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Evaluation criteria in practice development using mobile ICT. Gunvor Gard och Anita Melander-Wikman Dept of Health Sciences Luleå University of Technology [email protected] [email protected] Technologies and services for elderly. Increased number of elderly in Nordic countries

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evaluation criteria in practice development using mobile ict
Evaluation criteria in practice development using mobile ICT
technologies and services for elderly
Technologies and services for elderly
  • Increased number of elderly in Nordic countries
  • Increased demand on prevention and rehabilitation services.
  • Mobility? Well-being? Quality of life?
  • Utility - functionality? Usability testing?
  • Evaluation methods – scientific demands?
prevention
Prevention
  • Primary, secondary,tertiary
  • Interventions on different organizational levels:
  • Political,economic,cultural
  • Work organizational
  • Group
  • Individual
scientific demands clinical relevance technical relevance functional relevance
Scientific demands? Clinical relevance? Technical relevance? Functional relevance?
  • Evidence –the use of best scientific criteria to develop the best practice
  • Level 1 – meta analysis of RCT
  • Level 4 consensus between professionals in the field (Turner-Stokes,2002)
sackets rules of scientific evidence 1990
Sackets rules of scientific evidence,1990
  • Level 1. Large randomized controlled trials
  • Level 2. Small randomized controlled trial
  • Level 3. Non-randomized concurrent cohort comparisons
  • Level 4. Non-randomized historical cohort comparisons
  • Level 5. Case series without controls
standards should be evidence based
Standards should be evidence-based
  • Different levels of evidence
  • Multiprofessional cooperation step-wise process
  • Technologies in a prototyping phase
  • Can the new technology change an organizational structure or practice
  • No consensus about what is the best way to evaluate new systems or technologies
e homehealthcare@northcalotte
[email protected]
  • Coordinated trials in 5 municipalities in 3 countries
  • Aim: Improve information exchange in homecare services by mobile ICT equipment
  • Methods: Questionnaires,interviews, focusgroup interviews,observations
  • Theories of participatory action research
  • Marratech web-based conference tool was used
which criteria are realistic and relevant to use
Which criteria are realistic and relevant to use?
  • Criteria based on perceived needs and priorities
  • Criteria based on objective data
  • Criteria based on available resources and existing policies
criteria based on perceived needs and priorities
Criteria based on perceived needs and priorities
  • Arbitary criteria from individuals or groups in a position of authority
  • Experiential criteria – a community’s perceived needs and priorities,know-how
  • Utility criteria –focused on local utility aspects
criteria based on objective data
Criteria based on objective data
  • Historical criteria –based on previous performance data and trend analyses
  • Normative criteria – for example national average
  • Scientific criteria . Outcomes in controlled studies such as RCT and metaanalysis towards a best practice
criteria based on available resources and existing policies
Criteria based on available resources and existing policies
  • Propriety standards – legal ethical norms
  • Feasibility standards – cost-effectiveness,political and practical norms
which criterias were considered in the ehhc project
Which criterias were considered in the EHHC project?
  • Criteria based on perceived needs and priorities
  • Criteria based on objective data
  • Criteria based on available resources and existing policies
  • Experiential criteria – a community’s perceived needs and priorities,know-how
  • Utility criteria –focused on local utility aspects
  • Scientific criteria .
develop the best approach
Develop the best approach
  • Evidence – to use all possible criteria as best available evidence
  • No methodological golden standard exists so far
  • Use already reliable and valid methods or test your method before use
  • Comparisons possible if we use the same methods
development of a questionaire
Development of a questionaire
  • Systematic literature search in relation to the research question – key words
  • Identification of relevant dimensions for questions
  • Development of questions – item generation
  • Factor analysis of the questionnaire – item reduction
  • To limit the questionnaire and see if the literature dimensions can be identified in the structure
  • Dimensions confirmed or not?
  • Reliability and Validity testing
evaluation criteria in practice development using mobile ict15
Evaluation criteria in practice development using mobile ICT
  • Focus on participation as well as knowledge-gathering
  • Focus on scientific multi-method development
  • Focus on multiprofessional cooperation
  • Participatory action research can be used in practice development using mobile ICT
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