Older adults’ experiences of internet-based vestibular rehabilitation for dizziness: A longitudinal study.

Objective:Factors influencing engagement with self-managed rehabilitation are not well understood, but evidence suggests they may change over time. Despite increasing digitalisation of self-managed interventions, little is known about the role of internet-based interventions in patients’ experiences...

Descripción completa

Detalles Bibliográficos
Publicado en:Psychology & Health Vol. 32; no. 11; pp. 1327 - 1348
Autores principales: Essery, Rosie, Kirby, Sarah, Geraghty, Adam W. A., Yardley, Lucy
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Nov2017
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=125880520&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 125880520
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        08870446
        7WK
      jtl: Psychology & Health
      issn: 08870446
      maglogo: N
    pubinfo:
      dt: Nov2017
      vid: 32
      iid: 11
      pid: 377
      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
    artinfo:
      ui:
        125880520
        125880520
        125880520
        10.1080/08870446.2017.1310861
        125880520
      ppf: 1327
      ppct: 21
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: P
      tig:
        atl: Older adults’ experiences of internet-based vestibular rehabilitation for dizziness: A longitudinal study.
      aug:
        au:
          Essery, Rosie
          Kirby, Sarah
          Geraghty, Adam W. A.
          Yardley, Lucy
        affil: Centre for Clinical and Community Applications of Health Psychology, University of Southampton, Highfield Campus, Southampton, UK
      sug:
        subj:
          Dizziness Rehabilitation
          Vertigo Rehabilitation
          Self Care In Old Age
          Balance Training, Physical In Old Age
          Internet In Old Age
          Human
          Prospective Studies
          Qualitative Studies
          Semi-Structured Interview
          Thematic Analysis
          Motivation
          England
          Male
          Female
          Middle Age
          Aged
          Patient Satisfaction
          Vestibule, Labyrinth Pathology
          Dizziness Symptoms
          Vertigo Symptoms
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Objective:Factors influencing engagement with self-managed rehabilitation are not well understood, but evidence suggests they may change over time. Despite increasing digitalisation of self-managed interventions, little is known about the role of internet-based interventions in patients’ experiences of self-directed rehabilitation. This longitudinal qualitative study investigated individuals’ ongoing experiences of internet-guided, self-managed rehabilitation within the context of rehabilitation for dizziness. Methods:Eighteen adults aged fifty and over who experienced dizziness used the ‘Balance Retraining’ internet intervention for six weeks. Participants took part in semi-structured telephone interviews at two-week intervals to explore their experiences. Data were inductively thematically analysed. Results:The internet intervention was reported to facilitate engagement with rehabilitation exercises, providing motivation to continue through symptom reduction and simple but helpful strategies. It was perceived as informative, reassuring, visually pleasing and easy to use. Barriers to engagement included practicalities, symptoms and doubts about exercise efficacy. Participants’ perceptions did not always remain consistent over time. Conclusion:The internet intervention may be a feasible method of supporting self-managed vestibular rehabilitation. More generally, longitudinal findings suggest that appearance-related perceptions of online interventions may be especially important for initial engagement. Furthermore, intervention features targeting self-efficacy seem important in overcoming barriers to engagement.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N