Evaluation of a decision support app for nurses and case managers to facilitate aging in place of people with dementia. A randomized controlled laboratory experiment

Geriatr Nurs. 2018 Nov;39(6):653-662. doi: 10.1016/j.gerinurse.2018.04.019. Epub 2018 May 29.


Detecting practical problems of persons with dementia (PwD) experience at home, and advising them on solutions to facilitate aging in place are complex and challenging tasks for nurses and case managers. In this two group randomized, controlled laboratory experiment, the efficacy of a decision support application aiming to increase nurses' and case managers' confidence in clinical judgment and decision-making was tested. The participants (N = 67) assessed a case of a PwD within the problem domains: self-reliance, safety and informal care, and provided suggestions for possible solutions. Participants used either their regular procedure with (intervention group) or without the App (control group) to conduct these tasks. No statistically significant difference was found on the primary outcome measure, the overall level of confidence. However, nurses and case managers highly recommended use of the App in practice. To explain these results, more research on the potential added value of the App is needed.

Keywords: Aging-in-place; Case managers; Decision support; Dementia; Nurse.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Case Managers / psychology*
  • Decision Making
  • Decision Support Systems, Clinical*
  • Dementia / nursing*
  • Female
  • Humans
  • Independent Living*
  • Male
  • Mobile Applications*