Evaluation of a decision support app for nurses and case managers to facilitate aging in place of people with dementia. A randomized controlled laboratory experiment

Detecting practical problems of persons with dementia (PwD) experience at home, and advising them on solutions to facilitate aging in place are complex and challenging tasks for nurses and case managers. In this two group randomized, controlled laboratory experiment, the efficacy of a decision suppo...

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Bibliographic Details
Published in:Geriatric nursing (New York) 2018-11, Vol.39 (6), p.653-662
Main Authors: Thoma-Lürken, Theresa, Bleijlevens, Michel H.C., Lexis, Monique A.S., Hamers, Jan P.H.
Format: Article
Language:English
Subjects:
Adult
Aging-in-place
Case managers
Case Managers - psychology
Decision Making
Decision support
Decision Support Systems, Clinical
Dementia
Dementia - nursing
Female
Humans
Independent Living
Male
Mobile Applications
Nurse
Nursing
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Summary:Detecting practical problems of persons with dementia (PwD) experience at home, and advising them on solutions to facilitate aging in place are complex and challenging tasks for nurses and case managers. In this two group randomized, controlled laboratory experiment, the efficacy of a decision support application aiming to increase nurses' and case managers' confidence in clinical judgment and decision-making was tested. The participants (N = 67) assessed a case of a PwD within the problem domains: self-reliance, safety and informal care, and provided suggestions for possible solutions. Participants used either their regular procedure with (intervention group) or without the App (control group) to conduct these tasks. No statistically significant difference was found on the primary outcome measure, the overall level of confidence. However, nurses and case managers highly recommended use of the App in practice. To explain these results, more research on the potential added value of the App is needed.
ISSN:0197-4572
1528-3984
DOI:10.1016/j.gerinurse.2018.04.019