A Text Messaging Intervention to Support Latinx Family Caregivers of Individuals With Dementia (CuidaTEXT): Development and Usability Study

BackgroundLatinx family caregivers of individuals with dementia face many barriers to caregiver support access. Interventions to alleviate these barriers are urgently needed. ObjectiveThis study aimed to describe the development of CuidaTEXT, a tailored SMS text m...

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Main Authors: Jaime Perales-Puchalt, Mariola Acosta-Rullán, Mariana Ramírez-Mantilla, Paul Espinoza-Kissell, Eric Vidoni, Michelle Niedens, Edward Ellerbeck, Ladson Hinton, Linda Loera, A Susana Ramírez, Esther Lara, Amber Watts, Kristine Williams, Jason Resendez, Jeffrey Burns
Format: Article
Language:English
Published: JMIR Publications 2022-04-01
Series:JMIR Aging
Online Access:https://aging.jmir.org/2022/2/e35625
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author Jaime Perales-Puchalt
Mariola Acosta-Rullán
Mariana Ramírez-Mantilla
Paul Espinoza-Kissell
Eric Vidoni
Michelle Niedens
Edward Ellerbeck
Ladson Hinton
Linda Loera
A Susana Ramírez
Esther Lara
Amber Watts
Kristine Williams
Jason Resendez
Jeffrey Burns
author_facet Jaime Perales-Puchalt
Mariola Acosta-Rullán
Mariana Ramírez-Mantilla
Paul Espinoza-Kissell
Eric Vidoni
Michelle Niedens
Edward Ellerbeck
Ladson Hinton
Linda Loera
A Susana Ramírez
Esther Lara
Amber Watts
Kristine Williams
Jason Resendez
Jeffrey Burns
author_sort Jaime Perales-Puchalt
collection DOAJ
description BackgroundLatinx family caregivers of individuals with dementia face many barriers to caregiver support access. Interventions to alleviate these barriers are urgently needed. ObjectiveThis study aimed to describe the development of CuidaTEXT, a tailored SMS text messaging intervention to support Latinx family caregivers of individuals with dementia. MethodsCuidaTEXT is informed by the stress process framework and social cognitive theory. We developed and refined CuidaTEXT using a mixed methods approach that included thematic analysis and descriptive statistics. We followed 6 user-centered design stages, namely, the selection of design principles, software vendor collaboration, evidence-based foundation, caregiver and research and clinical advisory board guidance, sketching and prototyping, and usability testing of the prototype of CuidaTEXT among 5 Latinx caregivers. ResultsCuidaTEXT is a bilingual 6-month-long SMS text messaging–based intervention tailored to caregiver needs that includes 1-3 daily automatic messages (n=244) about logistics, dementia education, self-care, social support, end of life, care of the person with dementia, behavioral symptoms, and problem-solving strategies; 783 keyword-driven text messages for further help with the aforementioned topics; live chat interaction with a coach for further help; and a 19-page reference booklet summarizing the purpose and functions of the intervention. The 5 Latinx caregivers who used the prototype of CuidaTEXT scored an average of 97 out of 100 on the System Usability Scale. ConclusionsCuidaTEXT’s prototype demonstrated high usability among Latinx caregivers. CuidaTEXT’s feasibility is ready to be tested.
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spelling doaj.art-247bd63e8cf34b4a91eedf80e90488d32023-08-28T21:31:06ZengJMIR PublicationsJMIR Aging2561-76052022-04-0152e3562510.2196/35625A Text Messaging Intervention to Support Latinx Family Caregivers of Individuals With Dementia (CuidaTEXT): Development and Usability StudyJaime Perales-Puchalthttps://orcid.org/0000-0003-1013-7847Mariola Acosta-Rullánhttps://orcid.org/0000-0003-3961-8812Mariana Ramírez-Mantillahttps://orcid.org/0000-0001-6744-0957Paul Espinoza-Kissellhttps://orcid.org/0000-0003-2799-4554Eric Vidonihttps://orcid.org/0000-0001-5181-7131Michelle Niedenshttps://orcid.org/0000-0001-9001-2643Edward Ellerbeckhttps://orcid.org/0000-0002-7774-2729Ladson Hintonhttps://orcid.org/0000-0001-6198-8540Linda Loerahttps://orcid.org/0000-0003-0675-8018A Susana Ramírezhttps://orcid.org/0000-0002-9095-5358Esther Larahttps://orcid.org/0000-0001-5621-8656Amber Wattshttps://orcid.org/0000-0002-8385-1091Kristine Williamshttps://orcid.org/0000-0003-1312-788XJason Resendezhttps://orcid.org/0000-0002-7529-6593Jeffrey Burnshttps://orcid.org/0000-0001-7609-8954 BackgroundLatinx family caregivers of individuals with dementia face many barriers to caregiver support access. Interventions to alleviate these barriers are urgently needed. ObjectiveThis study aimed to describe the development of CuidaTEXT, a tailored SMS text messaging intervention to support Latinx family caregivers of individuals with dementia. MethodsCuidaTEXT is informed by the stress process framework and social cognitive theory. We developed and refined CuidaTEXT using a mixed methods approach that included thematic analysis and descriptive statistics. We followed 6 user-centered design stages, namely, the selection of design principles, software vendor collaboration, evidence-based foundation, caregiver and research and clinical advisory board guidance, sketching and prototyping, and usability testing of the prototype of CuidaTEXT among 5 Latinx caregivers. ResultsCuidaTEXT is a bilingual 6-month-long SMS text messaging–based intervention tailored to caregiver needs that includes 1-3 daily automatic messages (n=244) about logistics, dementia education, self-care, social support, end of life, care of the person with dementia, behavioral symptoms, and problem-solving strategies; 783 keyword-driven text messages for further help with the aforementioned topics; live chat interaction with a coach for further help; and a 19-page reference booklet summarizing the purpose and functions of the intervention. The 5 Latinx caregivers who used the prototype of CuidaTEXT scored an average of 97 out of 100 on the System Usability Scale. ConclusionsCuidaTEXT’s prototype demonstrated high usability among Latinx caregivers. CuidaTEXT’s feasibility is ready to be tested.https://aging.jmir.org/2022/2/e35625
spellingShingle Jaime Perales-Puchalt
Mariola Acosta-Rullán
Mariana Ramírez-Mantilla
Paul Espinoza-Kissell
Eric Vidoni
Michelle Niedens
Edward Ellerbeck
Ladson Hinton
Linda Loera
A Susana Ramírez
Esther Lara
Amber Watts
Kristine Williams
Jason Resendez
Jeffrey Burns
A Text Messaging Intervention to Support Latinx Family Caregivers of Individuals With Dementia (CuidaTEXT): Development and Usability Study
JMIR Aging
title A Text Messaging Intervention to Support Latinx Family Caregivers of Individuals With Dementia (CuidaTEXT): Development and Usability Study
title_full A Text Messaging Intervention to Support Latinx Family Caregivers of Individuals With Dementia (CuidaTEXT): Development and Usability Study
title_fullStr A Text Messaging Intervention to Support Latinx Family Caregivers of Individuals With Dementia (CuidaTEXT): Development and Usability Study
title_full_unstemmed A Text Messaging Intervention to Support Latinx Family Caregivers of Individuals With Dementia (CuidaTEXT): Development and Usability Study
title_short A Text Messaging Intervention to Support Latinx Family Caregivers of Individuals With Dementia (CuidaTEXT): Development and Usability Study
title_sort text messaging intervention to support latinx family caregivers of individuals with dementia cuidatext development and usability study
url https://aging.jmir.org/2022/2/e35625
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