Qualitative Key Findings Report for AAA HouseCall
July 28, 2022
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Research Background & Objective
AAA recently tested an in-home elder care program that provides personal assistants to attend to the needs of seniors. This received positive ratings from AAA members and non-members with elderly parents. At this time, AAA would like to gain a deeper understanding of the desired needs that can be addressed by personal assistants and how the service should be priced prior to a monadic quantitative concept test.
Current Health, Concerns and Needs
Companies that Provide Assistance
Reactions to AAA HouseCall Concept
Qualification Needed for Personal Assistants
Reactions to Potential Pricing Options
AAA Credibility to Offer this Service
Specific Objectives include a deeper understanding of…
Reactions to Categories of Services/Tasks
Reactions to Additional Services
Emergency Health Alert &
Personal Emergency Response System
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Methodology
Approach
Four 90-minute online focus groups were conducted on July 19th and July 21st, 2022, via Zoom. Research was conducted by Katie Anderson of Anderson Qualitative Research.
Screening Criteria
Meet Some of Our Respondents…
Nida
Cici
Lisa
Jeff
Peter
Craig
As with all qualitative research, care must be taken in the interpretation of findings from this study. Information in this report is not intended to be quantified or to take the place of a quantitative study.
Executive Summary:�Insights & Implications
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Executive Summary
Reactions to AAA HouseCall
AAA Credibility
Reactions to Pricing
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Executive Summary
Recommendation for AAA HouseCall
Based on the findings from this research, the AAA HouseCall concept should proceed to quantitative testing with following modifications:
In addition, the quantitative testing should include testing a range of pricing options.
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Executive Summary
Current Health Situation and Concerns
Non-Medical Needs
Reactions to Other Services
Current Health, Concerns, Needs, and Assistance of Elderly Loved Ones
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Current Health: Overwhelmingly respondents used the word “declining” to describe the current health of their loved ones, and all believe they will need increased care in the future
Current health greatly depends on age, previous health conditions, activity level, and living situation of loved ones…
Previous Medical Conditions
Many have dealt with cancer, heart attacks, or procedures that decrease quality of life.
Activity Level
Respondents’ concerns greatly varied based on how active or involved their loved ones are.
Living Situation
The current living situation of loved ones impacts concerns of mental health (need for companionship if more isolated), need for assistance, and concern for future.
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Primary Concerns: Respondents are concerned about the physical health of their loved ones (primarily their mobility and risk of falling) as well as their loved ones’ mental health
“My mom was recently out in public and fell. I am more concerned about her falling at home where there aren't people to call 911. My stepdad is now having these dizziness and balance issues, so I am worried about the both of them“
"I don’t want my mom to feel very depressed. I feel like we can always deal with the physical aspect, but I want to make sure she feels happy and comfortable"
“My mom often feels very lonely and doesn’t want to talk for some time. She often thinks about some people back in our country and goes silent”
“Throughout the year she doesn’t really have anyone who can check up on her because all of our relatives live in different states. She also is anxious all the time over minor things and she repeats herself a lot. She is a very social person and living alone is not good for her”
"My father has balance issues and sometimes he will go for a walk by himself, and he fell down and he kind of sat down and couldn’t get back up. So, I had to go track his location and help him“
"My mom spends most of her time alone and she often doesn’t take her medicine”
Word cloud based on responses to the question: What are your top concerns about your loved ones when they are alone
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Non-medical Needs: Respondents help with a variety of non-medical needs for their loved ones depending on how close they live as well as their level of independence
Errands
Technology
Finances
House Maintenance
Companionship
Medications + Appointments
“I go ahead and buy food for my mom. She has a special kind of diet and deals with diverticulitis, and she eats specific things. I have to do most of the driving”
“My husband is totally my mom's tech support, and my kids help her out all the time. My daughters will go and watch movies with her and keep her company”
“My mom gets a lot of like viruses on her computer, and she's not senile, but she often thinks she is closing things out, but she gets a lot of like ransomware, so my husband helps her”
“I am also in charge of the finances, so I take care of her bills and her property that we have in San Francisco”
Common Non-medical needs include:
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Current Paid Care: Respondents are very conscientious about the care they find for their loved ones and commonly rely on familial connections or vet online sources
Common Themes For Paid Care:
Family Member
Trustworthy
Compatible
Consistent
Respondents found paid care from a variety of sources including Craigslist, Comfort Keepers, Task Rabbit, and Care.com. Many feel very anxious about hiring someone that will keep their loved ones safe and that their loved ones feels comfortable and happy around them. Many rely on familial connections instead of companies to find the paid care that they use.
Factors that Affect Need for Care:
Everyone reports different situations that affect the specific needs and level of help required for their loved ones such as:
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Proximity to Loved One: Those who live closer to loved ones feel increased obligation to provide the care themselves while those who lived farther favor using outside care
Distance to Loved One
Live Close to Loves One
Respondents are more capable of checking in on them and ensuring that they are doing well. They tend to have greater peace of mind as they feel they can easily respond to the needs of their loved ones and observe changes in their behavior. However, this proximity makes them feel more of an obligation to provide care themselves and a perceived sense of guilt for hiring external care.
Live Far From Loved One
Respondents who live far from their loved ones are more desperate for the peace of mind that comes with knowing that someone will check on them and are much more open to the use of a service. They are interested in reports concerning the current state of the well-being of their loved ones.
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Level of Independence: Respondents with more dependent parents are inclined to desire more help than those with independent parents
Less Independent
Respondents with parents who are less independent (usually due to declining mental or physical health) want more and a greater variety of services for their parents. They also are willing to add on to the current services they use.
More Independent
Respondents with parents who are more independent want less help or less frequent help in order to protect the pride of their loved ones, but all consider an increase in help for the future.
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Current Assistance: Respondents vary from using current paid assistance as well as receiving help from the community which changes their specific needs from AAA HouseCall
Paid Assistance
Respondents who use paid care for their loved ones are resistant to changing. Most feel that they would use AAA HouseCall in addition to the current help that they receive.
Help from Community
Respondents who receive a lot of help and involvement from the community are less interested in the need for companionship and help from AAA HouseCall.
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Resistance to Help: Respondents are polarized on their experience with having resistance from their loved ones toward receiving help
Low Resistance Those who had previously used forms of help for their parents and those with older loved ones tend to have a lower resistance toward receiving more help.
| High Resistance Those with more resistant parents look for less time and involvement with assisted care.
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Lower resistance activities Housekeeping, running errands, technology
| Higher resistance activities Medicine, personal hygiene, finances
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Cultural Differences and Responsibilities: Respondents with different cultural backgrounds are concerned with the ability to use paid care while maintaining their values
Religious Dietary Restrictions
Respondents are concerned with the ability of a caregiver to respond to the specific religious needs of their parents.
Honor/Duty to Take Care of Parent
Respondents frequently view taking care of their parent as their duty and would not consider giving full control to a caregiver.
Receive Aid from Cultural Community
Respondents who are more involved in their community feel less of a need for companionship or socialization for their loved ones.
Reactions To AAA HouseCall Concept
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Reactions to the concept are overwhelmingly positive – respondents with parents in very different living situations appreciate the customizability, structure and professionalism
Questions/Concerns |
"I would need to know how much they would really do for my dad like taking him for a walk and cooking to his dietary needs. I was also unclear if it was the same person that would be coming each time" |
Strengths |
“I would love to hear a third-party opinion that my parents are doing well this week and if they need anything. At this stage they are still independent and starting to border needing more assistance so I could see this working in their life” "I really like the housekeeping, laundry, and the out of home transportation. One time I hurt my eye and I couldn’t drive so half of the errands and housekeeping were cut out and this put a lot of pressure on my brother. I like this as an option” "What really stood out was getting a little bit of that burden off my shoulders. I am interested in the shopping. That would be a huge help for me as well as transportation" |
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Qualifications: Respondents place importance on the quality of the person who cares for their loved ones and place heavy emphasis on background checks, safety & ability to choose
Background Checks
"We don’t want the elderly to be taken advantage of and know whoever is helping our parents is trustworthy and not going to steal from them"
References / Previous Ratings
"I would also like there to be ratings where you can see previous ratings and rate your person like Yelp"
Customizable
(gender/age/interests/skilled with hearing impaired/wheelchairs)
“I want to be able to choose if it is a man or a woman and the age range and language that they speak. I want to see if they are a foodie or if they love to travel"
Consistent and Likeable
"I want to be able to have a consistent person like a barber who you always have the same consistent person"
Good Driving Record
"It would be important to know their driving record. My mom would be terrified with someone who was speeding or driving erratically because my mom pays a lot of attention to that"
First Aid Certified
"I want them to go through some senior care certification process such as first aid and basic things like all the psychological aspects. There could also be different levels of certification of people who are ready to deal with people with dementia"
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Virtual Visits: Respondents appear less interested in virtual care for their loved ones due to insufficient skill in technology use and redundancy to current socialization
Elderly Not Comfortable with Technology
Redundant – Receive Virtual Companionship from Family
Possible Improvements/Potential Uses:
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Driving and Transportation: Respondents are polarized over whether they prefer to have a caregiver driving their loved ones and what vehicle they use
Negatives Some believe that their loved one’s would feel uncomfortable being driven by a caregiver. They prefer having caregivers run errands without driving their loved ones. In addition, a few have concerns about caregiver’s ability to accommodate wheelchairs and other transportation difficulties.
| Positives Many are trying to decrease the amount their loved ones are driving, and their loved ones often need transportation to doctors appointments.
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Caregivers Vehicle Respondents prefer the caregiver’s vehicle for liability and simplicity.
| Loved One’s Car Respondents are concerned about complexities with payments using a caregiver’s vehicle.
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Reports: Respondents consider the reports offered by AAA HouseCall as very beneficial for them, but are concerned with the reaction of their loved ones
Potential Benefits
“The reports would be important for me because I live 2000 miles away and it would be alleviating some stress”
“If I am away the progress reports are super helpful because my dad doesn’t always tell me exactly what is going on”
Reactions by Loved Ones
“I think I would like that, but I don’t think my mom would. She would find it invasive and say she doesn’t need a babysitter”
“My dad does have his territorial space and doesn’t like to be reported on, so it has to be something engaging for him”
Suggested Changes
“I would want to see more words and more of a detailed explanation of how my mom is doing"
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Pricing & Usage: When asked unaided about their willingness to pay and expected usage responses vary based on the needs of their loved ones
Respondents price range varied from $25 to $150 per hour, but all seem willing to pay more to ensure quality care for their loved ones. They are also interested in the role of insurance and Medicare covering the cost of the service.
Hours per week ranged from 2 to 9 hours per week depending on the current needs of the respondents' loved ones.
Importance of Specific Categories of Services/Tasks
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When asked to rate categories of tasks, respondents view errands, housekeeping, companionship, and transportation as the most important/core aspects of the service
Must Have/Core Parts of the Service | Nice, But Not Essential | Undesirable |
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Reactions Potential Price Options
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Pricing Options: Respondents are shocked by how inexpensive the prices are, but are polarized over how they feel about these prices
Time Period | More Rural Areas | Medium Size Cities (Phoenix) | Large Cities (San Francisco) |
Hourly rate | $20 | $26 | $29 |
Monthly rate 2 days/week for 4 hours/visit (8 hours/week; 32 hours/month) | $575 ($18/hour) | $750 ($23/hour) | $835 ($26/hour) |
Monthly rate 5 days/week for 2 hours/visit (10 hours/week; 40 hours/month) | $720 ($18/hour) | $935 ($23/hour) | $1044 ($26/hour) V2 |
Negatives |
“That is way too low on the prices. I know AAA takes a piece and this has to include all of their benefits, and this is really close to minimum wage. I think this is a little low. Everyone likes a bargain, but I don’t want someone who is going to have an ankle monitor. I want a quality person. I would think at least $35-50 per hour” “This does not seem like enough. You would need at least double minimum wage on the low end if these people are willing to accept minimum wage” |
Positives |
“I was pleasantly surprised by this pricing considering it is backed by AAA and seems like it would be more expensive” “I think that the monthly rate for rural areas is super reasonable. I wouldn’t feel any hesitation for having the monthly rate for my mom” |
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Pricing Options: Respondents appreciate the pricing options, but differ in their preference of hourly or monthly rate based on the needs of their loved ones
Non-Users of Paid Care
"I feel like a lot of these services would have a minimum that they want you to hit. $26 per hour sounds awesome but I would be concerned that they would insert a minimum that you would have to hit“
"I really like the hourly rate"
“The hourly rate seems reasonable, but the monthly plans do not really fit. I would like to split the first monthly plan in half…2 days a week, 2 hours per visit"
Current Users of Paid Care
"The five days a week seems like too much. The 2 days a week would provide enough for my mom to get what she needs and offer a good amount of companionship. 4 hours would also make my mom feel much less stressed and more relaxed“
"I don’t think 2 hours is enough time to get really anything done so I would choose the longer option”
Reactions to Other Services (Emergency Health Alert & Personal Emergency Response System)
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While respondents see value in the Personal Emergency Response System, they struggle to see the relevance to their elderly loved ones due to the technology & lack of need
AAA Personal Emergency Response System
An emergency response via an app on the users’ smartphone. This service would be primarily used when the user is on-the-go and they feel unsafe. They can turn on this feature on the app if they want a AAA safety specialist to discreetly listen while they are walking alone. It gives the user access to the AAA monitoring center who can send first responders to their location in an emergency, or the user can send a silent panic call or text to 911 or a designated contact for help.
Drawbacks |
“If my dad is out, he is always with someone, so he is never by himself. We also don’t live in a big city where he would need a silent alarm. He also already has a pendant, and we also already have a security system at home with a panic button and stuff like that” “They're old and they aren't super tech savvy so the smart phone app thing would not work for them” “I can see where other people would use this especially if my mom lived here in the city but where she lives, she is in the middle of nowhere and is very safe there. My mom also cannot figure out apps on her phone. She is afraid of them and can't figure out how it works” |
Strengths |
“I would like this for when my mom is going on a walk, and she can use it whenever she has any issues or needs” “I like it with how crazy things are now as long as a person answers. My mom would use this if she ever felt unsafe. She has to go to Stockton sometimes and she can sometimes feel unsafe. Also, god forbid if there was an active shooter or something like that” |
Only discussed in 2 of the 4 focus groups.