Knowledge, use and attitude toward eHealth among patients with chronic lung diseases

Hofstede, J.; Bie, Jozef De; Wijngaarden, Bob van; Heijmans, Monique

doi:10.1016/j.ijmedinf.2014.08.011

Cited by 55 publications

(47 citation statements)

References 15 publications

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“…In recent studies, poor human–computer interaction, that is usability problems, is still seen as a major factor for unsuccessful implementation in health information technology . The results of this review support the state of usability concerns.…”

Section: Discussionsupporting

confidence: 61%

“…There were conflicting findings in several studies (14,38,39,47,54,55). This result may be an indication of hasty implementations and slow acceptance of ICT in health care (56). Interestingly, inadequate resources (time, costs) were mentioned as barriers related to organisational factors but also to patients (e.g.…”

Section: Barriers Related To Nurses' Skills and Attitudesmentioning

confidence: 99%

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Nursing professionals' experiences of the facilitators and barriers to the use of telehealth applications: a systematic review of qualitative studies

Koivunen

Saranto

2017

Scandinavian Caring Sciences

144

133

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The aim of the study was to synthesise the best available research evidence on nursing professionals' experiences of the facilitators and barriers to the use of online telehealth services in nursing practice. Telehealth is used to deliver healthcare services and health-related information by means of information and communication technology (ICT). The systematic review of qualitative studies was conducted using thematic synthesis of previous studies. International electronic databases PubMed, CINAHL, Eric, Web of Science/Web of Knowledge and Scopus, and Finnish databases Medic and Ohtanen were searched in spring 2013. In addition, the search was complemented in fall 2015. Following critical appraisal, 25 studies from 1998 to fall 2015 were reviewed and the findings were synthesised. Both facilitators and barriers were grouped into five main categories which were related to nurses' skills and attitudes, nurses' work and operations, organisational factors, patients and technology. The highest number of facilitators and barriers was found in the category focusing on nurses' work and operations. Based on the findings, nurses' skills and attitudes are preventing factors in the implementation of telehealth. There is also a need to focus on patients' role in telehealth usage although the findings support positive adoption of ICT tools among patients. The findings call for further development of technological tools used in nursing practice and healthcare services. The change from traditional face-to-face nursing to the use of telehealth calls for local agreements and further discussions among professionals on how this change will be accepted and implemented into practice. In addition, organisations need to make sure that nurses have enough resources and support for telehealth use.

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Section: Discussionsupporting

confidence: 61%

Section: Barriers Related To Nurses' Skills and Attitudesmentioning

confidence: 99%

Nursing professionals' experiences of the facilitators and barriers to the use of telehealth applications: a systematic review of qualitative studies

Koivunen

Saranto

2017

Scandinavian Caring Sciences

144

133

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“…For barriers related to clinicians, the eHealth evidence base needs strengthening, whereas for primary care practices a learning process (including staff training) needs to be instituted [26]. In addition, it is necessary to more adequately inform patients about the possibilities and consequences of eHealth [27]. Furthermore, poor user-friendliness of Web-based apps and the lack of “push” factors (eg, automated reminders or messages from health care professionals) are a common cause of low usage or decline in usage of Web-based apps [28].…”

Section: Introductionmentioning

confidence: 99%

High Level of Integration in Integrated Disease Management Leads to Higher Usage in the e-Vita Study: Self-Management of Chronic Obstructive Pulmonary Disease With Web-Based Platforms in a Parallel Cohort Design

Talboom-Kamp¹,

Verdijk²,

Kasteleyn³

et al. 2017

J Med Internet Res

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BackgroundWorldwide, nearly 3 million people die of chronic obstructive pulmonary disease (COPD) every year. Integrated disease management (IDM) improves disease-specific quality of life and exercise capacity for people with COPD, but can also reduce hospital admissions and hospital days. Self-management of COPD through eHealth interventions has shown to be an effective method to improve the quality and efficiency of IDM in several settings, but it remains unknown which factors influence usage of eHealth and change in behavior of patients.ObjectiveOur study, e-Vita COPD, compares different levels of integration of Web-based self-management platforms in IDM in three primary care settings. The main aim of this study is to analyze the factors that successfully promote the use of a self-management platform for COPD patients.MethodsThe e-Vita COPD study compares three different approaches to incorporating eHealth via Web-based self-management platforms into IDM of COPD using a parallel cohort design. Three groups integrated the platforms to different levels. In groups 1 (high integration) and 2 (medium integration), randomization was performed to two levels of personal assistance for patients (high and low assistance); in group 3 there was no integration into disease management (none integration). Every visit to the e-Vita and Zorgdraad COPD Web platforms was tracked objectively by collecting log data (sessions and services). At the first log-in, patients completed a baseline questionnaire. Baseline characteristics were automatically extracted from the log files including age, gender, education level, scores on the Clinical COPD Questionnaire (CCQ), dyspnea scale (MRC), and quality of life questionnaire (EQ5D). To predict the use of the platforms, multiple linear regression analyses for the different independent variables were performed: integration in IDM (high, medium, none), personal assistance for the participants (high vs low), educational level, and self-efficacy level (General Self-Efficacy Scale [GSES]). All analyses were adjusted for age and gender.ResultsOf the 702 invited COPD patients, 215 (30.6%) registered to a platform. Of the 82 patients in group 1 (high integration IDM), 36 were in group 1A (personal assistance) and 46 in group 1B (low assistance). Of the 96 patients in group 2 (medium integration IDM), 44 were in group 2A (telephone assistance) and 52 in group 2B (low assistance). A total of 37 patients participated in group 3 (no integration IDM). In all, 107 users (49.8%) visited the platform at least once in the 15-month period. The mean number of sessions differed between the three groups (group 1: mean 10.5, SD 1.3; group 2: mean 8.8, SD 1.4; group 3: mean 3.7, SD 1.8; P=.01). The mean number of sessions differed between the high-assistance and low-assistance groups in groups 1 and 2 (high: mean 11.8, SD 1.3; low: mean 6.7, SD 1.4; F1,80=6.55, P=.01). High-assistance participants used more services (mean 45.4, SD 6.2) than low-assistance participants (mean 21.2, SD 6.8; F1,80=6.82, P=.01). No as...

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“…Most published studies have focused on specific patient populations and investigated heterogeneous items, with variable results. Interest towards telemedicine has been detected among cancer patients [24] and patients affected with chronic lung diseases [25], although, in some cases, the attitude towards the use of new technologies was low. In a large survey, patients affected with depression and those with a high risk of cerebrovascular disease reported a moderate interest in phone, email and Internet based services, while interest in social media based services was lower.…”

Section: Discussionmentioning

confidence: 99%

What drives attitude towards telemedicine among families of pediatric patients? A survey

et al. 2017

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BackgroundTelemedicine has been recognized as a way to improve accessibility, quality, and efficiency of care. In view of the introduction of new telemedicine services, we conducted a survey through a self-administered questionnaire among families of children attending the Bambino Gesù Children’s Hospital IRCCS, a tertiary care children’s hospital located in Rome, Italy.MethodsWe investigated sociodemographic data, clinical information, technological profile, attitude towards telemedicine, perceived advantages of telemedicine, fears regarding telemedicine, willingness to use a smartphone app providing telemedicine services and willingness to use a televisit service. Through logistic regression, we explored the effect of sociodemographic and clinical variables and technological profile on willingness of using a telemedicine app and a televisit service.ResultsWe enrolled a total of 751 families. Most patients had a high technological profile, 81% had at least one account on a social network. Whatsapp was the most popular messaging service (76%). Seventy-two percent of patients would use an app for telemedicine services and 65% would perform a televisit. Owning a tablet was associated with both outcome variables - respectively: OR 2.216, 95% CI 1.358–3.616 (app) and OR 2.117, 95% CI 1.415–3.168 (televisit). Kind of hospitalization, diagnosis of a chronic disease, disease severity and distance from the health care center were not associated with the outcome variables.ConclusionFamilies of pediatric patients with different clinical problems are keen to embark in telemedicine programs, independently from severity of disease or chronicity, and of distance from the hospital.Electronic supplementary materialThe online version of this article (doi:10.1186/s12887-016-0756-x) contains supplementary material, which is available to authorized users.

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Knowledge, use and attitude toward eHealth among patients with chronic lung diseases

Cited by 55 publications

References 15 publications

Nursing professionals' experiences of the facilitators and barriers to the use of telehealth applications: a systematic review of qualitative studies

Nursing professionals' experiences of the facilitators and barriers to the use of telehealth applications: a systematic review of qualitative studies

High Level of Integration in Integrated Disease Management Leads to Higher Usage in the e-Vita Study: Self-Management of Chronic Obstructive Pulmonary Disease With Web-Based Platforms in a Parallel Cohort Design

What drives attitude towards telemedicine among families of pediatric patients? A survey

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