Self-Selection of Bathroom-Assistive Technology: Development of an Electronic Decision Support System (Hygiene 2.0)

被引:4
作者
Guay, Manon [1 ,2 ]
Latulippe, Karine [3 ]
Auger, Claudine [4 ,5 ]
Giroux, Dominique [6 ,7 ,8 ]
Seguin-Tremblay, Noemie [2 ]
Gauthier, Josee [9 ]
Genest, Catherine [10 ]
Morales, Ernesto [7 ,11 ]
Vincent, Claude [7 ,11 ]
机构
[1] Univ Sherbrooke, Sch Rehabil, 3001,12e Ave Nord, Sherbrooke, PQ, Canada
[2] Ctr Res Aging, Sherbrooke, PQ, Canada
[3] Univ Laval, Dept Teaching & Learning Studies, Quebec City, PQ, Canada
[4] Univ Montreal, Fac Med, Sch Rehabil, Montreal, PQ, Canada
[5] Ctr Interdisciplinary Res Rehabil Greater Montrea, Montreal, PQ, Canada
[6] Ctr Excellence Aging Quebec, Quebec City, PQ, Canada
[7] Univ Laval, Fac Med, Dept Rehabil, Quebec City, PQ, Canada
[8] VITAM Ctr Rech Sante Durable, Quebec City, PQ, Canada
[9] CIUSSS Mauricie & Ctr Quebec, Trois Rivieres, PQ, Canada
[10] CIUSSS Capitale Natl, Quebec City, PQ, Canada
[11] Ctr Interdisciplinary Res Rehabil & Social Integr, Quebec City, PQ, Canada
关键词
hygiene; activities of daily living; decision aids; occupational therapy; aging; self-help devices; universal design; accidental falls; mobile phone; CLINICAL ALGORITHM; ALGO; VALIDATION; EQUIPMENT; AIDS;
D O I
10.2196/16175
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: A clinical algorithm (Algo) in paper form is used in Quebec, Canada, to allow health care workers other than occupational therapists (OTs) to make bathroom adaptation recommendations for older adults. An integrated knowledge transfer process around Algo suggested an electronic version of this decision support system (electronic decision support system [e-DSS] to be used by older adults and their caregivers in search of information and solutions for their autonomy and safety in the bathroom. Objective: This study aims to (1) create an e-DSS for the self-selection of bathroom-assistive technology by community-dwelling older adults and their caregivers and (2) assess usability with lay users and experts to improve the design accordingly. Methods: On the basis of a user-centered design approach, the process started with content identification for the prototype through 7 semistructured interviews with key informants of various backgrounds (health care providers, assistive technology providers, and community services) and 4 focus groups (2 with older adults and 2 with caregivers). A thematic content transcript analysis was carried out and used during the creation of the prototype. The prototype was refined iteratively using think-aloud and observation methods with a clinical expert (n=1), researchers (n=3), OTs (n=3), older adults (n=3), and caregivers (n=3), who provided information on the usability of the e-DSS. Results: Overall, 4 themes served as the criteria for the prototype of the electronic Algo (Hygiene 2.0 [H-2.0]): focus (safety, confidentiality, well-being, and autonomy), engage, facilitate (simplify, clarify, and illustrate), and access. For example, users first pay attention to the images (engage and illustrate) that can be used to depict safe postures (safety), illustrate questions embedded in the decision support tool (clarify and illustrate), and demonstrate the context of the use of assistive technology (safety and clarify). Conclusions: The user-centered design of H-2.0 allowed the cocreation of an e-DSS in the form of a website, in line with the needs of community-dwelling older adults and their caregivers seeking bathroom-assistive technology that enables personal hygiene. Each iteration improved usability and brought more insight into the users' realities, tailoring the e-DSS to the implementation context.
引用
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页数:17
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