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dc.contributor.authorBurkow, Tatjana
dc.contributor.authorVognild, Lars Kristian
dc.contributor.authorØstengen, Geir
dc.contributor.authorJohnsen, Elin
dc.contributor.authorRisberg, Marijke Jongsma
dc.contributor.authorBratvold, Astrid
dc.contributor.authorHagen, Tord
dc.contributor.authorBrattvoll, Morten
dc.contributor.authorKrogstad, Trine
dc.contributor.authorHjalmarsen, Audhild
dc.date.accessioned2014-03-24T08:49:09Z
dc.date.available2014-03-24T08:49:09Z
dc.date.issued2013
dc.description.abstractBackground: The prevalence of major chronic illnesses, such as chronic obstructive pulmonary disease (COPD) and diabetes, is increasing. Pulmonary rehabilitation and diabetes self-management education are important in the management of COPD and diabetes respectively. However, not everyone can participate in the programmes offered at a hospital or other central locations, for reasons such as travel and transport. Internet-enabled home-based programmes have the potential to overcome these barriers. This study aims to assess patient acceptability of the delivery form and components of Internet-enabled programmes based on home groups for comprehensive pulmonary rehabilitation and for diabetes self-management education. Methods: We have developed Internet-enabled home programmes for comprehensive pulmonary rehabilitation and for diabetes self-management education that include group education, group exercising (COPD only), individual consultations, educational videos and a digital health diary. Our prototype technology platform makes use of each user’s own TV at home, connected to a computer, and a remote control. We conducted a six-week home trial with 10 participants: one group with COPD and one with diabetes. The participants were interviewed using semi-structured interviews. Results: Both home-based programmes were well accepted by the participants. The group setting at home made it possible to share experiences and to learn from questions raised by others, as in conventional group education. In the sessions, interaction and discussion worked well, despite the structure needed for turn taking. The thematic educational videos were well accepted although they were up to 40 minutes long and their quality was below TV broadcasting standards. Taking part in group exercising at home under the guidance of a physiotherapist was also well accepted by the participants. Participants in the COPD group appreciated the social aspect of group education sessions and of exercising together, each in their own home. The digital health diary was used as background information in the individual consultations and by some participants as a self-management tool. Participant retention was high, with no dropouts. None of the participants reported that the six-week duration of the home programmes was too long. Conclusions: The Internet-enabled programmes for home-based groups in pulmonary rehabilitation and diabetes education were generally well accepted by the participants. Our findings indicate that conventional programmes have the potential to be delivered in socially supportive group settings at home.en
dc.identifier.citationBMC Medical Informatics and Decision Making (2013), vol. 13:33en
dc.identifier.cristinIDFRIDAID 1020937
dc.identifier.doihttp://dx.doi.org/10.1186/1472-6947-13-33
dc.identifier.issn1472-6947
dc.identifier.urihttps://hdl.handle.net/10037/6076
dc.identifier.urnURN:NBN:no-uit_munin_5762
dc.language.isoengen
dc.publisherBioMed Centralen
dc.rights.accessRightsopenAccess
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806en
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806en
dc.titleInternet-enabled pulmonary rehabilitation and diabetes education in group settings at home: a preliminary study of patient acceptabilityen
dc.typeJournal articleen
dc.typeTidsskriftartikkelen
dc.typePeer revieweden


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