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Pathways home: Comparing voluntary IT and non-IT users participating in a mentored self-management project
journal contribution
posted on 2023-05-17, 04:09 authored by Elizabeth CummingsElizabeth Cummings, Andrew RobinsonAndrew Robinson, Helen Courtney-PrattHelen Courtney-Pratt, Cameron-Tucker, HL, Wood-Baker, R, Eugene WaltersEugene Walters, Paul TurnerPaul TurnerThis 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.
History
Publication title
Studies in Health Technology and InformaticsVolume
160Issue
Part 1Pagination
23-27ISSN
0926-9630Department/School
School of Information and Communication TechnologyPublisher
IOS Press BVPlace of publication
Amsterdam, NetherlandsRights statement
Copyright © 2010 IOS PressRepository Status
- Restricted