Wendy Duggleby|Jenny Ploeg|Carrie McAiney|Kathryn Fisher|Kathya Jovel Ruiz|Sunita Ghosh|Shelley Peacock|Maureen Markle?Reid|Allison Williams|Jean Triscott|Jennifer Swindle
A Comparison of Users and Nonusers of a Web-Based Intervention for Carers of Older Persons With Alzheimer Disease and Related Dementias: Mixed Methods Secondary Analysis
University of Alberta|McMaster University|University of Waterloo|McMaster University|University of Alberta|Alberta Health Services|University of Saskatchewan|McMaster University|McMaster University|University of Alberta|University of Alberta
selfadministered webbased intervention developed help carers persons alzheimer disease related dementias adrd multiple chronic conditions mcc deal significant transitions experience intervention tools 4 care mt4c evaluated pragmatic mixed methods randomized controlled trial 199 carers intervention group received free passwordprotected access mt4c three months mt4c found increase hope participants three months compared control group however intervention group 22 2092 use mt4c threemonth periodthis mixed methods secondary analysis aimed 1 examine differences three months outcomes hope selfefficacy healthrelated quality life hrqol scores users ie used mt4c least threemonth period compared nonusers 2 identify reasons nonusedata treatment group pragmatic mixed methods randomized controlled trial used audiotaped telephone interviews trained research assistants collected data participants hope herth hope index hhi selfefficacy general selfefficacy scale gses hrqol shortform 12item health survey version 2 sf12v2 baseline one month three months treatment group participants also provided feedback mt4c qualitative telephone interviews one month three months analysis covariance used determine differences three months generalized estimating equations used determine significant differences hhi gses sf12v2 users nonusers mt4c baseline three months interview data analyzed using content analysis integrated quantitative data result stageof 101 participants baseline 9 9 withdrew study leaving 92 participants three months 72 78 used mt4c least 20 22 participants use baseline statistically significant differences demographic characteristics outcome variables hhi gses sf12v2 mental component score physical component score users nonusers three months participants used mt4c least threemonth period users reported higher mean gses scores p003 nonusers time users significantly higher gses scores nonusers p048 reasons nonuse mt4c included following caregiving demands problems accessing mt4c poor connectivity computer literacy navigation mt4c preferences paper format facetoface interactionwebbased interventions mt4c potential increase selfefficacy carers persons adrd mcc future research mt4c consider including educational programs computer literacy providing alternate ways access mt4c addition webbased accessclinicaltrialsgov nct02428387 httpsclinicaltrialsgovct2shownct02428387