Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Mar 4, 2021
Date Accepted: Jan 7, 2022
Association between Mobile App Use and Caregivers’ Support System; Time Spent on Caregiving; and Perceived Wellbeing: A Survey Study from a Large Employer
ABSTRACT
Background:
Caregiving is a vast and growing social issue. High levels of caregiver burden is associated with an increased risk of health problems as well as emotional and financial strain in caregivers. Using mobile technology to address caregiver needs has been on the rise; however, there is limited evidence on caregiver experience and outcomes of using such technologies.
Objective:
We evaluated the association between using a mobile app that facilitates coordinating caregiving tasks (i.e., meal preparation, respite care, pet care, transportation) among a caregiver’s personal support network on outcomes related to the caregiver’s support system, time use (measures of caregiver’s time-spent on caregiving tasks and how much time they had to take off from work to attend planned and/or unplanned caregiving tasks), perceived productivity, and perceived health and well-being.
Methods:
We conducted two surveys of caregivers to assess the within-participant change in outcomes for caregivers after six-week use of the mobile app (n=176) between March 30, 2020 and May 11, 2020. The surveys contained questions about outcomes in the following three domains: (i) caregiver’s support system, (ii) time use and perceived productivity, (iii) perceived health and well-being. We present results from the linear probability models and two-sided paired t-tests.
Results:
App use was significantly associated with decreasing the probability of doing more than half of the caregiving tasks alone by 9.1 percentage points (SE=0.04; P<0.05) and increasing the probability of at least one person helping the primary caregiver by 8.0 percentage points (SE=0.035; P<0.05). The app use was also associated with improving time use of the primary caregiver who took significantly less time off work to attend to caregiving by 12.5 percentage points (SE=0.04; P<0.01) and decreased the probability of spending more than 30 hours weekly on caregiving by 9.1 percentage points (SE=0.04; P<0.05). Other findings on the positive impact of the app included a decrease in the probability of reporting feeling overwhelmed by caregiving tasks by 12.5 percentage points (SE 0.04; P=.003) and a decrease in the probability of reporting negative health effects due to caregiving by 6.8 percentage points (SE 0.04; P=.07).
Conclusions:
App use was associated with improvements in seven of eleven caregiver outcomes: their support system, time spent on caregiving, as well as perceived health and well-being. These findings provide encouraging evidence that the mobile app evaluated can significantly reduce caregiver burden through leveraging a caregiver’s support network.
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