E-Health Program for Patients with Chronic Disease
Abstract
The aim of this pilot study was to examine the feasibility and benefits of a computer Internet-based videoconferencing healthcare support program for community-dwelling older adults with chronic disease. Eighteen participants (n = 18) who met inclusion criteria were recruited from a community health clinic, provided informed signed consent, and were assigned in groups of six to an Internetbased support group program. Where needed, participants were supplied equipment (computers, Web cams, audio headsets) and trained to access an easy-to-use, password-protected Web site that uses videoconferencing to support group member-facilitator interactive communication. The aim of the intervention was to support group member bonding and sharing of challenges and strategies for managing a chronic disease. Following 10 weekly professionally facilitated sessions, the groups met weekly in a self-help mode for an additional 3 months. Participants were interviewed at 6-month follow-up. An interview guide was used to gain feedback on using the Internet to access a health service and to ask about the benefits of having participated in the videoconferencing support group program. At follow-up, participants responded positively to using technology to communicate with healthcare professionals and other group members. They also valued the information shared regarding self-care, and reported reduction in feelings of loneliness and isolation. Our Internet-based, videoconferencing intervention program can be viewed as a prototype for designing technology platforms for the delivery of professional healthcare services to home-based older adults with chronic disease.
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Communication can be adapted for the Web environment.
“Communication can be adapted for the Web environment”
From Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review (2018) · cites this paper as [42]
All studies included results on feasibility, acceptability, and effectiveness, and some reported issues connected with implementation.
“All studies included results on feasibility, acceptability, and effectiveness, and some reported issues connected with implementation [33,36-38,40-44,47].”
From Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review (2018) · cites this paper as [42]
Over time, the vast majority of participants became familiar with the technology and adapted their communication accordingly.
“Over time, the vast majority of participants became familiar with the technology and adapted their communication accordingly [33,36,42,46].”
From Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review (2018) · cites this paper as [42]
The most common technical problem reported was audio difficulties, including delays, dropouts, and background noise, followed by problems in downloading software.
“The most common problem reported was audio difficulties, which included delays, dropouts, and background noise [33,37,38,44,45], followed by problems in downloading software [38,42,43].”
From Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review (2018) · cites this paper as [42]
Overall, inexperience with videoconferencing or computer use did not appear to be a major problem; the majority of studies reported that over time participants found the technology easy to use and enjoyable.
“Overall, inexperience did not appear to be a major problem as the majority of studies reported that, over time, participants found the technology easy to use [32-35,40-42,46] and found videoconferencing enjoyable [42,44-46].”
From Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review (2018) · cites this paper as [42]
Some participants reported feeling more relaxed and open by being at home and valued the convenience.
“some participants reported feeling more relaxed and open by being at home and valued the convenience [33,34,36,42-46].”
From Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review (2018) · cites this paper as [42]
Videoconferencing groups reduced feelings of anxiety, isolation, and loneliness.
“Videoconferencing groups helped reduced feelings of anxiety, isolation, and loneliness [36,39,42,44]”
From Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review (2018) · cites this paper as [42]
Validity was demonstrated through the analysis of discussion themes and was consistent with the face-to-face groups.
“Validity was demonstrated through the analysis of discussion themes such as cohesiveness, empathic support, problem solving, or issues in disease-specific caregiver literature and was consistent with the face-to-face groups [36,38,40-42].”
From Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review (2018) · cites this paper as [42]
Qualitative studies reported discussion themes that illustrated participants' ability to discuss sensitive and personal issues and to give and receive empathetic support.
“Qualitative studies reported discussion themes that illustrated participants’ ability to discuss sensitive and personal issues and to give and receive empathetic support [33,36,42,44,45].”
From Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review (2018) · cites this paper as [42]
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- Authors
- Marziali, E.
- Affiliations
- Kunnin Lunenfeld Applied Research Unit, Toronto, Ontario, Canada.
- Corresponding author
- Marziali, Elsa
- Venue
- Telemedicine and e-Health
- Publisher
- SAGE Publications
- Published
- 2009-03
- Volume
- 15
- Issue
- 2
- Pages
- 176-181
- ISSN
- 1530-5627 (ISSN-L)
- 1556-3669
- OpenAlex
- W2040077970
- Cited by
- 50
- References
- 16
- Citations by year
- 2024: 4 · 2023: 2 · 2022: 2 · 2021: 4 · 2020: 1 · 2019: 1 · 2018: 4 · 2017: 6 · 2016: 2 · 2015: 6 · 2014: 5 · 2013: 5
- FWCI
- 2.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Telemedicine Journal and e-Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Demography › Technology Use by Older Adults
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Keywords
- videoconferencing, internet-based health care, chronic disease, older adults, support groups, self-management, self-care, loneliness, social isolation, home care, telemedicine, feasibility
- MeSH terms
- Chronic Disease, Female, Humans, Life Style, Male, Middle Aged, Pilot Projects, Self Care, Social Support, Time Factors, Video Recording, Telemedicine, Internet, Qualitative Research
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