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Context is key: Perspectives from Municipality Officials on the Adoption, Dissemination and Implementation of eHealth Interventions to Support Caregivers of People with Dementia
ABSTRACT
Background:
Very few evidence-based 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 the elderly, two eHealth interventions for caregivers of people with dementia (‘Myinlife’ and ‘Partner in Balance’) were adopted by nine municipalities in the Euregion Meuse-Rhine.
Objective:
The objectives of this study were 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.
Methods:
Eight municipality officials were interviewed using open-ended, semi-structured 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 analysed using inductive thematic analysis.
Results:
The 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.
Conclusions:
The findings contribute towards 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 into tailored implementation strategies to facilitate the future implementation of interventions like Myinlife and Partner in Balance
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