A case series of an off-the-shelf online health resource with integrated nurse coaching to support self-management in COPD.
Int J Chron Obstruct Pulmon Dis
; 12: 2955-2967, 2017.
Article
en En
| MEDLINE
| ID: mdl-29070947
ABSTRACT
BACKGROUND:
COPD has significant psychosocial impact. Self-management support improves quality of life, but programs are not universally available. IT-based self-management interventions can provide home-based support, but have mixed results. We conducted a case series of an off-the-shelf Internet-based health-promotion program, The Preventive Plan (TPP), coupled with nurse-coach support, which aimed to increase patient activation and provide self-management benefits. MATERIALS ANDMETHODS:
A total of 19 COPD patients were recruited, and 14 completed 3-month follow-up in two groups groups 1 and 2 with more and less advanced COPD, respectively. Change in patient activation was determined with paired t-tests and Wilcoxon signed-rank tests. Benefits and user experience were explored in semistructured interviews, analyzed thematically.RESULTS:
Only group 1 improved significantly in activation, from a lower baseline than group 2; group 1 also improved significantly in mastery and anxiety. Both groups felt significantly more informed about COPD and reported physical functioning improvements. Group 1 reported improvements in mood and confidence. Overall, group 2 reported fewer benefits than group 1. Both groups valued nurse-coach support; for group 1, it was more important than TPP in building confidence to self-manage. The design of TPP and lack of motivation to use IT were barriers to use, but disease severity and poor IT skills were not.DISCUSSION:
Our findings demonstrate the feasibility of combining nurse-coach support aligned to an Internet-based health resource, TPP, in COPD and provide learning about the challenges of such an approach and the importance of the nurse-coach role.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Grupo de Atención al Paciente
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Autocuidado
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Telemedicina
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Consejo
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Enfermedad Pulmonar Obstructiva Crónica
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Rol de la Enfermera
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Pulmón
Tipo de estudio:
Diagnostic_studies
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Qualitative_research
Límite:
Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Int J Chron Obstruct Pulmon Dis
Año:
2017
Tipo del documento:
Article
País de afiliación:
Reino Unido