TY  - JOUR
AU  - Zheng, Amy
AU  - Bergh, Marissa
AU  - Patel Murali, Komal
AU  - Sadarangani, Tina
PY  - 2024
DA  - 2024/3/1
TI  - Using mHealth to Improve Communication in Adult Day Services Around the Needs of People With Dementia: Mixed Methods Assessment of Acceptability and Feasibility
JO  - JMIR Form Res
SP  - e49492
VL  - 8
KW  - adult day services
KW  - primary health care
KW  - health communication
KW  - dementia
KW  - mobile health
KW  - mHealth
KW  - community-based
KW  - health care
KW  - older adults
KW  - older adult
KW  - chronic condition
KW  - health information
KW  - feasibility
KW  - acceptability
KW  - CareMOBI
KW  - mixed methods design
KW  - caregivers
KW  - caregiver
KW  - care workers
KW  - nurses
KW  - social workers
AB  - Background: Adult day services (ADS) provide community-based health care for older adults with complex chronic conditions but rely on outdated methods for communicating users’ health information with providers. CareMOBI, a novel mobile health (mHealth) app, was developed to address the need for a technological platform to improve bidirectional information exchange and communication between the ADS setting and providers. Objective: This study aims to examine the feasibility and acceptability of CareMOBI in the ADS setting. Methods: A concurrent-triangulation mixed methods design was used, and participants were client-facing ADS staff members, including direct care workers (paid caregivers), nurses, and social workers. Interviews were conducted to describe barriers and facilitators to the adoption of the CareMOBI app. The acceptability of the app was measured using an adapted version of the Technology Acceptance Model questionnaire. Data were integrated into 4 themes as anchors of an informational matrix: ease of use, clinical value, fit within workflow, and likelihood of adoption. Results: A mix of ADS staff (N=22) participated in the study. Participants reported high levels of acceptability across the 4 domains. Qualitative findings corroborated the questionnaire results; participants viewed the app as useful and were likely to implement CareMOBI in their practice. However, participants expressed a need for proper training and technical support throughout the implementation process. Conclusions: The CareMOBI app has the potential to improve care management in the ADS setting by promoting effective communication through an easy-to-use and portable method. While the integration of CareMOBI is acceptable and feasible, developing role-specific training modules and technical assistance programs is imperative for successful implementation within the ADS setting. 
SN  - 2561-326X
UR  - https://formative.jmir.org/2024/1/e49492
UR  - https://doi.org/10.2196/49492
UR  - http://www.ncbi.nlm.nih.gov/pubmed/38427418
DO  - 10.2196/49492
ID  - info:doi/10.2196/49492
ER  -