Old age or cognitive decline? Examining the usability of a mobile health app for older Australians.

Informatics for health & social care Pub Date : 2024-01-02 Epub Date: 2024-03-26 DOI:10.1080/17538157.2024.2332691
Breda McCarthy, Jagdeep Kaur Sabharwal, Shailey Chawla
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Abstract

There is a growing literature on the role of mobile health applications (mHealth apps) in supporting older adults and the self-management of personal health. The purpose of this pilot study is to assess the usability of a government-funded mobile health app amongst older Australians and to evaluate whether cognitive function and demographic characteristics (i.e. age, gender, education) are associated with usability. A total of 28 older adults living in a regional city in Australia took part in the study. The participants were recruited using purposive sampling. Data collection instruments consisted of validated cognitive tests, task-based usability tests, and a questionnaire. The data was analyzed using non-parametric strategies. The findings of this study demonstrated that a government-funded, mHealth app was usable by older adults. Users were able to perform basic tasks in an effective and efficient manner. The hypothesis that elderly age would be significantly associated with performance on cognitive tests, as well as usability, was not supported. Performance on some cognitive tests was significantly and positively related to usability. Education and gender were not related to usability. The results suggest that traditional stereotypes surrounding aging and cognitive decline need to be reexamined.

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年老还是认知能力下降?研究针对澳大利亚老年人的移动健康应用程序的可用性。
关于移动医疗应用程序(mHealth apps)在支持老年人和个人健康自我管理方面所起作用的文献越来越多。本试点研究旨在评估政府资助的移动医疗应用程序在澳大利亚老年人中的可用性,并评估认知功能和人口特征(即年龄、性别、教育程度)是否与可用性相关。共有 28 名居住在澳大利亚某地区城市的老年人参与了这项研究。研究人员是通过有目的的抽样方式招募的。数据收集工具包括经过验证的认知测试、基于任务的可用性测试和调查问卷。数据采用非参数策略进行分析。研究结果表明,老年人可以使用政府资助的移动医疗应用程序。用户能够有效、高效地完成基本任务。关于老年人的年龄与认知测试成绩和可用性有显著关联的假设没有得到支持。某些认知测试的成绩与可用性有明显的正相关。教育程度和性别与可用性无关。研究结果表明,需要重新审视围绕老龄化和认知能力衰退的传统刻板印象。
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