Creating User Personas to Represent the Needs of Dementia Caregivers Who Support Medication Management at Home: Persona Development and Qualitative Study

BackgroundCaregiver-assisted medication management plays a critical role in promoting medication adherence and quality of life for people living with Alzheimer disease or related dementias (ADRD). The current landscape of digital and nondigital interventions to support medica...

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Main Authors: Anna Jolliff, Priya Loganathar, Richard J Holden, Anna Linden, Himalaya Patel, Jessica R Lee, Aaron Ganci, Noll Campbell, Malaz Boustani, Nicole E Werner
Format: Article
Language:English
Published: JMIR Publications 2025-07-01
Series:JMIR Aging
Online Access:https://aging.jmir.org/2025/1/e63944
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author Anna Jolliff
Priya Loganathar
Richard J Holden
Anna Linden
Himalaya Patel
Jessica R Lee
Aaron Ganci
Noll Campbell
Malaz Boustani
Nicole E Werner
author_facet Anna Jolliff
Priya Loganathar
Richard J Holden
Anna Linden
Himalaya Patel
Jessica R Lee
Aaron Ganci
Noll Campbell
Malaz Boustani
Nicole E Werner
author_sort Anna Jolliff
collection DOAJ
description BackgroundCaregiver-assisted medication management plays a critical role in promoting medication adherence and quality of life for people living with Alzheimer disease or related dementias (ADRD). The current landscape of digital and nondigital interventions to support medication management does not meet caregivers’ needs, contexts, and levels of technological proficiency. Intervention development can be facilitated using personas or data-driven archetypes that represent end users’ traits relevant to solution design. ObjectiveThis study aims to understand the strategies and unmet needs of ADRD caregivers who manage medications and use this understanding to create personas that can inform customized caregiver interventions. MethodsParticipants were self-identified primary caregivers of people with ADRD living with or near the care recipient. Virtual contextual inquiry was completed in three stages: (1) enrollment interview, (2) virtual observation over a 1-week period, and (3) postobservation interview. Codebook thematic analysis of interview transcripts was used to identify dimensions of caregivers’ approaches to medication management. A reflexive, team-based affinity diagramming approach was used to identify attributes within these dimensions and group attributes into personas. ResultsParticipants (N=25) were aged 62.32 (SD 11.86) years on average, and 17 (68%) of them were female. Caregivers varied across 6 dimensions relevant to medication management: strategies for medication acquisition, medication storage and organization, medication administration, monitoring the care recipient for symptoms, communication with care network regarding medication, and acquiring information about medication. Three personas were created to represent the observed strategies, unmet needs, and levels of technology use related to medication management: Checklist Cheryl, in Control; Social Sam, Keeps it Simple; and Responsive Rhonda, Stays Relaxed. ConclusionsCaregivers in this study demonstrated a range of characteristics and values that informed their approach to medication management. They used a combination of technology-based strategies and strategies situated in their physical environments to manage medications. The personas created can be used to inform interventions, such as digital tools, that address caregivers’ unmet needs.
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spelling doaj-art-cd6ff88bcd1941598dd188da08bbfd622025-08-20T03:13:55ZengJMIR PublicationsJMIR Aging2561-76052025-07-018e6394410.2196/63944Creating User Personas to Represent the Needs of Dementia Caregivers Who Support Medication Management at Home: Persona Development and Qualitative StudyAnna Jolliffhttps://orcid.org/0000-0002-5099-1469Priya Loganatharhttps://orcid.org/0000-0002-9483-2849Richard J Holdenhttps://orcid.org/0000-0002-3603-6158Anna Lindenhttps://orcid.org/0000-0002-1381-4332Himalaya Patelhttps://orcid.org/0000-0003-2334-0334Jessica R Leehttps://orcid.org/0009-0007-9255-4375Aaron Gancihttps://orcid.org/0000-0002-7121-559XNoll Campbellhttps://orcid.org/0000-0002-8933-9339Malaz Boustanihttps://orcid.org/0000-0003-0330-677XNicole E Wernerhttps://orcid.org/0000-0003-2363-9491 BackgroundCaregiver-assisted medication management plays a critical role in promoting medication adherence and quality of life for people living with Alzheimer disease or related dementias (ADRD). The current landscape of digital and nondigital interventions to support medication management does not meet caregivers’ needs, contexts, and levels of technological proficiency. Intervention development can be facilitated using personas or data-driven archetypes that represent end users’ traits relevant to solution design. ObjectiveThis study aims to understand the strategies and unmet needs of ADRD caregivers who manage medications and use this understanding to create personas that can inform customized caregiver interventions. MethodsParticipants were self-identified primary caregivers of people with ADRD living with or near the care recipient. Virtual contextual inquiry was completed in three stages: (1) enrollment interview, (2) virtual observation over a 1-week period, and (3) postobservation interview. Codebook thematic analysis of interview transcripts was used to identify dimensions of caregivers’ approaches to medication management. A reflexive, team-based affinity diagramming approach was used to identify attributes within these dimensions and group attributes into personas. ResultsParticipants (N=25) were aged 62.32 (SD 11.86) years on average, and 17 (68%) of them were female. Caregivers varied across 6 dimensions relevant to medication management: strategies for medication acquisition, medication storage and organization, medication administration, monitoring the care recipient for symptoms, communication with care network regarding medication, and acquiring information about medication. Three personas were created to represent the observed strategies, unmet needs, and levels of technology use related to medication management: Checklist Cheryl, in Control; Social Sam, Keeps it Simple; and Responsive Rhonda, Stays Relaxed. ConclusionsCaregivers in this study demonstrated a range of characteristics and values that informed their approach to medication management. They used a combination of technology-based strategies and strategies situated in their physical environments to manage medications. The personas created can be used to inform interventions, such as digital tools, that address caregivers’ unmet needs.https://aging.jmir.org/2025/1/e63944
spellingShingle Anna Jolliff
Priya Loganathar
Richard J Holden
Anna Linden
Himalaya Patel
Jessica R Lee
Aaron Ganci
Noll Campbell
Malaz Boustani
Nicole E Werner
Creating User Personas to Represent the Needs of Dementia Caregivers Who Support Medication Management at Home: Persona Development and Qualitative Study
JMIR Aging
title Creating User Personas to Represent the Needs of Dementia Caregivers Who Support Medication Management at Home: Persona Development and Qualitative Study
title_full Creating User Personas to Represent the Needs of Dementia Caregivers Who Support Medication Management at Home: Persona Development and Qualitative Study
title_fullStr Creating User Personas to Represent the Needs of Dementia Caregivers Who Support Medication Management at Home: Persona Development and Qualitative Study
title_full_unstemmed Creating User Personas to Represent the Needs of Dementia Caregivers Who Support Medication Management at Home: Persona Development and Qualitative Study
title_short Creating User Personas to Represent the Needs of Dementia Caregivers Who Support Medication Management at Home: Persona Development and Qualitative Study
title_sort creating user personas to represent the needs of dementia caregivers who support medication management at home persona development and qualitative study
url https://aging.jmir.org/2025/1/e63944
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