The psychosocial impact of interactive computer use within a vulnerable elderly population: a report on a randomized prospective trial in a home health care setting.

Quality of care for vulnerable elderly clients makes it important to consider the psychosocial effects of interactive computer use as a means to communicate for social, functional, and/or health care purposes in a home health care setting. In a 3-month randomized prospective trial, telecommunication...

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Publicado en:Public Health Nursing Vol. 18; no. 2; pp. 138 - 146
Autor principal: Billipp SH
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Mar/Apr2001
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: The psychosocial impact of interactive computer use within a vulnerable elderly population: a report on a randomized prospective trial in a home health care setting.
      aug:
        au: Billipp SH
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        subj:
          Home Health Care Psychosocial Factors
          Frail Elderly
          Computer Communication Networks Utilization
          Computer Communication Networks Education
          Exploratory Research
          Clinical Trials
          Random Assignment
          Rosenberg Self Esteem Scale
          Geriatric Depression Scale
          Attitude Measures
          Scales
          Coefficient alpha
          T-Tests
          Fisher's Exact Test
          Self Concept
          Depression
          Support, Psychosocial
          Home Nursing
          Pretest-Posttest Design
          Confidence Intervals
          kappa Statistic
          Multiple Regression
          Correlation Coefficient
          Descriptive Statistics
          Aged
          Aged, 80 and Over
          Male
          Female
          Human
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Quality of care for vulnerable elderly clients makes it important to consider the psychosocial effects of interactive computer use as a means to communicate for social, functional, and/or health care purposes in a home health care setting. In a 3-month randomized prospective trial, telecommunications terminals were installed in the private residences of computer-illiterate persons, 65-years-of-age and older, providing visiting nurses the opportunity to teach computer use with three different training methods. The control group had similar weekly nurse visits, but no computer terminal use. Pre-posttests using the Rosenberg Self-Esteem Scale and the Geriatric Depression Scale compared change in self-esteem and depression scores of computer-use clients with the scores of the control group clients. Interactive computer use, alone, did not significantly change scores. Compared to the control group, however, there was a significant change toward improved self-esteem and depression when interactive computer use was accompanied with weekly nurse computer training. Weekly training with a significant other, as a substitute for the nurse trainer, significantly improved self-esteem scores but not depression scores. Interactive computer use was not associated with decreased self-esteem or increased depression. Attitude changes and responses to the particular telecommunication service used in this study were mixed, suggesting future research should be based on improved telecommunication systems with access to programs that have greater practical application to the needs of elderly clients.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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