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Giroux D, Tremblay M, Latulippe K, Provencher V, Poulin V, Giguere A, Dubé V, Sévigny A, Guay M, Ethier S, Carignan M. Promoting Identification and Use of Aid Resources by Caregivers of Seniors: Co-Design of an Electronic Health Tool. JMIR Aging 2019; 2:e12314. [PMID: 31518284 PMCID: PMC6744817 DOI: 10.2196/12314] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2018] [Revised: 04/25/2019] [Accepted: 05/28/2019] [Indexed: 02/02/2023] Open
Abstract
BACKGROUND The importance of supporting caregivers is recognized in home care for older persons, and facilitating their help-seeking process is a way to meet that need. The use of electronic health (eHealth) is a potentially promising solution to facilitate caregivers' help-seeking process. OBJECTIVE The aim of this research was to develop, in partnership with community organizations, health and social service professionals and caregivers, an eHealth tool promoting the earlier identification of needs of older persons and an optimal use of available resources. METHODS To design the tool, 8 co-design sessions (CoDs) were conducted and 3 advisory committees were created (in 11 regions) in Quebec between May 2017 and May 2018. A variety of methods were used, including the sorting method, the use of personas, eHealth tool analysis, brainstorming, sketching, prototyping, and pretesting. RESULTS A total of 74 co-designers (women n=64 and men n=10) were recruited to participate in the CoDs or the advisory committees. This number allowed for the identification of needs to which the tool must respond and for the identification of its requirements (functionalities and content), as well as for the development of the information architecture. Throughout the study, adjustments were made to the planning of CoD, notably because certain steps required more sessions than expected. Among others, this was true for the identification of functionalities. CONCLUSIONS This study led to the development of an eHealth tool for caregivers of functionally dependent older persons to help them identify their needs and the resources available to meet them. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) RR2-10.2196/11634.
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Affiliation(s)
- Dominique Giroux
- Department of Rehabilitation, Université Laval, Québec, QC, Canada.,Center of Excellence on Aging Quebec, Québec, QC, Canada
| | - Mélanie Tremblay
- Department of Teaching and Learning Studies, Université Laval, Québec, QC, Canada
| | - Karine Latulippe
- Department of Teaching and Learning Studies, Université Laval, Québec, QC, Canada
| | - Véronique Provencher
- School of Rehabilitation, Université de Sherbrooke, Sherbrooke, QC, Canada.,Center of Research on Aging, Centre intégré universitaire de santé et de services sociaux de l'Estrie, Centre hospitalier universitaire de Sherbrooke, Sherbrooke, QC, Canada
| | - Valérie Poulin
- Université du Québec in Trois-Rivières, Trois-Rivières, QC, Canada.,Interdisciplinary Center for Research in Rehabilitation and Social Integration, Université Laval, Québec, QC, Canada
| | - Anik Giguere
- Center of Excellence on Aging Quebec, Québec, QC, Canada.,Department of Family Medicine and Emergency Medicine, Université Laval, Québec, QC, Canada
| | - Véronique Dubé
- Faculty of Nursing, University of Montreal, Montreal, QC, Canada.,Research Centre of the University Hospital of Montreal, Montréal, QC, Canada
| | - Andrée Sévigny
- Center of Excellence on Aging Quebec, Québec, QC, Canada.,School of Social Work and Criminology, Université Laval, Québec, QC, Canada
| | - Manon Guay
- School of Rehabilitation, Université de Sherbrooke, Sherbrooke, QC, Canada.,Center of Research on Aging, Centre intégré universitaire de santé et de services sociaux de l'Estrie, Centre hospitalier universitaire de Sherbrooke, Sherbrooke, QC, Canada
| | - Sophie Ethier
- Center of Excellence on Aging Quebec, Québec, QC, Canada.,School of Social Work and Criminology, Université Laval, Québec, QC, Canada
| | - Maude Carignan
- Center of Excellence on Aging Quebec, Québec, QC, Canada
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Latulippe K, Tremblay M, Poulin V, Provencher V, Giguere AM, Sévigny A, Dubé V, Éthier S, Guay M, Carignan M, Giroux D. Prioritizing the Needs of Caregivers of Older Adults to Support Their Help-Seeking Process as a First Step to Developing an eHealth Tool: The Technique for Research of Information by Animation of a Group of Experts (TRIAGE) Method. JMIR Aging 2019; 2:e12271. [PMID: 31518269 PMCID: PMC6716487 DOI: 10.2196/12271] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2018] [Revised: 04/02/2019] [Accepted: 04/22/2019] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Caregivers of functionally dependent older persons sometimes seek formal services to support their relatives. However, this process of help-seeking is complex. OBJECTIVE The overall aim of the study was to use a co-design approach to develop an electronic health (eHealth) tool to support caregivers in their process of help-seeking. This study presents the first step of the design phase, which aimed to prioritize the user needs to be considered during the development of an eHealth tool. METHODS A total of 3 groups of caregivers, community workers, and health and social service professionals participated in either a co-design session (1 or 2) or an advisory committee in 2 rural areas and 1 urban area. The needs identified in the academic literature and during a previous study were sorted (Technique for Research of Information by Animation of a Group of Experts [TRIAGE] method) by the participants (referred to in this study as co-designers) to obtain a consensus on those to be prioritized. Needs identified, grouped, and removed were ranked and compared. RESULTS Of the initial list of 32 needs, 12 were modified or merged, 3 added, and 7 deleted as the co-designers felt that the needs were poorly formulated, redundant, irrelevant, or impossible to meet. In the end, 19 needs were identified for the design of the eHealth tool. CONCLUSIONS Many of the identified needs are informational (eg, having access to up-to-date information) and are probably met by existing tools. However, many others are emotional (eg, being encouraged to use the services) and offer an interesting challenge to eHealth tool development. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) RR2-10.2196/11634.
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Affiliation(s)
- Karine Latulippe
- Department of Teaching and Learning Studies, Laval University, Quebec, QC, Canada
| | - Mélanie Tremblay
- Department of Teaching and Learning Studies, Laval University, Quebec, QC, Canada
| | - Valérie Poulin
- Université du Québec in Trois-Rivières, Trois-Rivières, QC, Canada.,Interdisciplinary Center for Research in Rehabilitation and Social Integration, Quebec, QC, Canada
| | - Véronique Provencher
- School of Rehabilitation, University of Sherbrooke, Sherbrooke, QC, Canada.,Research Centre on Aging, Centre intégré universitaire de santé et de services sociaux de l'Estrie-Centre hospitalier universitaire de Sherbrooke, Sherbrooke, QC, Canada
| | - Anik Mc Giguere
- Department of Family Medicine and Emergency Medicine, Laval University, Quebec, QC, Canada.,Center of Excellence on Aging Quebec, Quebec, QC, Canada
| | - Andrée Sévigny
- Center of Excellence on Aging Quebec, Quebec, QC, Canada.,School of Social Work and Criminology, Laval University, Quebec, QC, Canada
| | - Véronique Dubé
- Faculty of Nursing, University of Montreal, Montreal, QC, Canada.,Research Center of the University Hospital of Montreal, Montreal, QC, Canada
| | - Sophie Éthier
- Center of Excellence on Aging Quebec, Quebec, QC, Canada.,School of Social Work and Criminology, Laval University, Quebec, QC, Canada
| | - Manon Guay
- School of Rehabilitation, University of Sherbrooke, Sherbrooke, QC, Canada.,Research Centre on Aging, Centre intégré universitaire de santé et de services sociaux de l'Estrie-Centre hospitalier universitaire de Sherbrooke, Sherbrooke, QC, Canada
| | - Maude Carignan
- Center of Excellence on Aging Quebec, Quebec, QC, Canada
| | - Dominique Giroux
- Center of Excellence on Aging Quebec, Quebec, QC, Canada.,Department of Rehabilitation, Laval University, Quebec, QC, Canada
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Latulippe K, Guay M, Éthier S, Sévigny A, Dubé V, Provencher V, Poulin V, Giguere AM, Tremblay M, Carignan M, Giroux D. Supporting the Process of Help-Seeking by Caregivers of Functionally Dependent Older Persons Through Electronic Health: Protocol for a Multicenter Co-Design. JMIR Res Protoc 2019; 8:e11634. [PMID: 31025956 PMCID: PMC6658263 DOI: 10.2196/11634] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2018] [Revised: 11/14/2018] [Accepted: 01/23/2019] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND It is often only when the initial signs of exhaustion appear that caregivers first may engage in help-seeking behavior, but it is difficult for them to know which is the most appropriate formal service in their situation. Electronic health (eHealth) can support caregivers in keeping the older person they are caring for at home, but few eHealth tools designed for supporting the process of help-seeking by caregivers of functionally impaired older persons have been developed using a co-design approach. OBJECTIVE This paper aims to describe the protocol of a project that tries to assist caregivers to target their needs and those of the older person they support early in their help-seeking process, and guide them effectively to the formal service most appropriate for their situation. This project aims to answer the following questions: (1) What type of tool can better support caregivers to identify their needs and those of the older person they are caring for and then refer them to an appropriate formal service? and (2) What information should be found in such a tool? METHODS This study presents a description of the process of an ongoing multicenter research project based on a co-design approach, which includes 3 phases (1) identification of caregivers' needs in terms of tools to support their help-seeking behavior, (2) development of a tool, and (3) evaluation of its usability. RESULTS The project began in January 2016 with the ethics application for the 3 phases of the project. For phase 1, recruitment began in December 2016 and ended in September 2017. Phase 2 began in the spring of 2017 and ended in June 2018. All the co-design sessions have been completed. Phase 3 of the project will begin in September 2018. CONCLUSIONS Although there are some challenges associated with this type of methodology, the methodology still remains relevant, as it involves future users in the development of a tool, which increases the chances that the tool will meet the users' needs. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) DERR1-10.2196/11634.
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Affiliation(s)
- Karine Latulippe
- Department of Teaching and Learning Studies, Laval University, Quebec, QC, Canada
| | - Manon Guay
- School of Rehabilitation, University of Sherbrooke, Sherbrooke, QC, Canada
- Research Centre on Aging, Centre Intégré Universitaire de Santé et de Services Sociaux de l'Estrie-Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, QC, Canada
| | - Sophie Éthier
- School of Social Work and Criminology, Laval University, Quebec, QC, Canada
- Center of Excellence on Aging Quebec, Quebec, QC, Canada
| | - Andrée Sévigny
- School of Social Work and Criminology, Laval University, Quebec, QC, Canada
- Center of Excellence on Aging Quebec, Quebec, QC, Canada
| | - Véronique Dubé
- Faculty of Nursing, University of Montreal, Montreal, QC, Canada
- Research Center, University Hospital Center of Montreal, Montreal, QC, Canada
| | - Véronique Provencher
- School of Rehabilitation, University of Sherbrooke, Sherbrooke, QC, Canada
- Research Centre on Aging, Centre Intégré Universitaire de Santé et de Services Sociaux de l'Estrie-Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, QC, Canada
| | - Valérie Poulin
- Université du Québec in Trois-Rivières, Trois-Rivières, QC, Canada
- Interdisciplinary Center for Research in Rehabilitation and Social Integration, Quebec, QC, Canada
| | - Anick Mc Giguere
- Center of Excellence on Aging Quebec, Quebec, QC, Canada
- Department of Family Medicine and Emergency Medicine, Laval University, Quebec, QC, Canada
| | - Mélanie Tremblay
- Department of Teaching and Learning Studies, Laval University, Quebec, QC, Canada
| | - Maude Carignan
- Center of Excellence on Aging Quebec, Quebec, QC, Canada
| | - Dominique Giroux
- Center of Excellence on Aging Quebec, Quebec, QC, Canada
- Department of Rehabilitation, Laval University, Quebec, QC, Canada
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