TY - JOUR
T1 - FindMyApps compared with usual tablet use to promote social health of community-dwelling people with mild dementia and their informal caregivers
T2 - a randomised controlled trial
AU - Neal, David P.
AU - Ettema, Teake P.
AU - Zwan, Marissa D.
AU - Dijkstra, Karin
AU - Finnema, Evelyn
AU - Graff, Maud
AU - Muller, Majon
AU - Dröes, Rose-Marie
N1 - Funding Information: DN, TE, KD, MG and RD conceived of the study and developed the methodology. DN, TE, KD, MM and RD acquired funding and carried out the investigation. MZ also supported investigation. MZ and RD provided additional resources. DN and TE were further responsible for data curation and formal analysis. DN and RD were responsible for project administration. TE, KD, EF, MG, MM and RD provided supervision. DN prepared the original draft of the manuscript. Funding Information: DN's salary was paid out of a grant to Amsterdam UMC from the European Union , Marie Skłodowska Curie Actions Innovative Training Network H2020 MSCA ITN , agreement number 813196. Funding Information: This research was carried out within the framework of the Dementia: Intersectorial Strategy for Training and Innovation Network for Current Technology (DISTINCT) Innovative Training Network, which received funding from the European Union's Horizon 2020 research and innovation program under the Marie Sklodowska-Curie grant agreement 813196. RMD received additional funding during the project from De Bavo Stichting and the Foundation for Support VCVGZ. We would like to thank all of those who participated in the research, the many people involved in recruiting participants and everyone who supported the project in any way. Funding Information: MG's salary as Chair in Occupational Therapy at Radboudumc department of Rehabilitation is partly funded via Ergotherapie Nederland and partly funded by Radboudumc Scientific Institute for Quality of Healthcare (HAN). MG is recipient of several grants from ZonMw , though none directly related to this manuscript. Funding Information: Marie Skłodowska Curie Actions Innovative Training Network H2020 MSCA ITN, grant agreement number 813196.This research was carried out within the framework of the Dementia: Intersectorial Strategy for Training and Innovation Network for Current Technology (DISTINCT) Innovative Training Network, which received funding from the European Union's Horizon 2020 research and innovation program under the Marie Sklodowska-Curie grant agreement 813196. RMD received additional funding during the project from De Bavo Stichting and the Foundation for Support VCVGZ. We would like to thank all of those who participated in the research, the many people involved in recruiting participants and everyone who supported the project in any way. DN's salary was paid out of a grant to Amsterdam UMC from the European Union, Marie Skłodowska Curie Actions Innovative Training Network H2020 MSCA ITN, agreement number 813196. MG's salary as Chair in Occupational Therapy at Radboudumc department of Rehabilitation is partly funded via Ergotherapie Nederland and partly funded by Radboudumc Scientific Institute for Quality of Healthcare (HAN). MG is recipient of several grants from ZonMw, though none directly related to this manuscript. RMD's Chair in psychosocial care in dementia was partly funded by Foundation to Support of the Association of Christian care for people with mental and nervous diseases (VCVGZ), from September 2014 until August 2022. RMD was named recipient of a grant received by Amsterdam UMC via Marie Skłodowska-Curie Actions Innovative Training Network H2020 MSCA ITN, grant agreement number 813196, to pay a number of project related material costs such as study materials, travel costs to congresses and article processing charges. RMD was also named recipient of grants received by Amsterdam UMC from Foundation Hofje Codde & van Beresteyn (Foundation C&vB) and Bavostichting and additional funding from Saxion University of Applied Sciences to cover material costs of the FindMyApps project. Publisher Copyright: © 2023 The Author(s)
PY - 2023/9/1
Y1 - 2023/9/1
N2 - Background: FindMyApps is a tablet-based eHealth intervention designed to help people learn to use a tablet and find easy-to-use apps. This study evaluated the effectiveness of FindMyApps for supporting social health of people living with dementia, and sense of competence of their informal caregivers. Methods: A single-centre, two-arm, non-blinded randomised controlled trial was conducted (Netherlands Trial Register NL8157). From 1st January 2020 to 31st July 2022, community-dwelling people in the Netherlands with a pre-established diagnosis of mild cognitive impairment (MCI) or dementia (Brief Cognitive Rating Scale 17–32), an informal caregiver and internet connection were allocated by block randomisation to receive FindMyApps or digital care-as-usual. Primary outcomes (measured at baseline and after three months) for people with dementia/MCI were self-management (Adult Social Care Outcomes Toolkit total score) and social participation (Maastricht Social Participation Profile frequency and diversity scores), and for caregivers, sense of competence (Short Sense of Competence Questionnaire total score). Between-group differences were tested by MANCOVA or ANCOVA (alpha = 0.05). Findings: 150 dyads were randomised (FindMyApps n = 76, care-as-usual n = 74). Follow-up data were available for 128 dyads (FindMyApps n = 64, care-as-usual n = 64), who were included in the analysis in the trial arm to which they were assigned. No harms of the intervention were identified. There were no statistically significant differences in outcomes for people with dementia/MCI at group level. Diagnosis and experiencing apathy appeared to be relevant effect modifiers of secondary outcomes (neuropsychiatric symptoms, positive affect, sense of belonging, and pleasurable activities). Caregivers who received FindMyApps had higher sense of competence at three months (F [1,123] = 7.01, p = 0.0092, η2 = 0.054). Interpretation: Overall we found no evidence that the FindMyApps intervention better supported social participation or self-management of people with MCI/dementia than digital care-as-usual. FindMyApps does seem to better support informal caregivers’ sense of competence. For people with a diagnosis of mild dementia and older people, better tailored interventions, implementation and outcome measures may be needed. Funding: Marie Skłodowska Curie Actions Innovative Training Network H2020 MSCA ITN, grant agreement number 813196.
AB - Background: FindMyApps is a tablet-based eHealth intervention designed to help people learn to use a tablet and find easy-to-use apps. This study evaluated the effectiveness of FindMyApps for supporting social health of people living with dementia, and sense of competence of their informal caregivers. Methods: A single-centre, two-arm, non-blinded randomised controlled trial was conducted (Netherlands Trial Register NL8157). From 1st January 2020 to 31st July 2022, community-dwelling people in the Netherlands with a pre-established diagnosis of mild cognitive impairment (MCI) or dementia (Brief Cognitive Rating Scale 17–32), an informal caregiver and internet connection were allocated by block randomisation to receive FindMyApps or digital care-as-usual. Primary outcomes (measured at baseline and after three months) for people with dementia/MCI were self-management (Adult Social Care Outcomes Toolkit total score) and social participation (Maastricht Social Participation Profile frequency and diversity scores), and for caregivers, sense of competence (Short Sense of Competence Questionnaire total score). Between-group differences were tested by MANCOVA or ANCOVA (alpha = 0.05). Findings: 150 dyads were randomised (FindMyApps n = 76, care-as-usual n = 74). Follow-up data were available for 128 dyads (FindMyApps n = 64, care-as-usual n = 64), who were included in the analysis in the trial arm to which they were assigned. No harms of the intervention were identified. There were no statistically significant differences in outcomes for people with dementia/MCI at group level. Diagnosis and experiencing apathy appeared to be relevant effect modifiers of secondary outcomes (neuropsychiatric symptoms, positive affect, sense of belonging, and pleasurable activities). Caregivers who received FindMyApps had higher sense of competence at three months (F [1,123] = 7.01, p = 0.0092, η2 = 0.054). Interpretation: Overall we found no evidence that the FindMyApps intervention better supported social participation or self-management of people with MCI/dementia than digital care-as-usual. FindMyApps does seem to better support informal caregivers’ sense of competence. For people with a diagnosis of mild dementia and older people, better tailored interventions, implementation and outcome measures may be needed. Funding: Marie Skłodowska Curie Actions Innovative Training Network H2020 MSCA ITN, grant agreement number 813196.
KW - Dementia
KW - Quality of life
KW - Randomized controlled trial
KW - Social health
KW - eHealth
UR - http://www.scopus.com/inward/record.url?scp=85168995698&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.eclinm.2023.102169
DO - https://doi.org/10.1016/j.eclinm.2023.102169
M3 - Article
C2 - 37680943
SN - 2589-5370
VL - 63
JO - EClinicalMedicine
JF - EClinicalMedicine
M1 - 102169
ER -