App-based attention training: Incorporating older adults' feedback to facilitate home-based use

Background: Technology-based attention training programs have demonstrated promise in improving cognitive functioning in older adults. Aims and objectives: The purpose of this study was to evaluate the usability and acceptability of a modified version of a mobile attention training application. Design: A descriptive, mixed-methods design was used to capture older adults' feedback on the usability and acceptability of the modified attention training application. Methods: A convenience sample of older adults (n = 12) participated in three study visits and a one-week testing period of the modified attention training application in their homes. Descriptive statistics were calculated for all quantitative data, and an iterative content analysis was used to characterise participant responses. Results: On average, participants rated the modified attention training application more positively than negatively in terms of usability, interest, enjoyment and satisfaction. The qualitative analyses revealed positive aspects of using the app including working through challenges, perceived benefit and helpfulness of instructions. Conclusions: The modified attention training application was usable by and acceptable to the majority of older adults in our sample who had varying degrees of experience with mobile technology. Future development should specifically consider personal characteristics as well as individual preferences to maximise the potential of the modified attention training application. Implications for practice: This technology may be helpful for providing memory improvement interventions to older persons with cognitive impairment who do not have access to memory clinics.