OBJECTIVE: The aim of this study was to describe the online transformation of an empirically validated, clinic-based, self-management (SM) program for rheumatoid arthritis. MATERIALS AND METHODS: A cognitive-behavioral framework served as the theoretical basis for the intervention. As with the clinic-based approach, the psychoeducational program included educational modules, weekly homework assignments, and self-evaluation. The dynamic online environment included secure communication tools to support a virtual community for the participants to garner peer support. In addition to peer support, weekly follow-up support was provided by a trained clinician via telephone. We describe the process and structure of the online self-management (OSM) intervention. Administrative issues including clinical monitoring and management, data collection, and security safeguards are considered. Utilization and management data are provided and explored for 33 initial subjects. RESULTS: Individuals who volunteer to participate in an online modality are eager to receive this home-based programming. They readily engaged with all aspects of the OSM program and experienced few difficulties navigating the environment. CONCLUSION: An OSM site provides a convenient, effective, and securely maintained health service, once restricted to clinic settings. The OSM application can be used to extend the benefits of SM programs to broad target audiences and serves as a model for the emerging generation of Internet-based clinical management/delivery systems.
OBJECTIVE: The aim of this study was to describe the online transformation of an empirically validated, clinic-based, self-management (SM) program for rheumatoid arthritis. MATERIALS AND METHODS: A cognitive-behavioral framework served as the theoretical basis for the intervention. As with the clinic-based approach, the psychoeducational program included educational modules, weekly homework assignments, and self-evaluation. The dynamic online environment included secure communication tools to support a virtual community for the participants to garner peer support. In addition to peer support, weekly follow-up support was provided by a trained clinician via telephone. We describe the process and structure of the online self-management (OSM) intervention. Administrative issues including clinical monitoring and management, data collection, and security safeguards are considered. Utilization and management data are provided and explored for 33 initial subjects. RESULTS: Individuals who volunteer to participate in an online modality are eager to receive this home-based programming. They readily engaged with all aspects of the OSM program and experienced few difficulties navigating the environment. CONCLUSION: An OSM site provides a convenient, effective, and securely maintained health service, once restricted to clinic settings. The OSM application can be used to extend the benefits of SM programs to broad target audiences and serves as a model for the emerging generation of Internet-based clinical management/delivery systems.
Authors: Michael Stellefson; Beth Chaney; Adam E Barry; Enmanuel Chavarria; Bethany Tennant; Kim Walsh-Childers; P S Sriram; Justin Zagora Journal: J Med Internet Res Date: 2013-02-14 Impact factor: 5.428
Authors: Liam R Maclachlan; Kathryn Mills; Belinda J Lawford; Thorlene Egerton; Jenny Setchell; Leanne M Hall; Melanie L Plinsinga; Manuela Besomi; Pek Ling Teo; Jillian P Eyles; Rebecca Mellor; Luciano Melo; Sarah Robbins; Paul W Hodges; David J Hunter; Bill Vicenzino; Kim L Bennell Journal: J Med Internet Res Date: 2020-04-24 Impact factor: 5.428
Authors: Thorlene Egerton; Belinda J Lawford; Penny K Campbell; Melanie L Plinsinga; Libby Spiers; David A Mackenzie; Bridget Graham; Kathryn Mills; Jillian Eyles; Gabrielle Knox; Ben Metcalf; Liam R Maclachlan; Manuela Besomi; Chris Dickson; Charles Abraham; Bill Vicenzino; Paul W Hodges; David J Hunter; Kim L Bennell Journal: JMIR Form Res Date: 2022-01-17
Authors: Melanie Louise Plinsinga; Manuela Besomi; Liam Maclachlan; Luciano Melo; Sarah Robbins; Belinda J Lawford; Pek Ling Teo; Kathryn Mills; Jenny Setchell; Thorlene Egerton; Jillian Eyles; Leanne Hall; Rebecca Mellor; David J Hunter; Paul Hodges; Bill Vicenzino; Kim Bennell Journal: J Med Internet Res Date: 2019-12-03 Impact factor: 5.428