Table 4.

Direct quotes responding to the need for training and education related to technology or knowledge about dementia.

Staff	Training or education related to technology	Training or education related to caregivers’ or family members’ knowledge about dementia
Corporate staff	“But I do know that that the caregivers play a big role and there’s a lot of training that the office does for the caregivers to say, you know, this is what the tablet is. This is how you can engage. And the caregivers, I think there’s an app specifically for the caregiver on the tablet, so they’re interacting with it regularly for like things like clocking in and out, and those types of things, so that automatically I would imagine a lot of times prompts engagement too with the client, because the caregiver’s interacting with it so regularly. I think another neat function is that the tablet has like scrolling pictures on it, so when it’s charging even, it’s kind of like a rotating picture frame. So, I think that that in and of itself to kind of prompts interaction with it, especially if there’s a new photo that they haven’t seen before. But I would imagine for those living with dementia, probably is more caregiver interaction.” [Corporate staff 1]	“I would say that another addition, though, to the proprietary training following the Alzheimer’s Dementia Care evidence-based practices was about assessments, which we always do, but this training that we’ve updated, took that to another level and sort of explained how important it is. That’s what we’ve always explained, that it is important. But now, we’ve actually said, here’s how we can do it.” [Corporate staff 2]
Franchise owner and case manager	“I think the biggest thing for us is just continuing to keep the education piece on all staff. So, our frontline workers being trained in dementia care, because you never know when you’re going to have an opportunity, where current client, they’re taking care of, starts experiencing, signs, and symptoms. So, you know, I think, the, earlier we catch it on, then, the better partnership we have with the frontline staff and the families. And that’s kind of a goal that I’ve been doing in the community, you know, barring this year, is educating people and, you know, trying to bring technology into it.” [Franchise owner and case manager, location H]	“Now one of the things we’re very proud of is the fact that we do a lot of one-on-one dementia care. I’m a certified dementia trainer with the Alzheimer’s Association, so all of our caregivers go through training with me before they can put out in the field. We also have great mentoring programs.” [Franchise owner and case manager, location D]
Formal caregiver	“So, we’ve just had a lot of success with it. The only difficult part has been making it work with providing links for the family. I, I don’t know if maybe there’s some type of re-education that can go on with the family, and using the care team Connect app. Or if there’s just...because I, I navigate the relatively well. So I don’t typically look into it. I don’t know if you guys have like a tutorial section of the apps, that the family would be able to use to educate themselves more on how to navigate the app. But I know that sometimes, they’ve had difficulties, so, they’ve had a hard time finding where to upload photos, where to click the link, so that they can join Zoom calls, But, but, overall, I mean, the Zoom calls and face timing has gone really, really well.” [Formal caregiver, location E: CGa1]	“So, thankfully, I’ve gotten a little bit better with being able to address those things with them because I have created a really good relationship with the family. It kind of has fallen back on me. It was just having those conversations with them. Sometimes it works, sometimes it doesn’t. It’s kinda one of those hit and miss things, but a lot of it falls back, just to the fact that the families usually just don’t have the amount of education that we do, and aren’t always open to the education that we can give them, just because they don’t, they don’t really see the, the depth, that it really has. They don’t see how much we’ve actually had to learn about it. They only see a surface level of us telling them, that, their actions are making the family upset. Your words are making them upset, then they get offended. So, I feel like, I feel like if I had more resources to be able to give them more resources to be able to direct them to, it would make things a lot easier. I just said that resources were really important for them.” [Formal caregiver, location E: CG1]
Informal care partner	“Would you be able to load videos like a video of my grandson running through the yard because I have not been able to figure out how to post a video? I can do photos, but I have not figured out videos...I just need a lesson.” [Informal care partner, location A: family 1]	“So, I do think that there’s so many things about my parents getting older and having health problems, and these mental problems, and all of these things. And I, often, my sister today, we’ll just look at each other, will say, we cannot be the only ones, we’re not the only ones. And yet, it’s so hard, it’s so hard to find. Where is that training? Where are those resources? It is, it’s not, it’s not at all easy, and, as this disease becomes, I think, at some point, it will be epidemic. We’re going to live, everyone is going to live so long that our population is going to be filled with people who have this disease. And maybe just the sheer volume of folks will help bring. Bring this topic and, and these, this, this training, and these ideas more into the mainstream, I have to say, I, I was very uncomfortable telling anyone that My dad has Alzheimer’s, at all for...I felt a lot of shame about that, which is really unfortunate.” [Informal care partner, location F: family 1]

^aCG: caregiver.