Limits...
Effects of multidisciplinary Internet-based program on management of heart failure.

Tomita MR, Tsai BM, Fisher NM, Kumar NA, Wilding G, Stanton K, Naughton BJ - J Multidiscip Healthc (2008)

Bottom Line: A secure and simple web-based recording system of vital signs and health behaviors and a mechanism for feedback regarding each participant's record were developed.Only the treatment group showed a significant improvement in the knowledge level (p < 0.001), amount of exercise (p = 0.001), and quality of life (p = 0.001), and reduction in HF related symptoms (dyspnea, p = 0.001; fatigue, p = 0.003; functional emotion, p < 0.001), blood pressure (systolic, p = 0.002; diastolic, p < 0.001), frequency of emergency room visit, and length of hospital stay (both p = 0.001).CONCLUSIONS: An effective program to change one's behaviors in managing HF takes a multidisciplinary approach to create and provide feedback regarding a patient's daily record, which can be accomplished through Internet use.

View Article: PubMed Central - PubMed

Affiliation: Department of Rehabilitation Science, University at Buffalo, Buffalo, New York, USA.

ABSTRACT
OBJECTIVES: To develop and test the effectiveness of an Internet-based self management program by multidisciplinary health care professionals for patients with heart failure (HF). METHODS: The comprehensive educational material for HF was created and posted on a website. A computer with Internet connection and computer training were provided first. A secure and simple web-based recording system of vital signs and health behaviors and a mechanism for feedback regarding each participant's record were developed. A randomized controlled trial with a one-year intervention was conducted using a total of 40 patients who were assessed three times in their homes. An intention-to-treat analysis used multivariate statistics. RESULTS: The treatment group had a high (85%) adherence to the intervention. Only the treatment group showed a significant improvement in the knowledge level (p < 0.001), amount of exercise (p = 0.001), and quality of life (p = 0.001), and reduction in HF related symptoms (dyspnea, p = 0.001; fatigue, p = 0.003; functional emotion, p < 0.001), blood pressure (systolic, p = 0.002; diastolic, p < 0.001), frequency of emergency room visit, and length of hospital stay (both p = 0.001). CONCLUSIONS: An effective program to change one's behaviors in managing HF takes a multidisciplinary approach to create and provide feedback regarding a patient's daily record, which can be accomplished through Internet use.

No MeSH data available.


Related in: MedlinePlus

Flow chart of sample sizes.
© Copyright Policy
Related In: Results  -  Collection


getmorefigures.php?uid=PMC2875686&req=5

f2-jmdh-2-013: Flow chart of sample sizes.

Mentions: The sample size, determined by a power analysis to achieve 80% of power at α1 = 0.05 with a large effect size (d = 0.90)16 was 15 in each group. Considering a high attrition rate anticipated for the control group, 24 in the control group and 16 in the treatment group were recruited. The sample size flow-chart is included in Figure 2.


Effects of multidisciplinary Internet-based program on management of heart failure.

Tomita MR, Tsai BM, Fisher NM, Kumar NA, Wilding G, Stanton K, Naughton BJ - J Multidiscip Healthc (2008)

Flow chart of sample sizes.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2875686&req=5

f2-jmdh-2-013: Flow chart of sample sizes.
Mentions: The sample size, determined by a power analysis to achieve 80% of power at α1 = 0.05 with a large effect size (d = 0.90)16 was 15 in each group. Considering a high attrition rate anticipated for the control group, 24 in the control group and 16 in the treatment group were recruited. The sample size flow-chart is included in Figure 2.

Bottom Line: A secure and simple web-based recording system of vital signs and health behaviors and a mechanism for feedback regarding each participant's record were developed.Only the treatment group showed a significant improvement in the knowledge level (p < 0.001), amount of exercise (p = 0.001), and quality of life (p = 0.001), and reduction in HF related symptoms (dyspnea, p = 0.001; fatigue, p = 0.003; functional emotion, p < 0.001), blood pressure (systolic, p = 0.002; diastolic, p < 0.001), frequency of emergency room visit, and length of hospital stay (both p = 0.001).CONCLUSIONS: An effective program to change one's behaviors in managing HF takes a multidisciplinary approach to create and provide feedback regarding a patient's daily record, which can be accomplished through Internet use.

View Article: PubMed Central - PubMed

Affiliation: Department of Rehabilitation Science, University at Buffalo, Buffalo, New York, USA.

ABSTRACT
OBJECTIVES: To develop and test the effectiveness of an Internet-based self management program by multidisciplinary health care professionals for patients with heart failure (HF). METHODS: The comprehensive educational material for HF was created and posted on a website. A computer with Internet connection and computer training were provided first. A secure and simple web-based recording system of vital signs and health behaviors and a mechanism for feedback regarding each participant's record were developed. A randomized controlled trial with a one-year intervention was conducted using a total of 40 patients who were assessed three times in their homes. An intention-to-treat analysis used multivariate statistics. RESULTS: The treatment group had a high (85%) adherence to the intervention. Only the treatment group showed a significant improvement in the knowledge level (p < 0.001), amount of exercise (p = 0.001), and quality of life (p = 0.001), and reduction in HF related symptoms (dyspnea, p = 0.001; fatigue, p = 0.003; functional emotion, p < 0.001), blood pressure (systolic, p = 0.002; diastolic, p < 0.001), frequency of emergency room visit, and length of hospital stay (both p = 0.001). CONCLUSIONS: An effective program to change one's behaviors in managing HF takes a multidisciplinary approach to create and provide feedback regarding a patient's daily record, which can be accomplished through Internet use.

No MeSH data available.


Related in: MedlinePlus