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Tsertsidis A, Rapado I. Examining the availability of information on welfare technologies for people living with dementia in Sweden - a scoping review. Disabil Rehabil Assist Technol 2025; 20:257-267. [PMID: 39162341 DOI: 10.1080/17483107.2024.2392856] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2023] [Revised: 06/08/2024] [Accepted: 08/09/2024] [Indexed: 08/21/2024]
Abstract
PURPOSE This review examines the availability of information on welfare technologies for people living with dementia in Sweden. MATERIALS AND METHODS A scoping review of 21 counties and 290 municipalities was conducted to assess the degree of information provided on welfare technologies. RESULTS The findings of this review indicate that most Swedish municipalities offer limited information regarding these technologies. Additionally, we conducted a mapping survey to identify the various welfare technologies offered by each county based on the available online material. CONCLUSIONS We argue that greater attention should be given not only to how information is provided but also to the extent to which it is provided to people with dementia and their relatives. Improving these aspects is crucial for making informed decisions. Finally, our review suggests that counties and municipalities should coordinate with local and national resources (e.g., Alzheimer Sweden) to deliver more accurate information through different media forms.
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Affiliation(s)
| | - Irene Rapado
- Department of Communication and Behavioral Sciences, Jönköping University, Jönköping, Sweden
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2
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Aguirre A, Hilsabeck R, Smith T, Xie B, He D, Wang Z, Zou N. Assessing the Quality of ChatGPT Responses to Dementia Caregivers' Questions: Qualitative Analysis. JMIR Aging 2024; 7:e53019. [PMID: 38722219 PMCID: PMC11089887 DOI: 10.2196/53019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2023] [Revised: 02/15/2024] [Accepted: 03/09/2024] [Indexed: 05/15/2024] Open
Abstract
Background Artificial intelligence (AI) such as ChatGPT by OpenAI holds great promise to improve the quality of life of patients with dementia and their caregivers by providing high-quality responses to their questions about typical dementia behaviors. So far, however, evidence on the quality of such ChatGPT responses is limited. A few recent publications have investigated the quality of ChatGPT responses in other health conditions. Our study is the first to assess ChatGPT using real-world questions asked by dementia caregivers themselves. objectives This pilot study examines the potential of ChatGPT-3.5 to provide high-quality information that may enhance dementia care and patient-caregiver education. Methods Our interprofessional team used a formal rating scale (scoring range: 0-5; the higher the score, the better the quality) to evaluate ChatGPT responses to real-world questions posed by dementia caregivers. We selected 60 posts by dementia caregivers from Reddit, a popular social media platform. These posts were verified by 3 interdisciplinary dementia clinicians as representing dementia caregivers' desire for information in the areas of memory loss and confusion, aggression, and driving. Word count for posts in the memory loss and confusion category ranged from 71 to 531 (mean 218; median 188), aggression posts ranged from 58 to 602 words (mean 254; median 200), and driving posts ranged from 93 to 550 words (mean 272; median 276). Results ChatGPT's response quality scores ranged from 3 to 5. Of the 60 responses, 26 (43%) received 5 points, 21 (35%) received 4 points, and 13 (22%) received 3 points, suggesting high quality. ChatGPT obtained consistently high scores in synthesizing information to provide follow-up recommendations (n=58, 96%), with the lowest scores in the area of comprehensiveness (n=38, 63%). Conclusions ChatGPT provided high-quality responses to complex questions posted by dementia caregivers, but it did have limitations. ChatGPT was unable to anticipate future problems that a human professional might recognize and address in a clinical encounter. At other times, ChatGPT recommended a strategy that the caregiver had already explicitly tried. This pilot study indicates the potential of AI to provide high-quality information to enhance dementia care and patient-caregiver education in tandem with information provided by licensed health care professionals. Evaluating the quality of responses is necessary to ensure that caregivers can make informed decisions. ChatGPT has the potential to transform health care practice by shaping how caregivers receive health information.
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Affiliation(s)
- Alyssa Aguirre
- Department of Neurology, The University of Texas at Austin, Austin, TX, United States
- Steve Hicks School of Social Work, The University of Texas at Austin, Austin, TX, United States
| | - Robin Hilsabeck
- Glenn Biggs Institute for Alzheimer's & Neurodegenerative Diseases, Department of Neurology, University of Texas Health Science Center at San Antonio, San Antonio, TX, United States
| | - Tawny Smith
- Department of Psychiatry and Behavioral Sciences, The University of Texas at Austin, Austin, TX, United States
| | - Bo Xie
- School of Information, The University of Texas at Austin, Austin, TX, United States
- School of Nursing, The University of Texas at Austin, Austin, TX, United States
| | - Daqing He
- School of Computing and Information, University of Pittsburgh, Pittsburgh, PA, United States
| | - Zhendong Wang
- School of Computing and Information, University of Pittsburgh, Pittsburgh, PA, United States
| | - Ning Zou
- School of Computing and Information, University of Pittsburgh, Pittsburgh, PA, United States
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3
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Dosso JA, Kailley JN, Robillard JM. What Does ChatGPT Know About Dementia? A Comparative Analysis of Information Quality. J Alzheimers Dis 2024; 97:559-565. [PMID: 38143345 PMCID: PMC10836539 DOI: 10.3233/jad-230573] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/01/2023] [Indexed: 12/26/2023]
Abstract
The quality of information about dementia retrieved using ChatGPT is unknown. Content was evaluated for length, readability, and quality using the QUEST, a validated tool, and compared against online material from three North American organizations. Both sources of information avoided conflicts of interest, supported the patient-physician relationship, and used a balanced tone. Official bodies but not ChatGPT referenced identifiable research and pointed to local resources. Users of ChatGPT are likely to encounter accurate but shallow information about dementia. Recommendations are made for information creators and providers who counsel patients around digital health practices.
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Affiliation(s)
- Jill A Dosso
- Department of Medicine, Division of Neurology, The University of British Columbia, Vancouver, British Columbia, Canada
- BC Children's and Women's Hospitals, Vancouver, British Columbia, Canada
| | - Jaya N Kailley
- Department of Medicine, Division of Neurology, The University of British Columbia, Vancouver, British Columbia, Canada
- BC Children's and Women's Hospitals, Vancouver, British Columbia, Canada
| | - Julie M Robillard
- Department of Medicine, Division of Neurology, The University of British Columbia, Vancouver, British Columbia, Canada
- BC Children's and Women's Hospitals, Vancouver, British Columbia, Canada
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Taylor JO, Child CE, Sharma RK, Asirot MG, Miller LM, Turner AM. Supportive care decision-making processes of persons with dementia and their caregivers. DEMENTIA 2023; 22:1695-1717. [PMID: 37656956 PMCID: PMC10688994 DOI: 10.1177/14713012231193139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/03/2023]
Abstract
Little is known about the decision-making processes around seeking more supportive care for dementia. Persons with dementia are often left out of decision-making regarding seeking more supportive care as their dementia progresses. This paper provides a description of findings from the Decision-making in Alzheimer's Research project (DMAR) investigating the process of decision-making about transitions to more supportive care. We conducted 61 qualitative interviews with two stakeholder groups: 24 persons with dementia, and 37 informal caregivers to explore supportive care decisions and associated decision-making factors from the perspectives of persons with dementia and their caregivers. We identified four main decisions that persons with dementia and their informal caregivers played a role in: (1) sharing household responsibilities; (2) limiting routine daily activities; (3) bringing in formal support; and (4) moving to a care facility. Based on our findings we developed a schematized roadmap of decision-making that we used to guide the discussion of our findings. Four crosscutting themes emerged from our analysis: unknowns and uncertainties, maintaining life as you know it, there's no place like home and resource constraints. These results will be incorporated into the development of instruments whose goal is to identify preferences of persons with dementia and their caregivers, in order to include persons with dementia in care decisions even as their dementia progresses.
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Affiliation(s)
- Jean O Taylor
- Department of Health Systems and Population Health, School of Public Health, University of Washington, Seattle, WA, USA
| | - Claire E Child
- Department of Rehabilitation Medicine, School of Medicine, University of Washington, Seattle, WA, USA
| | - Rashmi K Sharma
- Division of General Internal Medicine, School of Medicine, University of Washington, Seattle, WA, USA
| | - Mary Grace Asirot
- Department of Neurology, School of Medicine, University of Washington, Seattle, WA, USA
| | | | - Anne M Turner
- Department of Health Systems and Population Health, School of Public Health, University of Washington, Seattle, WA, USA
- Department of Biomedical Informatics and Medical Education, School of Medicine, University of Washington, Seattle, WA, USA
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5
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Grace Yi EH, Adamek ME, Hong M, Lu Y, Wilkerson D. The Impact of Online and Offline Social Support on the Mental Health of Carers of Persons with Cognitive Impairments. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2023; 66:888-907. [PMID: 36941780 DOI: 10.1080/01634372.2023.2191126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/04/2022] [Revised: 03/04/2023] [Accepted: 03/11/2023] [Indexed: 06/18/2023]
Abstract
The carers of persons with cognitive impairments, including Alzheimer's have migrated to online platforms to seek help, yet studies on the use of online social support within the context of caregiving are underdeveloped. Guided by the social support theory, we examined the association of online and offline social support with depression and anxiety in the United States. Using a subsample from the 2017 and 2018 Health Information National Trends Survey (n = 264), we conducted ordered logistic regression to test mediation and moderation effects, which revealed that only offline, not online social support had a direct association with carers' mental health. In the moderation model, online social support interacted with life stressors, while offline social support interacted with caregiving burden. Findings are supported using a hybrid model that combines online and offline social support to improve carers' mental health.
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Affiliation(s)
- Eun-Hye Grace Yi
- Department of Social Work, California State University-Fullerton, Fullerton, USA
| | | | - Michin Hong
- School of Social Work, Indiana University, Indianapolis, USA
| | - Yvonne Lu
- School of Nursing, Indiana University, Indianapolis, USA
| | - David Wilkerson
- School of Social Work, Indiana University, Indianapolis, USA
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Monnet F, Pivodic L, Dupont C, Dröes RM, Van den Block L. Information on advance care planning on websites of dementia associations in Europe: A content analysis. Aging Ment Health 2023; 27:1821-1831. [PMID: 36420632 DOI: 10.1080/13607863.2022.2146051] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/29/2022] [Accepted: 11/05/2022] [Indexed: 11/25/2022]
Abstract
OBJECTIVE To gain insight into the advance care planning (ACP) content provided on dementia associations' websites in Europe. METHODS We conducted a content analysis of dementia associations' websites in Europe regarding ACP information, using deductive and inductive approaches and a reference framework derived from two ACP definitions. RESULTS We included 26 dementia associations' websites from 20 countries and one European association, covering 12 languages. Ten websites did not mention ACP. The information on the remaining 16 varied in terms of themes addressed and amount of information. Four explicitly define ACP. Several websites made multiple references to legal frameworks (n = 10, 705 excerpts), choosing legal representatives (n = 12, 274 excerpts), and care and treatment preferences (n = 14, 89 excerpts); while themes such as communication with family (n = 9, 67 excerpts) and professionals (n = 9, 49 excerpts) or identifying personal values (n = 9, 73 excerpts) were mentioned on fewer websites or addressed in fewer excerpts. CONCLUSION ACP content is non-existent in 10 out of 26 dementia associations' websites. On those that have ACP content, legal and medical themes were prominent. It would be beneficial to include more comprehensive ACP information stressing the importance of communication with families and professionals, in line with current ACP conceptualisations framing ACP as an iterative communication process, rather than a documentation-focused exercise.
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Affiliation(s)
- Fanny Monnet
- End-of-Life Care Research Group, Vrije Universiteit (VUB) & Ghent University, Brussels, Belgium
- Department of Family Medicine and Chronic Care, Vrije Universiteit Brussel (VUB), Brussels, Belgium
| | - Lara Pivodic
- End-of-Life Care Research Group, Vrije Universiteit (VUB) & Ghent University, Brussels, Belgium
- Department of Family Medicine and Chronic Care, Vrije Universiteit Brussel (VUB), Brussels, Belgium
| | - Charlèss Dupont
- End-of-Life Care Research Group, Vrije Universiteit (VUB) & Ghent University, Brussels, Belgium
- Department of Family Medicine and Chronic Care, Vrije Universiteit Brussel (VUB), Brussels, Belgium
| | - Rose-Marie Dröes
- Department of Psychiatry, Amsterdam University Medical Centres, location VUmc/Amsterdam Public Health Research institute, Amsterdam, The Netherlands
| | - Lieve Van den Block
- End-of-Life Care Research Group, Vrije Universiteit (VUB) & Ghent University, Brussels, Belgium
- Department of Family Medicine and Chronic Care, Vrije Universiteit Brussel (VUB), Brussels, Belgium
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Yu Y, Xiao L, Ullah S, Meyer C, Wang J, Pot AM, Shifaza F. The Experiences of Informal Caregivers of People With Dementia in Web-Based Psychoeducation Programs: Systematic Review and Metasynthesis. JMIR Aging 2023; 6:e47152. [PMID: 37247218 DOI: 10.2196/47152] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Revised: 04/19/2023] [Accepted: 05/01/2023] [Indexed: 05/30/2023] Open
Abstract
BACKGROUND Informal caregivers of people living with dementia experience a higher level of physical and mental stress compared with other types of caregivers. Psychoeducation programs are viewed as beneficial for building caregivers' knowledge and skills and for decreasing caregiver stress. OBJECTIVE This review aimed to synthesize the experiences and perceptions of informal caregivers of people with dementia when participating in web-based psychoeducation programs and the factors that enable and impede informal caregivers' engagement in web-based psychoeducation programs. METHODS This review followed the Joanna Briggs Institute protocol of systematic review and meta-aggregation of qualitative studies. We searched 4 English databases, 4 Chinese databases, and 1 Arabic database in July 2021. RESULTS A total of 9 studies written in English were included in this review. From these studies, 87 findings were extracted and grouped into 20 categories. These categories were further synthesized into 5 findings: web-based learning as an empowering experience, peer support, satisfactory and unsatisfactory program content, satisfactory and unsatisfactory technical design, and challenges encountered in web-based learning. CONCLUSIONS High-quality and carefully designed web-based psychoeducation programs offered positive experiences for informal caregivers of people living with dementia. To meet broader caregiver education and support needs, program developers should consider information quality and relevancy, the support offered, individual needs, flexibility in delivery, and connectedness between peers and program facilitators.
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Affiliation(s)
- Ying Yu
- College of Nursing and Health Sciences, Flinders University, South Australia, Australia
| | - Lily Xiao
- College of Nursing and Health Sciences, Flinders University, South Australia, Australia
| | - Shahid Ullah
- College of Medicine and Public Health, Flinders University, Bedford Park, South Australia, Australia
| | - Claudia Meyer
- Bolton Clarke Research Institute, Melbourne, Victoria, Australia
- Ageing and Independent Living Research Centre, Monash University, Melbourne, Victoria, Australia
- Centre for Health Communication and Participation, La Trobe University, Melbourne, Victoria, Australia
| | - Jing Wang
- Faculty of Nursing, Health Science Center, Xi'an Jiao tong University, Xi'an, Shanxi, China
| | - Anne Margriet Pot
- Erasmus School of Health Policy & Management, Erasmus University Amsterdam, Amsterdam, Netherlands
- Optentia, North-West University, Vanderbijlpark, South Africa
| | - Fathimath Shifaza
- College of Nursing and Health Sciences, Flinders University, South Australia, Australia
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Hevink M, Wolfs C, Ponds R, Doucet S, McAiney C, Vedel I, Maćkowiak M, Rymaszewska J, Rait G, Robinson L, Poole M, Gresham M, Jeon YH, Phillipson L, Low LF, Brodaty H, de Vugt M, Verhey F. Experiences of people with dementia and informal caregivers with post-diagnostic support: Data from the international COGNISANCE study. Int J Geriatr Psychiatry 2023; 38:e5916. [PMID: 37132330 DOI: 10.1002/gps.5916] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/20/2023] [Accepted: 04/18/2023] [Indexed: 05/04/2023]
Abstract
OBJECTIVES The study aims to describe people with dementia and informal caregivers' respective experiences of support after diagnosis and compares these experiences. Additionally, we determine how people with dementia and informal caregivers who are satisfied with support differ from those dissatisfied. METHODS A cross-sectional survey study in Australia, Canada, the Netherlands, Poland, and United Kingdom was carried out to examine people with dementia and informal caregivers experience with support (satisfaction with information, access to care, health literacy, and confidence in ability to live well with dementia). The separate surveys contained closed questions. Analysis consisted of descriptive statistics and Chi-square tests. RESULTS Ninety people with dementia and 300 informal caregivers participated, and 69% of people with dementia and 67% of informal caregivers said support after diagnosis helped them deal more efficiently with their concerns. Up to one-third of people with dementia and informal caregivers were dissatisfied with information about management, prognosis, and strategies for living positively. Few people with dementia (22%) and informal caregivers (35%) received a care plan. People with dementia were more often satisfied with information, had more often confidence in their ability to live well with dementia, and were less often satisfied with access to care compared to informal caregivers. Informal caregivers who were satisfied with support were more satisfied with information and access to care compared to informal caregivers not satisfied with support. CONCLUSIONS Experience of dementia support can be improved and people with dementia and informal caregiver differ in their experiences of support.
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Affiliation(s)
- Maud Hevink
- Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience (MHeNS), Alzheimer Centre Limburg, Maastricht University, Maastricht, The Netherlands
| | - Claire Wolfs
- Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience (MHeNS), Alzheimer Centre Limburg, Maastricht University, Maastricht, The Netherlands
| | - Rudolf Ponds
- Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience (MHeNS), Alzheimer Centre Limburg, Maastricht University, Maastricht, The Netherlands
- Department of Medical Psychology, Amsterdam UMC Location VUmc, Amsterdam, The Netherlands
| | - Shelley Doucet
- Department of Nursing and Health Sciences, The Centre for Research in Integrated Care, University of New Brunswick, Saint John, New Brunswick, Canada
| | - Carrie McAiney
- School of Public Health Sciences, University of Waterloo and Schlegel-UW Research Institute for Aging, Waterloo, Ontario, Canada
| | - Isabelle Vedel
- Department of Family Medicine, McGill University, and Lady Davis Institute for Medical Research, and Jewish General Hospital, Montreal, Quebec, Canada
| | - Maria Maćkowiak
- Department of Psychiatry, Wroclaw Medical University, Wroclaw, Poland
| | | | - Greta Rait
- Department of Primary Care and Population Health, Institute of Epidemiology and Health Care, University College London, London, UK
| | - Louise Robinson
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK
| | - Marie Poole
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK
| | - Meredith Gresham
- Centre for Healthy Brain Ageing, Discipline of Psychiatry and Mental Health, University of New South Wales, Sydney, New South Wales, Australia
| | - Yun-Hee Jeon
- Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
| | - Lyn Phillipson
- School of Health and Society, Faculty of Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, New South Wales, Australia
| | - Lee-Fay Low
- Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia
| | - Henry Brodaty
- Centre for Healthy Brain Ageing, Discipline of Psychiatry and Mental Health, University of New South Wales, Sydney, New South Wales, Australia
| | - Marjolein de Vugt
- Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience (MHeNS), Alzheimer Centre Limburg, Maastricht University, Maastricht, The Netherlands
| | - Frans Verhey
- Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience (MHeNS), Alzheimer Centre Limburg, Maastricht University, Maastricht, The Netherlands
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Maqbool R, Soroya SH, Mahmood K. Factors driving the exposure to information sources: Pakistani farmers' information behavior. INFORMATION DEVELOPMENT 2021. [DOI: 10.1177/02666669211049108] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The purpose of the present study is to examine the factors behind the selection and exposure of information sources by Pakistani farmers. This study is based on a quantitative research approach that involved survey design for the collection of data. The population of the present investigation was the farmers who have involved in any type of farming in District Okara province Punjab, Pakistan. A convenient sampling technique was used to select a sample from the different three tehsils of District Okara. A survey questionnaire was employed to collect data. Results proved that characteristics of information i.e. accessibility, usefulness, and credibility have a significant impact on the frequency of information sources/channels exposure, however, convenience proved an insignificant factor to farmers’ information sources exposure. Results further confirm that farming experience has a negative association with information exposure among Pakistani farmers. Since the usefulness and credibility of information sources trigger their use among farmers, therefore, farmers’ societies, agents, and government officials should work on developing credible content and highlighting the usefulness of different available information sources and channels.
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Kimzey M, Howe CJ, Martin C, McLarty J, Baucham R. Development of health literacy in persons and caregivers living with dementia: A qualitative directed content analysis. DEMENTIA 2021; 21:540-555. [PMID: 34654330 DOI: 10.1177/14713012211049691] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND Persons living with dementia and their caregivers need health information to understand and manage daily life. Previous studies focused on the associations of health literacy and cognitive impairment with less exploring if and how individuals develop health literacy during the course of the disease. PURPOSE This descriptive qualitative study aimed to explore the development of health literacy competencies among persons living with dementia and their caregivers. METHODS Directed content analysis of six focus groups conducted in the community setting (15 persons living with dementia and 28 caregivers) was completed, using predetermined categories from the Integrated Model of Health Literacy: access, understand, appraise, and apply health information. FINDINGS Participants described developing health literacy competencies over time, moving from a dependence on health care providers to becoming their own experts. Although health care providers were involved in the diagnosis and medication management, most participants admitted that they provided very little information on how to manage their daily life with dementia and often failed to inform them of community resources. CONCLUSION Participants seemed to find dementia resources on their own for both education and support, often stumbling upon them by accident. Health care providers should promote the health literacy competencies of their patients and caregivers by more intentionally providing dementia health and community resource information.
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Affiliation(s)
- Michelle Kimzey
- Harris College of Nursing and Health Sciences, 16049Texas Christian University, Fort Worth, TX, USA
| | - Carol J Howe
- Harris College of Nursing and Health Sciences, 16049Texas Christian University, Fort Worth, TX, USA
| | - Chelsea Martin
- Harris College of Nursing and Health Sciences, 16049Texas Christian University, Fort Worth, TX, USA
| | - Jim McLarty
- Harris College of Nursing and Health Sciences, 16049Texas Christian University, Fort Worth, TX, USA
| | - Ramona Baucham
- Harris College of Nursing and Health Sciences, 16049Texas Christian University, Fort Worth, TX, USA
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Wolverson E, White C, Dunn R, Cunnah K, Howe D, Paulson K, Platt R, Thorpe J. The use of a bespoke website developed for people with dementia and carers: Users' experiences, perceptions and support needs. DEMENTIA 2021; 21:94-113. [PMID: 34187203 DOI: 10.1177/14713012211028495] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Background: Current policy emphasises the role of digital technologies in facilitating the management of long-term conditions. While digital resources have been developed for carers, there has been little attention to their development for people with dementia. The Caregiverspro-MMD website was developed as a joint resource for people with dementia and carers, delivering access to information, informal content, games and peer support. Research Design and Methods: This study explored the experiences of dyads consisting of people with dementia and carers of using the website. Interviews and focus groups were conducted with 43 participants. Findings: Thematic analysis identified 10 subthemes grouped under three superordinate themes which highlight participants' experiences of and responses to the website functions; important aspects of the website design and delivery; and barriers to use. Discussion: Findings highlight the value of a credible information source which negated the need for arduous online searches, the pleasure associated with playing games and interacting with others online. However, participants were reluctant to share personal information online, preferring to create 'informal content' which celebrated everyday life, and were reluctant to 'friend' people online who they had not met in person. The importance of training and support to use the website was highlighted. Health problems, lack of interest or difficulties using technology, and time were all identified as barriers to use.
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Affiliation(s)
- Emma Wolverson
- Psychological Health, Wellbeing and Social Work, Faculty of Health Sciences, 4019University of Hull, Hull, UK
| | - Caroline White
- Psychological Health, Wellbeing and Social Work, Faculty of Health Sciences, 4019University of Hull, Hull, UK
| | - Rosie Dunn
- Psychological Health, Wellbeing and Social Work, Faculty of Health Sciences, 4019University of Hull, Hull, UK
| | - Katie Cunnah
- Department of Psychology, Faculty of Health Sciences, 4019University of Hull, Hull, UK
| | - David Howe
- Department of Psychology, Faculty of Health Sciences, 4019University of Hull, Hull, UK
| | - Kevin Paulson
- Department of Engineering, Faculty of Science and Engineering, 4019University of Hull, Hull, UK
| | - Rebecca Platt
- Psychological Health, Wellbeing and Social Work, Faculty of Health Sciences, 4019University of Hull, Hull, UK
| | - Jonathan Thorpe
- Psychological Health, Wellbeing and Social Work, Faculty of Health Sciences, 4019University of Hull, Hull, UK
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12
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Sbaffi L, Hargreaves S. The information trust formation process for informal caregivers of people with dementia: a qualitative study. JOURNAL OF DOCUMENTATION 2021. [DOI: 10.1108/jd-01-2021-0014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
This paper provides new insights on trust formation during information-seeking processes of informal caregivers of people with dementia and identifies the sources of information deemed as trustworthy by caregivers.
Design/methodology/approach
The study adopts a phenomenological qualitative approach in the form of in-depth, semi-structured interviews with a sample of 20 informal caregivers.
Findings
Caregivers trust sources that are perceived as authoritative and particularly value the information and advice provided by other caregivers. Trust in information can be divided into subjective and objective, but both are important precursors to the actual use of the information. The information available to caregivers is sufficient in quantity but inadequate in terms of ease of use, clarity and usefulness. Often, some key information needs remain unsatisfied due to the lack of timeliness, relevance and personalisation of the information.
Practical implications
This paper provides recommendations for information and healthcare providers on how to improve communication and information relevance for informal caregivers of people with dementia.
Originality/value
This paper contributes to a more comprehensive perspective on caregivers’ information trust formation processes, which takes into account both the characteristics of the information and caregivers’ individual factors.
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De Poli C, Oyebode JR, Binns C, Glover R, Airoldi M. Effectiveness-implementation hybrid type 2 study evaluating an intervention to support 'information work' in dementia care: an implementation study protocol. BMJ Open 2020; 10:e038397. [PMID: 33293389 PMCID: PMC7725094 DOI: 10.1136/bmjopen-2020-038397] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/22/2023] Open
Abstract
INTRODUCTION Patients with long-term conditions consistently report a lack of information around services and support available to them. This unmet need for information is significant among people with dementia and family carers. A quality improvement intervention is being carried out to tackle this issue as part of a co-creation initiative in the North East of England (UK). The intervention consists of the dissemination (via the local Community Mental Health Services for Older People) of a leaflet about services available to people with dementia and their family carers in the study site. This protocol is reported in accordance with the Standards for Reporting Implementation Studies. METHODS AND ANALYSIS This effectiveness-implementation hybrid type 2 study aims at understanding (1) the unfolding and outcomes of the implementation strategy, (2) the outcomes of the intervention (for people with dementia and family carers, staff implementing the intervention and local service providers) and (3) the contribution of co-creation to the design and implementation of the intervention and its outcomes. The prospective theory of change of the intervention articulated by local stakeholders is used as a reference framework against which to assess the implementation and outcomes of the intervention. Evaluation data will be collected through in-depth interviews with people with dementia and family carers receiving the intervention, staff implementing the intervention and managers from local service providers. Referral data from local service providers will be collected to triangulate the interview data. A focus group with key stakeholders will support the sense-making of findings. The realist configuration of mechanism-context-outcome, operationalised using an information behaviour model, will inform data analysis and interpretation. ETHICS AND DISSEMINATION Ethical and research governance approvals have been obtained from the West Midlands-South Birmingham Research Ethics Committee. The results of the study will be submitted for publication in peer-reviewed journals and disseminated through conferences.
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Affiliation(s)
- Chiara De Poli
- Department of Social Policy and Department of Management, London School of Economics and Political Science, London, UK
| | - Jan R Oyebode
- School of Dementia Studies, University of Bradford, Bradford, West Yorkshire, UK
| | | | - Richard Glover
- NHS North of England Commissioning Support Unit, Durham, UK
| | - Mara Airoldi
- Blavatnik School of Government, University of Oxford, Oxford, UK
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Zhang X, Foo S, Majid S, Chang YK, Dumaual HTJ, Suri VR. Self-Care and Health-Information-Seeking Behaviours of Diabetic Patients in Singapore. HEALTH COMMUNICATION 2020; 35:994-1003. [PMID: 31303050 DOI: 10.1080/10410236.2019.1606134] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Patients in Singapore with chronic conditions such as diabetes are encouraged to participate in patient-professional partnership activities because of rising health care costs and a shortage of infrastructure and human resources. This study explores the self-care and health information seeking behaviors of diabetic patients in Singapore, as well as factors related to health and information carriers that might influence those behaviors. A pilot-tested online survey was developed based on the Comprehensive Model of Information Seeking (CMIS) and notified to the members of the Diabetic Society of Singapore (DSS) through their newsletter in January 2016. In total, 60 usable responses from the DSS members were collected. The survey revealed that more than 30% of the patients did not strictly follow doctors' instructions to regularly exercise, self-monitor blood sugar, and pay attention to type of food prepared at home. However, it was found that the majority of them had consciously limited their sugar intake. It was also revealed that respondents' most frequently used sources of health information were authoritative sources such as doctors/nurses and pamphlets/leaflets from hospitals/clinics. Understandably, respondents experiencing less distress caused by diabetes tended to report better health status, less worries, and stronger beliefs in the efficacy of their methods for diabetes control.
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Affiliation(s)
- Xue Zhang
- Wee Kim Wee School of Communication & Information', Nanyang Technological University
| | - Schubert Foo
- Wee Kim Wee School of Communication & Information', Nanyang Technological University
| | - Shaheen Majid
- Wee Kim Wee School of Communication & Information', Nanyang Technological University
| | - Yun-Ke Chang
- Computer Information Sciences Division, Higher College of Technology
| | | | - Venkata Ratnadeep Suri
- Department of Social Sciences and Humanities, Indraprastha Institute of Information Technology Delhi
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Efthymiou A, Papastavrou E, Middleton N, Markatou A, Sakka P. How Caregivers of People With Dementia Search for Dementia-Specific Information on the Internet: Survey Study. JMIR Aging 2020; 3:e15480. [PMID: 32427105 PMCID: PMC7268005 DOI: 10.2196/15480] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2019] [Revised: 02/27/2020] [Accepted: 03/07/2020] [Indexed: 01/29/2023] Open
Abstract
BACKGROUND During the last decade, more research has focused on web-based interventions delivered to support caregivers of people with dementia. However, little information is available in relation to internet use among caregivers in general, especially those caring for people with dementia. OBJECTIVE The aim of this study was to evaluate the dementia-related internet use and factors that may be associated with its use among caregivers of people with dementia in Greece. METHODS Secondary data from the Greek Dementia Survey of the Athens Association of Alzheimer's Disease and Related Disorders were collected from April to June 2017. A total of 580 caregivers of people with dementia participated in the study. RESULTS The majority of the caregivers reported that they had used the internet in the previous 3 months (84.1%, 488/580). Nearly half of the caregivers (47.5%, 276/580) reported that they had received dementia services online. Bivariate analysis showed that a dementia-specific search of information was associated with age, education, kinship, and years of care. Age (odds ratio [OR] 2.362, 95% CI 1.05-5.33) and education (OR 2.228, 95% CI 1.01-4.94) were confirmed as predictors, with younger caregivers and those with higher educational attainment being more likely to search for dementia-specific information. Use of the internet to search for dementia information was only related to hours of care. The internet use by caregivers within the previous 3 months was associated with variables such as age, education, occupation, kinship, years of care, and self-reported impact on physical and social health. CONCLUSIONS Caregivers of people with dementia in Greece, as in the other southern European countries, are essential agents of the national health system. The existing short- and long-term respite care services are limited or nonexistent. Currently, caregivers receive mostly support and education from memory clinics and municipality consultation centers, which are mainly based in central cities in Greece. Despite the dementia awareness movement in Greece, there is still space to integrate the role of technology in the support and education of caregivers. Development of training programs for enhancing electronic health literacy skills as well as web-based services provision could support Greek caregivers in their everyday caring tasks.
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Affiliation(s)
- Areti Efthymiou
- Department of Nursing, Cyprus University of Technology, Limassol, Cyprus
| | | | - Nicos Middleton
- Department of Nursing, Cyprus University of Technology, Limassol, Cyprus
| | | | - Paraskevi Sakka
- Athens Association of Alzheimer's Disease and Related Disorders, Athens, Greece
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Efthymiou A, Middleton N, Charalambous A, Papastavrou E. Adapting the eHealth Literacy Scale for Carers of People With Chronic Diseases (eHeals-Carer) in a Sample of Greek and Cypriot Carers of People With Dementia: Reliability and Validation Study. J Med Internet Res 2019; 21:e12504. [PMID: 31778120 PMCID: PMC6908974 DOI: 10.2196/12504] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2018] [Revised: 05/28/2019] [Accepted: 08/31/2019] [Indexed: 12/20/2022] Open
Abstract
BACKGROUND As the population ages, many more people will be in need of long-term care. According to a recent report by Alzheimer's Disease International and the Karolinska Institute, 84% of people with dementia are cared for at home and 16% in nursing homes. Several Web-based interventions have been developed to assist the work of carers at home. Measuring the levels of electronic health (eHealth) literacy is of top priority to facilitate inclusion of this population and develop training programs to enhance eHealth literacy skills. OBJECTIVE This study aimed to adapt the eHealth Literacy Scale (eHeals) for carers of people with dementia, who speak Greek as their native language and live in Greece and Cyprus, and to test the reliability and validity of the scale for carers. METHODS The content validity of the eHealth Literacy Scale for Carers of People With Chronic Diseases (eHeals-Carer) was assessed with an expert panel (N=10). A descriptive study with face-to-face interviews among 101 primary carers of people with dementia was conducted. In addition to the eHeals-Carer to assess their perceived eHealth literacy, participants responded to a brief questionnaire regarding characteristics of internet use and provided sociodemographic data. The internal consistency of the tool and the construct validity via an exploratory factor analysis (EFA) were explored. RESULTS The Mean Item-Level Content Validity Index (CVI) and Scale-Level CVI Average was 0.93. The participants were mostly women (75.2%, 76/101), aged less than 60 years (67.3%, 68/101) with secondary education. The internal consistency was estimated at a Cronbach alpha of .83. Two factors were extracted from the EFA: information seeking questions 1 to 5 (factor 1) and evaluation questions 6 to 8 (factor 2). CONCLUSIONS eHeals-Carer is the first perceived eHealth literacy tool adapted for carers of people with dementia. The use of Web-based services available for carers could help them and improve the health care system in the long term. In Greece and Cyprus, there is a lack of services, and improving the digital skills of carers could provide them with the means to support themselves at home and improve care provision. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) RR2-10.2196/resprot.8080.
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Affiliation(s)
- Areti Efthymiou
- Department of Nursing, Faculty of Health Sciences, Cyprus University of Technology, Limassol, Cyprus
| | - Nicos Middleton
- Department of Nursing, Faculty of Health Sciences, Cyprus University of Technology, Limassol, Cyprus
| | - Andreas Charalambous
- Department of Nursing, Faculty of Health Sciences, Cyprus University of Technology, Limassol, Cyprus
- Department of Nursing, Faculty of Health Sciences, University of Turku, Turku, Finland
| | - Evridiki Papastavrou
- Department of Nursing, Faculty of Health Sciences, Cyprus University of Technology, Limassol, Cyprus
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Ryu SI, Park YH. Factors Related to Dementia Worry: Comparing Middle-Aged and Older Adults in South Korea. Res Gerontol Nurs 2019; 12:299-310. [DOI: 10.3928/19404921-20190823-02] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2019] [Accepted: 06/27/2019] [Indexed: 11/20/2022]
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‘Add info and stir’: an institutional ethnographic scoping review of family care-givers’ information work. AGEING & SOCIETY 2018. [DOI: 10.1017/s0144686x18001125] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
AbstractFamily care-givers are increasingly expected to find, understand and use information to meet the complex needs of older adults in their care. A significant number of studies, however, continue to report that care-givers’ information needs are unmet. Following Arksey and O'Malley's scoping review framework, I examined 72 articles for the range and extent of available research on the information work done by family care-givers of community-dwelling older adults living with dementia. To untangle the complex relationship between information and care, this scoping review maps out (a) the ways scholarly literature conceptualises the informational components of family care-givers’ work and (b) the degree to which scholarly research acknowledges these components as work. An institutional ethnography inflection enhanced the scoping review framework, enabling the privileging of lived experiences, questioning of assumptions of language used, attending to authors’ positioning and highlighting care-givers’ information work made invisible throughout the processes of academic research.
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