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Nasrun MWS, Kusumaningrum P, Malik K, Kusumaningsih W, Harimurti K, Prawiroharjo P, Mardhiyah FS, Matanta RH, Lalenoh LAP, Kiasati SK. Technological acceptance and features needed in mobile health apps development for people living with dementia and their caregivers in Indonesia. Inform Health Soc Care 2024; 49:99-115. [PMID: 38578948 DOI: 10.1080/17538157.2024.2328029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/07/2024]
Abstract
In Indonesia, the number of People Living with Dementia (PLWD) is predicted to be rising continuously. PLWD need help operating cell phones for their daily needs. Numerous mobile health applications have been innovated to deliver better dementia care. The objective of this study is to identify the technological acceptance and features needed by PLWD and caregivers in Indonesia. This study started with questionnaire development through focused-group discussion with experts, caregivers and PLWD. It was followed by item development involving experts in geriatrics (psychiatry, internal medicine, medical rehabilitation and neurology) to prepare an online questionnaire. We considered using jargon and words that are familiar to users. The data collected was analyzed for the technological acceptance model (TAM) using Structural Equation Model (SEM). This study showed that perceived usefulness and ease of use of the technology have positively correlated to the actual use. This study reflects the need for social connectedness and information for PLWD. For caregivers, the main feature needed is information related to dementia symptoms and treatment. The understanding gained from this study can be used to improve strategies related to developing mobile health technology for PLWD and caregivers.
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Affiliation(s)
- Martina Wiwie Setiawan Nasrun
- Department of Psychiatry, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia
- Neuroscience and Brain Development Research Cluster IMERI FKUI, Jakarta, Indonesia
| | - Profitasari Kusumaningrum
- Department of Psychiatry, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia
| | - Khamelia Malik
- Department of Psychiatry, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia
- Neuroscience and Brain Development Research Cluster IMERI FKUI, Jakarta, Indonesia
| | - Widjajalaksmi Kusumaningsih
- Neuroscience and Brain Development Research Cluster IMERI FKUI, Jakarta, Indonesia
- Department of Medical Rehabilitation, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia
| | - Kuntjoro Harimurti
- Department of Internal Medicine, Division of Geriatrics, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia
| | - Pukovisa Prawiroharjo
- Department of Neurology, Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia
| | | | | | | | - Saarah Khansa Kiasati
- Department of Psychiatry, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia
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Ma Y, Gong J, Zeng L, Wang Q, Yao X, Li H, Chen Y, Liu F, Zhang M, Ren H, Xiao LD, Lian Y. The Effectiveness of a Community Nurse-Led Support Program for Dementia Caregivers in Chinese Communities: The Chongqing Ageing and Dementia Study. J Alzheimers Dis Rep 2023; 7:1153-1164. [PMID: 38025803 PMCID: PMC10657713 DOI: 10.3233/adr-230067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2023] [Accepted: 09/12/2023] [Indexed: 12/01/2023] Open
Abstract
Background As the primary caregivers for people with dementia in China, family caregivers face a significant care burden that can negatively impact their mental and physical health. It is vital to investigate ways to support these caregivers. Objective To assess the effectiveness of a program led by community nurses to support caregivers of individuals with dementia. Methods A total of 30 caregivers received nurse-led support in addition to usual care, while 28 caregivers received only usual care. The primary outcome was caregivers' sense of competency in providing dementia care, which was measured using the Short Sense of Competence Questionnaire (SSCQ). Secondary outcomes included caregivers' ability to perform daily activities, behavioral and psychological symptoms of dementia (BPSD) using a neuropsychiatric inventory questionnaire, and quality of life using the short form health survey (SF-36). The trial was registered at the Chinese Clinical Trial Registry (ChiCTR 2300071484). Results Compared to the control group, the intervention group had significantly higher SSCQ scores and a lower caregiver distress index over time. Physical and mental health-related quality of life also improved significantly among caregivers in the intervention group. However, there was no significant difference between the two groups in terms of activities of daily living and BPSD. Conclusions The community nurse-led support program significantly improved caregivers' competency in providing dementia care and quality of life and reduced distress. These findings have important implications for dementia care policies, resources, and workforce development in China, including strengthening community dementia care services through collaboration with specialists in hospitals.
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Affiliation(s)
- Yuanyuan Ma
- Department of Neurology and Centre for Clinical Neuroscience, Daping Hospital, Third Military Medical University, Chongqing, China
- Chongqing Key Laboratory of Ageing and Brain Diseases, Chongqing, China
| | - Juan Gong
- Daping Community Healthcare Center, Yuzhong District, Chongqing, China
| | - Lingli Zeng
- Daping Community Healthcare Center, Yuzhong District, Chongqing, China
| | - Qinghua Wang
- Department of Neurology and Centre for Clinical Neuroscience, Daping Hospital, Third Military Medical University, Chongqing, China
- Chongqing Key Laboratory of Ageing and Brain Diseases, Chongqing, China
| | - Xiuqing Yao
- Department of Rehabilitation, the Second Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Huiming Li
- Department of Prevention and Healthcare, Medicine and Research Sector, Daping Hospital, Third Military Medical University, Chongqing, China
| | - Yaozhi Chen
- Department of Prevention and Healthcare, Medicine and Research Sector, Daping Hospital, Third Military Medical University, Chongqing, China
| | - Feng Liu
- Department of Sleep and Psychology, Daping Hospital, Third Military Medical University, Chongqing, China
| | - Mengyuan Zhang
- Department of Clinical Nutrition, Daping Hospital, Third Military Medical University, Chongqing, China
| | - Hui Ren
- School of Nursing, Third Military Medical University, Chongqing, China
| | - Lily Dongxia Xiao
- College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia
| | - Yan Lian
- Chongqing Key Laboratory of Ageing and Brain Diseases, Chongqing, China
- Department of Prevention and Healthcare, Medicine and Research Sector, Daping Hospital, Third Military Medical University, Chongqing, China
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Turana Y, Kristian K, Suswanti I, Sani TP, Handajani YS, Tran K, Nguyen TA. Adapting the World Health Organization iSupport Dementia program to the Indonesian socio-cultural context. Front Public Health 2023; 11:1050760. [PMID: 36875360 PMCID: PMC9978708 DOI: 10.3389/fpubh.2023.1050760] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Accepted: 01/23/2023] [Indexed: 02/18/2023] Open
Abstract
Background Providing care for people with dementia (PwD) without sufficient understanding of the condition might negatively affect the wellbeing of the caregivers, given the lengthy care and progressive nature of the disease. The iSupport for dementia developed by World Health Organization (WHO) is a self-administered training manual for caregivers of PwD, adaptable to local cultures and contexts. This manual needs translation and adaptation to produce a culturally appropriate version for use in Indonesia. This study reports the outcomes and lessons learnt from our translation and adaptation of iSupport content into Bahasa Indonesia. Methods The original iSupport content was translated and adapted using the WHO iSupport Adaptation and Implementation Guidelines. The process included forward translation, expert panel review, backward translation, and harmonization. The adaptation process included Focus Group Discussions (FGD), involving family caregivers, professional care workers, professional psychological health experts, and Alzheimer's Indonesia representatives. The respondents were asked to express their opinions about the WHO iSupport program, which comprises five modules and 23 lessons covering well-established topics on dementia. They were also asked to suggest improvements and their personal experiences compared to the adaptations applied in the iSupport. Results Two experts, 10 professional care workers, and eight family caregivers participated in the FGD. Overall, all participants had positive views of the iSupport material. The expert panel identified the need to reformulate definitions, recommendations, and local case studies to fine-tune the original contents to local knowledge and practices. Based on the feedback in the qualitative appraisal, several improvements regarding the language and diction, additional relevant and concrete examples, personal names and cultural habits, and customs and traditions were addressed. Conclusions The translation and adaptation of the iSupport into the Indonesian context have shown some changes needed to make the iSupport content culturally and linguistically appropriate for Indonesian end users. In addition, given the broad spectrum of dementia, various case illustrations have been added to improve the understanding of care in particular situations. Future studies are needed to evaluate the efficacy of the adapted iSupport in improving the quality of life of PwD and their caregivers.
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Affiliation(s)
- Yuda Turana
- School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia
| | - Kevin Kristian
- School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia
| | - Ika Suswanti
- School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia
| | - Tara Puspitarini Sani
- School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia
| | - Yvonne Suzy Handajani
- Center of Health Research, School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia
| | - Kham Tran
- Social Gerontology Division, National Ageing Research Institute, Melbourne, VIC, Australia
| | - Tuan Anh Nguyen
- Social Gerontology Division, National Ageing Research Institute, Melbourne, VIC, Australia.,School of Health Sciences, Swinburne University of Technology, Melbourne, VIC, Australia.,UniSA Clinical and Health Sciences, University of South Australia, Adelaide, SA, Australia.,Health Strategy and Policy Institute, Ministry of Health, Hanoi, Vietnam
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Kim EY, Chang SO. Exploring carer resilience in the context of dementia: a meta-synthesis. BMC Geriatr 2022; 22:806. [PMID: 36266630 PMCID: PMC9585856 DOI: 10.1186/s12877-022-03516-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2022] [Accepted: 10/10/2022] [Indexed: 11/10/2022] Open
Abstract
AIMS The aim of this literature review is to integrate the results of qualitative research on the resilience experiences of family carers of people with dementia (PWD). DESIGN A qualitative meta-synthesis study was conducted. METHODS The meta-ethnography method of Noblit and Hare (1988) was used. We searched five electronic bibliographic databases (PubMed, EMBASE, CINAHL, PsycINFO and Web of Science) using the keywords "caregivers", "family caregivers", "spouse caregivers", "qualitative research", "resilience, psychological" and "dementia." The inclusion criteria of the literature search found studies that explored the resilience experience of family carers of PWD, were qualitative, were published in English, and had participants 18 years of age or older. RESULTS Eleven studies, 1 from Australia, 4 from USA and 6 from UK, were included in the analysis. Through the process, three themes emerged: 'Seeing the life of a carer as one's duty', 'Setting boundaries in life', 'Moving forward toward a developing life.' These themes illustrated how family carers of PWD overcome the adversities they encounter. CONCLUSION This meta-synthesis showed how family carers of PWD adapt to and overcome the difficult situations they are confronted with as carers. This review suggests an important direction for enhancing the resilience of family carers of PWD.
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Affiliation(s)
- Eun Young Kim
- Department of Nursing, Soonchunhyang University, Cheonan, Republic of Korea
| | - Sung Ok Chang
- College of Nursing, and BK21 FOUR R&E Center for Learning Health Systems, Korea University, 145, Anam-ro, Seongbuk-gu, 02841, Seoul, Republic of Korea.
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