Evidence map›Paper›PMID 39991741›Full record

ArticleDigital health

A user-centred website to support advance care planning for people with dementia and their family caregivers: Development and usability study.

Fanny Monnet, Charlèss Dupont, Lara Pivodic, Tinne Smets, Aline De Vleminck, Chantal Van Audenhove, Lieve Van den Block

Abstract read
In one paragraph

Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Fanny MonnetEnd-of-Life Care Research Group, Vrije Universiteit Brussel & Ghent University, Brussels, Belgium.ORCID https://orcid.org/0000-0002-4983-9486
Charlèss DupontEnd-of-Life Care Research Group, Vrije Universiteit Brussel & Ghent University, Brussels, Belgium.ORCID https://orcid.org/0000-0002-8333-9573
Lara PivodicEnd-of-Life Care Research Group, Vrije Universiteit Brussel & Ghent University, Brussels, Belgium.
Tinne SmetsEnd-of-Life Care Research Group, Vrije Universiteit Brussel & Ghent University, Brussels, Belgium.
Aline De VleminckEnd-of-Life Care Research Group, Vrije Universiteit Brussel & Ghent University, Brussels, Belgium.
Chantal Van AudenhoveLUCAS Center for Care Research and Consultancy, KU Leuven, Leuven, Belgium.
Lieve Van den BlockEnd-of-Life Care Research Group, Vrije Universiteit Brussel & Ghent University, Brussels, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Advance care planning (ACP) is a dynamic communication process about future care preferences. We aimed to develop and test an ACP support website for people with dementia and their family caregivers. Methods: We adopted a user-centred design process to develop and test the ACP support website. A content specification phase included needs assessment, evidence synthesis and translation into preliminary content. A creative design phase included storyboarding, iterative prototyping, and usability testing. People with dementia and family caregivers engaged in usability testing across four iterations, using System Usability Scale questionnaires, and think-aloud and semi-structured interviews. An advisory group with people with dementia, family caregivers, and diverse regional stakeholders was involved. Descriptive statistics and qualitative framework analysis were applied. Results: Website goals were: providing ACP information and facilitating ACP conversations. A 'what matters most' approach (i.e. enabling users to reflect on 'what matters most' in the present and the future) and non-linear navigation were favoured. We tested the website with 17 people with dementia and 26 family caregivers. Feedback addressed design, navigation and content. Usability scores of 76.4 for family caregivers and 81.3 for people with dementia were achieved. Family caregivers and people with dementia highlighted the value of information and interactive ACP tools, the need for language simplification and harmonised layout. People with dementia experienced challenges in using interactive tools. Conclusion: The user-centred development process, involving diverse stakeholders, led to the development of an ACP support website deemed usable and useful. Future evaluation should focus on acceptability, feasibility and effectiveness of the ACP support website.

Indexed as

Advance care planningdevelopmentfamily caregiverspeople with dementiausability testingweb-based tool

Identifiers

PMID39991741
PMCPMC11843698

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.