Alsem Mattijs W, Verhoef Marjolein, Braakman Jessica, van Meeteren Karen M, Siebes Renate C, Jongmans Marian J, Visser-Meily Johanna M A, Ketelaar Marjolijn
Center of Excellence for Rehabilitation Medicine, Brain Center Rudolf Magnus, University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht University, Utrecht, The Netherlands.
Department of Rehabilitation Medicine, Amsterdam University Medical Centers, location AMC, Meibergdreef 9, Amsterdam, The Netherlands.
Child Care Health Dev. 2019 Sep;45(5):623-636. doi: 10.1111/cch.12700. Epub 2019 Jul 16.
To explore experiences of parents of children with disabilities using the WWW, roadmap, a tool to support them in exploring needs, finding information, and asking questions of professionals and to explore differences between parents who had used the WWW-roadmap to prepare for consultation with their rehabilitation physician and parents who had not.
In a sequential cohort study, we included 128 parents; 54 used the WWW-roadmap prior to consultation and 74 received care-as-usual. Both groups completed questionnaires after consultation, assessing empowerment, self-efficacy, parent and physician satisfaction, family centredness of care, and experiences using the tool. Additionally, 13 parents were interviewed.
Parents who used the WWW-roadmap looked up more information on the Internet. No other differences between parents and physicians were found. In the interviews, parents said that the WWW-roadmap was a useful tool for looking up information, exploring and asking questions, and maintaining a comprehensive picture.
Using the WWW-roadmap prior to consultation did not improve self-efficacy, satisfaction, or family centredness of care. Findings suggest positive experiences regarding factors determining empowerment, creating conditions for a more equal parent-physician relationship. The WWW-roadmap is useful for parents to explore their needs and find information, but more is needed to support empowerment in consultations.
探讨残疾儿童家长使用万维网路线图(一种支持他们探索需求、查找信息以及向专业人员提问的工具)的体验,并探究使用万维网路线图为与康复医师的咨询做准备的家长和未使用该路线图的家长之间的差异。
在一项序贯队列研究中,我们纳入了128名家长;54名家长在咨询前使用了万维网路线图,74名家长接受常规护理。两组家长在咨询后均完成了问卷,评估赋权、自我效能感、家长和医师满意度、以家庭为中心的护理以及使用该工具的体验。此外,对13名家长进行了访谈。
使用万维网路线图的家长在互联网上查找的信息更多。家长和医师之间未发现其他差异。在访谈中,家长表示万维网路线图是查找信息、探索和提问以及全面了解情况的有用工具。
咨询前使用万维网路线图并未提高自我效能感、满意度或以家庭为中心的护理水平。研究结果表明,在决定赋权的因素方面有积极体验,为建立更平等的医患关系创造了条件。万维网路线图有助于家长探索自身需求并查找信息,但在咨询中支持赋权还需要更多努力。