BMC Med Inform Decis Mak - Determinants of use and non-use of a web-based communication system in cerebral palsy care: evaluating the association between professionals' system use and their a priori expectancies and background.

Tópicos

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Resumo

CKGROUND: Previously we described parents' and professionals' experiences with a web-based communication system in a 6-month pilot in three Dutch cerebral palsy care settings. We found that half of the participating professionals had not used the system, and of those who had used the system one third had used it only once. The present study aimed to evaluate whether professionals' system use was associated with their a priori expectancies and background.METHODS: Professionals who had not used the system (n = 54) were compared with professionals who had used the system more than once (n = 46) on the basis of their questionnaire responses before the pilot, their affiliation and the number of patients which they represented in the study. The questionnaire items comprised professionals' expectancies regarding the system's performance and ease of use, as well as the expected time availability and integration into daily care practice.RESULTS: Overall, users had higher a priori expectancies than non-users. System use was associated with expected ease of use (p = .046) and time availability (p = .005): 50% of the users (vs. 31% of the non-users) expected that the system would be easy to use and 93% of the users (vs. 72% of the non-users) expected that they would be able to reserve a time slot each week for responding to submitted questions. With respect to professionals' affiliation, system use was associated with professionals' institution (p = .003) and discipline (p = .001), with more (para-) medical professionals among users (93% vs. 63% among non-users), and more education professionals among non-users (37% vs. 7% among users). In addition, users represented more patients (mean 2, range 1-8) than non-users (mean 1.1, range 1-2) (p = .000).CONCLUSIONS: Professionals' system use was associated with expected ease of use and time availability, professionals' affiliation and the number of represented patients, while no association was found with expected performance of the system. To achieve higher adoption rates in the future, it is important to further develop the technology by optimizing the system's ease of use and interoperability and including advanced consultation options. In addition, better identified end users should be more extensively informed about the system's possibilities through tailored education.

Resumo Limpo

ckground previous describ parent profession experi webbas communic system month pilot three dutch cerebr palsi care set found half particip profession use system use system one third use present studi aim evalu whether profession system use associ priori expect backgroundmethod profession use system n compar profession use system n basi questionnair respons pilot affili number patient repres studi questionnair item compris profession expect regard system perform eas use well expect time avail integr daili care practiceresult overal user higher priori expect nonus system use associ expect eas use p time avail p user vs nonus expect system easi use user vs nonus expect abl reserv time slot week respond submit question respect profession affili system use associ profession institut p disciplin p para medic profession among user vs among nonus educ profession among nonus vs among user addit user repres patient mean rang nonus mean rang p conclus profession system use associ expect eas use time avail profession affili number repres patient associ found expect perform system achiev higher adopt rate futur import develop technolog optim system eas use interoper includ advanc consult option addit better identifi end user extens inform system possibl tailor educ

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