genusConnect perspective

A family update is more than a notification: what should we measure?

A proposed local evaluation of family updates, from reliable delivery to understanding, useful replies, and staff workload.

By genusConnectPublished Sources reviewed

Begin with what the update is for

A family update may tell someone about an ordinary day, explain an agreed next step, or invite a question. Those purposes call for different kinds of feedback. Before asking how many messages were opened, an organization should decide what it hoped the recipient could understand or do.

This article sets out a genusConnect perspective on a possible local evaluation. It is a proposed approach for discussion with participants, caregivers, and staff. It does not report measured results from genusConnect software or promise that family updates improve a health outcome.

Follow the message beyond delivery

Imagine a hypothetical day center sending an evening update. The message reaches the intended family member, but its wording does not make clear whether a reply is needed. The family member opens it twice and then calls the center.

A dashboard might show successful delivery and repeated viewing. The conversation might reveal confusion. Neither observation should erase the other: the delivery system worked, while the message still needed improvement.

The first measurement question could therefore be very modest: can the recipient tell whether there is a next step and who should take it?

Use a small set of questions

For an initial review, we would consider five distinct questions:

  • Did the update reach the intended recipient through their agreed channel?
  • Could the recipient understand its main point?
  • Was any requested action clear and feasible?
  • Did questions reach the person responsible for answering them?
  • How much work did preparation, review, and follow-up require?

This is a suggested evaluation outline, not a validated instrument. The team should choose measures that fit the population and purpose, including any established tools that are appropriate. Collecting fewer useful observations is preferable to adding a long form that people have no time or reason to complete.

The AHRQ health literacy toolkit (opens in a new tab) offers practical communication resources. The Care Coordination Measures Atlas (opens in a new tab) offers a separate measurement reference. Both can inform planning without supplying evidence that this proposed family-update approach is effective.

Make the comparison fair enough to learn from

Before changing the update, record how the existing process works. Note which families use it, which use another route, and what staff currently do. Agree on a review period and on the decision the findings will inform.

If a new template is introduced at the same time as additional staff support, an observed improvement cannot automatically be assigned to the template. If only the most active families answer a survey, their responses cannot automatically represent everyone.

A report can still be useful when its limits are clear. It might say that a small group found the next-step wording easier to understand, explain how that feedback was obtained, and recommend another review with people who had not yet responded.

Keep the service and the software separate

The DaSH adult day study (opens in a new tab) concerns caregiver experience around service days. It does not test a digital family update. Using that research to explain why adult day support matters does not justify attributing its findings to a notification feature.

The genusConnect Day Center research collection separates those layers. That separation should remain visible when reporting local results. Changes in caregiver strain, service use, or costs would require their own appropriate measures and evaluation design.

Return the learning to the people involved

A practical outcome from the first review might be a revised opening sentence, a clearer reply route, or a different time for sending updates. Tell families and staff what changed and why. Ask whether the change made the task easier.

A useful update should earn its place in the day. Measuring its purpose, understanding, and workload gives an organization a better basis for that decision than treating every additional notification as progress.

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Follow the evidence

Sources & further reading

Guidance · 2014

Care Coordination Measures Atlas (preview resource)

AHRQ organizes ways to examine coordination from patient, professional, and system perspectives.

How to read it: Measurement reference, updated June 2014; select measures for the population and question rather than treating the atlas as an outcome study.

Study · 2014

The effects of adult day services on family caregivers’ daily stress, affect, and health (Zarit et al., 2014) (preview resource)

A daily-diary study of 173 family caregivers of people with dementia compared days when the person attended adult day services with days they did not. Caregivers reported fewer care-related stressors, more positive experiences, and lower anger on service days.

How to read it: Daily-diary study of 173 caregivers; findings concern adult day service days, not the effects of digital family updates. Abstract reviewed.

genusConnect report · 2026

Day Centers Inspire: research and claim ladder (preview resource)

genusConnect’s community white paper, research report, and graded claims for the Day Center Companion.

How to read it: genusConnect-authored synthesis and design interpretation. External adult day evidence does not establish outcomes of genusConnect software.