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Developing an App for Real-Time Daily Life Observations in a Nursing Home Setting: Qualitative User-Centered

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  • 1Department of Health Services Research, Maastricht University, Duboisdomein 30, Maastricht, 6229 GT, the Netherlands, 31 43 38 81570.

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Summary

A new app-based tool improves daily life assessments for older adults in nursing homes. Developed with user feedback, it offers enhanced efficiency and usability over traditional methods.

Keywords:
app developmentco-designdesignefficiencymobile phonenursing hometabletusabilityuser-centereduser-centered design

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Area of Science:

  • Gerontology
  • Health Informatics
  • Human-Computer Interaction

Background:

  • Assessing older adults' daily lives in nursing homes is crucial for understanding quality of life.
  • Current methods like the Excel-based Maastricht Electronic Daily Life Observation (MEDLO) tool are inefficient and labor-intensive.

Purpose of the Study:

  • To develop an app-based version of the MEDLO tool.
  • To enhance efficiency and usability through a user-centered design (UCD) and co-design approach.
  • To involve researchers and care professionals throughout the development process.

Main Methods:

  • Employed a user-centered design (UCD) and co-design methodology with iterative development.
  • Included semistructured interviews and user research sessions with experienced MEDLO users.
  • Analyzed data qualitatively to refine the application towards a minimum viable product (MVP).

Main Results:

  • The study involved 14 participants (primarily female) from diverse professional backgrounds.
  • User feedback emphasized needs for improved tool preparation and data management efficiency.
  • Key enhancements included automated data handling, an intuitive tablet interface, randomization, and offline syncing.

Conclusions:

  • The iterative, user-centered development resulted in an app aligned with end-user needs.
  • Continuous user involvement significantly enhanced the application's usability.
  • This demonstrates the critical role of user feedback in developing effective health assessment tools.