Factors affecting home care patients' acceptance of a web-based interactive self-management technology

Abstract Background There is currently a strong emphasis on person-centred care (PCC) and communication; however, little research has been conducted on how to implement person-centred communication in home care settings. Therefore, the ACTION (A person-centred CommunicaTION) programme, which is a web-based education programme focusing on person-centred communication developed for nurse assistants (NAs) providing home care for older persons, was implemented. This paper reports on the process evaluation conducted with the aim to describe and evaluate the implementation of the ACTION programme. Methods A descriptive design with a mixed method approach was used. Twenty-seven NAs from two units in Sweden were recruited, and 23 of them were offered the educational intervention. Quantitative and qualitative data were collected from multiple sources before, during and after the implementation. Quantitative data were used to analyse demographics, attendance and participation, while qualitative data were used to evaluate experiences of the implementation and contextual factors influencing the implementation. Results The evaluation showed a high degree of NA participation in the first five education modules, and a decrease in the three remaining modules. Overall, the NAs perceived the web format to be easy to use and appreciated the flexibility and accessibility. The content was described as important. Challenges included time constraints; the heavy workload; and a lack of interaction, space and equipment to complete the programme. Conclusions The results suggest that web-based education seems to be an appropriate strategy in home care settings; however, areas for improvement were identified. Our findings show that participants appreciated the web-based learning format in terms of accessibility and flexibility, as well as the face-to-face group discussions. The critical importance of organizational support and available resources are highlighted, such as management involvement and local facilitation. In addition, the findings report on the implementation challenges specific to the dynamic home care context. Trial registration This intervention was implemented with nursing assistants, and the evaluation only involved nursing staff. Patients were not part of this study. According to the ICMJE, registration was not necessary ().

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A qualitative study of home care client and caregiver experiences with a complex cardio-respiratory management model

BMC Geriatrics ◽

10.1186/s12877-021-02251-5 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Connie Schumacher ◽

Darly Dash ◽

Fabrice Mowbray ◽

Lindsay Klea ◽

Andrew Costa

Keyword(s):

Health Service ◽

Qualitative Study ◽

Home Care ◽

Therapeutic Relationship ◽

Service Use ◽

Management Model ◽

Health Service Use ◽

Self Management ◽

Home Based ◽

Respiratory Management

Abstract Background Home care clients are typically older and have some degree of medical, physical, cognitive or social conditions that require formal or informal support to promote healthy aging in the community. Home care clients contribute a significant proportion of health service use, including emergency department visits. The DIVERT-CARE trial introduced a cardio-respiratory management model to improve client motivation, symptoms and rates of unwarranted health service use. Our objective was to explore the perceptions and experiences of individuals who participated in the DIVERT-CARE self-management support and education intervention. Methods A qualitative study was nested within a pragmatic randomized control trial and conducted following a 15-week multi-component cardio-respiratory intervention. A phenomenological descriptive design was employed using thematic analysis. Post-intervention, clients and their caregivers were invited to participate in a semi-structured telephone interview. Interview questions were designed to elicit the experience with the intervention components. Results A total of 29 interviews were completed from June 2018 to March 2020 from participants in Ontario, Newfoundland, and British Columbia. Three themes were identified; self-care trajectory and burden of responsibility, learning and behaviour change, and feeling connected pre-emptively to care providers, the information and medical advice, and connection through the therapeutic relationship. Conclusions Home care clients experience unique challenges in managing cardio-respiratory related chronic disease. Home-based interventions fostered a therapeutic relationship of connectedness while equipping clients with necessary knowledge and skills. These results inform recommendations for community nursing, and home-based self-management supports for older community-residing individuals.

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A randomized controlled trial evaluating the effectiveness of a web-based, computer-tailored self-management intervention for people with or at risk for COPD

International Journal of Chronic Obstructive Pulmonary Disease ◽

10.2147/copd.s81295 ◽

2015 ◽

pp. 1061 ◽

Cited By ~ 22

Author(s):

Viola Voncken-Brewster ◽

Huibert Tange ◽

Hein de Vries ◽

Zsolt Nagykaldi ◽

Bjorn Winkens ◽

...

Keyword(s):

At Risk ◽

Randomized Controlled Trial ◽

Controlled Trial ◽

Self Management ◽

Web Based ◽

Management Intervention ◽

Randomized Controlled

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Agencies?? Perceptions of Factors Affecting Home Care Referral

Medical Care ◽

10.1097/00005650-197410000-00003 ◽

1974 ◽

Vol 12 (10) ◽

pp. 828-844 ◽

Cited By ~ 2

Author(s):

Doris V. Allen ◽

Patricia L. Kuhns ◽

Harriet H. Werley ◽

Sylvia R. Peabody

Keyword(s):

Home Care ◽

Factors Affecting

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Young, Empowered and Strong: A Web-Based Education and Supportive Care Intervention for Young Women With Breast Cancer Across the Care Continuum

JCO Clinical Cancer Informatics ◽

10.1200/cci.21.00067 ◽

2021 ◽

pp. 933-943

Author(s):

Tal Sella ◽

Craig Snow ◽

Hannah Freeman ◽

Philip D. Poorvu ◽

Shoshana M. Rosenberg ◽

...

Keyword(s):

Breast Cancer ◽

Young Women ◽

Breast Cancer Survivors ◽

Metastatic Breast ◽

Patient Reported Outcome ◽

Self Management ◽

Semistructured Interview ◽

Web Based ◽

Care Continuum ◽

Patient Reported

PURPOSE Patient-centered digital interventions may help empower young women to self-manage symptoms and psychosocial concerns and support informational needs often unaddressed in clinic. METHODS Young, Empowered and Strong (YES) is an interactive web-based intervention designed to engage young women with personalized education and symptom self-management resources on the basis of responses to patient-reported outcome–based questionnaires. We piloted YES among young women (< 45 years) with newly diagnosed early breast cancer (EBC) or metastatic breast cancer (MBC) and breast cancer survivors (BCSs). Assessments were deployed weekly (EBC and MBC) or every 4 weeks (BCSs) over 12 weeks. At study completion, use, feasibility, and acceptability of YES were evaluated via a survey and semistructured interview. RESULTS Thirty women were enrolled between April and June 2019: 10 EBC, 10 BCSs, and 10 MBC. The mean age at diagnosis and enrollment was 36 (range 25-44) and 39 (range 31-44) years, respectively. Most participants were actively treated (96%, 27 of 28) with endocrine therapy (54%, 15 of 28) or chemotherapy (43%, 12 of 28). Overall, 61% (180 of 296) of assessments were completed (EBC: 70%, BCSs: 63%, and MBC: 52%). Of 37 patient-reported outcome and need domains, the most frequently triggered were sexual health (EBC: 90%, BCSs: 90%, and MBC: 90%), anxiety (EBC: 80%, BCSs: 90%, and MBC: 90%), stress and mindfulness (EBC: 80%, BCSs: 90%, and MBC: 90%), and fatigue (EBC: 90%, BCSs: 80%, and MBC: 90%). On postpilot survey, participants reported that YES helped them to learn (50%, 7 of 14), monitor (43%, 6 of 14), and manage (57%, 8 of 14) their symptoms. CONCLUSION YES is a feasible and acceptable digital intervention to support young women across the breast cancer care continuum. The nearly universal triggering of sexual and mental health needs suggests suboptimal management in the clinical setting and the potential for self-management through a digital platform.

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Self-management needs of Irish adolescents with Juvenile Idiopathic Arthritis (JIA): how can a Canadian web-based programme meet these needs?

Pediatric Rheumatology ◽

10.1186/s12969-018-0287-0 ◽

2018 ◽

Vol 16 (1) ◽

Cited By ~ 3

Author(s):

Grace O’Sullivan ◽

Siobhán O’Higgins ◽

Line Caes ◽

Sophia Saetes ◽

Brian E. McGuire ◽

...

Keyword(s):

Juvenile Idiopathic Arthritis ◽

Self Management ◽

Web Based

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Web-Based Self-Management for Patients with Multiple Sclerosis: A Practical, Randomized Trial

Telemedicine Journal and e-Health ◽

10.1089/tmj.2010.0133 ◽

2011 ◽

Vol 17 (1) ◽

pp. 5-13 ◽

Cited By ~ 38

Author(s):

Deborah M. Miller ◽

Shirley M. Moore ◽

Robert J. Fox ◽

Ashish Atreja ◽

Alex Z. Fu ◽

...

Keyword(s):

Multiple Sclerosis ◽

Randomized Trial ◽

Self Management ◽

Web Based

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Design and Implementation of SNMP-Based Web Network Management System

Advanced Materials Research ◽

10.4028/www.scientific.net/amr.341-342.705 ◽

2011 ◽

Vol 341-342 ◽

pp. 705-709 ◽

Cited By ~ 1

Author(s):

Wei Wei Zhang ◽

Sui Yang Chen

Keyword(s):

Network Management ◽

Network Architecture ◽

Management System ◽

Computer Network ◽

Rapid Development ◽

Network Management System ◽

Web Based ◽

Management Technology ◽

Important Direction ◽

User Friendly

With the rapid development of computer network, the network architecture is increasingly complicated; the scale of network extends continuously. Therefore, the functions and positions of the network management are also more and more important. The Web-Based network management, making users manage the network and system expediently and simply, combining Web technology and modern distributed network management technology, which can also be updated and customized easily to meet the different needs, is an important direction of the development of the network management technology in the future. This paper proposes an a SNMP-based Web network management system using B/S structure, which has features of flexible structure, easily extensible, user-friendly features and so on.

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