Designing ICTs for Users with Mild Cognitive Impairment: A Usability Study

Castilla, Diana; Suso‐Ribera, Carlos; Zaragozá, Irene; García‐Palacios, Azucena; Botella, Cristina

doi:10.3390/ijerph17145153

Cited by 23 publications

(22 citation statements)

References 61 publications

(75 reference statements)

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“…Additional factors that might also have contributed to lower response rates in the present investigation are the duration of EMA, which was two weeks longer in the present study, and the type of pain in the populations, which was mostly back and neck pain in the aforementioned investigation as opposed to fibromyalgia in the present study. Indeed, the use of technology appears to be more challenging in the elderly [ 30 ]. However, as noted earlier in the present study, the use of smartphone applications for patient monitoring has important advantages over traditional paper-and-pencil diaries and episodic assessment, which helps understand why this method has become the gold standard in health settings [ 58 ].…”

Section: Discussionmentioning

confidence: 99%

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Brief Acceptance and Commitment Therapy for Fibromyalgia: Feasibility and Effectiveness of a Replicated Single-Case Design

Gómez-Pérez¹,

García‐Palacios

Castilla

et al. 2020

Pain Research and Management

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Objective. Overall, the literature on the effectiveness of psychological treatments in general and those for fibromyalgia in particular has been dominated by research designs that focus on large groups and explore changes on average, so the treatment impact at the individual level remains unclear. In this quasi-experimental, replicated single-case design, we will test the feasibility and effectiveness of a brief acceptance and committed therapy intervention using ecological momentary assessment supported by technology. Methods. The sample comprised 7 patients (3 in the individual condition and 4 in the group condition) who received a brief, 5-week psychological treatment. Patient evolution was assessed one week prior to treatment onset and during the whole study with a smartphone app. Because ecological momentary assessment and the use of an app are not frequent practices in routine care, we also evaluated the feasibility of this assessment methodology (i.e., compliance with the app). Change was investigated with a nonoverlap of all pairs index. Outcomes were pain interference with sleep and social activities, fatigue, sadness, and pain intensity. Results. Patient change was not uniform across outcomes. Four patients (two in each condition) showed relatively moderate levels of change (approximately 60% nonoverlap in several outcomes). The remaining patients showed more modest improvements which affected a reduced number of outcomes. Based on nonoverlapping indices, there was no clear evidence in favor of any treatment format. Conclusions. An alternative design to large-scale trials, one that focuses on the individual change, exists and it can be implemented in pain research. The use of technology (e.g., smartphones) simplifies such designs by facilitating ecological momentary assessment. Based on our findings showing that changes were not homogeneous across patients or outcomes, more single-case designs and patient-centered analyses (e.g., responder and moderation analyses) are required.

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Section: Discussionmentioning

confidence: 99%

“…In terms of eligibility, it is important to note that past research has indicated that the use of technology is often more problematic in the elderly [ 30 ]. This could lead us to think of old age as a potential exclusion criterion.…”

Section: Methodsmentioning

confidence: 99%

Brief Acceptance and Commitment Therapy for Fibromyalgia: Feasibility and Effectiveness of a Replicated Single-Case Design

Gómez-Pérez¹,

García‐Palacios

Castilla

et al. 2020

Pain Research and Management

Self Cite

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“…Previous studies have been published, such as the one by Castilla et al [24], in order to study the usability and acceptability of a prototype for elderly care, in an attempt to explore the Information and Communication Technologies (ICTs) design needs of users with MCI. The main contribution of this study consists of exploring the usability needs of users with MCI on ICT systems and providing some usability recommendations for designing interfaces for this kind of user.…”

Section: Introductionmentioning

confidence: 99%

Feasibility-Usability Study of a Tablet App Adapted Specifically for Persons with Cognitive Impairment—SMART4MD (Support Monitoring and Reminder Technology for Mild Dementia)

Quintana

Anderberg

Berglund

et al. 2020

IJERPH

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Population ageing within Europe has major social and economic consequences. One of the most devastating conditions that predominantly affects older people is dementia. The SMART4MD (Support Monitoring and Reminder Technology for Mild Dementia) project aims to develop and test a health application specifically designed for people with mild dementia. The aim of this feasibility study was to evaluate the design of the SMART4MD protocol, including recruitment, screening, baseline examination and data management, and to test the SMART4MD application for functionality and usability before utilization in a full-scale study. The feasibility study tested the protocol and the app in Spain and Sweden. A total of nineteen persons with cognitive impairment, and their informal caregivers, individually performed a task-based usability test of the SMART4MD app model in a clinical environment, followed by four-week testing of the app in the home environment. By employing a user-centered design approach, the SMART4MD application proved to be an adequate and feasible interface for an eHealth intervention. In the final usability test, a score of 81% satisfied users was obtained. The possibility to test the application in all the procedures included in the study generated important information on how to present the technology to the users and how to improve these procedures.

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“…Castilla et al [ 16 ] studied the needs of 28 participants (58–95 years old) with a diagnosis of mild cognitive impairment, regarding an ICT-based intervention tool design for elderly care. Interesting results were found about the need to place main interaction elements in the center of the screen instead of in the peripheral areas, and also that speed of audio help had a significant impact on performance.…”

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confidence: 99%

Using Information and Communication Technologies (ICT) for Mental Health Prevention and Treatment

Fonseca

Osma²

2021

IJERPH

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Designing ICTs for Users with Mild Cognitive Impairment: A Usability Study

Cited by 23 publications

References 61 publications

Brief Acceptance and Commitment Therapy for Fibromyalgia: Feasibility and Effectiveness of a Replicated Single-Case Design

Brief Acceptance and Commitment Therapy for Fibromyalgia: Feasibility and Effectiveness of a Replicated Single-Case Design

Feasibility-Usability Study of a Tablet App Adapted Specifically for Persons with Cognitive Impairment—SMART4MD (Support Monitoring and Reminder Technology for Mild Dementia)

Using Information and Communication Technologies (ICT) for Mental Health Prevention and Treatment

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