Center for Human Factors Engineering of Health Information Technology.
Department of Medical Informatics, Amsterdam Public Health research institute, Amsterdam UMC, location AMC, Amsterdam, The Netherlands.
Stud Health Technol Inform. 2022 May 25;294:920-924. doi: 10.3233/SHTI220625.
mHealth use for people with dementia is fraught with factors influencing its implementation in care and daily life. A better understanding of these factors may provide guidelines to inclusive design. This study aimed to assess whether factors gathered in a literature-based model could be validated by opinions of experts. On basis of a questionnaire as part of a larger study, experts identified barriers that they considered to be related to aging and dementia influencing mHealth use. Nineteen barriers that were mentioned by the dementia experts were covered in our literature-based model. No adaptions to the model were required. The dementia experts acclaimed three barriers to mHealth use that could not be mapped onto the framework: the unavailability of (informal) caregivers to support the mHealth use, the stage and type of dementia of an mHealth user, and the fear of the unknown. These should be considered as prerequisites in the implementation phase of mHealth and explored more in future research.
移动医疗在痴呆症患者中的应用充满了各种因素,这些因素影响着它在护理和日常生活中的实施。更好地了解这些因素可能为包容性设计提供指导。本研究旨在评估基于文献的模型中收集的因素是否可以通过专家的意见来验证。在一项更大研究的调查问卷的基础上,专家们确定了他们认为与老龄化和痴呆症相关的、影响移动医疗使用的障碍。我们基于文献的模型涵盖了痴呆症专家提到的 19 个障碍,无需对模型进行任何调整。痴呆症专家们认可了三个无法映射到框架中的移动医疗使用障碍:(非正式)照顾者无法支持移动医疗的使用、移动医疗使用者的痴呆症阶段和类型,以及对未知的恐惧。这些应该在移动医疗的实施阶段被视为前提条件,并在未来的研究中进一步探讨。