title: A web-based communication system for integrated care in cerebral palsy: experienced contribution to parent-professional communication.
abstract: BACKGROUND
  To improve communication in the integrated care setting of children with cerebral palsy, we developed a web-based system for parent-professional and inter-professional communication. The present study aimed to evaluate parents' experiences regarding the system's contribution to their communication with professionals during a six-months pilot in three Dutch care regions. In addition, factors associated with parents' system use and non-use were analyzed.
  
  
  METHODS
  The system's functional specifications were based on key elements of the Chronic Care Model and quality dimensions formulated by the Institute of Medicine. At baseline, parents completed a T0-questionnaire on their experiences regarding sufficiency of contact, accessibility of professionals, timeliness of information exchange, consistency of information and parents' role as messenger of information and/or care coordinator. After the pilot, parents completed a T1-questionnaire on their experiences regarding the system's contribution to each of these aspects.
  
  
  RESULTS
  Of the 30 participating parents 21 had used the system, of which 20 completed the T1-questionnaire. All these parents indicated that they had experienced a contribution of the system to parent-professional communication, especially with respect to accessibility of professionals, sufficiency of contact and timeliness of information exchange, and to a lesser extent consistency of information and parents' messenger/coordinator role. In comparison with non-users, users had less positive baseline experiences with accessibility and a higher number of professionals in the child's care network.
  
  
  CONCLUSIONS
  All users indicated a contribution of the system to parent-professional communication, although the extent of the experienced contribution varied considerably. Based on the differences found between users and non-users, further research might focus on the system's value for complex care networks and problematic access to professionals.
authors.affiliation: Roessingh Research and Development, Institute for Research in Rehabilitation Medicine and Technology, Enschede, The Netherlands.
authors.forename: Jitske
authors.initials: J
authors.lastname: Gulmans
authors.forename: Miriam
authors.initials: M
authors.lastname: Vollenbroek-Hutten
authors.forename: Lisette
authors.initials: L
authors.lastname: van Gemert-Pijnen
authors.forename: Wim
authors.initials: W
authors.lastname: van Harten