Decision-Making Process of Home and Social Care Professionals Using Telemonitoring of Activities of Daily Living for Risk Assessment: Embedded Mixed Methods Multiple-Case Study

• DOI: 10.2196/64713
• Publication Date: 2025-01-30T20:03:01Z
• Authors: Renée-Pier Filiou; Mélanie Couture; Maxime Lussier; Aline Aboujaoudé; Guy Paré; Sylvain Giroux; Hubert Kenfack Ng...; Patricia Belchior; Carolina Bottari; Kevin Bouchard; Sébastien Gaboury; Charles Gouin-Val...; Faustin Armel Eti...; Nathalie Bier
• Keywords: Preprint

Background Older adults with cognitive deficits face difficulties in recalling daily challenges and lack self-awareness, impeding home care clinicians from obtaining reliable information on functional decline needs possibly resulting suboptimal service delivery. Activity of living (ADL) telemonitoring has emerged as a tool to optimize evaluation ADL needs. Using ambient sensors, gathers about behaviors such preparing meals sleeping. However, there is significant gap understanding how data can be integrated into clinical reasoning better target services. Objective This paper aims describe (1) are used by maintain recipients at (2) the impact Methods We an embedded mixed methods multiple-case study design examine 3 health institutions located greater Montreal region Quebec that offer public An system—Innovative Easy Assistance System–Support for Adults’ Autonomy (Soutien à l’autonomie des personnes âgées French)—was deployed within these 4 years. Subcases (care recipient, informal caregiver, clinicians) were each case. For this paper, we collected during interviews (45-60 min) only. Quantitative metadata also provided before after implementation NEARS-SAPA triangulate qualitative data. Results analyzed 27 subcases comprising 29 who completed 57 postimplementation concerning 147 reports. Data analysis showed 4-step decision-making process clinicians: extraction relevant data, comparison other sources information, (3) risk assessment recipient’s performance ability remain home, (4) maintenance or modification intervention plan. reporting number services received allowed triangulation pertaining step 4. Overall, results suggest stabilization monthly introduction system, particularly cases where increasing its implementation. consistent indicating that, light most decided current plan rather than increase reduce Conclusions contributed optimization case-by-case basis. may have important role reassuring their management appropriateness delivery, especially when questions regarding relevance Future studies further explore benefits systems larger-scale studies. International Registered Report Identifier (IRRID) RR2-10.2196/52284