Impact of the FindMyApps program on people with mild cognitive impairment or dementia and their caregivers; an exploratory pilot randomised controlled trial

FindMyApps is a web-based selection-tool and errorless learning training program to help people with mild dementia/Mild Cognitive Impairment (MCI) and caregivers find user-friendly apps. In preparation of a definitive trial, the impact and feasibility of the FindMyApps intervention on self-managemen...

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Published in:	Disability and rehabilitation: Assistive technology Vol. 18; no. 3; pp. 253 - 265
Main Authors:	Beentjes, Kim M., Neal, David P., Kerkhof, Yvonne J. F., Broeder, Caroline, Moeridjan, Zaïnah D. J., Ettema, Teake P., Pelkmans, Wiesje, Muller, Majon M., Graff, Maud J. L., Dröes, Rose-Marie
Format:	Journal Article
Language:	English
Published:	England Taylor & Francis 03-04-2023 Taylor & Francis Ltd
Subjects:	Caregivers Caregivers - psychology Cognitive ability Cognitive Dysfunction Cognitive impairment Dementia Feasibility Humans Learning Management development programmes mild cognitive impairment Pilot Projects psychosocial interventions Quality of life Quality of Life - psychology Rehabilitation self-management Selfmanagement Social participation touch screen technology mild cognitive impairment social participation psychosocial interventions self-management touch screen technology Dementia
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Summary:	FindMyApps is a web-based selection-tool and errorless learning training program to help people with mild dementia/Mild Cognitive Impairment (MCI) and caregivers find user-friendly apps. In preparation of a definitive trial, the impact and feasibility of the FindMyApps intervention on self-management and engagement in meaningful activities, including social participation, was explored. An exploratory pilot randomised controlled trial (trial registration approval number: NL7210) with pre/post measurements was conducted with community-dwelling people with mild dementia/MCI and their caregivers (n = 59) in the Netherlands. Dyads in the experimental group (n = 28) received training to use the tablet and FindMyApps, and the errorless learning method was taught to their caregivers. Control group dyads (n = 31) received a tablet (without FindMyApps), instructions on tablet-use and links to dementia-friendly apps. Validated instruments were used to assess person with dementia's self-management, meaningful activities and social participation, caregiver's sense of competence and both their quality of life. No statistical significant group differences on the outcomes were found. Small to moderate effect-sizes in favour of the FindMyApps group were found for self-management and social participation. Caregivers tended to have more positive care experiences. Subgroup analyses showed that people older than 70 benefitted more from FindMyApps regarding self-management and higher educated people benefitted more regarding social participation. FindMyApps is feasible for the target group and may have potential to improve self-management and social participation. For a future definitive effectiveness trial a larger sample size is recommended, as well as taking into account the possible impact of education and age. IMPLICATIONS FOR REHABILITATION The FindMyApps program is feasible for people with dementia/MCI and may have potential to improve their self-management and social participation. Informal caregivers may develop a more positive care experience when utilizing FindMyApps to find suitable apps for self-management and social participation for the person with dementia/MCI.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Undefined-3
ISSN:	1748-3107 1748-3115
DOI:	10.1080/17483107.2020.1842918