An evaluation of a computer based education program for the diagnosis and management of dementia in primary care. An international study of the transcultural adaptations necessary for European dissemination

Abstract

Objectives: The aim of this study is to make an inventory of the changes that are needed to make an interactive computer based training program (ICBT) with a specific educational content, acceptable to professional communities with different linguistic, cultural and health care backgrounds in different European countries.

Methods: Existing educational software, written in two languages was reviewed by GPs and primary care professionals in three different countries. Reviewers worked through the program using a structured critical reading grid.

Results: A ‘simple’ translation of the program is not sufficient. Minor changes are needed to take account of linguistic differences and medical semantics. Major changes are needed in respect of the existing clinical guidelines in every country related to differences in the existing health care systems.

Conclusions: ICTB programs cannot easily be used in different countries and cultures. The development of a structured educational program needs collaboration between educationalists, domain experts, information technology advisers and software engineers. Simple validation of the content by local expert groups will not guarantee the program's exportability. It is essential to involve different national expert groups at every phase of the development process in order to disseminate it in other countries.

Additional information

Notes on contributors

J. Degryse

JAN DEGRYSE, MD, PhD, is a professor of General Practice at the Université Catholique de Louvain (UCL) and at the Katholieke Universiteit Leuven (KUL) Belgium

J. De Lepeleire

JAN DE LEPELEIRE, MD, PhD, is a professor of General Practice at the Katholieke Universiteit Leuven (KUL) Belgium

L. Southgate

DAME LESLEY SOUTHGATE, MD, is a professor of Medical Education at St George's Hospital Medical School, Medical and Healthcare Education, London UK

M. Vernooij-Dassen

MYRNA VERNOOIJ-DASSEN, MD, PhD, Director of the Centre for Quality of Care Research, Radboud University Medical Centre Nijmegen, The Netherlands

B. Gay

BERNARD, GAY, MD, Associate Professor at the Department of General Practice of the Université Victor Ségalen Bordeaux