A Web-based Communication System for Integrated Care in Cerebral Palsy: Experienced Contribution to Parent-professional Communication
Overview
Affiliations
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.
Jensen L, Rahbek O, Lauritsen R, Kold S, Dinesen B JMIR Hum Factors. 2024; 11:e49696.
PMID: 38551641 PMC: 11015373. DOI: 10.2196/49696.
Jensen L, Rahbek O, Lauritsen R, Kold S, Dinesen B JMIR Hum Factors. 2024; 11:e53391.
PMID: 38457798 PMC: 10960209. DOI: 10.2196/53391.
Robinson A, Husband A, Slight R, Slight S JMIR Hum Factors. 2022; 9(1):e29782.
PMID: 35254271 PMC: 8933804. DOI: 10.2196/29782.
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.