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dc.contributor.authorSheaves, B
dc.contributor.authorJones, Ray
dc.contributor.authorWilliamson, Graham
dc.contributor.authorChauhan, R
dc.date.accessioned2016-10-10T09:34:15Z
dc.date.available2016-10-10T09:34:15Z
dc.date.issued2011-12
dc.identifier.issn1472-6947
dc.identifier.issn1472-6947
dc.identifier.other20
dc.identifier.urihttp://hdl.handle.net/10026.1/6493
dc.description.abstract

<jats:title>Abstract</jats:title> <jats:sec> <jats:title>Background</jats:title> <jats:p>Use of the Internet for people with Long Term Conditions (LTCs) can have a positive effect on knowledge, social support, behavioural and clinical outcomes, yet there is concern that a 'digital divide' prevents some patients from benefitting. While some patients do not have access to the Internet, others that do may still lack expertise or the confidence to make full use of it. The aim of this pilot study was to develop an intervention and test methods for a definitive randomised controlled trial (RCT) of anonymous personal online email support for patients in this latter group.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>Recruitment success was evaluated by the number and appropriateness of participants recruited. A personalised e-health support intervention was developed. The provisional primary outcome was the extent to which the Internet affected the participants' confidence in dealing with their LTC. Primary outcome, seven process measures and two secondary outcomes measures were evaluated for completeness of data and sensitivity to detect changes.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>Thirty nine participants were recruited, 29 after personally receiving a leaflet, seven via email advertising, and three via leaflets left in waiting areas. Most participants (61%) were aged over 60. The majority (21/38) rated themselves as experienced Internet users although only 5/38 had used discussion forums for their LTC. Piloting the intervention identified support needed as: (i) technical help with some websites, (ii) advice about issues such as anonymity, (iii) help in judging information quality, (iv) identification of relevant information (via 'Information Prescriptions'), (v) motivational support to try new sites. Attrition was fairly high: 20/39 completed follow up questionnaires. Three process measures showed ceiling effects and two had too many missing values to be useable.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusion</jats:title> <jats:p>E-health support is a promising way of addressing the problems faced by older generation e-health seekers. Face-to-face leaflet distribution recruited sufficient numbers but additional locations other than hospital should be tried to recruit Internet novices with LTCs. An RCT is feasible and necessary to evaluate the potential benefits of anonymous email support. Our methods could be used by other researchers studying Internet use by people with LTCs.</jats:p> </jats:sec>

dc.format.extent20-
dc.format.mediumElectronic
dc.languageen
dc.language.isoeng
dc.publisherSpringer Science and Business Media LLC
dc.subjectAdult
dc.subjectChronic Disease
dc.subjectElectronic Mail
dc.subjectEngland
dc.subjectHumans
dc.subjectInternet
dc.subjectMiddle Aged
dc.subjectPatient Education as Topic
dc.subjectPilot Projects
dc.subjectSocial Support
dc.subjectSocioeconomic Factors
dc.subjectSurveys and Questionnaires
dc.titlePhase 1 pilot study of e-mail support for people with long term conditions using the Internet
dc.typejournal-article
dc.typeJournal Article
dc.typeRandomized Controlled Trial
dc.typeResearch Support, Non-U.S. Gov't
plymouth.author-urlhttps://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000289625900001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008
plymouth.issue1
plymouth.volume11
plymouth.publication-statusPublished
plymouth.journalBMC Medical Informatics and Decision Making
dc.identifier.doi10.1186/1472-6947-11-20
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/School of Nursing and Midwifery
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/Institute of Health and Community
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dc.publisher.placeEngland
dcterms.dateAccepted2011-04-05
dc.identifier.eissn1472-6947
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.1186/1472-6947-11-20
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2011-04-05
rioxxterms.typeJournal Article/Review


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