Barriers and facilitators influencing implementation of care technology for people with intellectual disabilities: A cross-sectional study among care professionals

IF 2.1 3区医学 Q2 PSYCHOLOGY, EDUCATIONAL Journal of Applied Research in Intellectual Disabilities Pub Date : 2024-07-01 DOI:10.1111/jar.13262

Nienke M. Siebelink, Annemarije Gaasterland, Marieke Gielissen, Sanne van der Weegen, Brigitte Boon, Agnes van der Poel

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Abstract

Background

Implementation issues often hinder reaching the potential of care technology to improve daily lives of people with intellectual disabilities. We investigated barriers to and facilitators of implementing different technology modalities (app/social robot/sensor/domotics) in long-term care.

Method

Care professionals (N = 83) from 12 Dutch disability care organisations completed a customised measurement instrument for determinants of innovations (MIDI) questionnaire.

Results

Out of 27 determinants, 20 were identified as facilitators and 16 as barriers. We highlight common barriers: few colleagues who work with the technology; no (awareness of) formal ratification of technology use; no arrangements regarding turnover of staff using the technology; unsettling organisational changes; technological defects and limited IT preconditions.

Conclusions

The results, which could be combined and compared across study sites, provide insight into which implementation determinants were already well addressed, and where there is ground to gain when implementing care technology in disability care organisations.

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影响智障人士护理技术实施的障碍和促进因素：一项针对护理专业人员的横断面研究。

背景：实施问题往往会阻碍护理技术潜力的发挥，从而无法改善智障人士的日常生活。我们调查了在长期护理中实施不同技术模式（应用程序/社交机器人/传感器/多机器人）的障碍和促进因素：来自荷兰 12 家残疾人护理机构的专业护理人员（83 人）填写了一份定制的创新决定因素测量工具（MIDI）问卷：结果：在 27 个决定因素中，20 个被认为是促进因素，16 个被认为是障碍因素。我们强调了常见的障碍：很少有同事使用该技术；没有（意识到）技术使用的正式批准；没有关于使用该技术的员工更替的安排；令人不安的组织变革；技术缺陷和有限的信息技术先决条件：这些结果可以在不同的研究地点进行合并和比较，让我们深入了解哪些实施决定因素已经得到了很好的解决，以及在残疾人护理机构实施护理技术时哪些地方还有待改进。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Applied Research in Intellectual Disabilities Multiple-

CiteScore

4.70

自引率

12.50%

发文量

期刊介绍： JARID is an international, peer-reviewed journal which draws together findings derived from original applied research in intellectual disabilities. The journal is an important forum for the dissemination of ideas to promote valued lifestyles for people with intellectual disabilities. It reports on research from the UK and overseas by authors from all relevant professional disciplines. It is aimed at an international, multi-disciplinary readership. Topics covered include community living, quality of life, challenging behaviour, communication, sexuality, medication, ageing, supported employment, family issues, mental health, physical health, autism, economic issues, social networks, staff stress, staff training, epidemiology and service provision.