Incorporating Telephone and Text Messaging to Support a Cross Cultural Cardiac-Diabetes Self-Management Program

2.50
Hdl Handle:
http://hdl.handle.net/10755/243314
Category:
Abstract
Type:
Presentation
Title:
Incorporating Telephone and Text Messaging to Support a Cross Cultural Cardiac-Diabetes Self-Management Program
Author(s):
Wu, Chiung-Jung (Jo); Ray, Marilyn; Clark, Alexander M.; Chang, Anne M.; Courtney, Mary; Sung, Huei Chuan
Author Details:
Wu, Chiung-Jung (Jo), RN, BN, MN, (ICU), DrHlthSc, c3.wu@qut.edu.au; Ray, Marilyn, RN, PhD, CTN-A, Emeritus, Professor; Clark, Alexander M., PhD, BA, RN; Chang, Anne M., RN, DipNEd, BEdSt (Hons), MEdSt, PhD; Courtney, Mary, RN, PhD; Sung, Huei Chuan, PhD, MSN, RN;
Abstract:
Background: 

People with comorbidities such as cardiac disease and diabetes are particularly vulnerable to adverse health outcomes. Consequently, these people frequently demonstrate poor health-related quality of life.  Evidence demonstrates that self-management programs are effective in assisting patients to modify their lifestyle for better managing their conditions. However, limited evidence for programs addressing the needs of patients with these two major co-morbidities has been undertaken. Materials developed and used in the programs tend to focus on English-speaking patients, and more involvement in a culturally and linguistically diverse population is recommended to address this discrepancy. Using information technology to support self-management programs has potential to efficiently assist these patients in managing their conditions through the transition from hospitals to home.

Purpose:

To develop and test a Cardiac-Diabetes Self-Management Program (CDSMP) incorporating telephone and text-messaging follow-up support for patients in two different cultural contexts.

Methods:

A Block randomised controlled trial is conducted to evaluate the relative effectiveness of modes of care: existing care (Group 1) and intervention group (Group2) to measure the main outcomes of self-care behaviour, self-efficacy levels, knowledge, and quality of life in Australian (English-speaking) and Taiwanese (Chinese speaking) participants.  [Clinical Trial Number: ACTRN12611001196932]

Results: Initial analysis revealed that participants (n=14 in Australia, n= 6 in Taiwan) in the intervention group had significantly improvement in self-efficacy levels (p< .05). Both control and intervention groups (n=52) had improved self-care behaviour, levels of knowledge and quality of life.  However, approximately 2 percent of patients had been readmitted to hospital within 28 days.

Conclusion:

Findings support specific, targeted, educational intervention programs to address the needs of people with cardiac disease and diabetes are needed.

Keywords:
cultural; telehealth; chronic disease
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleIncorporating Telephone and Text Messaging to Support a Cross Cultural Cardiac-Diabetes Self-Management Programen_GB
dc.contributor.authorWu, Chiung-Jung (Jo)en_GB
dc.contributor.authorRay, Marilynen_GB
dc.contributor.authorClark, Alexander M.en_GB
dc.contributor.authorChang, Anne M.en_GB
dc.contributor.authorCourtney, Maryen_GB
dc.contributor.authorSung, Huei Chuanen_GB
dc.author.detailsWu, Chiung-Jung (Jo), RN, BN, MN, (ICU), DrHlthSc, c3.wu@qut.edu.au; Ray, Marilyn, RN, PhD, CTN-A, Emeritus, Professor; Clark, Alexander M., PhD, BA, RN; Chang, Anne M., RN, DipNEd, BEdSt (Hons), MEdSt, PhD; Courtney, Mary, RN, PhD; Sung, Huei Chuan, PhD, MSN, RN;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/243314-
dc.description.abstractBackground:&nbsp; <p>People with comorbidities such as cardiac disease and diabetes are particularly vulnerable to adverse health outcomes. Consequently, these people frequently demonstrate poor health-related quality of life.&nbsp; Evidence demonstrates that self-management programs are effective in assisting patients to modify their lifestyle for better managing their conditions. However, limited evidence for programs addressing the needs of patients with these two major co-morbidities has been undertaken. Materials developed and used in the programs tend to focus on English-speaking patients, and more involvement in a culturally and linguistically diverse population is recommended to address this discrepancy. Using information technology to support self-management programs has potential to efficiently assist these patients in managing their conditions through the transition from hospitals to home. <p><b>Purpose: </b> <p>To develop and test a Cardiac-Diabetes Self-Management Program (CDSMP) incorporating telephone and text-messaging follow-up support for patients in two different cultural contexts. <p><b>Methods: </b> <p>A Block randomised controlled trial is conducted to evaluate the relative effectiveness of modes of care: existing care (Group 1) and intervention group (Group2) to measure the main outcomes of self-care behaviour, self-efficacy levels, knowledge, and quality of life in Australian (English-speaking) and Taiwanese (Chinese speaking) participants.&nbsp; [Clinical Trial Number: ACTRN12611001196932] <p><b>Results: </b> Initial analysis revealed that participants (<i>n</i>=14 in Australia, <i>n</i>= 6 in Taiwan) in the intervention group had significantly improvement in self-efficacy levels (<i>p</i>&lt; .05). Both control and intervention groups (<i>n</i>=52) had improved self-care behaviour, levels of knowledge and&nbsp;quality of life.&nbsp; However, approximately 2 percent of patients had been readmitted to hospital within 28 days. <p><b>Conclusion: </b> <p>Findings support specific, targeted, educational intervention programs to address the needs of people with cardiac disease and diabetes are needed.en_GB
dc.subjectculturalen_GB
dc.subjecttelehealthen_GB
dc.subjectchronic diseaseen_GB
dc.date.available2012-09-12T09:20:30Z-
dc.date.issued2012-09-12-
dc.date.accessioned2012-09-12T09:20:30Z-
dc.conference.date2012en_GB
dc.conference.name23rd International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationBrisbane, Australiaen_GB
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