User-friendly technology to help family carers cope.

BACKGROUND Increases in the older adult population are occurring simultaneously with a growth in new technology. Modern technology presents an opportunity to enhance the quality of life and independence of older people and their family carers through communication and access to health care information. AIM To evaluate the usability of a multimedia software application designed to provide family carers of the elderly or disabled with information, advice and psychological support to increase their coping capacity. INTERVENTION The interactive application consisted of an information-based package that provided carers with advice on the promotion of psychological health, including relaxation and other coping strategies. The software application also included a carer self-assessment instrument, designed to provide both family and professional carers with information to assess how family carers were coping with their care-giving role. DESIGN Usability evaluation was carried out in two stages. In the first stage (verification), user trials and an evaluation questionnaire were used to refine and develop the content and usability of the multimedia software application. In the second (demonstration), stage evaluation questionnaires were used to appraise the usability of the modified software application. FINDINGS The findings evidenced that the majority of users found the software to be usable and informative. Some areas were highlighted for improvement in the navigation of the software. CONCLUSIONS The authors conclude that with further refinement, the software application has the potential to offer information and support to those who are caring for the elderly and disabled at home.

[1]  C. Cooper,et al.  Prenatal factors influencing long-term outcome. , 1997, Hormone research.

[2]  L. Teri,et al.  Behavioral treatment of depression in dementia patients: a controlled clinical trial. , 1997, The journals of gerontology. Series B, Psychological sciences and social sciences.

[3]  C. Ballard,et al.  Coping by the carers of dementia sufferers. , 1995, Age and ageing.

[4]  Jakob Nielsen,et al.  Chapter 4 – The Usability Engineering Lifecycle , 1993 .

[5]  D. Meichenbaum,et al.  Stress inoculation: a preventative approach. , 1985, Issues in mental health nursing.

[6]  N. Chappell,et al.  Receptivity to new technology among older adults. , 1999, Disability and rehabilitation.

[7]  S H Ferris,et al.  A family intervention to delay nursing home placement of patients with Alzheimer disease. A randomized controlled trial. , 1996, JAMA.

[8]  N. Tarrier,et al.  Effectiveness of cognitive–behavioural family intervention in reducing the burden of care in carers of patients with Alzheimer's disease , 2000, British Journal of Psychiatry.

[9]  N. Tarrier,et al.  The Community Management of Schizophrenia , 1988, British Journal of Psychiatry.

[10]  L Spazzafumo,et al.  Acceptance and use of technological solutions by the elderly in the outdoor environment: findings from a European survey. , 2000, Zeitschrift fur Gerontologie und Geriatrie.

[11]  Internet resources on aging: seniors on the net. , 1996, The Gerontologist.

[12]  G. Acton,et al.  Stress, hope, and well-being of women caring for family members with Alzheimer's disease. , 1997, Holistic nursing practice.

[13]  C. Bell,et al.  The Association Between Caregiver Burden and Caregiver Health-Related Quality of Life in Alzheimer Disease , 2001, Alzheimer disease and associated disorders.

[14]  W. Haley The family caregiver's role in Alzheimer's disease , 1997, Neurology.

[15]  G. Grant,et al.  Helping ‘new carers' of the frail elderly patient: the challenge for nurses in acute care settings , 1992 .

[16]  C Irizarry,et al.  Seniors-on-line: introducing older people to technology. , 1997, Australasian physical & engineering sciences in medicine.

[17]  Sube Banerjee,et al.  EUROCARE: a cross‐national study of co‐resident spouse carers for people with Alzheimer's disease: I—factors associated with carer burden , 1999, International journal of geriatric psychiatry.

[18]  M. Schulze,et al.  Macronutrient, Vitamin, and Mineral Intakes in the EPIC-Germany Cohorts , 2001, Annals of Nutrition and Metabolism.

[19]  Alison T. O'Brien,et al.  Psychiatric and physical morbidity effects of dementia caregiving: prevalence, correlates, and causes. , 1995, The Gerontologist.

[20]  R. Woods,et al.  Daughters of People with Dementia Expressed Emotion, Strain and Coping , 1990, British Journal of Psychiatry.

[21]  S. Czaja,et al.  Age differences in attitudes toward computers. , 1998, The journals of gerontology. Series B, Psychological sciences and social sciences.

[22]  A. Donabedian Quality of care: problems of measurement. II. Some issues in evaluating the quality of nursing care. , 1969, American journal of public health and the nation's health.

[23]  L. Waite,et al.  Carer distress in the general population: results from the Sydney Older Persons Study. , 1999, Age and ageing.

[24]  A. Giobbie-Hurder,et al.  Relationship between caregiver burden and health-related quality of life. , 1999, The Gerontologist.

[25]  L Magnusson,et al.  Using telematics with older people: the ACTION project. Assisting Carers using Telematics Interventions to meet Older persons' Needs. , 1998, Nursing standard (Royal College of Nursing (Great Britain) : 1987).

[26]  W. Haley,et al.  The family caregiver of the older cancer patient. , 2000, Hematology/oncology clinics of North America.

[27]  L. Pearlin The sociological study of stress. , 1989, Journal of health and social behavior.

[28]  Shane Turner,et al.  Assessing carers' training needs: A pilot inquiry , 1999 .