用于痴呆症护理的电子可个性化罗塞塔系统:探索其用户友好性、实用性和影响。
The electronic, personalizable Rosetta system for dementia care: exploring the user-friendliness, usefulness and impact.
作者信息
Hattink B J J, Meiland F J M, Overmars-Marx T, de Boer M, Ebben P W G, van Blanken M, Verhaeghe S, Stalpers-Croeze I, Jedlitschka A, Flick S E, V/D Leeuw J, Karkowski I, Dröes R M
机构信息
a Department of Psychiatry , VU University Medical Center , Amsterdam , The Netherlands .
b Department of Psychiatry and Elderly Care , VU University Medical Center , Amsterdam , The Netherlands .
出版信息
Disabil Rehabil Assist Technol. 2016;11(1):61-71. doi: 10.3109/17483107.2014.932022. Epub 2014 Jul 3.
PURPOSE
This research aimed to integrate three previously developed assistive technology (AT) systems into one modular, multifunctional system, which can support people with dementia and carers throughout the course of dementia. . In an explorative evaluation study, the integrated system, called Rosetta, was tested on usefulness, user-friendliness and impact, in people with dementia, their informal carers and professional carers involved. The Rosetta system was installed in participants' homes in three countries: The Netherlands, Germany and Belgium.
METHODS
Controlled trial with pre- and post-test measures across three countries (randomized controlled trial in Germany; matched groups in the Netherlands and Belgium). Participants completed questionnaires for impact measurement and participated in semi-structured interviews regarding usefulness and user-friendliness of Rosetta.
RESULTS
All participants agreed that Rosetta is a very useful development. They did not rate the user-friendliness of the system highly. No significant effects were found on impact measurements.
CONCLUSION
All participants found Rosetta a very useful development for future care, and would consider using it. Since Rosetta was still in development during evaluation, a discrepancy between expectations and actual functioning of Rosetta existed, which may explain the lack of findings on the impact of the system and the low appreciation of user-friendliness. Implications for Rehabilitation People with dementia and carers find assistive technology (AT) a useful future development and they are willing to use it in the future. People with dementia and carers have little privacy issues with AT. If they have concerns, they are willing to accept the trade-off of reduced privacy in exchange for the ability to live in their own homes for longer. Given that a system works flawlessly, informal carers indicate that integrated AT can reduce their burden and stress. This can in turn help informal carers to provide better care for a longer period of time.
目的
本研究旨在将之前开发的三个辅助技术(AT)系统整合为一个模块化的多功能系统,该系统能够在痴呆症病程中为痴呆症患者及其护理人员提供支持。在一项探索性评估研究中,对这个名为罗塞塔的集成系统在痴呆症患者、其非正式护理人员和专业护理人员中的实用性、用户友好性和影响进行了测试。罗塞塔系统安装在荷兰、德国和比利时三个国家的参与者家中。
方法
在三个国家进行前后测的对照试验(德国为随机对照试验;荷兰和比利时为匹配组试验)。参与者完成用于影响测量的问卷,并就罗塞塔的实用性和用户友好性参与半结构化访谈。
结果
所有参与者都认为罗塞塔是一项非常有用的开发成果。他们对该系统的用户友好性评价不高。在影响测量方面未发现显著效果。
结论
所有参与者都认为罗塞塔是未来护理的一项非常有用的开发成果,并会考虑使用它。由于在评估期间罗塞塔仍在开发中,罗塞塔的期望与实际功能之间存在差异,这可能解释了该系统影响方面缺乏研究结果以及用户友好性评价较低的原因。康复意义 痴呆症患者和护理人员认为辅助技术(AT)是未来一项有用的发展,他们愿意在未来使用它。痴呆症患者和护理人员在辅助技术方面几乎没有隐私问题。如果他们有担忧,他们愿意接受以减少隐私为代价来换取更长时间住在自己家中的能力。鉴于一个系统运行完美,非正式护理人员表示集成的辅助技术可以减轻他们的负担和压力。这反过来可以帮助非正式护理人员在更长时间内提供更好的护理。