Understanding factors that inhibit or promote the utilization of telecare in chronic lung disease
Abstract
Objectives: To perform a process evaluation of a randomized controlled trial (RCT) of home telecare for the management of acute exacerbations of chronic obstructive pulmonary disease (COPD), using the normalization process model (NPM) as an explanatory framework. Methods: Semi-structured interviews were carried out with patients ( n = 9) and nurses ( n = 11) participating in a RCT. A framework approach to data analysis was used. Results: The telecare service did not provide an interactional advantage for the nurses providing this service and did not fit with the nurses' views of the most appropriate or preferred use of their skills. The telecare service seemed unlikely to become normalized as part of routine healthcare delivery, because the nursing team lacked confidence that it was a safe way to provide healthcare in this context and it was not perceived as improving efficiency. Discussion: The NPM effectively mapped onto the study findings and explained those factors that inhibited the routine delivery of COPD services by telecare.
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NPT has been used to explain the success or failure of a range of eHealth implementations.
“NPT has been used to explain the success or failure of a range of eHealth implementations [115-117]”
From Web-Based Interventions for Behavior Change and Self-Management: Potential, Pitfalls, and Progress (2012) · cites this paper as [117]
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From telemedicine technology to telemedicine services
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Coordination of Discharge Practices for Elderly Patients in Light of a Norwegian Healthcare Reform
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Crossing Boundaries : Transferring eHealth services across the Northern Periphery
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Self-citation
- Authors
- Mair, F. S., Hiscock, J., & Beaton, S. C.
- Affiliations
- University of Glasgow (GB)
- University of Manchester (GB)
- University of Liverpool (GB)
- Venue
- Chronic Illness
- Publisher
- SAGE Publications
- Published
- 2008-06
- Volume
- 4
- Issue
- 2
- Pages
- 110-117
- ISSN
- 1742-3953 (ISSN-L)
- 1745-9206
- OpenAlex
- W2115812316
- Cited by
- 115
- References
- 14
- Citations by year
- 2026: 1 · 2025: 3 · 2023: 7 · 2022: 6 · 2021: 8 · 2020: 8 · 2019: 7 · 2018: 10 · 2017: 7 · 2016: 4 · 2015: 7 · 2014: 10 · 2013: 11 · 2012: 6
- FWCI
- 6.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Chronic Illness (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Keywords
- telehomecare, chronic obstructive pulmonary disease, acute exacerbation, process evaluation, nurses' perceptions, patient perspectives, health care delivery
- MeSH terms
- Attitude of Health Personnel, Communication Barriers, Equipment Design, Home Care Services, Humans, Health Knowledge, Attitudes, Practice, Models, Theoretical, Nurse-Patient Relations, Patient Acceptance of Health Care, Sick Role, Telemedicine, Nurse's Role, Pulmonary Disease, Chronic Obstructive, Qualitative Research
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