Positive Design Framework for Carer eSupport: Qualitative Study to Support Informal Caregivers of Patients With Head and Neck Cancer in Sweden

BackgroundInformal caregivers of patients with head and neck cancer (HNC), such as the patient’s spouse, other close relatives, or friends, can play an important role in home-based treatment and health care. Research shows that informal caregivers are usually unprepared for t...

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Main Authors: Awais Ahmad, Shweta Premanandan, Ulrica Langegård, Åsa Cajander, Birgitta Johansson, Maria Carlsson, Ylva Tiblom Ehrsson
Format: Article
Language:English
Published: JMIR Publications 2023-05-01
Series:JMIR Cancer
Online Access:https://cancer.jmir.org/2023/1/e45748
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author Awais Ahmad
Shweta Premanandan
Ulrica Langegård
Åsa Cajander
Birgitta Johansson
Maria Carlsson
Ylva Tiblom Ehrsson
author_facet Awais Ahmad
Shweta Premanandan
Ulrica Langegård
Åsa Cajander
Birgitta Johansson
Maria Carlsson
Ylva Tiblom Ehrsson
author_sort Awais Ahmad
collection DOAJ
description BackgroundInformal caregivers of patients with head and neck cancer (HNC), such as the patient’s spouse, other close relatives, or friends, can play an important role in home-based treatment and health care. Research shows that informal caregivers are usually unprepared for this responsibility and need support with taking care of patients and other daily life activities. These circumstances place them in a vulnerable position, and their well-being may be compromised. This study is part of our ongoing project Carer eSupport, which aims to develop a web-based intervention to facilitate informal caregivers in the home environment. ObjectiveThis study aimed to explore the situation and context of informal caregivers of patients with HNC and their needs for designing and developing a web-based intervention (Carer eSupport). In addition, we proposed a novel framework for the development of a web-based intervention aimed at promoting the well-being of informal caregivers. MethodsFocus groups were conducted with 15 informal caregivers and 13 health care professionals. Both informal caregivers and health care professionals were recruited from 3 university hospitals in Sweden. We adopted a thematic data analysis process to analyze the data. ResultsWe investigated informal caregivers’ needs, critical factors for adoption, and desired functionalities of Carer eSupport. A total of 4 major themes, including information, web-based forum, virtual meeting place, and chatbot, emerged and were discussed by informal caregivers and health care professionals for Carer eSupport. However, most study participants did not like the idea of a chatbot for asking questions and retrieving information and expressed their concerns such as a lack of trust in robotic technologies and missing human contact while communicating with chatbots. The results from the focus groups were discussed through the lens of positive design research approaches. ConclusionsThis study provided an in-depth understanding of informal caregivers’ contexts and their preferred functions for a web-based intervention (Carer eSupport). Using the theoretical foundation of designing for well-being and positive design in the informal caregiving context, we proposed a positive design framework to support informal caregivers’ well-being. Our proposed framework might be helpful for human-computer interaction and user experience researchers to design meaningful eHealth interventions with a clear focus on users’ well-being and positive emotions, especially for informal caregivers of patients with HNC. International Registered Report Identifier (IRRID)RR2-10.1136/bmjopen-2021-057442
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spelling doaj.art-d1ea9f5e7bb54394a9f6b89822eb5fd12023-08-28T23:59:31ZengJMIR PublicationsJMIR Cancer2369-19992023-05-019e4574810.2196/45748Positive Design Framework for Carer eSupport: Qualitative Study to Support Informal Caregivers of Patients With Head and Neck Cancer in SwedenAwais Ahmadhttps://orcid.org/0000-0001-6947-9409Shweta Premanandanhttps://orcid.org/0000-0003-0732-7009Ulrica Langegårdhttps://orcid.org/0000-0001-8174-579XÅsa Cajanderhttps://orcid.org/0000-0001-7472-2215Birgitta Johanssonhttps://orcid.org/0000-0001-6226-6849Maria Carlssonhttps://orcid.org/0000-0002-1317-8524Ylva Tiblom Ehrssonhttps://orcid.org/0000-0001-7435-167X BackgroundInformal caregivers of patients with head and neck cancer (HNC), such as the patient’s spouse, other close relatives, or friends, can play an important role in home-based treatment and health care. Research shows that informal caregivers are usually unprepared for this responsibility and need support with taking care of patients and other daily life activities. These circumstances place them in a vulnerable position, and their well-being may be compromised. This study is part of our ongoing project Carer eSupport, which aims to develop a web-based intervention to facilitate informal caregivers in the home environment. ObjectiveThis study aimed to explore the situation and context of informal caregivers of patients with HNC and their needs for designing and developing a web-based intervention (Carer eSupport). In addition, we proposed a novel framework for the development of a web-based intervention aimed at promoting the well-being of informal caregivers. MethodsFocus groups were conducted with 15 informal caregivers and 13 health care professionals. Both informal caregivers and health care professionals were recruited from 3 university hospitals in Sweden. We adopted a thematic data analysis process to analyze the data. ResultsWe investigated informal caregivers’ needs, critical factors for adoption, and desired functionalities of Carer eSupport. A total of 4 major themes, including information, web-based forum, virtual meeting place, and chatbot, emerged and were discussed by informal caregivers and health care professionals for Carer eSupport. However, most study participants did not like the idea of a chatbot for asking questions and retrieving information and expressed their concerns such as a lack of trust in robotic technologies and missing human contact while communicating with chatbots. The results from the focus groups were discussed through the lens of positive design research approaches. ConclusionsThis study provided an in-depth understanding of informal caregivers’ contexts and their preferred functions for a web-based intervention (Carer eSupport). Using the theoretical foundation of designing for well-being and positive design in the informal caregiving context, we proposed a positive design framework to support informal caregivers’ well-being. Our proposed framework might be helpful for human-computer interaction and user experience researchers to design meaningful eHealth interventions with a clear focus on users’ well-being and positive emotions, especially for informal caregivers of patients with HNC. International Registered Report Identifier (IRRID)RR2-10.1136/bmjopen-2021-057442https://cancer.jmir.org/2023/1/e45748
spellingShingle Awais Ahmad
Shweta Premanandan
Ulrica Langegård
Åsa Cajander
Birgitta Johansson
Maria Carlsson
Ylva Tiblom Ehrsson
Positive Design Framework for Carer eSupport: Qualitative Study to Support Informal Caregivers of Patients With Head and Neck Cancer in Sweden
JMIR Cancer
title Positive Design Framework for Carer eSupport: Qualitative Study to Support Informal Caregivers of Patients With Head and Neck Cancer in Sweden
title_full Positive Design Framework for Carer eSupport: Qualitative Study to Support Informal Caregivers of Patients With Head and Neck Cancer in Sweden
title_fullStr Positive Design Framework for Carer eSupport: Qualitative Study to Support Informal Caregivers of Patients With Head and Neck Cancer in Sweden
title_full_unstemmed Positive Design Framework for Carer eSupport: Qualitative Study to Support Informal Caregivers of Patients With Head and Neck Cancer in Sweden
title_short Positive Design Framework for Carer eSupport: Qualitative Study to Support Informal Caregivers of Patients With Head and Neck Cancer in Sweden
title_sort positive design framework for carer esupport qualitative study to support informal caregivers of patients with head and neck cancer in sweden
url https://cancer.jmir.org/2023/1/e45748
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