为远程监测增值：通过远程医疗为慢性病老年人提供的健康素养干预措施的共同设计 - 远程医疗素养项目。

Adding value to remote monitoring: Co-design of a health literacy intervention for older people with chronic disease delivered by telehealth - The telehealth literacy project.

机构信息

School of Nursing, Midwifery & Social Sciences, Central Queensland University, Rockhampton, Queensland, Australia; Centre for Online Health, The University of Queensland, Brisbane, Australia.

School of Health and Human Sciences, Southern Cross University, Lismore, New South Wales, Australia.

出版信息

Patient Educ Couns. 2020 Mar;103(3):597-606. doi: 10.1016/j.pec.2019.10.005. Epub 2019 Oct 4.

DOI:10.1016/j.pec.2019.10.005

PMID:31744701

Abstract

OBJECTIVE

To co-design, test and evaluate a health literacy, chronic disease self-management and social support intervention for older people delivered by group videoconferencing into the home.

METHOD

The Telehealth Literacy Project (THLP) was a mixed methods, quasi-experimental, non-randomised trial nested within a telehealth remote monitoring study. An intervention group (n = 52) participated in five, weekly videoconference group meetings lasting for 1.5 h and a control group (n = 60) received remote monitoring only. Outcomes were measured using the nine-scale Health Literacy Questionnaire (HLQ) and two scales of the Health Education Impact Questionnaire (heiQ). Semi-structured interviews and focus group data were thematically analysed.

RESULT

At 3 month follow-up, univariate analysis identified small effects in the intervention group only, with improved health literacy behaviours (five HLQ scales) and self-management skills (two heiQ scales). ANOVA of HLQ scales indicated no significant differences between the two groups over time indicating a contributing effect of the remote monitoring project. Intervention participants reported improved perception of companionship, emotional and informational support.

CONCLUSION

The THLP delivered with telemonitoring indicates potential to improve social support and some health literacy factors in older people.

PRACTICE IMPLICATIONS

Patient education can be delivered by group videoconferencing.

摘要

目的

通过小组视频会议将健康素养、慢性病自我管理和社会支持干预措施引入家庭，共同设计、测试和评估针对老年人的干预措施。

方法

远程保健素养项目（Telehealth Literacy Project，THLP）是一项混合方法、准实验、非随机试验，嵌套在远程保健远程监测研究中。干预组（n=52）参加了五次每周一次的、持续 1.5 小时的视频会议小组会议，对照组（n=60）仅接受远程监测。使用九分量表健康素养问卷（Health Literacy Questionnaire，HLQ）和健康教育培训影响问卷（Health Education Impact Questionnaire，heiQ）的两个量表来衡量结果。对半结构化访谈和焦点小组数据进行主题分析。

结果

在 3 个月的随访中，单变量分析仅在干预组中发现了小的影响，健康素养行为（HLQ 的五个量表）和自我管理技能（heiQ 的两个量表）有所改善。HLQ 量表的方差分析表明，两组之间在不同时间没有显著差异，这表明远程监测项目有一定的促进作用。干预组参与者报告说，他们的同伴关系、情感和信息支持得到了改善。