Killin Lewis O J, Russ Tom C, Surdhar Sushee Kaur, Yoon Youngseo, McKinstry Brian, Gibson Grant, MacIntyre Donald J
Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.
NHS Lothian, Edinburgh, UK.
BMJ Open. 2018 Apr 12;8(4):e020281. doi: 10.1136/bmjopen-2017-020281.
To establish the feasibility of the Digital Support Platform (DSP), an internet-based, postdiagnostic tool designed for families living with a diagnosis of dementia.
Qualitative methods using normalisation process theory as an analysis framework for semistructured interview transcriptions.
A community care setting in the South-East Scotland.
We interviewed 10 dyads of people with Alzheimer's, vascular or mixed dementia (PWD), and their family carers, who had been given and had used the DSP for at least 2 months.
Our analysis revealed that the DSP was predominantly understood and used by the carers rather than PWD, and was used alongside tools and methods they already used to care for their relative. The DSP was interpreted as a tool that may be of benefit to those experiencing later stages of dementia or with physical care needs. Carers stated that the DSP may be of benefit in the future, reflecting a disinclination to prepare for or anticipate for future needs, rather than focus on those needs present at the time of distribution. PWD spoke positively about an interest in learning to use technology more effectively and enjoyed having their own tablet devices.
The DSP was not wholly appropriate for families living with dementia in its early stages. The views of carers confirmed that postdiagnostic support was valued, but emphasised the importance of tailoring this support to the exact needs and current arrangements of families. There may be a benefit to introducing, encouraging, providing and teaching internet-enabled technology to those PWD who do not currently have access. Training should be provided when introducing new technology to PWD.
评估数字支持平台(DSP)的可行性,这是一款基于互联网的诊断后工具,专为患有痴呆症的家庭设计。
采用定性方法,以规范化过程理论作为半结构化访谈转录的分析框架。
苏格兰东南部的一个社区护理机构。
我们采访了10对患有阿尔茨海默病、血管性痴呆或混合性痴呆的患者(PWD)及其家庭护理人员,他们已获得并使用DSP至少2个月。
我们的分析表明,主要是护理人员而非PWD理解并使用了DSP,并且它是与他们已经用于照顾亲属的工具和方法一起使用的。DSP被理解为一种可能对处于痴呆症后期或有身体护理需求的人有益的工具。护理人员表示,DSP未来可能会有帮助,这反映出他们不愿意为未来的需求做准备或预测,而不是关注分发时存在的需求。PWD积极谈论了他们对更有效地学习使用技术的兴趣,并喜欢拥有自己的平板电脑设备。
DSP并不完全适用于处于早期阶段的痴呆症患者家庭。护理人员的观点证实了诊断后支持的价值,但强调了根据家庭的确切需求和当前安排量身定制这种支持的重要性。向目前无法使用互联网技术的PWD引入、鼓励、提供和教授此类技术可能会有好处。在向PWD引入新技术时应提供培训。