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Implementation of an innovative web-based conference table for community-dwelling frail older people, their informal caregivers and professionals: a process evaluation

Robben, Sarah H. M.; Perry, Marieke; Huisjes, Mirjam; van Nieuwenhuijzen, Leontien; Schers, Henk J.; van Weel, Chris; Rikkert, Marcel G. M. Olde; van Achterberg, Theo; Heinen, Maud M; Melis, René JF

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BACKGROUND Due to fragmentation of care, continuity of care is often limited in the care provided to frail older people. Further, frail older people are not always enabled to become involved in their own care. Therefore, we developed the Health and Welfare Information Portal (ZWIP), a shared Electronic Health Record combined with a communication tool for community-dwelling frail older people and primary care professionals. This article describes the process evaluation of its implementation, and...[Show more]

dc.contributor.authorRobben, Sarah H. M.
dc.contributor.authorPerry, Marieke
dc.contributor.authorHuisjes, Mirjam
dc.contributor.authorvan Nieuwenhuijzen, Leontien
dc.contributor.authorSchers, Henk J.
dc.contributor.authorvan Weel, Chris
dc.contributor.authorRikkert, Marcel G. M. Olde
dc.contributor.authorvan Achterberg, Theo
dc.contributor.authorHeinen, Maud M
dc.contributor.authorMelis, René JF
dc.date.accessioned2015-12-22T03:57:05Z
dc.date.available2015-12-22T03:57:05Z
dc.identifier.issn1472-6963
dc.identifier.urihttp://hdl.handle.net/1885/95167
dc.description.abstractBACKGROUND Due to fragmentation of care, continuity of care is often limited in the care provided to frail older people. Further, frail older people are not always enabled to become involved in their own care. Therefore, we developed the Health and Welfare Information Portal (ZWIP), a shared Electronic Health Record combined with a communication tool for community-dwelling frail older people and primary care professionals. This article describes the process evaluation of its implementation, and aims to establish (1) the outcomes of the implementation process, (2) which implementation strategies and barriers and facilitators contributed to these outcomes, and (3) how its future implementation could be improved. METHODS Mixed methods study, consisting of (1) a survey among professionals (n = 118) and monitoring the use of the ZWIP by frail older people and professionals, followed by (2) semi-structured interviews with purposively selected professionals (n = 12). RESULTS 290 frail older people and 169 professionals participated in the ZWIP. At the end of the implementation period, 55% of frail older people and informal caregivers, and 84% of professionals had logged on to their ZWIP at least once. For professionals, the exposure to the implementation strategies was generally as planned, they considered the interprofessional educational program and the helpdesk very important strategies. However, frail older people's exposure to the implementation strategies was less than intended. Facilitators for the ZWIP were the perceived need to enhance interprofessional collaboration and the ZWIP application being user-friendly. Barriers included the low computer-literacy of frail older people, a preference for personal communication and limited use of the ZWIP by other professionals and frail older people. Interviewees recommended using the ZWIP for other target populations as well and adding further strategies that may help frail older people to feel more comfortable with computers and the ZWIP. CONCLUSIONS This study describes the implementation process of an innovative e-health intervention for community-dwelling frail older people, informal caregivers and primary care professionals. As e-health is an important medium for overcoming fragmentation of healthcare and facilitating patient involvement, but its adoption in everyday practice remains a challenge, the positive results of this implementation are promising.
dc.description.sponsorshipThis work was supported by a grant from the Dutch National Care for the Elderly Programme, coordinated and sponsored by ZonMw, organization for health research and development, The Netherlands [grant number 60-61900- 98-129].
dc.publisherBioMed Central
dc.rights© 2012 Robben et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.sourceBMC Health Services Research
dc.subjectaged
dc.subjectaged, 80 and over
dc.subjectcaregivers
dc.subjectcommunication
dc.subjectfemale
dc.subjecthome care services
dc.subjecthumans
dc.subjectinterviews as topic
dc.subjectmale
dc.subjectnetherlands
dc.subjectfrail elderly
dc.subjectinternet
dc.subjectprimary health care
dc.subjectprocess assessment (health care)
dc.titleImplementation of an innovative web-based conference table for community-dwelling frail older people, their informal caregivers and professionals: a process evaluation
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume12
dc.date.issued2012-08-15
local.identifier.absfor111700
local.identifier.ariespublicationf5625xPUB8815
local.publisher.urlhttp://www.biomedcentral.com/
local.type.statusPublished Version
local.contributor.affiliationRobben, Sarah HM, Radboud University Nijmegen Medical Centre, Netherlands
local.contributor.affiliationPerry, Marieke, Radboud University Nijmegen Medical Centre, Netherlands
local.contributor.affiliationHuisjes, Mirjam, Radboud University Nijmegen Medical Centre , Netherlands
local.contributor.affiliationNieuwenhuijzen, Leontien van, Radboud University Nijmegen Medical Centre , Netherlands
local.contributor.affiliationSchers, Henk, Radboud University Nijmegen Medical Centre, Netherlands
local.contributor.affiliationVan Weel, Chris, College of Medicine, Biology and Environment, CMBE Research School of Population Health, Australian Primary Health Care Research Institute, The Australian National University
local.contributor.affiliationRikkert, Marcel GM Olde, Radboud University Nijmegen Medical Centre , Netherlands
local.contributor.affiliationvan Achterbergh, Theo, Rio Tinto Technology and Innovation, Australia
local.contributor.affiliationHeinen, Maud M, Radboud University Nijmegen Medical Centre , Netherlands
local.contributor.affiliationMelis, René JF, Radboud University Nijmegen Medical Centre , Netherlands
local.identifier.essn1472-6963
local.bibliographicCitation.issue1
local.bibliographicCitation.startpage251
local.identifier.doi10.1186/1472-6963-12-251
dc.date.updated2016-02-24T09:44:08Z
local.identifier.scopusID2-s2.0-84864942617
CollectionsANU Research Publications

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