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Title: Building for ‘We’: Safety Settings for Couples with Memory Concerns
Designing technologies that support the mutual cybersecurity and autonomy of older adults facing cognitive challenges requires close collaboration of partners. As part of research to design a Safety Setting application for older adults with memory loss or mild cognitive impairment (MCI), we use a scenario-based participatory design. Our study builds on previous findings that couples’ approach to memory loss was characterized by a desire for flexibility and choice, and an embrace of role uncertainty. We find that couples don't want a system that fundamentally alters their relationship and are looking to maximize self-surveillance competence and minimize loss of autonomy for their partners. All desire Safety Settings to maintain their mutual safety rather than designating one partner as the target of oversight. Couples are open to more rigorous surveillance if they have control over what types of activities trigger various levels of oversight.  more » « less
Award ID(s):
1714514
NSF-PAR ID:
10291218
Author(s) / Creator(s):
;
Date Published:
Journal Name:
Proceedings of the 2021 CHI Conference on Human Factors in Computing Systems
Page Range / eLocation ID:
1 to 11
Format(s):
Medium: X
Sponsoring Org:
National Science Foundation
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  4. Background

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    Objective

    We designed, developed, and piloted a communication and education tool in the form of a web application called Let’s Talk Tech to support family decision-making about diverse technologies used in dementia home care. The knowledge base about how to design online interventions for people living with mild dementia is still in development, and dyadic interventions used in dementia care remain rare. We describe the intervention’s motivation and development process, and the feasibility of using this self-administered web application intervention in a pilot sample of people living with mild AD and their family care partners.

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    We surveyed 29 mild AD dementia care dyads living together before and after they completed the web application intervention and interviewed each dyad about their experiences with it. We report postintervention measures of feasibility (recruitment, enrollment, and retention) and acceptability (satisfaction, quality, and usability). Descriptive statistics were calculated for survey items, and thematic analysis was used with interview transcripts to illuminate participants’ experiences and recommendations to improve the intervention.

    Results

    The study enrolled 33 people living with AD and their care partners, and 29 (88%) dyads completed the study (all but one were spousal dyads). Participants were asked to complete 4 technology modules, and all completed them. The majority of participants rated the tool as having the right length (>90%), having the right amount of information (>84%), being very clearly worded (>74%), and presenting information in a balanced way (>90%). Most felt the tool was easy to use and helpful, and would likely recommend it to others.

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    This study demonstrated that our intervention to educate and facilitate conversation and documentation of preferences is preliminarily feasible and acceptable to mild AD care dyads. Effectively involving older adults in these decisions and informing care partners of their preferences could enable families to avoid conflicts or risks associated with uninformed or disempowered use and to personalize use so both members of the dyad can experience benefits.

     
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