Exploration of Patients' Readiness for a Congestive Heart Failure eHealth Management Program

2.50
Hdl Handle:
http://hdl.handle.net/10755/163152
Category:
Abstract
Type:
Presentation
Title:
Exploration of Patients' Readiness for a Congestive Heart Failure eHealth Management Program
Author(s):
Nahm, Eun-Shim; Scharf, Barbara; Blum, Kay
Author Details:
Eun-Shim Nahm, PhD, RN, University of Maryland School of Nursing, Baltimore, Maryland, USA, email: enahm@son.umaryland.edu; Barbara Scharf, MSN-MPH, RN; Kay Blum, PhD, CRNP
Abstract:
Purpose: This preliminary study was an extension of a current CHF Medicare Coordinated Care Demonstration project (MCCD) that uses only telemonitoring. The primary aims were: (1) to examine CHF patients' readiness for using an eHealth program that includes both telemonitoring and motivating components (i.e., Web learning modules, eCommunication) and (2) to assess patients' specific needs that can be addressed by the program. Theoretical Framework: Patients' readiness was assessed using the two core constructs of the Transtheoretical Model, Stages of Change and Self-Efficacy. Methods (Design, Sample, Setting, Measures, Analysis): In this single group descriptive study, 44 CHF patients recruited from the pool of enrollees of the MCCD project were interviewed (16 control group; 28 experimental group). The mean age was 72.8 +/- 5.91, and 21 (47.7%) participants were African-American. During the interview, the research nurse demonstrated a prototype Web-based CHF learning module and telemonitoring devices, and explained eCommunication. The data were analyzed using descriptive statistics. Results: Only 10 participants were online users. However, 17 non-users reported availability of Web access (e.g., public libraries), and 21 non-users were willing to use the Web if access and training were available. Overall, confidence for using telemonitoring devices (mean: 27, range: 3 - 30) and Web-based health modules (mean: 7.6, range: 1 -10) was high. Confidence for learning health information using web modules, however, was lower (mean: 41.5, range: 8 - 80). Online users showed higher confidence than non-users (means: 57.8 and 38.0 respectively). The two most highly rated health information needs were research findings (n = 41, 93.2%) and medication (n = 39, 88.6%). Most participants preferred to have e-mail communication with healthcare providers. Conclusions and Implications: The findings showed participants' overall readiness to use the proposed eHealth program if access and training is available. This study used a small convenience sample; further study is needed with larger diverse samples.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
19th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Providence, Rhode Island, USA
Description:
Conference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleExploration of Patients' Readiness for a Congestive Heart Failure eHealth Management Programen_GB
dc.contributor.authorNahm, Eun-Shimen_US
dc.contributor.authorScharf, Barbaraen_US
dc.contributor.authorBlum, Kayen_US
dc.author.detailsEun-Shim Nahm, PhD, RN, University of Maryland School of Nursing, Baltimore, Maryland, USA, email: enahm@son.umaryland.edu; Barbara Scharf, MSN-MPH, RN; Kay Blum, PhD, CRNPen_US
dc.identifier.urihttp://hdl.handle.net/10755/163152-
dc.description.abstractPurpose: This preliminary study was an extension of a current CHF Medicare Coordinated Care Demonstration project (MCCD) that uses only telemonitoring. The primary aims were: (1) to examine CHF patients' readiness for using an eHealth program that includes both telemonitoring and motivating components (i.e., Web learning modules, eCommunication) and (2) to assess patients' specific needs that can be addressed by the program. Theoretical Framework: Patients' readiness was assessed using the two core constructs of the Transtheoretical Model, Stages of Change and Self-Efficacy. Methods (Design, Sample, Setting, Measures, Analysis): In this single group descriptive study, 44 CHF patients recruited from the pool of enrollees of the MCCD project were interviewed (16 control group; 28 experimental group). The mean age was 72.8 +/- 5.91, and 21 (47.7%) participants were African-American. During the interview, the research nurse demonstrated a prototype Web-based CHF learning module and telemonitoring devices, and explained eCommunication. The data were analyzed using descriptive statistics. Results: Only 10 participants were online users. However, 17 non-users reported availability of Web access (e.g., public libraries), and 21 non-users were willing to use the Web if access and training were available. Overall, confidence for using telemonitoring devices (mean: 27, range: 3 - 30) and Web-based health modules (mean: 7.6, range: 1 -10) was high. Confidence for learning health information using web modules, however, was lower (mean: 41.5, range: 8 - 80). Online users showed higher confidence than non-users (means: 57.8 and 38.0 respectively). The two most highly rated health information needs were research findings (n = 41, 93.2%) and medication (n = 39, 88.6%). Most participants preferred to have e-mail communication with healthcare providers. Conclusions and Implications: The findings showed participants' overall readiness to use the proposed eHealth program if access and training is available. This study used a small convenience sample; further study is needed with larger diverse samples.en_GB
dc.date.available2011-10-27T11:02:17Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:02:17Z-
dc.conference.date2007en_US
dc.conference.name19th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationProvidence, Rhode Island, USAen_US
dc.descriptionConference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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