Dissertation
EVALUATION OF THE NEED FOR CLINICIAN INVOLVEMENT IN THE DELIVERY OF AN APP-BASED INTERVENTION FOR OLDER ADULTS: A RANDOMIZED CLINICAL TRIAL
Washington State University
Doctor of Philosophy (PhD), Washington State University
07/2024
DOI:
https://doi.org/10.7273/000007032
Abstract
The aging population is increasing while the caregiver pool is not. Assistive technologies can play a role in mitigating the effects of this aging wave on the healthcare industry. However, we must not only design technologies alongside the end-users, but also ensure the delivery of the technology maximizes its utility. This project sought to better understanding the effect of a clinician providing structured motivational support in uptake and integration of a new health app, the Electronic Memory and Management Aid (EMMA). While the app and the training system integrated in the app were thoughtfully designed to meet the needs of older adults, to understand the most effective way to deliver the app, we wanted to understand if it is most meaningfully offered as a stand-alone, or with a clinician in the loop. Forty-nine older adults with self-reported cognitive complaints were recruited to complete an adaptive web-based training program to learn to use and integrate the EMMA app into their daily life. During the training month, half of the study participants were randomly assigned to receive a weekly motivation and goal setting focused phone call from a clinician (M+T condition), while the other half completed the training independently (T condition) after initial set up sessions. Between group comparisons in app usage for the two-weeks post-training found that there were no differences in engagement with the app between the conditions. Correlational analyses revealed that motivation at baseline and throughout the training were significantly related to outcomes. This study helps inform effective delivery structures for technology-based interventions to support older adults aging in place.
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Details
- Title
- EVALUATION OF THE NEED FOR CLINICIAN INVOLVEMENT IN THE DELIVERY OF AN APP-BASED INTERVENTION FOR OLDER ADULTS
- Creators
- Reanne Chilton
- Contributors
- Maureen Schmitter-Edgecombe (Chair)Diane Cook (Committee Member)Benjamin Ladd (Committee Member)Blythe Duell (Committee Member)
- Awarding Institution
- Washington State University
- Academic Unit
- Department of Psychology
- Theses and Dissertations
- Doctor of Philosophy (PhD), Washington State University
- Publisher
- Washington State University
- Number of pages
- 78
- Identifiers
- 99901152338801842
- Language
- English
- Resource Type
- Dissertation