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Articles

When I need them, I call them and they will be there for me’. Experiences of independently living people with intellectual disabilities with 24/7 available online support

ORCID Icon, ORCID Icon, , ORCID Icon, ORCID Icon & ORCID Icon
Pages 659-682 | Received 10 Feb 2020, Accepted 07 May 2021, Published online: 06 Aug 2021
 

Abstract

eHealth applications are increasingly being used in services for people with intellectual disabilities (ID). DigiContact is an online support service that uses videoconferencing techniques to enable people with ID to contact a team of specially trained support workers 24/7. In this qualitative and participatory study we aimed to explore the experiences of independently living people with ID with what it is like to be supported online. Five online support users were each interviewed twice and the transcripts were analysed using a phenomenological hermeneutic method. Choice and control played a central role in their shared experiences, as well as the relationship with online support staff. The results indicate that the suitability of online support depends on the needs, capabilities and preferences of each individual support user. This underlines the importance of a personalised approach to the planning and delivery of online support.

    Points of interest

  • In this research we interviewed five persons from the Netherlands about what it is like for them to be supported by the online service DigiContact.

  • They felt that DigiContact helped them to have access to sufficient professional support. Without DigiContact this would have been impossible, because of a reorganisation of the national long-term care system and cuts in care budgets.

  • They also felt that DigiContact gave them control over their support and stimulated them to take on an active role towards solving their problems.

  • Online support felt relatively impersonal, because they had contacts with different support workers.

  • We conclude that online support seems not to be equally suitable for everybody. Whether online support is suitable, and in what form, depends on someone’s personal needs, wishes and preferences in support. Service organisations should look carefully at each individual person when planning the use of online support.

Acknowledgements

We would like to thank the people who took part in this study for sharing their experiences and feelings with us. Our gratitude also goes out to those who helped us with sample selection, recruitment and member checks.

Disclsoure statement

The authors declare that no restrictions were imposed during any phase of this study nor on the publication of the research data. This study was conducted as part of the dissertation research project of the first author.

Additional information

Funding

The study was funded by the service provider Philadelphia Care Foundation, Amersfoort, the Netherlands.