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An Interactive Web Tool for Facilitating Shared Decision-Making in Dementia-Care Networks: A Field Study.

Span M, Smits C, Jukema J, Groen-van de Ven L, Janssen R, Vernooij-Dassen M, Eefsting J, Hettinga M - Front Aging Neurosci (2015)

Bottom Line: The deciding together function does not yet provide adequate instructions for all.Participants found the DecideGuide valuable in decision-making.Regardless of participants' use of the tool, they saw the DecideGuide's added value.

View Article: PubMed Central - PubMed

Affiliation: Research Group Innovation of Care of Older Adults, Windesheim University of Applied Sciences , Zwolle , Netherlands.

ABSTRACT

Background: An interactive web tool has been developed for facilitating shared decision-making in dementia-care networks. The DecideGuide provides a chat function for easier communication between network members, a deciding together function for step-by-step decision-making, and an individual opinion function for eight dementia-related life domains. The aim of this study was to gain insight in the user friendliness of the DecideGuide, user acceptance and satisfaction, and participants' opinion of the DecideGuide for making decisions.

Materials and methods: A 5-month field study included four dementia-care networks (19 participants in total). The data derived from structured interviews, observations, and information that participants logged in the DecideGuide. Structured interviews took place at the start, middle, and end of the field study with people with dementia, informal caregivers, and case managers. Four observations of case managers' home visits focused on members' responses and use of the tool.

Results: (1) The user friendliness of the chat and individual opinion functions was adequate for case managers and most informal caregivers. Older participants, with or without dementia, had some difficulties using a tablet and the DecideGuide. The deciding together function does not yet provide adequate instructions for all. The user interface needs simplification. (2) User acceptance and satisfaction: everybody liked the chat's easy communication, handling difficult issues for discussion, and the option of individual opinions. (3) The DecideGuide helped participants structure their thoughts. They felt more involved and shared more information about daily issues than they had done previously.

Conclusion: Participants found the DecideGuide valuable in decision-making. The chat function seems powerful in helping members engage with one another constructively. Such engagement is a prerequisite for making shared decisions. Regardless of participants' use of the tool, they saw the DecideGuide's added value.

No MeSH data available.


Related in: MedlinePlus

Final layout of the three functions of the DecideGuide (screen view for the person with dementia). Clockwise from top left: chat, deciding together, individual opinion “How are you right now?”, and individual opinion in questionnaire with examples (Span et al., 2014b).
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Figure 1: Final layout of the three functions of the DecideGuide (screen view for the person with dementia). Clockwise from top left: chat, deciding together, individual opinion “How are you right now?”, and individual opinion in questionnaire with examples (Span et al., 2014b).

Mentions: The DecideGuide is an interactive web tool that helps people with dementia, informal caregivers, and case managers make shared decisions. There are three design principles in the DecideGuide: transparency, open communication and information, and giving voice to people with dementia. The DecideGuide promotes three perspectives: those of the people with dementia, their informal caregivers, and their case managers. All three parties can use the DecideGuide, which has three functions (Figure 1). The first function, chat, enables users to communicate with each other, also from a distance. The second function, deciding together, assists decision-making step by step. The third function, individual opinion, enables users to give their individual opinions about dementia-related topics and individual circumstances. This function help give voice to the person with dementia. The DecideGuide is a safe and shielded web tool, and it is available for tablets, laptops, and computers. The case manager, the person with dementia, and the informal caregivers discuss whether they will use the DecideGuide. All participants in a care network have an individual login and use the tool on their own as they wish or after an alert from the case manager (Span et al., 2014b).


An Interactive Web Tool for Facilitating Shared Decision-Making in Dementia-Care Networks: A Field Study.

Span M, Smits C, Jukema J, Groen-van de Ven L, Janssen R, Vernooij-Dassen M, Eefsting J, Hettinga M - Front Aging Neurosci (2015)

Final layout of the three functions of the DecideGuide (screen view for the person with dementia). Clockwise from top left: chat, deciding together, individual opinion “How are you right now?”, and individual opinion in questionnaire with examples (Span et al., 2014b).
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4493386&req=5

Figure 1: Final layout of the three functions of the DecideGuide (screen view for the person with dementia). Clockwise from top left: chat, deciding together, individual opinion “How are you right now?”, and individual opinion in questionnaire with examples (Span et al., 2014b).
Mentions: The DecideGuide is an interactive web tool that helps people with dementia, informal caregivers, and case managers make shared decisions. There are three design principles in the DecideGuide: transparency, open communication and information, and giving voice to people with dementia. The DecideGuide promotes three perspectives: those of the people with dementia, their informal caregivers, and their case managers. All three parties can use the DecideGuide, which has three functions (Figure 1). The first function, chat, enables users to communicate with each other, also from a distance. The second function, deciding together, assists decision-making step by step. The third function, individual opinion, enables users to give their individual opinions about dementia-related topics and individual circumstances. This function help give voice to the person with dementia. The DecideGuide is a safe and shielded web tool, and it is available for tablets, laptops, and computers. The case manager, the person with dementia, and the informal caregivers discuss whether they will use the DecideGuide. All participants in a care network have an individual login and use the tool on their own as they wish or after an alert from the case manager (Span et al., 2014b).

Bottom Line: The deciding together function does not yet provide adequate instructions for all.Participants found the DecideGuide valuable in decision-making.Regardless of participants' use of the tool, they saw the DecideGuide's added value.

View Article: PubMed Central - PubMed

Affiliation: Research Group Innovation of Care of Older Adults, Windesheim University of Applied Sciences , Zwolle , Netherlands.

ABSTRACT

Background: An interactive web tool has been developed for facilitating shared decision-making in dementia-care networks. The DecideGuide provides a chat function for easier communication between network members, a deciding together function for step-by-step decision-making, and an individual opinion function for eight dementia-related life domains. The aim of this study was to gain insight in the user friendliness of the DecideGuide, user acceptance and satisfaction, and participants' opinion of the DecideGuide for making decisions.

Materials and methods: A 5-month field study included four dementia-care networks (19 participants in total). The data derived from structured interviews, observations, and information that participants logged in the DecideGuide. Structured interviews took place at the start, middle, and end of the field study with people with dementia, informal caregivers, and case managers. Four observations of case managers' home visits focused on members' responses and use of the tool.

Results: (1) The user friendliness of the chat and individual opinion functions was adequate for case managers and most informal caregivers. Older participants, with or without dementia, had some difficulties using a tablet and the DecideGuide. The deciding together function does not yet provide adequate instructions for all. The user interface needs simplification. (2) User acceptance and satisfaction: everybody liked the chat's easy communication, handling difficult issues for discussion, and the option of individual opinions. (3) The DecideGuide helped participants structure their thoughts. They felt more involved and shared more information about daily issues than they had done previously.

Conclusion: Participants found the DecideGuide valuable in decision-making. The chat function seems powerful in helping members engage with one another constructively. Such engagement is a prerequisite for making shared decisions. Regardless of participants' use of the tool, they saw the DecideGuide's added value.

No MeSH data available.


Related in: MedlinePlus