Identification of Barriers and Facilitators to the Use of a New Pain Assessment Mobile Health Application by Family Carers of People with Dementia: A Qualitative Study

IF 1 Q4 GERONTOLOGY
Areej Hussein, Joanna Moullin, Andrew Stafford, Jeffery Hughes, Eleanor Quested
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引用次数: 0

Abstract

This study identified potential barriers and facilitators to the implementation of a medical device in the form of a mobile health (mHealth) application, (app) called PainChek®, by family carers of individuals with dementia in the Australian community setting. Focus groups and a phone interview took place with family carers and healthcare professionals. Data were analysed thematically. 6 family carers and 8 healthcare professionals participated across 2 focus groups and 1 phone interview. Themes related to the user, innovation/PainChek®, and contextual factors were identified. Barriers to use included age, physical limitations, cost, technical issues, misinterpretation of how PainChek® works, and influence of family. Facilitators included a willingness to use mHealth Apps and previous experience. Some themes acted as both barriers and facilitators depending on the situation such as the healthcare team's acceptance. Targeted interventions and support strategies, leveraging facilitators are essential to overcome barriers related to user, intervention, and context and to enhance successful PainChek® implementation, thereby improving pain management in individuals with dementia. Future research is recommended to develop effective implementation strategies to utilise the facilitators and overcome the barriers to improve the implementation of PainChek®.

痴呆症患者家庭照护者使用新型疼痛评估移动医疗应用程序的障碍和促进因素识别:定性研究
本研究确定了在澳大利亚社区环境中,痴呆症患者的家庭照护者在使用名为 PainChek® 的移动医疗(mHealth)应用程序(应用程序)这种医疗设备时可能遇到的障碍和促进因素。对家庭照护者和医疗保健专业人员进行了焦点小组讨论和电话访谈。对数据进行了专题分析。6 位家庭照护者和 8 位医疗保健专业人员参加了 2 次焦点小组讨论和 1 次电话访谈。确定了与用户、创新/PainChek® 和环境因素相关的主题。使用障碍包括年龄、身体限制、费用、技术问题、对PainChek®工作原理的误解以及家人的影响。促进因素包括使用移动医疗应用程序的意愿和以往的经验。有些主题既是障碍也是促进因素,这取决于具体情况,如医疗团队的接受程度。有针对性的干预措施和支持策略以及促进因素对于克服与用户、干预措施和环境相关的障碍以及促进PainChek®的成功实施至关重要,从而改善痴呆症患者的疼痛管理。建议今后开展研究,制定有效的实施策略,利用促进因素,克服障碍,改进PainChek®的实施。
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来源期刊
Ageing International
Ageing International GERONTOLOGY-
CiteScore
2.70
自引率
6.70%
发文量
39
期刊介绍: As a quarterly peer-reviewed journal that has existed for over three decades, Ageing International serves all professionals who deal with complex ageing issues. The journal is dedicated to improving the life of ageing populations worldwide through providing an intellectual forum for communicating common concerns, exchanging analyses and discoveries in scientific research, crystallizing significant issues, and offering recommendations in ageing-related service delivery and policy making. Besides encouraging the submission of high-quality research and review papers, Ageing International seeks to bring together researchers, policy analysts, and service program administrators who are committed to reducing the ''implementation gap'' between good science and effective service, between evidence-based protocol and culturally suitable programs, and between unique innovative solutions and generalizable policies. For significant issues that are common across countries, Ageing International will organize special forums for scholars and investigators from different disciplines to present their regional perspectives as well as to provide more comprehensive analysis. The editors strongly believe that such discourse has the potential to foster a wide range of coordinated efforts that will lead to improvements in the quality of life of older persons worldwide. Abstracted and Indexed in: ABI/INFORM, Academic OneFile, Academic Search, CSA/Proquest, Current Abstracts, EBSCO, Ergonomics Abstracts, Expanded Academic, Gale, Google Scholar, Health Reference Center Academic, OCLC, PsychINFO, PsyARTICLES, SCOPUS, Social Science Abstracts, and Summon by Serial Solutions.
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