Table 2.

Tenets of adult learning and memory and corresponding training design features.

Evidence-based dimension of adult learning	Sample training design features
Require more time to learn new skills [35]	Let participant set the pace of training
Need repetition and multiple formats of materials [36]	Repetition; supplementary flash cards; let participant develop own narrative around the device
Challenged by complex, unusual material [37,38]	Emphasis on purpose of training; emphasize “why” of tasks
Decline in motivation when not experiencing success [38]	Frequent positive feedback; opportunities to reflect and ask questions throughout
Repeated exposure facilitates learning [39,40]	Primary training session + refresher training prior to discharge
Cue-based recall [41]	Use of reminder alarm at the time of participant choosing as a cue to use app
Task performance (not just observation) with teach-back [41]	Provide a device to participant to use throughout training