Explore and consult with the eHealth context to facilitate implementation of eHealth interventions
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Guidance
To develop an eHealth intervention for caregivers of people with dementia that will be used in practice, developers should investigate the needs of the target population (people with dementia and their caregivers), and the needs of the people who will be implementing these interventions after a trial phase (such as case managers, hospital workers, volunteers or professionals associated with advocacy groups).
Explanation and examples
A systematic search was conducted into the implementationA set of planned, intentional activities that aim to put into practice evidence-informed policies and practices in real-world services (see www.implementation.eu) of studies including the terms ‘dementia’, ‘eHealth’, and ‘caregivers’. 2524 abstracts and 122 full texts were read, resulting in 46 studies meeting all criteria. Containing 204 statements on implementationA set of planned, intentional activities that aim to put into practice evidence-informed policies and practices in real-world services (see www.implementation.eu). Most implementationA set of planned, intentional activities that aim to put into practice evidence-informed policies and practices in real-world services (see www.implementation.eu) statements could be grouped into 2 main themes: ‘Determinants associated with the eHealth intervention’ and ‘Determinants associated with the caregiver’. Very few statements were in the themes ‘Determinants associated with the implementing organization’ and ‘Determinants associated with the wider context’. Absence of knowledge on the contextual environment creates significant difficulties for health system planners and implementers who aim to translate these interventions into practice.
Type of evidence
Hannah Christie (INDUCT ESR10), Sara Bartels (INDUCT ESR9)
Systematic review
References
Christie, H. L., Bartels, S. L., Boots, L. M., Tange, H. J., Verhey, F. R., & de Vugt, M. E. (2018). A systematic review on the implementation of eHealth interventions for informal caregivers of people with dementia. Internet interventions, 13, 51-59.