Document Detail


Is Internet-based support for dyspnea self-management in patients with chronic obstructive pulmonary disease possible? Results of a pilot study.
MedLine Citation:
PMID:  15647734     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: As of 2003, approximately 67% of US adults have Internet access. The purpose of this study was to determine the feasibility and preliminary efficacy of an Internet-based dyspnea self-management program (iDSMP) for people with chronic obstructive pulmonary disease. A related aim was to compare the differential effects of the iDSMP on 2 different groups: (1) to test a "booster" effect and (2) to evaluate the program as a primary intervention. METHODS: Two groups (n = 16) were evaluated at baseline and at 3 months after completing the iDSMP, which included education, exercise, self-monitoring, and support. Dyspnea, self-efficacy, perception of available support, and exercise behavior were measured. Paired, independent t tests and Mann-Whitney U tests were used. RESULTS: Most subjects (87%) reported that the program increased their access to information and resources for managing dyspnea. Dyspnea with activities of daily living and self-efficacy for managing the symptom showed significant improvements (both P < .01), whereas more modest changes were noted in perceived support and exercise behavior in the overall sample. There were no differences between the 2 groups on these outcomes. CONCLUSIONS: The findings suggest that additional investigations of Internet-based interventions to promote self-management in patients with chronic obstructive pulmonary disease are warranted.
Authors:
Huong Q Nguyen; Virginia Carrieri-Kohlman; Sally H Rankin; Robert Slaughter; Michael S Stulbarg
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Heart & lung : the journal of critical care     Volume:  34     ISSN:  0147-9563     ISO Abbreviation:  Heart Lung     Publication Date:    2005 Jan-Feb
Date Detail:
Created Date:  2005-01-13     Completed Date:  2005-05-17     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0330057     Medline TA:  Heart Lung     Country:  United States    
Other Details:
Languages:  eng     Pagination:  51-62     Citation Subset:  AIM; IM    
Affiliation:
Biobehavioral Nursing and Health Systems, University of Washington, Seattle 98195-7266, USA.
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MeSH Terms
Descriptor/Qualifier:
Access to Information
Activities of Daily Living
Aged
Aged, 80 and over
Dyspnea / etiology,  nursing*
Exercise
Feasibility Studies
Female
Health Behavior
Health Education / methods
Humans
Internet*
Male
Middle Aged
Patient Education as Topic / methods
Patient Satisfaction
Pilot Projects
Pulmonary Disease, Chronic Obstructive / complications,  nursing*
Self Care*
Self Efficacy
Social Support*
Grant Support
ID/Acronym/Agency:
1F31NR007820/NR/NINR NIH HHS; R01-NR02131-08/NR/NINR NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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