Process evaluation of a digital health intervention for dementia caregivers: Integrating active and passive measurements

IF 11.1 1区医学 Q1 CLINICAL NEUROLOGY

Alzheimer's & Dementia Pub Date : 2025-09-16 DOI:10.1002/alz.70663

Kang Shen, Y. Alicia Hong, Yixuan (Janice) Zhang, Hae-Ra Han, Jessica Lin, Kenneth Hepburn

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Abstract

INTRODUCTION

Research is limited on process evaluation of digital interventions for underserved dementia caregivers. This study reports the design and results from the process evaluation of Wellness Enhancement for Caregivers (WECARE) 2.0, a culturally tailored digital intervention for Chinese American dementia caregivers.

METHODS

During the 7-week trial of WECARE 2.0, active measurement via weekly surveys and passive measurement via backend tracking were used to assess user engagement, collect timely feedback, and understand intervention mechanisms. These data were integrated to provide complementary insights.

RESULTS

The intervention achieved a 94% follow-up rate and 82% program completion rate. Participants valued the culturally tailored multimedia content, practical resources, and asynchronous delivery, while also providing suggestions for improvement. Key mechanisms driving the intervention's success included improved caregiving skills, stress reduction, and increased social support.

DISCUSSION

The study underscores the importance of process evaluation using mixed methods to ensure the usability and effectiveness of digital interventions for underserved dementia caregivers.

CLINICALTRIALS ID

NCT05992467

Highlights

Process evaluation was conducted in a digital intervention for dementia caregivers.
Active and passive measurement were integrated in the process evaluation.
Wellness Enhancement for Caregivers (WECARE) demonstrated high retention (94%) and program completion rates (82%).
Data on user experiences, feedback, and intervention mechanisms were presented.

Abstract Image

查看原文本刊更多论文

痴呆症护理人员数字化健康干预的过程评估：整合主动和被动测量

导言：对服务不足的痴呆症护理人员的数字干预过程评估的研究有限。本研究报告了照顾者健康增强（WECARE） 2.0的设计和过程评估结果，这是一个针对华裔美国痴呆症照顾者的文化定制数字干预。方法：在为期7周的WECARE 2.0试验中，采用每周调查的主动测量法和后端跟踪的被动测量法评估用户参与度，及时收集反馈，了解干预机制。这些数据被整合以提供互补的见解。结果：干预后随访率达94%，项目完成率达82%。与会者对多媒体内容、实用资源和异步传递的文化定制化评价很高，同时也提出了改进建议。推动干预成功的关键机制包括提高护理技能、减轻压力和增加社会支持。讨论：该研究强调了使用混合方法进行过程评估的重要性，以确保对服务不足的痴呆症护理人员进行数字干预的可用性和有效性。临床试验id: NCT05992467亮点：在痴呆症护理人员的数字干预中进行了过程评估。将主动测量与被动测量相结合，进行工艺评价。护理人员健康增强（WECARE）显示出较高的保留率（94%）和项目完成率（82%）。介绍了用户体验、反馈和干预机制方面的数据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Alzheimer's & Dementia 医学-临床神经学

CiteScore

14.50

自引率

5.00%

发文量

299

审稿时长

3 months

期刊介绍： Alzheimer's & Dementia is a peer-reviewed journal that aims to bridge knowledge gaps in dementia research by covering the entire spectrum, from basic science to clinical trials to social and behavioral investigations. It provides a platform for rapid communication of new findings and ideas, optimal translation of research into practical applications, increasing knowledge across diverse disciplines for early detection, diagnosis, and intervention, and identifying promising new research directions. In July 2008, Alzheimer's & Dementia was accepted for indexing by MEDLINE, recognizing its scientific merit and contribution to Alzheimer's research.