Literature DB >> 31744701

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.

Annie Banbury1, Susan Nancarrow2, Jared Dart3, Len Gray4, Sarity Dodson5, Richard Osborne6, Lynne Parkinson7.   

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.
Copyright © 2019 Elsevier B.V. All rights reserved.

Entities:  

Keywords:  Chronic disease self-management; Health education; Health literacy; Monitoring; Older people; Remote patient; Telehealth; Videoconferencing

Mesh:

Year:  2019        PMID: 31744701     DOI: 10.1016/j.pec.2019.10.005

Source DB:  PubMed          Journal:  Patient Educ Couns        ISSN: 0738-3991


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