» Articles » PMID: 22977435

A Web-based Communication System for Integrated Care in Cerebral Palsy: Experienced Contribution to Parent-professional Communication

Overview
Publisher Ubiquity Press
Date 2012 Sep 15
PMID 22977435
Citations 9
Authors
Affiliations
Soon will be listed here.
Abstract

Introduction: To improve communication in the integrated care setting of children with cerebral palsy, we developed a web-based system for parent-professional and inter-professional communication. The present study aimed to evaluate parents' experiences regarding the system's contribution to their communication with professionals during a six-months pilot in three Dutch care regions. In addition, factors associated with parents' system use and non-use were analyzed.

Theory And Methods: The system's functional specifications were based on key elements of the Chronic Care Model and quality dimensions formulated by the Institute of Medicine. At baseline, parents completed a T0-questionnaire on their experiences regarding sufficiency of contact, accessibility of professionals, timeliness of information exchange, consistency of information and parents' role as messenger of information and/or care coordinator. After the pilot, parents completed a T1-questionnaire on their experiences regarding the system's contribution to each of these aspects.

Results: Of the 30 participating parents 21 had used the system, of which 20 completed the T1-questionnaire. All these parents indicated that they had experienced a contribution of the system to parent-professional communication, especially with respect to accessibility of professionals, sufficiency of contact and timeliness of information exchange, and to a lesser extent consistency of information and parents' messenger/coordinator role. In comparison with non-users, users had less positive baseline experiences with accessibility and a higher number of professionals in the child's care network.

Conclusions: All users indicated a contribution of the system to parent-professional communication, although the extent of the experienced contribution varied considerably. Based on the differences found between users and non-users, further research might focus on the system's value for complex care networks and problematic access to professionals.

Citing Articles

Patient Perspectives on Communication Pathways After Orthopedic Surgery and Discharge and Evaluation of Team-Based Digital Communication: Qualitative Exploratory Study.

Jensen L, Rahbek O, Lauritsen R, Kold S, Dinesen B JMIR Hum Factors. 2024; 11:e49696.

PMID: 38551641 PMC: 11015373. DOI: 10.2196/49696.


Health Care Professionals' Perspectives Before and After Use of eDialogue for Team-Based Digital Communication Across Settings: Qualitative Study.

Jensen L, Rahbek O, Lauritsen R, Kold S, Dinesen B JMIR Hum Factors. 2024; 11:e53391.

PMID: 38457798 PMC: 10960209. DOI: 10.2196/53391.


Designing Digital Health Technology to Support Patients Before and After Bariatric Surgery: Qualitative Study Exploring Patient Desires, Suggestions, and Reflections to Support Lifestyle Behavior Change.

Robinson A, Husband A, Slight R, Slight S JMIR Hum Factors. 2022; 9(1):e29782.

PMID: 35254271 PMC: 8933804. DOI: 10.2196/29782.


Digital and Mobile Technologies to Promote Physical Health Behavior Change and Provide Psychological Support for Patients Undergoing Elective Surgery: Meta-Ethnography and Systematic Review.

Robinson A, Oksuz U, Slight R, Slight S, Husband A JMIR Mhealth Uhealth. 2020; 8(12):e19237.

PMID: 33258787 PMC: 7738263. DOI: 10.2196/19237.


Cerebral palsy information system with an approach to information architecture: a systematic review.

Afzali M, Etemad K, Kazemi A, Rabiei R BMJ Health Care Inform. 2020; 26(1).

PMID: 31892529 PMC: 7252971. DOI: 10.1136/bmjhci-2019-100055.


References
1.
Cooley W . Providing a primary care medical home for children and youth with cerebral palsy. Pediatrics. 2004; 114(4):1106-13. DOI: 10.1542/peds.2004-1409. View

2.
Broens T, Huis Int Veld R, Vollenbroek-Hutten M, Hermens H, van Halteren A, Nieuwenhuis L . Determinants of successful telemedicine implementations: a literature study. J Telemed Telecare. 2007; 13(6):303-9. DOI: 10.1258/135763307781644951. View

3.
van Dyck P, Kogan M, McPherson M, Weissman G, Newacheck P . Prevalence and characteristics of children with special health care needs. Arch Pediatr Adolesc Med. 2004; 158(9):884-90. DOI: 10.1001/archpedi.158.9.884. View

4.
Odding E, Roebroeck M, Stam H . The epidemiology of cerebral palsy: incidence, impairments and risk factors. Disabil Rehabil. 2006; 28(4):183-91. DOI: 10.1080/09638280500158422. View

5.
van Wijngaarden J, De Bont A, Huijsman R . Learning to cross boundaries: the integration of a health network to deliver seamless care. Health Policy. 2006; 79(2-3):203-13. DOI: 10.1016/j.healthpol.2006.01.002. View