MyPath to Home Web-Based Application for the Geriatric Rehabilitation Program at Bruyère Continuing Care: User-Centered Design and Feasibility Testing Study.
care transition
geriatric rehabilitation
hip fracture
technology
Journal
JMIR formative research
ISSN: 2561-326X
Titre abrégé: JMIR Form Res
Pays: Canada
ID NLM: 101726394
Informations de publication
Date de publication:
14 Sep 2020
14 Sep 2020
Historique:
received:
10
02
2020
accepted:
26
07
2020
revised:
30
04
2020
entrez:
14
9
2020
pubmed:
15
9
2020
medline:
15
9
2020
Statut:
epublish
Résumé
When older adults return home from geriatric rehabilitation in a hospital, remembering the plethora of medical advice and medical instructions provided can be overwhelming for them and for their caregivers. The overall objective was to develop and test the feasibility of a novel web-based application called MyPath to Home that can be used to manage the personalized needs of geriatric rehabilitation patients during their transition from the hospital to home. This study involved (1) co-designing a patient- and clinician-tailored web-based application and (2) testing the feasibility of the application to manage the needs of geriatric rehabilitation patients when leaving the hospital. In phase 1, we followed a user-centered design process integrated with the modern agile software development methodology to iteratively co-design the application. The approach consisted of three cycles in which we engaged patients, caregivers, and clinicians to design a series of prototypes (cycles 1-3). In phase 2, we conducted a single-arm feasibility pilot test of MyPath to Home. Baseline and follow-up surveys, as well as select semistructured interviews were conducted. In phase 1, semistructured interviews and talk-aloud sessions were conducted with patients/caregivers (n=5) and clinicians (n=17) to design the application. In phase 2, patients (n=30), caregivers (n=18), and clinicians (n=20) received access to use the application. Patients and their caregivers were asked to complete baseline and follow-up surveys. A total of 91% (21/23) of patients would recommend this application to other patients. In addition, clinicians (n=6) and patients/caregivers (n=6) were interviewed to obtain further details on the value of the web-based application with respect to engaging patients and facilitating communication and sharing of information with the health care team. We were successful at designing the MyPath to Home prototype for patients and their caregivers to engage with their clinicians during the transition from geriatric rehabilitation to home. Further work is needed to increase the uptake and usage by clinicians, and determine if this translates to meaningful changes in clinical and functional outcomes. RR2-10.2196/11031.
Sections du résumé
BACKGROUND
BACKGROUND
When older adults return home from geriatric rehabilitation in a hospital, remembering the plethora of medical advice and medical instructions provided can be overwhelming for them and for their caregivers.
OBJECTIVE
OBJECTIVE
The overall objective was to develop and test the feasibility of a novel web-based application called MyPath to Home that can be used to manage the personalized needs of geriatric rehabilitation patients during their transition from the hospital to home.
METHODS
METHODS
This study involved (1) co-designing a patient- and clinician-tailored web-based application and (2) testing the feasibility of the application to manage the needs of geriatric rehabilitation patients when leaving the hospital. In phase 1, we followed a user-centered design process integrated with the modern agile software development methodology to iteratively co-design the application. The approach consisted of three cycles in which we engaged patients, caregivers, and clinicians to design a series of prototypes (cycles 1-3). In phase 2, we conducted a single-arm feasibility pilot test of MyPath to Home. Baseline and follow-up surveys, as well as select semistructured interviews were conducted.
RESULTS
RESULTS
In phase 1, semistructured interviews and talk-aloud sessions were conducted with patients/caregivers (n=5) and clinicians (n=17) to design the application. In phase 2, patients (n=30), caregivers (n=18), and clinicians (n=20) received access to use the application. Patients and their caregivers were asked to complete baseline and follow-up surveys. A total of 91% (21/23) of patients would recommend this application to other patients. In addition, clinicians (n=6) and patients/caregivers (n=6) were interviewed to obtain further details on the value of the web-based application with respect to engaging patients and facilitating communication and sharing of information with the health care team.
CONCLUSIONS
CONCLUSIONS
We were successful at designing the MyPath to Home prototype for patients and their caregivers to engage with their clinicians during the transition from geriatric rehabilitation to home. Further work is needed to increase the uptake and usage by clinicians, and determine if this translates to meaningful changes in clinical and functional outcomes.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID)
UNASSIGNED
RR2-10.2196/11031.
Identifiants
pubmed: 32924953
pii: v4i9e18169
doi: 10.2196/18169
pmc: PMC7522728
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e18169Informations de copyright
©Chantal Backman, Anne Harley, Craig Kuziemsky, Jay Mercer, Liam Peyton. Originally published in JMIR Formative Research (http://formative.jmir.org), 14.09.2020.
Références
N Z Med J. 2012 Jun 29;125(1357):76-87
pubmed: 22854362
Syst Rev. 2015 Jan 26;4:11
pubmed: 25623074
JMIR Res Protoc. 2018 Sep 24;7(9):e11031
pubmed: 30249591
J Clin Epidemiol. 2015 Nov;68(11):1375-9
pubmed: 26146089
PLoS Med. 2013;10(1):e1001363
pubmed: 23458994
Int J Med Inform. 2012 Nov;81(11):761-72
pubmed: 22456088
PLoS One. 2014 Jul 07;9(7):e101312
pubmed: 24999983
Glob Qual Nurs Res. 2015 Aug 14;2:2333393615597674
pubmed: 28462313
J Med Internet Res. 2011 Dec 31;13(4):e126
pubmed: 22209829
Biomed Instrum Technol. 2012 Fall;Suppl:49-56
pubmed: 23039777
Am J Prev Med. 2013 Aug;45(2):228-36
pubmed: 23867031
Health Care Financ Rev. 1997 Winter;19(2):47-72
pubmed: 10345406
BMJ. 2007 Jul 7;335(7609):24-7
pubmed: 17615222
J Hosp Med. 2007 Sep;2(5):314-23
pubmed: 17935242
Comput Inform Nurs. 2009 May-Jun;27(3):175-83
pubmed: 19411947
J Clin Epidemiol. 2012 Mar;65(3):301-8
pubmed: 22169081
SAGE Open Med. 2018 Sep 07;6:2050312118799121
pubmed: 30210796
JMIR Mhealth Uhealth. 2017 Feb 08;5(2):e11
pubmed: 28179215