Use of Online Self-Management Diaries in Asthma and COPD: A Qualitative Study of Subjects' and Professionals' Perceptions and Behaviors.

BACKGROUND: Online self-management diaries are used to support patients' self-management skills and facilitate associated behavioral changes. Although web-based diaries are well-known as a potential self-management tool, reasons that patients use (or do not use) self-management diaries, as well as p...

Descripción completa

Detalles Bibliográficos
Publicado en:Respiratory Care Vol. 60; no. 8; pp. 1146 - 1157
Autores principales: Kruijssen, Valerie van, Staa, AnneLoes van, Dwarswaard, Jolanda, Mennema, Bianka, Adams, Samantha A., Veen, Johannes
Formato: pictorial research tables/charts Journal Article
Publicado: Mary Ann Liebert, Inc. Aug2015
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109826257&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 109826257
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        00201324
        4GG
      jtl: Respiratory Care
      issn: 00201324
      maglogo: N
    pubinfo:
      dt: Aug2015
      vid: 60
      iid: 8
      pid: 1365
      pub: Mary Ann Liebert, Inc.
      place: New Rochelle, New York
    artinfo:
      ui:
        109826257
        108735519
        10.4187/respcare.03795
        NLM25922542
        109826257
      ppf: 1146
      ppct: 11
      formats:
        fmt:
          @attributes:
            type: P
      tig:
        atl: Use of Online Self-Management Diaries in Asthma and COPD: A Qualitative Study of Subjects' and Professionals' Perceptions and Behaviors.
      aug:
        au:
          Kruijssen, Valerie van
          Staa, AnneLoes van
          Dwarswaard, Jolanda
          Mennema, Bianka
          Adams, Samantha A.
          Veen, Johannes
        affil: Institute of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, The Netherlands
      sug:
        subj:
          Asthma
          Pulmonary Disease, Chronic Obstructive
          Self Care Methods
          Diaries Utilization
          Internet
          Behavior
          Perception
          Human
          Qualitative Studies
          Semi-Structured Interview
          Netherlands
          Health Personnel
          Patients
          Exploratory Research
          Academic Medical Centers
          Multicenter Studies
          Constant Comparative Method
          Audiorecording
          Descriptive Statistics
          Female
          Male
          Middle Age
          Adult
          Young Adult
          Aged, 80 and Over
          Aged
          Disease Exacerbation Prevention and Control
          Patient Education Methods
          Middle Aged: 45-64 years
          Adult: 19-44 years
          Aged, 80 & over
          Aged: 65+ years
          Female
          Male
      ab: BACKGROUND: Online self-management diaries are used to support patients' self-management skills and facilitate associated behavioral changes. Although web-based diaries are well-known as a potential self-management tool, reasons that patients use (or do not use) self-management diaries, as well as perceptions and behaviors related to diary use, remain largely unknown. METHODS: Semistructured interviews (n = 30) were conducted with health-care professionals and subjects to understand perceptions and behaviors related to self-management diary use for asthma and COPD in 2 hospitals in Rotterdam, The Netherlands. RESULTS: Subjects in this study used self-management diaries to improve their knowledge of the disease, cope more consciously with their disease, feel in control, and discuss outcomes from the self-management diaries with their health-care professionals. Two subjects reported that they used the self-management diary to cope more effectively with their disease and recognized an exacerbation and acted by adjusting their medications. Both health-care professionals and subjects experienced practical barriers in integrating self-management diaries into their regular practices. Subjects' reasons for nonuse were related to the intervention, the disease, and subject-provider contact. CONCLUSIONS: Health-care professionals should help patients use self-management diaries by collaboratively developing an individual treatment plan and by showing patients how to use the diaries to recognize and act on an exacerbation. Together with the suggestions made for improving the self-management diaries, this will aid in the integration of self-management diaries into regular health-care practice and enhance patients' self-management of their disease.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N