Patients' and Healthcare Personnel's Experiences of Health Coaching with Online Self-Management in the Renewing Health Project.

IF 3.1 Q2 HEALTH CARE SCIENCES & SERVICES International Journal of Telemedicine and Applications Pub Date : 2017-01-01 Epub Date: 2017-12-31 DOI:10.1155/2017/9306192
Inger Lindberg, Birgitta Lindberg, Siv Söderberg
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引用次数: 6

Abstract

Background: Telehealth applications have shown positive effects for people with chronic conditions and their awareness of health.

Objective: To describe patients' and healthcare personnel's experiences of using health coaching with online self-management in primary health care.

Method: A pragmatic randomised controlled trial was conducted. Patients in the intervention group measured and reported medical parameters such as blood pressure, blood glucose, prothrombin complex (PK) values, and 2-channel ECG. Data were collected through a questionnaire, individual interviews with patients, and focus group discussions with healthcare personnel. The questionnaire was analysed using statistics; texts from interviews and focus groups were analysed using content analysis.

Findings: Patients were satisfied and believed that the intervention had enhanced their care and increased accessibility without causing concerns about privacy. Although being positive, patients commented the lack of support and feedback from healthcare personnel. Healthcare personnel regarded the intervention valuable for the patients' abilities to perform self-management healthcare tasks but preferred that patients did so without them supporting the patients.

Conclusion: Patients expressed satisfaction and acceptance regarding the use of the application. It seems that healthcare personnel are convinced about the benefits for patients and the potential for the intervention but are not convinced about its benefits for healthcare organisations.

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更新健康项目中患者和医护人员在线自我管理健康指导的经验
背景:远程医疗应用对慢性病患者及其健康意识产生了积极影响。目的:描述患者和卫生保健人员在初级卫生保健中使用健康指导和在线自我管理的经验。方法:采用实用随机对照试验。干预组患者测量并报告血压、血糖、凝血酶原复合物(PK)值、2通道心电图等医学参数。通过问卷调查、与患者的个别访谈以及与医护人员的焦点小组讨论收集数据。采用统计学方法对问卷进行分析;访谈和焦点小组的文本使用内容分析进行分析。结果:患者感到满意,并认为干预措施改善了他们的护理,增加了可及性,而不会引起对隐私的担忧。虽然是积极的,但患者评论缺乏医疗人员的支持和反馈。医护人员认为干预对患者执行自我管理医疗任务的能力很有价值,但更倾向于患者在没有他们支持的情况下这样做。结论:患者对应用程序的使用表示满意和接受。似乎医护人员相信对病人的好处和干预的潜力,但不相信它对医疗机构的好处。
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来源期刊
CiteScore
6.90
自引率
2.30%
发文量
19
审稿时长
12 weeks
期刊介绍: The overall aim of the International Journal of Telemedicine and Applications is to bring together science and applications of medical practice and medical care at a distance as well as their supporting technologies such as, computing, communications, and networking technologies with emphasis on telemedicine techniques and telemedicine applications. It is directed at practicing engineers, academic researchers, as well as doctors, nurses, etc. Telemedicine is an information technology that enables doctors to perform medical consultations, diagnoses, and treatments, as well as medical education, away from patients. For example, doctors can remotely examine patients via remote viewing monitors and sound devices, and/or sampling physiological data using telecommunication. Telemedicine technology is applied to areas of emergency healthcare, videoconsulting, telecardiology, telepathology, teledermatology, teleophthalmology, teleoncology, telepsychiatry, teledentistry, etc. International Journal of Telemedicine and Applications will highlight the continued growth and new challenges in telemedicine, applications, and their supporting technologies, for both application development and basic research. Papers should emphasize original results or case studies relating to the theory and/or applications of telemedicine. Tutorial papers, especially those emphasizing multidisciplinary views of telemedicine, are also welcome. International Journal of Telemedicine and Applications employs a paperless, electronic submission and evaluation system to promote a rapid turnaround in the peer-review process.
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