients for up to 10 years or more. When we consider the cost of prolonged reviews, we cannot justify the expenditure within a limited budget. Study Design & Methods: We reviewed all patients' notes that underwent primary hip and knee revision surgery at our institution, noting age, gender, symptoms at presentation, referral source, details of the surgery, reason for revision and follow up history from primary surgery. Results: There were 145 revision arthroplasties (60 THR and 85 TKR) that met our inclusion criteria. Within the hip arthroplasty group, indications for revision included aseptic loosening (37), dislocation (10), and infection (3), periprosthetic fracture, acetabular liner wear and implant failure. All thirty-seven patients with aseptic loosening presented with pain. Twenty-five were referred from general practice with new symptoms. The remaining were clinic follow-ups. The most common reason for knee revision was aseptic loosening (37), followed by infection (21) and then progressive osteoarthritis (8). Most were referred from GP as a new referral or were clinic follow-ups. All patients were symptomatic. Conclusion: All the patients that underwent revision arthroplasty were symptomatic. Rather than yearly follow up, we recommend a cost-effective system. We are implementing a 'non face-to-face' system. Patients would be directly sent a questionnaire and x-ray form. The radiographs and forms will be reviewed by an experienced arthroplasty surgeon. The concerning cases will be seen urgently in a face-to-face clinic.

What Matters to South African Bank Customers? A Case Study of four Main South African Banks

2015 ◽  
Vol 6 (1and2) ◽  
Author(s):  
Kingstone Mutsonziwa
Keyword(s):  
Customer Satisfaction ◽  
South African ◽  
Language Usage ◽  
Face To Face ◽  
Bank Resolution ◽  
African Context ◽  
Key Drivers ◽  
Investment Advice

This paper is a follow-up article based on the first article titled Customers speak for themselves: A case of Customer Satisfaction in the four Main South African Banks. Customer satisfaction within the banking industry is very important in the South African context. Although banks are trying their best to give their customers the best service, it is important to continuously measure customer satisfaction and identify service attributes that contribute to overall customer satisfaction for the banks. The data used in the analysis is based on a quantitative survey of 500 randomly selected customers in Pretoria, Johannesburg, Durban and Cape Town were interviewed using a face to face methodology. The key drivers of overall customer satisfaction based on regression analysis for the different banks were helpfulness and innovativeness (ABSA), helpfulness, innovativeness of the bank, resolution of problems and investment advice (FNB), language usage and friendliness of service consultants (Nedbank), innovativeness of the bank, investment advice and use of language (Standard bank). These attributes were important to the overall customer satisfaction and need to be closely monitored by the management of these banks.

Analyzing the Adherence of a Mobile App to Follow up Tobacco-Quitting Patients

2017 ◽  
Author(s):  
Marc Pifarre ◽  
Francesc Solsona ◽  
Jordi Vilaplana ◽  
Francesc Abella ◽  
Rui Alves
Keyword(s):  
Mobile App
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