Assessing the Time for Living and Caring (TLC) Study: Mixed-Methods Feasibility Study of a Web-Based Caregiver Intervention to Improve Respite
Abstract BackgroundInterventions that are self-administered and delivered online are increasingly being seen as a flexible way to support family caregivers. Intervention research should prioritize the measurement of feasibility throughout all of the stages of intervention deve...
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| Format: | Article |
| Language: | English |
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JMIR Publications
2025-08-01
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| Series: | JMIR Aging |
| Online Access: | https://aging.jmir.org/2025/1/e71792 |
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| _version_ | 1849223169943011328 |
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| author | Amber D Thompson Alexandra L Terrill Michael Caserta Bob Wong Eli Iacob Catharine Sparks Louisa Stark Rebecca L Utz |
| author_facet | Amber D Thompson Alexandra L Terrill Michael Caserta Bob Wong Eli Iacob Catharine Sparks Louisa Stark Rebecca L Utz |
| author_sort | Amber D Thompson |
| collection | DOAJ |
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Abstract
BackgroundInterventions that are self-administered and delivered online are increasingly being seen as a flexible way to support family caregivers. Intervention research should prioritize the measurement of feasibility throughout all of the stages of intervention development and evaluation to provide the essential feedback loop needed for the iterative development and refinement process.
ObjectiveWe describe the methodology and data used to assess the feasibility, usability, and acceptability of the Time for Living and Caring (TLC) intervention, a technology-delivered intervention (app) for dementia caregivers to improve respite time use.
MethodsThe feasibility analysis is theoretically guided by a multidimensional definition of feasibility and uses a mixed-methods research design. Stakeholder feedback collected via focus groups during intervention development (n=15), self-reported surveys from participants enrolled in the pilot trial of the intervention (n=163), surveys of a nationwide sample of respite providers (n=57), and end-user statistics, captured passively by Google Analytics from those using the app, were used in the feasibility analysis of the TLC intervention.
ResultsThe TLC study used an appropriate design and data collection procedures, along with acceptable recruitment capability. Out of 5 intervention features, 4 received favorable ratings (range of 82%‐99%) by intervention participants and respite providers, which, when combined with open-ended recommendations for improvements, indicate a high degree of usability. Acceptability was measured through appraisal of the intervention experience (135/159, 85% positive), potential future use (127/163, 78%), willingness to recommend (148/163, 91%), and perceived benefit (135/163, 83%).
ConclusionsTaken together, the data suggest that the TLC app is a promising intervention that could be implemented as an on-demand resource for respite-using caregivers, irrespective of where they are located or when they choose to access it. Additionally, this paper provides a blueprint for systematically evaluating multiple dimensions of feasibility, using various forms of mixed-methods data collected during intervention development and pilot testing of an intervention, which should help streamline the eventual implementation of effective interventions in real-world settings. |
| format | Article |
| id | doaj-art-9958af2fd7ee4f12973b5eb658fc3fe1 |
| institution | Kabale University |
| issn | 2561-7605 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Aging |
| spelling | doaj-art-9958af2fd7ee4f12973b5eb658fc3fe12025-08-25T20:52:55ZengJMIR PublicationsJMIR Aging2561-76052025-08-018e71792e7179210.2196/71792Assessing the Time for Living and Caring (TLC) Study: Mixed-Methods Feasibility Study of a Web-Based Caregiver Intervention to Improve RespiteAmber D Thompsonhttp://orcid.org/0000-0002-0128-0089Alexandra L Terrillhttp://orcid.org/0000-0002-2698-7435Michael Casertahttp://orcid.org/0000-0002-8198-750XBob Wonghttp://orcid.org/0000-0003-1386-4505Eli Iacobhttp://orcid.org/0000-0003-1617-0314Catharine Sparkshttp://orcid.org/0009-0002-2686-5582Louisa Starkhttp://orcid.org/0000-0002-2978-7279Rebecca L Utzhttp://orcid.org/0000-0001-7734-7676 Abstract BackgroundInterventions that are self-administered and delivered online are increasingly being seen as a flexible way to support family caregivers. Intervention research should prioritize the measurement of feasibility throughout all of the stages of intervention development and evaluation to provide the essential feedback loop needed for the iterative development and refinement process. ObjectiveWe describe the methodology and data used to assess the feasibility, usability, and acceptability of the Time for Living and Caring (TLC) intervention, a technology-delivered intervention (app) for dementia caregivers to improve respite time use. MethodsThe feasibility analysis is theoretically guided by a multidimensional definition of feasibility and uses a mixed-methods research design. Stakeholder feedback collected via focus groups during intervention development (n=15), self-reported surveys from participants enrolled in the pilot trial of the intervention (n=163), surveys of a nationwide sample of respite providers (n=57), and end-user statistics, captured passively by Google Analytics from those using the app, were used in the feasibility analysis of the TLC intervention. ResultsThe TLC study used an appropriate design and data collection procedures, along with acceptable recruitment capability. Out of 5 intervention features, 4 received favorable ratings (range of 82%‐99%) by intervention participants and respite providers, which, when combined with open-ended recommendations for improvements, indicate a high degree of usability. Acceptability was measured through appraisal of the intervention experience (135/159, 85% positive), potential future use (127/163, 78%), willingness to recommend (148/163, 91%), and perceived benefit (135/163, 83%). ConclusionsTaken together, the data suggest that the TLC app is a promising intervention that could be implemented as an on-demand resource for respite-using caregivers, irrespective of where they are located or when they choose to access it. Additionally, this paper provides a blueprint for systematically evaluating multiple dimensions of feasibility, using various forms of mixed-methods data collected during intervention development and pilot testing of an intervention, which should help streamline the eventual implementation of effective interventions in real-world settings.https://aging.jmir.org/2025/1/e71792 |
| spellingShingle | Amber D Thompson Alexandra L Terrill Michael Caserta Bob Wong Eli Iacob Catharine Sparks Louisa Stark Rebecca L Utz Assessing the Time for Living and Caring (TLC) Study: Mixed-Methods Feasibility Study of a Web-Based Caregiver Intervention to Improve Respite JMIR Aging |
| title | Assessing the Time for Living and Caring (TLC) Study: Mixed-Methods Feasibility Study of a Web-Based Caregiver Intervention to Improve Respite |
| title_full | Assessing the Time for Living and Caring (TLC) Study: Mixed-Methods Feasibility Study of a Web-Based Caregiver Intervention to Improve Respite |
| title_fullStr | Assessing the Time for Living and Caring (TLC) Study: Mixed-Methods Feasibility Study of a Web-Based Caregiver Intervention to Improve Respite |
| title_full_unstemmed | Assessing the Time for Living and Caring (TLC) Study: Mixed-Methods Feasibility Study of a Web-Based Caregiver Intervention to Improve Respite |
| title_short | Assessing the Time for Living and Caring (TLC) Study: Mixed-Methods Feasibility Study of a Web-Based Caregiver Intervention to Improve Respite |
| title_sort | assessing the time for living and caring tlc study mixed methods feasibility study of a web based caregiver intervention to improve respite |
| url | https://aging.jmir.org/2025/1/e71792 |
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