Creating a digital memory notebook application for individuals with mild cognitive impairment to support everyday functioning.

Purpose: Memory impairment can necessitate use of external memory aids to preserve functional independence. As external aids can be difficult to learn and remember to use, technology may improve the efficacy of current rehabilitation strategies. We detail the iterative development of a digital appli...

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Publicado en:Disability & Rehabilitation: Assistive Technology Vol. 15; no. 4; pp. 421 - 432
Autores principales: Raghunath, Nisha, Dahmen, Jessamyn, Brown, Katelyn, Cook, Diane, Schmitter-Edgecombe, Maureen
Formato: pictorial research tables/charts Journal Article
Publicado: Taylor & Francis Ltd May2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2020
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      pub: Taylor & Francis Ltd
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        10.1080/17483107.2019.1587017
        143251158
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        atl: Creating a digital memory notebook application for individuals with mild cognitive impairment to support everyday functioning.
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        au:
          Raghunath, Nisha
          Dahmen, Jessamyn
          Brown, Katelyn
          Cook, Diane
          Schmitter-Edgecombe, Maureen
        affil: Department of Psychology, Washington State University, Pullman, WA, USA
      sug:
        subj:
          Cognition Disorders Rehabilitation
          Memory
          Mobile Applications
          Software Design
          Reminder Systems
          Activities of Daily Living
          Human
          Funding Source
          Usability Study
          Questionnaires
          Personal Satisfaction
          User-Computer Interface
          Task Performance and Analysis
          Middle Age
          Aged
          Aged, 80 and Over
          Descriptive Statistics
          Male
          Female
          Neuropsychological Tests
          Assistive Technology
          One-Way Analysis of Variance
          Post Hoc Analysis
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Purpose: Memory impairment can necessitate use of external memory aids to preserve functional independence. As external aids can be difficult to learn and remember to use, technology may improve the efficacy of current rehabilitation strategies. We detail the iterative development of a digital application of a paper-and-pencil memory notebook. Methods: Twenty participants (aged 54+) of varying levels of cognitive ability were recruited for four iterations of usability testing (five participants per iteration). Each participant completed a series of tasks using the digital memory notebook (DMN), followed by questionnaires that assessed satisfaction (Questionnaire for User Interface Satisfaction) and usability ratings (Post-Study System Usability Questionnaire) for the application. Results and Conclusions: Between Iterations 2 and 5, participants demonstrated marked reductions in time to complete several types of tasks (e.g., add event, navigate interface) using the DMN. Participants in Iteration 5 also rated all subscales of both the usability and satisfaction questionnaires very highly. Faster task completion times were correlated with more favourable system ratings. However, neither task performance times nor system ratings were correlated with cognitive abilities, scheduling tool use or comfort with technology. Both the questionnaire and performance-based data indicate the final iteration of the DMN was easy to use. Furthermore, the application was user-friendly despite individual differences in cognitive ability, familiarity with scheduling tools and comfort with technology. Future work will demonstrate whether the DMN will support everyday retrospective and prospective memory lapses and increase the functional independence and quality of life for persons with cognitive impairment. Building on practice standards and user-centred design, the digital memory notebook (DMN) application is an "all-in-one" memory aid and organizational tool with an intuitive interface designed to help improve everyday functioning. The DMN's today page, to do list and calendar functions can support everyday prospective and retrospective memory abilities. The DMN's notes, journaling and motivational functions can support longer-term goal planning and mood management. The DMN's alarm functions can support learning to use the DMN and serve as reminders to support prospective memory and aid in activity completion.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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