Increasing access to chronic disease self-management programs in rural and remote communities using telehealth.

Content Provider	Europe PMC
Author	Jaglal, Susan B. Haroun, Vinita A. Salbach, Nancy M. Hawker, Gillian Voth, Jennifer Lou, Wendy Kontos, Pia Cameron, James E. Cockerill, Rhonda Bereket, Tarik
Copyright Year	2013
Description	Abstract Objective: This study examined whether a telehealth chronic disease self-management program (CDSMP) would lead to improvements in self-efficacy, health behaviors, and health status for chronically ill adults living in Northern Ontario, Canada. Two telehealth models were used: (1) single site, groups formed by participants at one telehealth site; and (2) multi-site, participants linked from multiple sites to form one telehealth group, as a strategy to increase access to the intervention for individuals living in rural and remote communities. Subjects and Methods: Two hundred thirteen participants diagnosed with heart disease, stroke, lung disease, or arthritis attended the CDSMP at a preexisting Ontario Telemedicine Network studio from September 2007 to June 2008. The program includes six weekly, peer-facilitated sessions designed to help participants develop important self-management skills to improve their health and quality of life. Baseline and 4-month follow-up surveys were administered to assess self-efficacy beliefs, health behaviors, and health status information. Results were compared between single- and multi-site delivery models. Results: Statistically significant improvements from baseline to 4-month follow-up were found for self-efficacy (6.6±1.8 to 7.0±1.8; p<0.001), exercise behavior, cognitive symptom management, communication with physicians, role function, psychological well-being, energy, health distress, and self-rated health. There were no statistically significant differences in outcomes between single- and multi-site groups. Conclusions: Improvements in self-efficacy, health status, and health behaviors were equally effective in single- and multi-site groups. Access to self-management programs could be greatly increased with telehealth using single- and multi-site groups in rural and remote communities.
Abstract	Abstract Objective:This study examined whether a telehealth chronic disease self-management program (CDSMP) would lead to improvements in self-efficacy, health behaviors, and health status for chronically ill adults living in Northern Ontario, Canada. Two telehealth models were used: (1) single site, groups formed by participants at one telehealth site; and (2) multi-site, participants linked from multiple sites to form one telehealth group, as a strategy to increase access to the intervention for individuals living in rural and remote communities.Subjects andMethods:Two hundred thirteen participants diagnosed with heart disease, stroke, lung disease, or arthritis attended the CDSMP at a preexisting Ontario Telemedicine Network studio from September 2007 to June 2008. The program includes six weekly, peer-facilitated sessions designed to help participants develop important self-management skills to improve their health and quality of life. Baseline and 4-month follow-up surveys were administered to assess self-efficacy beliefs, health behaviors, and health status information. Results were compared between single- and multi-site delivery models.Results:Statistically significant improvements from baseline to 4-month follow-up were found for self-efficacy (6.6±1.8 to 7.0±1.8; p<0.001), exercise behavior, cognitive symptom management, communication with physicians, role function, psychological well-being, energy, health distress, and self-rated health. There were no statistically significant differences in outcomes between single- and multi-site groups.Conclusions:Improvements in self-efficacy, health status, and health behaviors were equally effective in single- and multi-site groups. Access to self-management programs could be greatly increased with telehealth using single- and multi-site groups in rural and remote communities.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC3696947&blobtype=pdf
Page Count	7
ISSN	15305627
Volume Number	19
DOI	10.1089/tmj.2012.0197
PubMed Central reference number	PMC3696947
Issue Number	6
PubMed reference number	23570277
Journal	Telemedicine Journal and e-Health [Telemed J E Health]
e-ISSN	15563669
Language	English
Publisher	Mary Ann Liebert, Inc.
Publisher Date	2013-04-09
Publisher Place	USA
Access Restriction	Open
Rights License	Copyright 2013, Mary Ann Liebert, Inc.
Subject Keyword	telehealth policy cardiology/cardiovascular disease self-care
Content Type	Text
Resource Type	Article
Subject	Health Information Management Health Informatics