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Abstract

Palliative End-of-Life Care (PEoLC) is a process requiring timely assessment, effective communication, and personcentered decision-making to support patients and families. Although the process can be strengthened through digital health innovations such as Mobile Palliative End-of-Life Advanced Care Enhancement (M-PEACE), its use in PEoLC remains limited. Therefore, this study aimed to evaluate M-PEACE usability and technology acceptance through an explanatory sequential mixed-methods design and explore user experiences in describing quantitative results. The quantitative phase was conducted to assess usability through an adapted System Usability Scale (SUS), and technology acceptance was measured using a modified Technology Acceptance Model (TAM) questionnaire. A total of 106 respondents (median age = 46.5 years) who participated were selected using convenience sampling. The results showed that internal consistency of the modified instruments was excellent (Cronbach’s α = 0.865–0.980). Quantitative analysis showed high agreement across usability, functionality, reliability, and transportability domains (median = 4). Perceived usefulness, ease of use, attitudes, behavioral intention, and trust were also high (median = 4–5). In line with the methodological procedures, the qualitative phase was conducted through semi-structured interviews with patients, family caregivers, and nurses to help explain and deepen the quantitative results. Thematic analysis identified three themes, namely (1) Positive Experience with the Application (user-friendly interface, easy access), (2) Perceived Benefits (motivation booster, better symptom monitoring, enhanced quality of life and dignity at end of life, improved self-care ability), and (3) Improvements Needed (reminders, simpler language, cross-platform access, additional tools, offline functionality). Overall, the integration of quantitative and qualitative results suggested that M-PEACE showed strong usability and acceptance, indicating substantial potential for incorporation into PEoLC service delivery.

Bahasa Abstract

Evaluasi Usabilitas dan Penerimaan Teknologi Mobile Palliative End-of-Life Care Enhancement (M-PEACE): Penelitian Mixed-Methods. Palliative End-of-Life Care (PEoLC) memerlukan asesmen yang tepat waktu, komunikasi yang efektif, serta pengambilan keputusan berpusat pada pasien untuk mendukung pasien dan keluarga. Inovasi kesehatan digital seperti Mobile Palliative End-of-Life Advanced Care Enhancement (M-PEACE) berpotensi memperkuat proses tersebut, namun pemanfaatannya dalam layanan PEoLC masih terbatas. Studi ini menggunakan desain mixed-methods sequential explanatory untuk mengevaluasi usabilitas dan penerimaan teknologi M-PEACE serta memahami pengalaman pengguna yang menjelaskan temuan kuantitatif. Fase kuantitatif menilai usability menggunakan System Usability Scale (SUS) yang telah diadaptasi dan mengukur penerimaan teknologi menggunakan kuesioner Technology Acceptance Model (TAM) yang dimodifikasi. Sebanyak 106 responden (usia median = 46,5 tahun) berpartisipasi dalam penelitian ini dan dipilih menggunakan teknik convenience sampling. Konsistensi internal instrumen yang dimodifikasi sangat baik (Cronbach’s α = 0,865–0,980). Hasil kuantitatif menunjukkan tingkat persetujuan yang tinggi pada domain usability, functionality, reliability, dan transportability (median = 4). Persepsi kegunaan, kemudahan penggunaan, sikap, niat perilaku, dan kepercayaan juga tinggi (median = 4–5). Fase kualitatif dilakukan setelahnya melalui wawancara semi-terstruktur dengan pasien, keluarga, dan perawat untuk menjelaskan dan memperdalam hasil kuantitatif. Analisis tematik mengidentifikasi tiga tema utama: (1) Pengalaman Positif dengan Aplikasi (antarmuka mudah digunakan, akses mudah); (2) Manfaat yang Dirasakan (peningkatan motivasi, pemantauan gejala lebih baik, peningkatan kualitas hidup dan martabat di akhir hayat, peningkatan kemampuan perawatan mandiri); dan (3) Perlu Perbaikan (fitur pengingat, penyederhanaan bahasa, akses lintas platform, tambahan fitur, fungsi offline). Secara keseluruhan, temuan terintegrasi menunjukkan bahwa M-PEACE memiliki usability dan penerimaan yang kuat serta berpotensi besar untuk diintegrasikan ke dalam layanan PEoLC.

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