Analysis of Mobile Applications to Support Family Caregivers of People with Neurocognitive Disorders in Managing Disruptive Behaviors: A Qualitative Study with Users Embedded in a Scoping Review (Preprint)
BACKGROUND People with neurocognitive disorders (NCD) often display disruptive behaviors (eg, aggression, wandering and restlessness), which increase family caregivers’ burden of care. However, there are few tools currently available to help these caregivers manage disruptive behaviors. Mobile applications (apps) could meet this need but to date little is known about them. OBJECTIVE 1) Identify existing mobile apps designed to support family caregivers of people with NCD in managing disruptive behaviors; 2) Explore whether family caregivers view these mobile apps as relevant to meeting their needs and useful in managing disruptive behaviors; and 3) Document the types of mobile apps that appeal to and interest the most family caregivers (with regard to format, ergonomics, and clarity). METHODS A review of mobile apps initially conducted in February 2018 was updated in March 2019, using two platforms (App Store and Google Play). The selected apps were first analyzed independently by three raters (two students and one researcher) for each of the platforms. Then a focus group discussion was held with family caregivers to explore their perceptions of the apps according to their needs and interests. The content of the discussion was analyzed. RESULTS Seven of 118 apps initially identified met the inclusion criteria. An 8th app, recommended by one of the knowledge users, was added later. Four family caregivers (women aged between 58 and 78 years) participated in the discussion. Participants expressed a preference for easy-to-understand apps that provide concrete intervention strategies. They reported being most inclined to use two apps, Dementia Advisor and DTA Behaviours. CONCLUSIONS Few mobile apps on the market meet the needs of family caregivers in terms of content and usability. Our results could help to address this gap by identifying what family caregivers deem relevant in a mobile app to help them manage disruptive behaviors.