A case series of an off-the-shelf online health resource with integrated nurse coaching to support self-management in COPD

Early, Frances and Young, Jane S. and Robinshaw, Elizabeth and Mi, Emma Z. and Mi, Ella Z. and Fuld, Jonathan P. (2017) A case series of an off-the-shelf online health resource with integrated nurse coaching to support self-management in COPD. International Journal of Chronic Obstructive Pulmonary Disease, 2017 (12). pp. 2955-2967. ISSN 1178-2005

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Official URL: https://doi.org/10.2147/COPD.S139532

Abstract

Background: COPD has significant psychosocial impact. Self-management support improves quality of life, but programs are not universally available. IT-based self-management interventions can provide home-based support, but have mixed results. We conducted a case series of an off-the-shelf Internet-based health-promotion program, The Preventive Plan (TPP), coupled with nurse-coach support, which aimed to increase patient activation and provide self-management benefits. Materials and methods: A total of 19 COPD patients were recruited, and 14 completed 3-month follow-up in two groups: groups 1 and 2 with more and less advanced COPD, respectively. Change in patient activation was determined with paired t-tests and Wilcoxon signed-rank tests. Benefits and user experience were explored in semistructured interviews, analyzed thematically. Results: Only group 1 improved significantly in activation, from a lower baseline than group 2; group 1 also improved significantly in mastery and anxiety. Both groups felt significantly more informed about COPD and reported physical functioning improvements. Group 1 reported improvements in mood and confidence. Overall, group 2 reported fewer benefits than group 1. Both groups valued nurse-coach support; for group 1, it was more important than TPP in building confidence to self-manage. The design of TPP and lack of motivation to use IT were barriers to use, but disease severity and poor IT skills were not. Discussion: Our findings demonstrate the feasibility of combining nurse-coach support aligned to an Internet-based health resource, TPP, in COPD and provide learning about the challenges of such an approach and the importance of the nurse-coach role.

Item Type: Journal Article
Keywords: COPD, self-management, Internet, coaching, patient activation
Faculty: Faculty of Health, Social Care & Education (for research post September 2011)
Depositing User: Lisa Blanshard
Date Deposited: 24 Oct 2018 09:03
Last Modified: 24 Oct 2018 15:19
URI: http://arro.anglia.ac.uk/id/eprint/703739

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