Integrated Digital Patient Education at the Bedside for Patients with Chronic Conditions: Observational Study (Preprint)

BACKGROUND Patient education delivered by a health care provider increases patients’ understanding and adherence to medical instructions, which helps to improve patient health. Multiple challenges exist to delivering effective patient education to patients with multiple chronic conditions, including giving the necessary time, range, and types of learning materials, and assessing the level of understanding. To help overcome these challenges, it is important to study new electronic means to assist in patient education, such as the use of mobile devices, interactive media, 3-dimensional images, and multimedia educational content at the bedside. OBJECTIVE The goal of this study was to address the need for blended learning strategies combining technical and workflow integration of digital patient education systems for patients with chronic conditions within and across the regular process of care. Studies are needed to evaluate the utility and benefits of these technologies for providers and patients alike. METHODS A mixed-methods approach was employed including survey administration to 178 patients after they received digital patient education in person with a health care provider, and qualitative interviews with 16 nurse educators who used the mobile digital health education technology to deliver instruction to patients. Patient survey data were analyzed using chi-square statistical tests. Qualitative interviews were analyzed for user acceptance and perceived value themes. RESULTS Patients who were counseled using a blended digital health education approach reported improved understanding of educational content (P=.034) and chronic health conditions (P<.001), were more motivated to care for themselves at home (P<.001), were more likely to say that they felt capable of making health care decisions with their doctors (P<.001) and on their own (P=.001), and were more likely to report their intention to follow their doctor’s instructions (P<.001) than were patients whose education was not computer-based. Nurse educators felt that the digital education system and content enhanced their education efforts and could be easily integrated into the outpatient clinical workflow. CONCLUSIONS Patient education for individuals with chronic conditions may be more effective than traditional formats when provided in blended digital formats supervised by a health care provider.

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Integrated Digital Patient Education at the Bedside for Patients with Chronic Conditions: Observational Study

JMIR mhealth and uhealth ◽

10.2196/22947 ◽

2020 ◽

Vol 8 (12) ◽

pp. e22947

Author(s):

Benjamin Schooley ◽

Akanksha Singh ◽

Neşet Hikmet ◽

Robert Brookshire ◽

Nitin Patel

Keyword(s):

Health Care ◽

Patient Education ◽

Health Education ◽

Health Care Provider ◽

Care Provider ◽

Chronic Conditions ◽

Nurse Educators ◽

Digital Health ◽

Qualitative Interviews ◽

Educational Content

Background Patient education delivered by a health care provider increases patients’ understanding and adherence to medical instructions, which helps to improve patient health. Multiple challenges exist to delivering effective patient education to patients with multiple chronic conditions, including giving the necessary time, range, and types of learning materials, and assessing the level of understanding. To help overcome these challenges, it is important to study new electronic means to assist in patient education, such as the use of mobile devices, interactive media, 3-dimensional images, and multimedia educational content at the bedside. Objective The goal of this study was to address the need for blended learning strategies combining technical and workflow integration of digital patient education systems for patients with chronic conditions within and across the regular process of care. Studies are needed to evaluate the utility and benefits of these technologies for providers and patients alike. Methods A mixed-methods approach was employed including survey administration to 178 patients after they received digital patient education in person with a health care provider, and qualitative interviews with 16 nurse educators who used the mobile digital health education technology to deliver instruction to patients. Patient survey data were analyzed using chi-square statistical tests. Qualitative interviews were analyzed for user acceptance and perceived value themes. Results Patients who were counseled using a blended digital health education approach reported improved understanding of educational content (P=.034) and chronic health conditions (P<.001), were more motivated to care for themselves at home (P<.001), were more likely to say that they felt capable of making health care decisions with their doctors (P<.001) and on their own (P=.001), and were more likely to report their intention to follow their doctor’s instructions (P<.001) than were patients whose education was not computer-based. Nurse educators felt that the digital education system and content enhanced their education efforts and could be easily integrated into the outpatient clinical workflow. Conclusions Patient education for individuals with chronic conditions may be more effective than traditional formats when provided in blended digital formats supervised by a health care provider.

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Diabetes Self-Care Behaviors and Barriers to Clinical Care During COVID-19 Pandemic for Marshallese Adults

The Science of Diabetes Self-Management and Care ◽

10.1177/26350106211065390 ◽

2022 ◽

pp. 263501062110653

Author(s):

Rachel S. Purvis ◽

Ramey A. Moore ◽

Britni L. Ayers ◽

Holly C. Felix ◽

Sheldon Riklon ◽

...

Keyword(s):

Health Care ◽

Social Media ◽

Health Education ◽

Health Care Provider ◽

Care Provider ◽

Clinical Care ◽

A Priori ◽

Self Care ◽

Qualitative Descriptive ◽

Insight Into

Purpose: The purpose of the study was to explore experiences of Marshallese adults related to diabetes self-care behaviors during the COVID-19 pandemic. Methods: A qualitative descriptive design was utilized to understand participants’ diabetes self-care behaviors during the pandemic. Nine focus groups with 53 participants were held via videoconference and conducted in English, Marshallese, or a mixture of both languages. A priori codes based on diabetes self-care behaviors provided a framework for analyzing and summarizing participant experiences. Results: Both increases and decreases in healthy eating and exercise were described, with improvements in health behaviors attributed to health education messaging via social media. Participants reported increased stress and difficulty monitoring and managing glucose. Difficulty obtaining medication and difficulty seeing their health care provider regularly was reported and attributed to health care provider availability and lack of insurance due to job loss. Conclusions: The study provides significant insight into the reach of health education campaigns via social media and provides important information about the reasons for delays in care, which extend beyond fear of contracting COVID-19 to structural issues.

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Supporting self-management education for arthritis: Evidence from the Arthritis Conditions and Health Effects Survey on the influential role of health care providers

Chronic Illness ◽

10.1177/1742395319869431 ◽

2019 ◽

pp. 174239531986943

Author(s):

Louise B Murphy ◽

Kristina A Theis ◽

Teresa J Brady ◽

Jeffrey J Sacks

Keyword(s):

Health Care ◽

Health Care Provider ◽

Health Care Providers ◽

Care Provider ◽

Chronic Conditions ◽

Management Education ◽

Self Management ◽

Care Providers ◽

Class Attendance ◽

Education Class

Objective Self-management education programs are recommended for many chronic conditions. We studied which adults with arthritis received a health care provider’s recommendation to take a self-management education class and who attended. Methods We analyzed data from a 2005--2006 national telephone survey of US adults with arthritis ≥45 years ( n = 1793). We used multivariable-adjusted prevalence ratios (PR) from logistic regression models to estimate associations with: (1) receiving a health care provider recommendation to take a self-management education class; and (2) attending a self-management education class. Results Among all adults with arthritis: 9.9% received a health care provider recommendation to take an self-management education class; 9.7% attended a self-management education class. Of those receiving a recommendation, 52.0% attended a self-management education class. The strongest association with self-management education class attendance was an health care provider recommendation to take one (PR = 8.9; 95% CI = 6.6–12.1). Conclusions For adults with arthritis, a health care provider recommendation to take a self-management education class was strongly associated with self-management education class attendance. Approximately 50% of adults with arthritis have ≥1 other chronic conditions; by recommending self-management education program attendance, health care providers may activate patients’ self-management behaviors. If generalizable to other chronic conditions, this health care provider recommendation could be a key influencer in improving outcomes for a range of chronic conditions and patients’ quality of life.

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Chronic conditions and barriers to care: exploring the health of migrant and seasonal farmworkers in Indiana

International Journal of Human Rights in Healthcare ◽

10.1108/ijhrh-06-2016-0009 ◽

2016 ◽

Vol 9 (4) ◽

pp. 229-234

Author(s):

Michelle Sandoval-Rosario ◽

Theresa Marie Hunter ◽

Adrienne Durnham ◽

Antoniette Holt ◽

Pam Pontones ◽

...

Keyword(s):

Health Care ◽

Health Care Provider ◽

Care Provider ◽

Chronic Conditions ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Convenience Sample ◽

Content Type ◽

Migrant And Seasonal Farmworkers ◽

Seasonal Farmworkers

Purpose Migrant and seasonal farmworkers (MSFWs) have many health challenges due to the nature of their work, low wages, living conditions, mobility, and lack of health insurance. The purpose of this paper is to assess the availability of health services, barriers to accessing health care, and the prevalence of chronic conditions among MSFWs in Indiana. Design/methodology/approach A site-based convenience sample of MSFWs aged 14 years and older completed a cross-sectional survey. A total of 97 participants who currently or previously identified as farmworkers completed the questionnaire. Findings Almost one-third of the respondents reported no access to a health care provider. Of those, 43 percent reported that cost prevented them from seeking care. Of those who reported chronic conditions ( n=22), over 50 percent did not have access to a health care provider. These findings highlight the need to further investigate the magnitude of the problem and begin exploring ways to improve affordable health care access among MSFWs in Northeastern Indiana. Originality/value The results from this study highlight the need for the development and implementation of community health education programs that target MSFWs in Indiana. The findings, although not generalized, offer important insights into health care challenges and barriers to access in Indiana. The authors recommend that assistance programs should be implemented for providing affordable health care services for Hispanic MSFWs.

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The Health-Care Provider’s Perspective of Education Before Kidney Transplantation

Progress in Transplantation ◽

10.1177/1526924816664081 ◽

2016 ◽

Vol 26 (4) ◽

pp. 322-327 ◽

Cited By ~ 4

Author(s):

Paraag Trivedi ◽

Nicola Rosaasen ◽

Holly Mansell

Keyword(s):

Health Care ◽

Kidney Transplantation ◽

Patient Education ◽

Health Care Provider ◽

Health Care Providers ◽

Care Provider ◽

Assessment Process ◽

Care Providers ◽

Transplant Recipients ◽

Patient Understanding

Context: Adequate patient education is essential for preparing potential recipients for kidney transplantation. Health-care providers play a vital role in education and can identify gaps in patient understanding. Objective: To identify deficits in patient knowledge from the perspective of a transplant multidisciplinary care team and determine whether their perceptions align with patients who have previously undergone a transplant. Design: An open call was advertised for health-care providers to attend a focus group discussion regarding the educational needs of pretransplant patients in 1 Canadian center. A predetermined, semistructured set of questions was used to collect the views of transplant caregivers. A moderator, assistant moderator, and research assistant facilitated the discussion, which was transcribed verbatim. Paper surveys were distributed to collect opinions of those unable to attend or uncomfortable to voice their opinion in an open forum. Qualitative analysis software was used to identify any emergent themes. Results were compared to a previous study undertaken in transplant recipients. Results: Despite pre- and posttransplant education, specific themes emerged including misconceptions about the assessment process and time on the wait list and the surgery, incongruency between patient expectations and outcome, and confusion regarding medications. Health-care provider perceptions were remarkably consistent with transplant recipients. Conclusion: Health-care providers identified gaps in patient understanding indicating that transplant candidates may not be internalizing what is taught. Innovative educational approaches may be needed to provide more successful patient education. Similarities between health-care provider and patient perceptions suggest that care providers are a valuable source of information.

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PATIENT - HEALTH CARE PROVIDER COMMUNICATION IN THE DIGITAL ERA

Communicology ◽

10.21453/2311-3065-2020-8-3-150-162 ◽

2020 ◽

Vol 8 (3) ◽

pp. 150-162

Author(s):

ELENA DMITRIEVA ◽

Keyword(s):

Health Care ◽

Health Care Provider ◽

Mobile Health ◽

Care Provider ◽

Healthy Lifestyle ◽

Digital Health ◽

Change Communication ◽

Mobile Health Application ◽

Patient Health ◽

Health Care Provider Communication

The paper gives an overview of digital health components and their role in individual and collective health including telemedicine, artificial intelligence for health, wearable devices, mobile phones and mobile health. A particular focus is given to mobile health that significantly improve health care provider - patient communication, ensure maximum coverage with minimum resources, influence behavior change communication and stimulate healthy lifestyle. Mobile health application may vary from prevention risky behavior among patients, ensuring proper treatment and rehabilitation of the patients with various form of addictions, providing information on health to various target groups. The article gives examples of such programs and their effectiveness.

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