Jessica M. Jarvis, Andrea Gurga, Alexa Greif, Heather Lim, Dana Anaby, Rachel Teplicky, Mary A. Khetani; Usability of the Participation and Environment Measure Plus (PEM+) for Client-Centered and Participation-Focused Care Planning. Am J Occup Ther 2019;73(4):7304205130p1-7304205130p8. doi: 10.5014/ajot.2019.032235.
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© 2019 American Occupational Therapy Association
Importance: The Participation and Environment Measure Plus (PEM+) is a new electronic health application to help caregivers contribute to client-centered and participation-focused care planning for their young child. The PEM+ is designed to help caregivers build on their participation assessment by determining priority activities, setting specific goals, and identifying strategies for goal attainment.
Objective: To examine the usability of the PEM+.
Design: A single-arm usability trial.
Setting: Two early intervention and early childhood educational programs.
Participants: Six caregivers of children ages 0–3 yr with developmental delay and receiving rehabilitation services.
Intervention: Caregivers who were eligible and enrolled were given access to the PEM+ for 1 wk and instructed to complete one iteration.
Outcomes and Measures: Usability was assessed according to caregivers’ report of PEM+’s technical effectiveness and ease of use, ease of learning, and user satisfaction via the Usefulness, Satisfaction, and Ease of Use questionnaire.
Results: All caregivers completed the PEM+ online once and in its entirety (mean completion time = 13.6 min). Mean technical effectiveness ratings ranged from 5.7 to 6.3 out of 7.0, and mean ease of use, ease of learning, and user satisfaction ratings were 4.4, 5.4, and 4.2 out of 6.0, respectively.
Conclusions and Relevance: Caregivers of young children can navigate the PEM+. Trends in survey feedback informed optimizations for the PEM+ before further feasibility testing.
What This Article Adds: This study provides preliminary evidence for a promising tool that can help to customize the way practitioners partner with families to create a plan for occupational therapy services.
Rank, sort, or otherwise specify a priority activity;
Develop a goal for the child, including the type and amount of desired change in priority activity, using the YC–PEM and their own words;
Consider the relevance of existing strategies for goal attainment in the priority activity;
Consider environmental strategies for goal attainment; and
Review and confirm care plan content (Table 1).
E-health tools with evidence of usability, such as PEM+, can decrease response burden and promote family-engaged and participation-focused care processes.
The YC–PEM offers electronic administration so that caregivers can flexibly contribute their expertise when planning their child’s care.
The PEM+ is designed to extend the use of the YC–PEM by helping caregivers to specify and communicate their priority concerns and ideas for goal attainment.
Study results suggest that clients can navigate this e-health tool. Further optimization and testing are warranted.
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