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EmpRess:通过对利益相关者需求的访谈研究开发的用于痴呆症的电子健康实施准备情况清单。

EmpRess: an eHealth implementation readiness checklist for dementia developed through an interview study of stakeholder needs.

机构信息

Alzheimer Center Limburg, Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, Netherlands.

NIHR MindTech MedTech Co-operative, Institute of Mental Health, University of Nottingham, Nottingham, UK.

出版信息

Aging Ment Health. 2024 May;28(5):791-800. doi: 10.1080/13607863.2024.2323951. Epub 2024 Mar 11.

Abstract

OBJECTIVE

This study aimed to create a tool to assess eHealth interventions for dementia by adapting an existing implementation readiness (ImpRess) checklist that assessed manualised interventions.

METHODS

In Part 1, online semi-structured interviews with individual stakeholders ( = 9) with expertise in eHealth and dementia were conducted (response rate 83%). The Nonadoption, Abandonment, and challenges to the Scale-Up, Spread, and Sustainability of Health and care technologies (NASSS) framework was applied, both to guide the construction of the interview guide, as well as to use its subdomains as codes in the deductive qualitative thematic analysis. Respondents were industry professionals ( = 3), researchers ( = 3), policy officers ( = 2), and a clinician ( = 1). In Part 2, the items of the original ImpRess checklist were supplemented by items that covered determinants discussed in the interviews, that were not included in the original checklist.

RESULTS

The main findings from the interviews included: Participants' preference for a non-dementia-specific, more general approach to the checklist; the importance of searching for shared values with implementers; and the need for more systematic monitoring of implementation.

CONCLUSIONS

The EmpRess checklist applies an inclusive design approach. The checklist will help evaluate the implementation determinants of eHealth interventions for dementia and provide up-to-date information on what is, and is not, working in eHealth for dementia care.

摘要

目的

本研究旨在通过改编现有的实施准备(ImpRess)清单来创建一种评估痴呆症电子健康干预措施的工具,该清单评估了手工干预措施。

方法

在第 1 部分中,对具有电子健康和痴呆症专业知识的个别利益相关者( = 9)进行了在线半结构化访谈(响应率为 83%)。应用了未采用、放弃和挑战健康和护理技术的扩展、传播和可持续性(NASSS)框架,既指导访谈指南的构建,又将其子域用作演绎定性主题分析的代码。受访者是行业专业人士( = 3)、研究人员( = 3)、政策官员( = 2)和临床医生( = 1)。在第 2 部分中,原始 ImpRess 清单的项目通过访谈中讨论的、原始清单中未包含的决定因素的项目进行了补充。

结果

访谈的主要结果包括:参与者对清单采用非痴呆症特异性、更通用方法的偏好;与实施者寻找共同价值观的重要性;以及更系统地监测实施情况的必要性。

结论

EmpRess 清单采用了包容性设计方法。该清单将有助于评估痴呆症电子健康干预措施的实施决定因素,并提供有关电子健康在痴呆症护理中有效和无效的最新信息。

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