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Designing a Mobile e-Coaching App for Immigrant Informal Caregivers: Qualitative Study Using the Persuasive System
Shweta Premanandan1, Awais Ahmad2, Åsa Cajander2
1Department of Informatics and Media, Uppsala University, Uppsala, Sweden.
JMIR Mhealth and Uhealth
|November 9, 2023
Summary
This study highlights the needs of immigrant informal caregivers, leading to an adapted Persuasive System Design Model (PSDM) for developing inclusive mobile health apps. The research informed the creation of a mobile e-coaching app to support these caregivers.
Area of Science:
- Digital Health
- Human-Computer Interaction
- Sociology
Background:
- Informal caregivers are crucial for home-based care, yet immigrant caregivers face unique challenges like language barriers and navigating complex healthcare systems.
- Sociocultural diversity and limited resources exacerbate caregiving demands for immigrant populations.
- Inclusive mobile health app design must acknowledge the growing global immigrant context.
Purpose of the Study:
- To investigate the specific needs of immigrant informal caregivers in Sweden.
- To explore the application of the Persuasive System Design Model (PSDM) for developing a tailored e-coaching app.
- To enhance the effectiveness and inclusivity of digital health interventions for diverse caregiving populations.
Main Methods:
- Recruited 13 immigrant informal caregivers (women, 18-40, primarily Middle Eastern/North African background, Arabic speakers) in Sweden.
- Conducted semistructured interviews in Arabic, followed by thematic analysis and comparison with PSDM principles.
- Adapted the PSDM by adding 'facilitating conditions' and 'verbal encouragement' and developed a mobile e-coaching app prototype.
Main Results:
- Identified caregiver needs including illness training, language/cultural assistance, internet service access, recognition, informal support, and accessible healthcare.
- Adapted the PSDM with new principles to better suit the informal caregiving context.
- Developed a mobile e-coaching application prototype designed for immigrant informal caregivers in Sweden.
Conclusions:
- The study identified critical needs of immigrant informal caregivers, informing the design of a mobile e-coaching app.
- An adapted PSDM was proposed, offering a framework for designing digital interventions for informal caregiving.
- The findings contribute to developing more inclusive and effective digital health solutions for diverse caregiver populations.
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