{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T06:24:41Z","timestamp":1785306281415,"version":"3.55.0"},"reference-count":28,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2018,7,17]],"date-time":"2018-07-17T00:00:00Z","timestamp":1531785600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Manufacturer","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]},{"name":"Innovate UK SBRI Healthcare Phase 3","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Telemed Telecare"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>We report on an evaluation of the Just Right approach for planning care for adults with learning disabilities and how it can support culture change. Just Right combines installing a telemonitoring system with training for care managers in person-centred care planning and the interpretation of charts that summarise activity data for their setting. By providing insights into the needs of individuals Just Right allows existing care provision to be reviewed to ensure it is \u2018just right\u2019. The Just Right approach can also potentially identify over-care and resources that can released.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A mixed-methods approach was used, triangulating qualitative and quantitative baseline and follow-up data. Qualitative data were collected before and after implementation from focus groups on barriers, enablers, success outcomes and impacts. A theory of change was developed. Detailed data on individual adults with learning disabilities were collected before and after installation of equipment using a linked online survey completed by their care managers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nine commissioning local authorities were recruited with 33 care providers serving 417 adults with learning disabilities. Issues relating to implementation included staff acceptance, culture, consent, safeguarding, local authority engagement, interpretation of data and residential setting. Changes to care were identified for 20.3% of individuals, with 66% of providers not identifying any changes because Just Right confirmed that they were providing the right level of support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>By combining telemonitoring and person-centred care planning, Just Right provides a holistic approach and necessary information for conversations amongst stakeholders about the care needs of adults with learning disabilities. Depending on how it is introduced, and the nature of conversations held, the Just Right approach can potentially change culture, leading to improved outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1357633x18784419","type":"journal-article","created":{"date-parts":[[2018,7,18]],"date-time":"2018-07-18T12:56:05Z","timestamp":1531918565000},"page":"602-610","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Using telemonitoring to support personal care planning for adults with learning disabilities"],"prefix":"10.1177","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3224-1904","authenticated-orcid":false,"given":"George","family":"Bramley","sequence":"first","affiliation":[{"name":"Institute of Applied Health Research, University of Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Mangan","sequence":"additional","affiliation":[{"name":"Institute of Local Government Studies, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mervyn","family":"Conroy","sequence":"additional","affiliation":[{"name":"Health Service Management Centre, University of Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,7,17]]},"reference":[{"key":"bibr1-1357633X18784419","unstructured":"Hatton C, Glover G, Emmerson E, et al.\n                      People with learning disabilities in England 2015: Main report.\n                      Public Health England Learning Disability Observatory, https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/613182\/PWLDIE_2015_main_report_NB090517.pdf (2016, accessed 11 April 2017)."},{"key":"bibr2-1357633X18784419","unstructured":"Association of Directors of Adult Social Services (ADASS).\n                      Better care technology survey 2014 report\n                      , https:\/\/www.adass.org.uk\/media\/4598\/better-care-technology-survey-report-october-2014.pdf (2014, accessed 11 April 2017)."},{"key":"bibr3-1357633X18784419","unstructured":"Ellis R and Shines D.\n                      Better nights: Evaluation of choice support in Southwark\n                      . The Centre for Welfare Reform, https:\/\/www.centreforwelfarereform.org\/uploads\/attachment\/349\/better-nights.pdf (2012, accessed 11 April 2017)."},{"key":"bibr4-1357633X18784419","unstructured":"Tunstall.\n                      Just enough support. Embedding telecare into services for people with learning disabilities\n                      , https:\/\/uk.tunstall.com\/wp-content\/uploads\/2017\/09\/Dimensions-Telecare-Case-Study-17.pdf (2016, accessed 20 June 2018)."},{"key":"bibr5-1357633X18784419","unstructured":"Tunstall.\n                      Connected care. Best practice review. Solutions for people with learning disability\n                      , The Housing Learning and Improvement Network. https:\/\/www.housinglin.org.uk\/_assets\/Resources\/Housing\/OtherOrganisation\/Telehealthcare-Solutions-Learning-Disability.pdf (2016, accessed 20 June 2018)."},{"key":"bibr6-1357633X18784419","doi-asserted-by":"publisher","DOI":"10.5042\/jat.2010.0492"},{"key":"bibr7-1357633X18784419","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2788.2010.01314.x"},{"key":"bibr8-1357633X18784419","unstructured":"National Institute for Health and Care Excellence (NICE).\n                      Challenging behaviour and learning disabilities: Prevention and interventions for people with learning disabilities whose behaviour challenges.\n                      NICE Guideline NG11. https:\/\/www.nice.org.uk\/guidance\/NG11 (2015, accessed 15 December 2017)."},{"key":"bibr9-1357633X18784419","unstructured":"NICE.\n                      Home care: delivering personal care and practical support to older people living in their own homes\n                      . NICE guideline NG21, https:\/\/www.nice.org.uk\/guidance\/NG21 (2015, accessed 15 December 2017)."},{"key":"bibr10-1357633X18784419","unstructured":"NICE.\n                      Social care of older people with complex needs and multiple long term conditions.\n                      NICE Guideline NG22, https:\/\/www.nice.org.uk\/guidance\/NG22 (2015, accessed 15 December 2017)."},{"key":"bibr11-1357633X18784419","unstructured":"NICE.\n                      Learning disabilities and behaviour that challenges: Service design and delivery.\n                      NICE guideline NG93, https:\/\/www.nice.org.uk\/guidance\/NG93 (2018, accessed 11 May 2018)."},{"key":"bibr12-1357633X18784419","unstructured":"NICE.\n                      Care and support of people growing older with learning disabilities.\n                      NICE guideline NG96, https:\/\/www.nice.org.uk\/guidance\/NG96 (2018, accessed 11 May 2018)."},{"key":"bibr13-1357633X18784419","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.12661"},{"key":"bibr14-1357633X18784419","doi-asserted-by":"publisher","DOI":"10.1186\/s12911-017-0486-5"},{"key":"bibr15-1357633X18784419","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2014.05.010"},{"key":"bibr16-1357633X18784419","first-page":"65","volume":"15","author":"Bianchi MMC","year":"2016","journal-title":"Gerontechnology"},{"key":"bibr17-1357633X18784419","unstructured":"Small Business Research Initiative (SBRI) Healthcare. Improving outcomes for patients with learning disabilities through better remote management of health and well-being: SBRI Healthcare NHS England competition for development contracts, https:\/\/sbrihealthcare.co.uk\/competition\/telehealth-and-telecare-for-people-with-learning-disabilities\/ (2014, accessed 20 June 2018)."},{"key":"bibr18-1357633X18784419","doi-asserted-by":"crossref","unstructured":"Using personalised technology to enable transition \u2013 How personalised technology, including assistive technology and telecare, has enabled the transition from registered care to supported living for individuals with learning disabilities.\n                      J Assist Technol\n                      2010; 4: 46\u201350.","DOI":"10.5042\/jat.2010.0666"},{"key":"bibr19-1357633X18784419","doi-asserted-by":"publisher","DOI":"10.1136\/jme.2008.024588"},{"key":"bibr20-1357633X18784419","doi-asserted-by":"publisher","DOI":"10.1258\/135763307781644951"},{"key":"bibr21-1357633X18784419","volume-title":"Logic model development guide","author":"Kellogg Foundation","year":"2004"},{"key":"bibr22-1357633X18784419","doi-asserted-by":"crossref","first-page":"480","DOI":"10.1108\/09534819910300855","volume":"12","author":"Ford JD","year":"1999","journal-title":"JOCM"},{"key":"bibr23-1357633X18784419","doi-asserted-by":"publisher","DOI":"10.5465\/amr.1995.9508080330"},{"key":"bibr24-1357633X18784419","unstructured":"Just Checking. Hello, we're Just Checking: Activity monitoring services to support care professionals, https:\/\/justchecking.co.uk\/professionals (2017, accessed 15 December 2017)."},{"key":"bibr25-1357633X18784419","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-13-117"},{"key":"bibr26-1357633X18784419","doi-asserted-by":"publisher","DOI":"10.5465\/amr.1994.9412190218"},{"key":"bibr27-1357633X18784419","doi-asserted-by":"publisher","DOI":"10.1016\/j.technovation.2005.06.010"},{"key":"bibr28-1357633X18784419","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-12-403"}],"container-title":["Journal of Telemedicine and Telecare"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1357633X18784419","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1357633X18784419","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1357633X18784419","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:12:29Z","timestamp":1777691549000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1357633X18784419"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7,17]]},"references-count":28,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2019,12]]}},"alternative-id":["10.1177\/1357633X18784419"],"URL":"https:\/\/doi.org\/10.1177\/1357633x18784419","relation":{},"ISSN":["1357-633X","1758-1109"],"issn-type":[{"value":"1357-633X","type":"print"},{"value":"1758-1109","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,7,17]]}}}