Abstract
BackgroundVery few evidence-based electronic health (eHealth) interventions for caregivers of people with dementia are implemented into practice. As part of a cross-border collaboration focusing on dementia and depression in older people, two eHealth interventions for caregivers of people with dementia (“Myinlife” and “Partner in Balance”) were adopted by nine municipalities in the Euregion Meuse-Rhine.ObjectiveThis study aimed to (1) identify determinants for the implementation of eHealth interventions for caregivers of people with dementia in a municipality context and (2) formulate implementation strategies for these interventions.MethodsEight municipality officials were interviewed using open-ended, semistructured interviews about their background, thoughts on the implementation of the intervention, recommended strategies, and thoughts on eHealth in general. One additional municipality discontinued the implementation project and submitted answers to the interview questions via email. The interviews were transcribed and independently analyzed using inductive thematic analysis.ResultsThe interviews provided information on the perspectives of municipality officials on implementing eHealth for caregivers of people with dementia in their local communities. Key findings from the inductive thematic analysis included the importance of face-to-face interviews in developing tailor-made implementation plans, the need for regular meetings, the enthusiasm of municipality officials to implement these interventions, the need for long-term sustainability planning through collecting data on the required resources and benefits, and the effect of name brand recognition in adoption.ConclusionsThe findings contribute toward filling the previously identified gap in the literature on the implementation context of eHealth interventions for caregivers of people with dementia. Municipality officials’ views indicated which implementation determinants they expected would influence the adoption, dissemination, and future implementation of eHealth interventions for caregivers of people with dementia in a municipal context. These insights were applied to tailored implementation strategies to facilitate the future implementation of interventions such as Myinlife and Partner in Balance.
Highlights
Electronic Health and Dementia CaregivingInformal caregivers provide essential care to people with dementia, and this can have both positive [1] and negative effects on the caregivers’ daily lives [2,3,4]
Four main themes emerged from the inductive thematic analysis: the electronic health (eHealth) intervention, the users, the organization, and the wider context
For the purposes of clarity and as a reflection of the chronological process, the following sections will start by discussing the outermost circle and work inward toward the innermost circles
Summary
Electronic Health and Dementia CaregivingInformal caregivers provide essential care to people with dementia, and this can have both positive [1] and negative effects on the caregivers’ daily lives [2,3,4]. EHealth interventions for caregivers of people with dementia have shown evidence of effectiveness at improving a wide range of negative outcomes for these caregivers, including the reduction of depressive symptoms, anxiety, and burden [6,7,8,9]. For eHealth, this involves gaining insight into the relevant aspects and actors of organizations and communities in the real-life contexts where the interventions will be implemented. An example of such an implementation context is municipalities looking to offer Web-based support to caregivers of people with dementia. Very few evidence-based electronic health (eHealth) interventions for caregivers of people with dementia are implemented into practice. As part of a cross-border collaboration focusing on dementia and depression in older people, two eHealth interventions for caregivers of people with dementia (“Myinlife” and “Partner in Balance”) were adopted by nine municipalities in the Euregion Meuse-Rhine
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