000148798 001__ 148798
000148798 005__ 20250121150754.0
000148798 0247_ $$2doi$$a10.2196/14465
000148798 0248_ $$2sideral$$a138742
000148798 037__ $$aART-2020-138742
000148798 041__ $$aeng
000148798 100__ $$aNguyen, An Thi
000148798 245__ $$aA Mobile App Directory of Occupational Therapists Who Provide Home Modifications: Development and Preliminary Usability Evaluation
000148798 260__ $$c2020
000148798 5060_ $$aAccess copy available to the general public$$fUnrestricted
000148798 5203_ $$aBackground
Home modifications provided by occupational therapists (OTs) are effective in improving daily activity performance and reducing fall risk among community-dwelling older adults. However, the prevalence of home modification is low. One reason is the lack of a centralized database of OTs who provide home modifications.
          
Objective
This study aimed to develop and test the usability of a mobile app directory of OTs who provide home modifications in the United States.
          
Methods
In phase 1, a prototype was developed by identifying OTs who provide home modifications through keyword Web searches. Referral information was confirmed by phone or email. In phase 2, community-dwelling older adults aged older than 65 years and OTs currently working in the United States were purposefully recruited to participate in a single usability test of the mobile app, Home Modifications for Aging and Disability Directory of Referrals (Home Maddirs). Participants completed the System Usability Scale (SUS) and semistructured interview questions. Interview data were coded, and themes were derived using a grounded theory approach.
          
Results
In phase 1, referral information for 101 OTs across 49 states was confirmed. In phase 2, 6 OTs (mean clinical experience 4.3 years, SD 1.6 years) and 6 older adults (mean age 72.8 years, SD 5.0 years) participated. The mean SUS score for OTs was 91.7 (SD 8.0; out of 100), indicating good usability. The mean SUS score for older adults was 71.7 (SD 27.1), indicating considerable variability in usability. In addition, the SUS scores indicated that the app is acceptable to OTs and may be acceptable to some older adults. For OTs, self-reported barriers to acceptability and usability included the need for more information on the scope of referral services. For older adults, barriers included high cognitive load, lack of operational skills, and the need to accommodate sensory changes. For both groups, facilitators of acceptability and usability included perceived usefulness, social support, and multiple options to access information.
          
Conclusions
Home Maddirs demonstrates good preliminary acceptability and usability to OTs. Older adults’ perceptions regarding acceptability and usability varied considerably, partly based on prior experience using mobile apps. Results will be used to make improvements to this promising new tool for increasing older adults’ access to home modifications.
000148798 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000148798 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000148798 700__ $$aSomerville, Emily Kling
000148798 700__ $$0(orcid)0000-0002-0235-3104$$aEspín-Tello, Sandra Martina
000148798 700__ $$aKeglovits, Marian
000148798 700__ $$aStark, Susan Lynn
000148798 773__ $$g7, 1 (2020), e14465 [13 pp.]$$tJMIR Rehabilitation and Assistive Technologies$$x2369-2529
000148798 8564_ $$s293190$$uhttps://zaguan.unizar.es/record/148798/files/texto_completo.pdf$$yVersión publicada
000148798 8564_ $$s2299481$$uhttps://zaguan.unizar.es/record/148798/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000148798 909CO $$ooai:zaguan.unizar.es:148798$$particulos$$pdriver
000148798 951__ $$a2025-01-21-14:45:50
000148798 980__ $$aARTICLE