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Pathways home: Comparing voluntary IT and non-IT users participating in a mentored self-management project


Cummings, EA and Robinson, AL and Courtney-Pratt, HM and Cameron-Tucker, HL and Wood-Baker, R and Walters, EH and Turner, P, Pathways home: Comparing voluntary IT and non-IT users participating in a mentored self-management project, Studies in Health Technology and Informatics, 160, (Part 1) pp. 23-27. ISSN 0926-9630 (2010) [Refereed Article]

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Copyright © 2010 IOS Press

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DOI: doi:10.3233/978-1-60750-588-4-23


This research paper examines the challenges in the develop- ment and adoption of an electronic patient diary within the Pathways Home for Respiratory Illness Project. This project supported community-based patients suffering from chronic obstructive pulmonary disease (COPD) to achieve increased levels of self-management and self-efficacy using electronic- monitoring techniques and mentoring by community health nurses. Participants had the option of voluntarily adopting an electronic patient diary to support their self-monitoring, which provided patients, nurses and clinicians with access to symptom and psycho-social data. This aimed to improve the identification, comprehension and initiation of early action in relation to alterations in their conditions. The paper presents data on technology adoption, electronic diary usage and, self- reported data quality, as well as examining the impact of the technology on hospitalisations (frequency and duration). The participants who chose to use the online patient diary contin- ued their involvement with the project for the entire trial pe- riod (85% vs 54% completion). Participants were more likely to maintain use of the online patient diary than the paper di- ary. Both the groups experienced a positive improvement in their self-efficacy to self-manage their condition scores. The data highlight the problems implicit in some of the assump- tions underpinning existing information systems models, espe- cially in evaluating impact and the end-points presumed to be relevant in systems development life cycles.

Item Details

Item Type:Refereed Article
Keywords:Chronic disease, Self-management, Information technology, Symptom monitoring, Self-efficacy, Technology adoption, Electronic diary.
Research Division:Engineering
Research Group:Communications engineering
Research Field:Communications engineering not elsewhere classified
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Evaluation of health and support services not elsewhere classified
UTAS Author:Cummings, EA (Associate Professor Liz Cummings)
UTAS Author:Robinson, AL (Professor Andrew Robinson)
UTAS Author:Courtney-Pratt, HM (Dr Helen Courtney-Pratt)
UTAS Author:Cameron-Tucker, HL (Dr Helen Cameron-Tucker)
UTAS Author:Wood-Baker, R (Professor Richard Wood-Baker)
UTAS Author:Walters, EH (Professor Haydn Walters)
UTAS Author:Turner, P (Associate Professor Paul Turner)
ID Code:66217
Year Published:2010
Web of Science® Times Cited:5
Deposited By:Information and Communication Technology
Deposited On:2011-01-10
Last Modified:2015-02-13
Downloads:6 View Download Statistics

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