Quality of Mobile Apps for Care Partners of People With Alzheimer Disease and Related Dementias: Mobile App Rating Scale Evaluation.

Quality of Mobile Apps for Care Partners of People With Alzheimer Disease and Related Dementias: Mobile App Rating Scale Evaluation.
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阿尔茨海默病及相关痴呆患者护理伙伴的移动应用质量:移动应用评定量表评估。

DOI:
10.2196/33863
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发表时间:
2022-03-29
影响因子:
5
通讯作者:
--
中科院分区:
医学2区
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在美国,为阿尔茨海默病和相关痴呆症 (ADRD) 患者提供护理的超过 1100 万护理合作伙伴表示,与他们的护理角色相关的需求持续且普遍未得到满足。护理合作伙伴移动应用程序的激增有可能满足护理合作伙伴的需求,但应用程序的质量尚不清楚。本研究旨在评估 ADRD 患者护理合作伙伴的公开应用程序的质量,并确定低质量和高质量应用程序的设计特征,以指导未来的研究和以用户为中心的应用程序开发。我们搜索了美国 Apple App 和 Google Play 商店,其标准包括需要在美国 Google Play 或 Apple App 商店中提供、可供用户开箱即用且主要供 ADRD 患者的非正式(家人或朋友)护理伙伴使用的应用程序。我们对应用程序功能进行了分类和列表。然后使用移动应用评级量表 (MARS) 对所包含的应用进行评估,使用 5 个维度的 23 个项目:参与度、功能、美观、信息和主观质量。我们计算了每个评级的描述性统计数据。为了确定未来研究和应用程序开发的建议,我们对每个 MARS 评分项目的评分驱动因素的评分者评论进行了分类,以及应用程序可以采取哪些措施来提高项目评分。我们评估了 17 个应用程序。我们发现,平均而言,应用程序的质量处于可接受的最低水平。应用程序支持的功能包括教育(12/17,71%)、互动培训(3/17,18%)、文档(3/17,18%)、跟踪症状(2/17,12%)、护理合作伙伴社区(3/17,18%)、与临床专家的互动(1/17,6%)、护理协调(2/17,12%)以及 ADRD 患者的活动(2/17,12%)。在 17 个应用程序中,8 个(47%)仅具有 1 个功能,6 个(35%)具有 2 个功能,3 个(18%)具有 3 个功能。按照 5 分评分标准(1=不合格,5=优秀),各应用程序的 MARS 质量平均得分为 3.08 (SD 0.83),其中应用程序在功能(平均 3.37,SD 0.99)和美观(平均 3.24,SD 0.92)方面平均得分最高,在信息(平均 2.95,SD 0.95)和参与度(平均 2.76,SD 0.95)方面平均得分最低。标准差 0.89)。跨应用程序的 MARS 主观质量平均得分为 2.26 (SD 1.02)。我们确定了平均得分低于最低可接受质量 1 分以上的应用程序,而有些应用程序则高于最低可接受质量 1 分以上。许多应用程序的功能都存在问题,并且在参与度和信息方面被评为可接受以下。最低可接受的质量可能不足以满足护理伙伴的需求。未来的研究应该为护理合作伙伴移动应用程序建立跨维度的最低质量标准。本研究中确定的高质量应用程序的设计特征可以为对这些标准进行基准测试提供基础。
Over 11 million care partners in the United States who provide care to people living with Alzheimer disease and related dementias (ADRD) cite persistent and pervasive unmet needs related to their caregiving role. The proliferation of mobile apps for care partners has the potential to meet care partners’ needs, but the quality of apps is unknown. This study aims to evaluate the quality of publicly available apps for care partners of people living with ADRD and identify design features of low- and high-quality apps to guide future research and user-centered app development. We searched the US Apple App and Google Play stores with the criteria that included apps needed to be available in the US Google Play or Apple App stores, accessible to users out of the box, and primarily intended for use by an informal (family or friend) care partner of a person living with ADRD. We classified and tabulated app functionalities. The included apps were then evaluated using the Mobile App Rating Scale (MARS) using 23 items across 5 dimensions: engagement, functionality, aesthetics, information, and subjective quality. We computed descriptive statistics for each rating. To identify recommendations for future research and app development, we categorized rater comments on score-driving factors for each MARS rating item and what the app could have done to improve the item score. We evaluated 17 apps. We found that, on average, apps are of minimally acceptable quality. Functionalities supported by apps included education (12/17, 71%), interactive training (3/17, 18%), documentation (3/17, 18%), tracking symptoms (2/17, 12%), care partner community (3/17, 18%), interaction with clinical experts (1/17, 6%), care coordination (2/17, 12%), and activities for the person living with ADRD (2/17, 12%). Of the 17 apps, 8 (47%) had only 1 feature, 6 (35%) had 2 features, and 3 (18%) had 3 features. The MARS quality mean score across apps was 3.08 (SD 0.83) on the 5-point rating scale (1=inadequate to 5=excellent), with apps scoring highest on average on functionality (mean 3.37, SD 0.99) and aesthetics (mean 3.24, SD 0.92) and lowest on average on information (mean 2.95, SD 0.95) and engagement (mean 2.76, SD 0.89). The MARS subjective quality mean score across apps was 2.26 (SD 1.02). We identified apps whose mean scores were more than 1 point below minimally acceptable quality, whereas some were more than 1 point above. Many apps had broken features and were rated as below acceptable for engagement and information. Minimally acceptable quality is likely to be insufficient to meet care partner needs. Future research should establish minimum quality standards across dimensions for care partner mobile apps. Design features of high-quality apps identified in this study can provide the foundation for benchmarking these standards.
DOI: 10.2196/jmir.9548
发表时间: 2018-06-12
影响因子: 7.4
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发表时间: 2011-02-01
影响因子: 3.4
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DOI: 10.1017/s1041610215001362
发表时间: 2016-03-01
影响因子: 7
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发表时间: 2000-01-01
影响因子: 6.2
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发表时间: 2010-12-01
影响因子: 3.4
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