Is Internet-based support for dyspnea self-management in patients with chronic obstructive pulmonary disease possible? Results of a pilot study
| Autor: | Michael S. Stulbarg, Virginia Carrieri-Kohlman, Huong Q. Nguyen, Sally H. Rankin, Robert E. Slaughter |
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| Rok vydání: | 2005 |
| Předmět: |
Pulmonary and Respiratory Medicine
Male medicine.medical_specialty Activities of daily living Health Behavior Psychological intervention MEDLINE Pilot Projects Critical Care and Intensive Care Medicine Access to Information Social support Pulmonary Disease Chronic Obstructive Patient satisfaction Patient Education as Topic Intervention (counseling) Activities of Daily Living medicine Humans Exercise Health Education Aged Self-efficacy Aged 80 and over Internet Self-management business.industry Social Support Middle Aged Self Efficacy Self Care Dyspnea Patient Satisfaction Physical therapy Feasibility Studies Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Heartlung : the journal of critical care. 34(1) |
| ISSN: | 0147-9563 |
| Popis: | As of 2003, approximately 67% of US adults have Internet access. The purpose of this study was to determine the feasibility and preliminary efficacy of an Internet-based dyspnea self-management program (iDSMP) for people with chronic obstructive pulmonary disease. A related aim was to compare the differential effects of the iDSMP on 2 different groups: (1) to test a "booster" effect and (2) to evaluate the program as a primary intervention.Two groups (n = 16) were evaluated at baseline and at 3 months after completing the iDSMP, which included education, exercise, self-monitoring, and support. Dyspnea, self-efficacy, perception of available support, and exercise behavior were measured. Paired, independent t tests and Mann-Whitney U tests were used.Most subjects (87%) reported that the program increased their access to information and resources for managing dyspnea. Dyspnea with activities of daily living and self-efficacy for managing the symptom showed significant improvements (both P.01), whereas more modest changes were noted in perceived support and exercise behavior in the overall sample. There were no differences between the 2 groups on these outcomes.The findings suggest that additional investigations of Internet-based interventions to promote self-management in patients with chronic obstructive pulmonary disease are warranted. |
| Databáze: | OpenAIRE |
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