Shadarevian J, Chan C, Berndt A, Son C, Gregorio M, Horne N, Mann J, Wallsworth C, Chow B, O'Neill R, Hung L. Creating a toolkit with stakeholders for leveraging tablet computers to support person-centred dementia care in hospitals.
J Rehabil Assist Technol Eng 2020;
7:2055668320960385. [PMID:
33282336 PMCID:
PMC7691942 DOI:
10.1177/2055668320960385]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2020] [Accepted: 09/01/2020] [Indexed: 11/20/2022] Open
Abstract
Introduction
People with dementia may refuse care because they feel overwhelmed by an
unfamiliar environment. Everyday technology such as tablets have the
potential to support person-centred dementia care in hospitals.
Aims
We aimed to identify barriers and enabling factors in order to develop a
toolkit to support the use of tablets in engaging individual and group
activities, especially to play family videos, for hospitalized older people
with dementia.
Methods
A participatory action research approach was employed. We facilitated staff
focus groups and conducted interviews with stakeholders. A toolkit was
developed based on participants’ perspectives on how to support successful
adoption.
Results
Our analysis identified two enabling factors: users’ engagement in developing
a toolkit for support and adapting implementation to meet local needs.
Barriers included staff and family inexperience, mechanical instability of
hardware, issues around privacy and data access, technology use and
personalization of messages. The toolkit includes short videos, a brochure
for family caregivers, and a pocket card for staff.
Discussion and implications: Staff, family and patients start
with varying levels of experience with the use of tablets, making education
and support vitally important to implementation. Health organizations should
involve staff, patients, and families to find practical solutions.
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