{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T06:19:12Z","timestamp":1783491552068,"version":"3.55.0"},"reference-count":40,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:00:00Z","timestamp":1783468800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Health Serv."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Digital technologies offer new opportunities to support family caregivers, a growing priority in ageing societies. Alles Clara is an Austrian digital service that provides low-threshold, individual support by professional counsellors from the fields of nursing and psychology. Central to its effectiveness is a person-centred approach to counselling. Moving beyond the conceptual debate on whether and how person-centred approaches align with digital services, we embarked on a transformational journey, translating practice development (PD) into the digital realm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Our journey unfolded in three phases: (1) Setting the Scene\u2014analysing the app-usage and counselling characteristics through in-app tracking and user feedback; (2) Encompassing Change\u2014co-creating a concept for PD in Alles Clara through a participatory approach together with counsellors (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200910) and a newly-introduced practice facilitator; and (3) Packing for the Journey \u2013outlining and structuring key PD strategies to sustainably enable and empower counsellors in providing person-centred counselling in Alles Clara.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Baseline data from 1,263 family caregivers and 342 counselling sessions highlighted the heterogeneity of users and their needs. Requests ranged widely, reflecting the diverse demands placed on digital counselling. Defining our destination meant exploring counsellors' shared values and vision. Identifying key concepts for PD in Alles Clara led us to take first steps to bring the concept into action. Drawing on counsellors' experiences and perspectives, we shaped our approach to PD and jointly drew the map for the path towards high-quality person-centred online counselling. The adapted PD framework provided a coherent structure for organizing developmental strategies and measures, translating abstract values into tangible, actionable practices within the digital environment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>For PD to succeed in digital healthcare, maintaining human connection must remain a deliberate and continuous effort. The cue does not lie in choosing between technology and humanity, but in learning how to travel both. In this sense, packing for the journey ahead becomes a necessity: equipping ourselves with the principles, processes, and attitudes that preserve the human core of care, even as digital transformation continues to reshape practice. PD offers a compass for navigating this terrain, ensuring that the person remains at the very centre of care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/frhs.2026.1797479","type":"journal-article","created":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T05:58:47Z","timestamp":1783490327000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Packing for the journey: translating practice development into the digital realm"],"prefix":"10.3389","volume":"6","author":[{"given":"Katharina","family":"Gabl","sequence":"first","affiliation":[{"name":"Department of Nursing Science with Focus on Person-centred Care Research, Faculty of Health Sciences, Karl Landsteiner University","place":["Krems, Austria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanna","family":"Mayer","sequence":"additional","affiliation":[{"name":"Department of Nursing Science with Focus on Person-centred Care Research, Faculty of Health Sciences, Karl Landsteiner University","place":["Krems, Austria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theresa","family":"Clement","sequence":"additional","affiliation":[{"name":"Department of Nursing Science with Focus on Person-centred Care Research, Faculty of Health Sciences, Karl Landsteiner University","place":["Krems, Austria"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,8]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1702","DOI":"10.3390\/ijerph18041702","article-title":"Mobile apps for helping informal caregivers: a systematic review","volume":"18","author":"Sala-Gonz\u00e1lez","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"B2","doi-asserted-by":"publisher","first-page":"e391","DOI":"10.2196\/jmir.7.1.e9","article-title":"What is eHealth (4): a scoping exercise to map the field","volume":"7","author":"Pagliari","year":"2005","journal-title":"J Med Internet Res"},{"key":"B3","doi-asserted-by":"publisher","first-page":"9961758","DOI":"10.1155\/2023\/9961758","article-title":"Exploring the impact of a digital counseling tool on family caregivers: an initial program theory based on realist methodology","volume":"2023","author":"Clement","year":"2023","journal-title":"Health Soc Care Community"},{"key":"B4","doi-asserted-by":"publisher","first-page":"364","DOI":"10.1186\/s12913-022-07689-w","article-title":"Optimizing the integration of family caregivers in the delivery of person-centered care: evaluation of an educational program for the healthcare workforce","volume":"22","author":"Parmar","year":"2022","journal-title":"BMC Health Serv Res"},{"key":"B5","volume-title":"Angeh\u00f6rigenpflege in \u00d6sterreich. Einsicht in die Situation Pflegender Angeh\u00f6riger und in die Entwicklung Informeller Pflegenetzwerke","author":"Nagl-Cupal","year":"2018"},{"key":"B6","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2023\/3270083","article-title":"Risk factors with the greatest impact on caregiver burden in informal homecare settings in Austria: a quantitative secondary data analysis","volume":"2023","author":"Cartaxo","year":"2023","journal-title":"Health Soc Care Community"},{"key":"B7","year":"2017"},{"key":"B8","year":"2021"},{"key":"B9","volume-title":"ALLES CLARA\u2014realist Evaluation (I). Endbericht","author":"Mayer","year":"2023"},{"key":"B10","first-page":"4","article-title":"Introduction","volume-title":"International Practice Development in Nursing and Healthcare","author":"Manley","year":"2008"},{"key":"B11","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1016\/S1322-7696(08)60060-8","article-title":"The meaning of practice development: evidence from the field","volume":"10","author":"McCormack","year":"2003","journal-title":"Collegian"},{"key":"B12","first-page":"1","article-title":"Introduction","volume-title":"Practice Development in Nursing and Healthcare","author":"McCormack","year":"2013"},{"key":"B13","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1177\/136140960200700203","article-title":"A concept analysis of practice development","volume":"7","author":"Garbett","year":"2002","journal-title":"Nursing Times Research"},{"key":"B14","first-page":"88","article-title":"A case study of practice development \u2018the practice development journey\u2019","volume-title":"Practice Development in Nursing and Healthcare","author":"McCormack","year":"2013"},{"key":"B15","author":"Dewing","year":"2017"},{"key":"B16","volume-title":"Strategies of Genius. Volume I: Aristotle, Sherlock Holmes, Walt Disney, Wolfgang Amadeus Mozart","author":"Dilts","year":"1994"},{"key":"B17","first-page":"93","article-title":"Fazilitation\u2014die kritische begleitung","volume-title":"Personzentrierte Pflegepraxis. Grundlagen f\u00fcr Praxisentwicklung, Forschung und Lehre","author":"Frei","year":"2023"},{"key":"B18","first-page":"212","article-title":"Practice development as radical gardening: enabling creativity and innovation","volume-title":"Practice Development in Nursing and Healthcare","author":"Titchen","year":"2013"},{"key":"B19","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1016\/j.afjem.2017.08.001","article-title":"A hands-on guide to doing content analysis","volume":"7","author":"Erlingsson","year":"2017","journal-title":"African Journal of Emergency Medicine"},{"key":"B20","doi-asserted-by":"publisher","first-page":"620","DOI":"10.1186\/s40064-016-2244-z","article-title":"The voices of family caregivers of seniors with chronic conditions: a window into their experience using a qualitative design","volume":"5","author":"Br\u00e9mault-Phillips","year":"2016","journal-title":"SpringerPlus"},{"key":"B21","doi-asserted-by":"publisher","first-page":"2296694","DOI":"10.1080\/17482631.2023.2296694","article-title":"Family caregiver experiences and needs across health conditions, relationships, and the lifespan: a qualitative analysis","volume":"19","author":"Neller","year":"2024","journal-title":"Int J Qual Stud Health Well-being"},{"key":"B22","doi-asserted-by":"publisher","first-page":"584","DOI":"10.1332\/239788221X16764028221810","article-title":"Towards a typology of negotiating care in families: a qualitative multiple perspectives study in Austria","volume":"8","author":"Nagl-Cupal","year":"2024","journal-title":"Int J Care Caring"},{"key":"B23","year":"2021"},{"key":"B24","volume-title":"Mapping the Domains and Influencing Factors of Quality of Life in Informal Carers of Community-dwelling older Adults","author":"Kieninger","year":"2019"},{"key":"B25","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1177\/1357633X14562734","article-title":"A systematic review of telehealth tools and interventions to support family caregivers","volume":"21","author":"Chi","year":"2015","journal-title":"J Telemed Telecare"},{"key":"B26","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1016\/j.cpr.2018.01.008","article-title":"Ehealth interventions for family carers of people with long term illness: a promising approach?","volume":"60","author":"Sin","year":"2018","journal-title":"Clin Psychol Rev"},{"key":"B27","doi-asserted-by":"publisher","first-page":"20552076231171967","DOI":"10.1177\/20552076231171967","article-title":"Digital health interventions to support family caregivers: an updated systematic review","volume":"9","author":"Zhai","year":"2023","journal-title":"Digit Health"},{"key":"B28","doi-asserted-by":"publisher","first-page":"1495","DOI":"10.1186\/s12889-019-7837-3","article-title":"The role of internet-based digital tools in reducing social isolation and addressing support needs among informal caregivers: a scoping review","volume":"19","author":"Newman","year":"2019","journal-title":"BMC public Health"},{"key":"B29","doi-asserted-by":"publisher","first-page":"20552076221076672","DOI":"10.1177\/20552076221076672","article-title":"Mobile phone apps for family caregivers: a scoping review and qualitative content analysis","volume":"8","author":"Park","year":"2022","journal-title":"Digit Health"},{"key":"B30","first-page":"45","article-title":"What is practice development and what are the starting points?","volume-title":"Practice Development in Nursing and Healthcare","author":"Manley","year":"2013"},{"key":"B31","doi-asserted-by":"publisher","first-page":"e6014","DOI":"10.1002\/gps.6014","article-title":"Co-design of a digital app \u201cWhatMatters\u201d to support person-centred care: a critical reflection","volume":"38","author":"Sakamoto","year":"2023","journal-title":"Int J Geriatr Psychiatry"},{"key":"B32","doi-asserted-by":"publisher","first-page":"2","DOI":"10.19043\/ipdj.42.002","article-title":"No beginning, no end: an ecology of human flourishing","volume":"4","author":"McCormack","year":"2014","journal-title":"Int Pract Dev J"},{"key":"B33","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1002\/9781119099635.ch5","article-title":"Research into person-centred healthcare technology: a plea for considering humanisation dimensions","volume-title":"Person-Centred Healthcare Research","author":"Jacobs","year":"2017"},{"key":"B34","first-page":"36","article-title":"The person-centred practice framework","volume-title":"Person-centred Practice in Nursing and Health Care: Theory and Practice","author":"McCance","year":"2017"},{"key":"B35","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1016\/j.nepr.2009.02.010","article-title":"Moments of movement: active learning and practice development","volume":"10","author":"Dewing","year":"2009","journal-title":"Nurse Educ Pract"},{"key":"B36","volume-title":"ALLES CLARA\u2014qualit\u00e4ts- und Praxisentwicklung in der Personzentrierten, Digitalen Beratung II. Endbericht","author":"Mayer","year":"2025"},{"key":"B37","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1016\/j.nepr.2010.08.005","article-title":"How do facilitators of practice development gain the expertise required to support vital transformation of practice and workplace cultures?","volume":"11","author":"Crisp","year":"2011","journal-title":"Nurse Educ Pract"},{"key":"B38","doi-asserted-by":"publisher","first-page":"8388","DOI":"10.1111\/jan.70024","article-title":"Digital healthcare and the illusion of progress","volume":"81","author":"McCormack","year":"2025","journal-title":"J Adv Nurs"},{"key":"B39","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1002\/9781119099635.ch13","article-title":"Person-centred technology-supported interventions","volume-title":"Person-Centred Healthcare Research","author":"van Dulmen","year":"2017"},{"key":"B40","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1002\/9781119698463.ch1","article-title":"Transforming health and social care using practice development","volume-title":"International Practice Development in Health and Social Care","author":"Manley","year":"2021"}],"container-title":["Frontiers in Health Services"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/frhs.2026.1797479\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T05:58:50Z","timestamp":1783490330000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/frhs.2026.1797479\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,8]]},"references-count":40,"alternative-id":["10.3389\/frhs.2026.1797479"],"URL":"https:\/\/doi.org\/10.3389\/frhs.2026.1797479","relation":{},"ISSN":["2813-0146"],"issn-type":[{"value":"2813-0146","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,8]]},"article-number":"1797479"}}