Cargando…

An Interactive Web Tool for Facilitating Shared Decision-Making in Dementia-Care Networks: A Field Study

BACKGROUND: An interactive web tool has been developed for facilitating shared decision-making in dementia-care networks. The DecideGuide provides a chat function for easier communication between network members, a deciding together function for step-by-step decision-making, and an individual opinio...

Descripción completa

Detalles Bibliográficos
Autores principales: Span, Marijke, Smits, Carolien, Jukema, Jan, Groen-van de Ven, Leontine, Janssen, Ruud, Vernooij-Dassen, Myrra, Eefsting, Jan, Hettinga, Marike
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4493386/
https://www.ncbi.nlm.nih.gov/pubmed/26217221
http://dx.doi.org/10.3389/fnagi.2015.00128
_version_ 1782379904746127360
author Span, Marijke
Smits, Carolien
Jukema, Jan
Groen-van de Ven, Leontine
Janssen, Ruud
Vernooij-Dassen, Myrra
Eefsting, Jan
Hettinga, Marike
author_facet Span, Marijke
Smits, Carolien
Jukema, Jan
Groen-van de Ven, Leontine
Janssen, Ruud
Vernooij-Dassen, Myrra
Eefsting, Jan
Hettinga, Marike
author_sort Span, Marijke
collection PubMed
description BACKGROUND: An interactive web tool has been developed for facilitating shared decision-making in dementia-care networks. The DecideGuide provides a chat function for easier communication between network members, a deciding together function for step-by-step decision-making, and an individual opinion function for eight dementia-related life domains. The aim of this study was to gain insight in the user friendliness of the DecideGuide, user acceptance and satisfaction, and participants’ opinion of the DecideGuide for making decisions. MATERIALS AND METHODS: A 5-month field study included four dementia-care networks (19 participants in total). The data derived from structured interviews, observations, and information that participants logged in the DecideGuide. Structured interviews took place at the start, middle, and end of the field study with people with dementia, informal caregivers, and case managers. Four observations of case managers’ home visits focused on members’ responses and use of the tool. RESULTS: (1) The user friendliness of the chat and individual opinion functions was adequate for case managers and most informal caregivers. Older participants, with or without dementia, had some difficulties using a tablet and the DecideGuide. The deciding together function does not yet provide adequate instructions for all. The user interface needs simplification. (2) User acceptance and satisfaction: everybody liked the chat’s easy communication, handling difficult issues for discussion, and the option of individual opinions. (3) The DecideGuide helped participants structure their thoughts. They felt more involved and shared more information about daily issues than they had done previously. CONCLUSION: Participants found the DecideGuide valuable in decision-making. The chat function seems powerful in helping members engage with one another constructively. Such engagement is a prerequisite for making shared decisions. Regardless of participants’ use of the tool, they saw the DecideGuide’s added value.
format Online
Article
Text
id pubmed-4493386
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-44933862015-07-27 An Interactive Web Tool for Facilitating Shared Decision-Making in Dementia-Care Networks: A Field Study Span, Marijke Smits, Carolien Jukema, Jan Groen-van de Ven, Leontine Janssen, Ruud Vernooij-Dassen, Myrra Eefsting, Jan Hettinga, Marike Front Aging Neurosci Neuroscience BACKGROUND: An interactive web tool has been developed for facilitating shared decision-making in dementia-care networks. The DecideGuide provides a chat function for easier communication between network members, a deciding together function for step-by-step decision-making, and an individual opinion function for eight dementia-related life domains. The aim of this study was to gain insight in the user friendliness of the DecideGuide, user acceptance and satisfaction, and participants’ opinion of the DecideGuide for making decisions. MATERIALS AND METHODS: A 5-month field study included four dementia-care networks (19 participants in total). The data derived from structured interviews, observations, and information that participants logged in the DecideGuide. Structured interviews took place at the start, middle, and end of the field study with people with dementia, informal caregivers, and case managers. Four observations of case managers’ home visits focused on members’ responses and use of the tool. RESULTS: (1) The user friendliness of the chat and individual opinion functions was adequate for case managers and most informal caregivers. Older participants, with or without dementia, had some difficulties using a tablet and the DecideGuide. The deciding together function does not yet provide adequate instructions for all. The user interface needs simplification. (2) User acceptance and satisfaction: everybody liked the chat’s easy communication, handling difficult issues for discussion, and the option of individual opinions. (3) The DecideGuide helped participants structure their thoughts. They felt more involved and shared more information about daily issues than they had done previously. CONCLUSION: Participants found the DecideGuide valuable in decision-making. The chat function seems powerful in helping members engage with one another constructively. Such engagement is a prerequisite for making shared decisions. Regardless of participants’ use of the tool, they saw the DecideGuide’s added value. Frontiers Media S.A. 2015-07-07 /pmc/articles/PMC4493386/ /pubmed/26217221 http://dx.doi.org/10.3389/fnagi.2015.00128 Text en Copyright © 2015 Span, Smits, Jukema, Groen-van de Ven, Janssen, Vernooij-Dassen, Eefsting and Hettinga. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neuroscience
Span, Marijke
Smits, Carolien
Jukema, Jan
Groen-van de Ven, Leontine
Janssen, Ruud
Vernooij-Dassen, Myrra
Eefsting, Jan
Hettinga, Marike
An Interactive Web Tool for Facilitating Shared Decision-Making in Dementia-Care Networks: A Field Study
title An Interactive Web Tool for Facilitating Shared Decision-Making in Dementia-Care Networks: A Field Study
title_full An Interactive Web Tool for Facilitating Shared Decision-Making in Dementia-Care Networks: A Field Study
title_fullStr An Interactive Web Tool for Facilitating Shared Decision-Making in Dementia-Care Networks: A Field Study
title_full_unstemmed An Interactive Web Tool for Facilitating Shared Decision-Making in Dementia-Care Networks: A Field Study
title_short An Interactive Web Tool for Facilitating Shared Decision-Making in Dementia-Care Networks: A Field Study
title_sort interactive web tool for facilitating shared decision-making in dementia-care networks: a field study
topic Neuroscience
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4493386/
https://www.ncbi.nlm.nih.gov/pubmed/26217221
http://dx.doi.org/10.3389/fnagi.2015.00128
work_keys_str_mv AT spanmarijke aninteractivewebtoolforfacilitatingshareddecisionmakingindementiacarenetworksafieldstudy
AT smitscarolien aninteractivewebtoolforfacilitatingshareddecisionmakingindementiacarenetworksafieldstudy
AT jukemajan aninteractivewebtoolforfacilitatingshareddecisionmakingindementiacarenetworksafieldstudy
AT groenvandevenleontine aninteractivewebtoolforfacilitatingshareddecisionmakingindementiacarenetworksafieldstudy
AT janssenruud aninteractivewebtoolforfacilitatingshareddecisionmakingindementiacarenetworksafieldstudy
AT vernooijdassenmyrra aninteractivewebtoolforfacilitatingshareddecisionmakingindementiacarenetworksafieldstudy
AT eefstingjan aninteractivewebtoolforfacilitatingshareddecisionmakingindementiacarenetworksafieldstudy
AT hettingamarike aninteractivewebtoolforfacilitatingshareddecisionmakingindementiacarenetworksafieldstudy
AT spanmarijke interactivewebtoolforfacilitatingshareddecisionmakingindementiacarenetworksafieldstudy
AT smitscarolien interactivewebtoolforfacilitatingshareddecisionmakingindementiacarenetworksafieldstudy
AT jukemajan interactivewebtoolforfacilitatingshareddecisionmakingindementiacarenetworksafieldstudy
AT groenvandevenleontine interactivewebtoolforfacilitatingshareddecisionmakingindementiacarenetworksafieldstudy
AT janssenruud interactivewebtoolforfacilitatingshareddecisionmakingindementiacarenetworksafieldstudy
AT vernooijdassenmyrra interactivewebtoolforfacilitatingshareddecisionmakingindementiacarenetworksafieldstudy
AT eefstingjan interactivewebtoolforfacilitatingshareddecisionmakingindementiacarenetworksafieldstudy
AT hettingamarike interactivewebtoolforfacilitatingshareddecisionmakingindementiacarenetworksafieldstudy