Qualitative Evaluation of Evidence‐Based Online Decision Aid and Resources for Osteoarthritis Management: Understanding Patient Perspectives
| Autor: | Ian Flaherty, Sally Wortley, Glenn Salkeld, Hema Urban, Yun-Hee Jeon, David J. Hunter, Chris Dickson |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Evidence-based practice media_common.quotation_subject Decision Making Applied psychology MEDLINE Health literacy Literacy Interviews as Topic 03 medical and health sciences 0302 clinical medicine Rheumatology Osteoarthritis Humans Medicine Narrative Qualitative Research Aged media_common Aged 80 and over 030203 arthritis & rheumatology Evidence-Based Medicine business.industry Middle Aged Health Literacy Comprehension Female business Qualitative research Coding (social sciences) |
| Zdroj: | Arthritis Care & Research. 71:46-55 |
| ISSN: | 2151-4658 2151-464X |
| DOI: | 10.1002/acr.23572 |
| Popis: | Objective To qualitatively examine the experiences with, and impact of, evidence-based online resources in self-management among Australians with osteoarthritis. Methods Telephone interviews were conducted with 36 users of a novel osteoarthritis resource, the Osteoarthritis Awareness Hub. Rogers' 5 attributes of innovation (relative advantage, compatibility, complexity, trialability, and observability) and outcomes guided the semistructured interview and analysis. Maximum variation sampling was used, and data saturation occurred after 33 interviews. A coding scheme was agreed upon and all interview data were entered into NVivo for qualitative content analysis. Results Study participants had high levels of literacy and health literacy. For adoption and implementation of an innovation, the participants' narratives confirmed and underscored the fact that it was important that it come from an authoritative and trusting voice and that its perceived benefits align with participants' values and existing practices (relative advantage and compatibility). The participants also valued seeing the practical benefits of the innovation, such as its capacity to impart quality and balanced new insights and information, and to maintain and monitor their personal progress. Notably, many participants spoke about the mental and physical health benefits that they derived from engagement with the online resources. Conclusion Our study findings confirm that web-based tools can be a useful adjunct to patients adopting self-management strategies. Rogers' theory provides a framework for a deeper appreciation of the how, why, and what questions concerning the adoption and implementation processes, especially among people with good technology and health literacy. |
| Databáze: | OpenAIRE |
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