Older Patients' Perspectives of Online Health Approaches in Chronic Obstructive Pulmonary Disease

Disler, RT; Inglis, SC; Newton, P; Currow, DC; MacDonald, PS; Glanville, AR; Donesky, D; Carrieri-Kohlman, V; Davidson, PM

Older Patients' Perspectives of Online Health Approaches in Chronic Obstructive Pulmonary Disease

Disler, RT

Inglis, SC Newton, P

Currow, DC

MacDonald, PS

Glanville, AR Donesky, D Carrieri-Kohlman, V Davidson, PM

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Publication Type:: Journal Article
Citation:: Telemedicine and e-Health, 2019, 25 (9), pp. 840 - 846
Issue Date:: 2019-09-01

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Field	Value	Language
dc.contributor.author	Disler, RT https://orcid.org/0000-0003-3084-1516	en_US
dc.contributor.author	Inglis, SC	en_US
dc.contributor.author	Newton, P https://orcid.org/0000-0002-5006-2037	en_US
dc.contributor.author	Currow, DC https://orcid.org/0000-0003-1988-1250	en_US
dc.contributor.author	MacDonald, PS https://orcid.org/0000-0001-5378-2825	en_US
dc.contributor.author	Glanville, AR	en_US
dc.contributor.author	Donesky, D	en_US
dc.contributor.author	Carrieri-Kohlman, V	en_US
dc.contributor.author	Davidson, PM	en_US
dc.date.issued	2019-09-01	en_US
dc.identifier.citation	Telemedicine and e-Health, 2019, 25 (9), pp. 840 - 846	en_US
dc.identifier.issn	1530-5627	en_US
dc.identifier.uri	http://hdl.handle.net/10453/131038
dc.description.abstract	© Copyright 2019, Mary Ann Liebert, Inc., publishers 2019. Background: Chronic obstructive pulmonary disease (COPD) is a complex, chronic condition. Patients commonly have limited access to face-to-face support due to decreased mobility, symptom burden, and availability of services. Online health care approaches provide the potential for increased access to self-management education and support. This study sought to understand older patients with COPD's perspectives of online approaches to health care. Materials and Methods: Participants older than 65 years were recruited from a respiratory service at an academic medical center. Qualitative, focus groups were used and recorded, transcribed verbatim, and analyzed using thematic analysis to identify key and repeated emergent themes. Results: Focus groups were undertaken between January and May 2014. Thematic analysis resulted in five overall themes: (1) concern over risks in the online environment; (2) multimedia and technology use as part of everyday life; (3) online resources as an opportunity for revision of forgotten knowledge; (5) potential for facilitation of decision-making support across geographical and physical barriers; and (4) perceived benefits of online peer support for people with COPD. Conclusions: Overall, these older participants with COPD had positive views of online health information, but did raise the need for guidance to ensure valid and reliable online sources. The capacity for online sources to increase access to decision support and up-to-date information was viewed positively, as was the ability to interact with peers who had similar experiences. Telecommunication tools and approaches are already being utilized in health care interactions. Further research is required into the most appropriate, feasible, and sustainable online health approaches to support patients with chronic illnesses such as COPD.	en_US
dc.relation.ispartof	Telemedicine and e-Health	en_US
dc.relation.isbasedon	10.1089/tmj.2018.0098	en_US
dc.subject.classification	Medical Informatics	en_US
dc.title	Older Patients' Perspectives of Online Health Approaches in Chronic Obstructive Pulmonary Disease	en_US
dc.type	Journal Article
utslib.citation.volume	9	en_US
utslib.citation.volume	25	en_US
utslib.for	0807 Library and Information Studies	en_US
utslib.for	0903 Biomedical Engineering	en_US
utslib.for	1117 Public Health and Health Services	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	open_access
pubs.issue	9	en_US
pubs.publication-status	Published	en_US
pubs.volume	25	en_US

Abstract:

© Copyright 2019, Mary Ann Liebert, Inc., publishers 2019. Background: Chronic obstructive pulmonary disease (COPD) is a complex, chronic condition. Patients commonly have limited access to face-to-face support due to decreased mobility, symptom burden, and availability of services. Online health care approaches provide the potential for increased access to self-management education and support. This study sought to understand older patients with COPD's perspectives of online approaches to health care. Materials and Methods: Participants older than 65 years were recruited from a respiratory service at an academic medical center. Qualitative, focus groups were used and recorded, transcribed verbatim, and analyzed using thematic analysis to identify key and repeated emergent themes. Results: Focus groups were undertaken between January and May 2014. Thematic analysis resulted in five overall themes: (1) concern over risks in the online environment; (2) multimedia and technology use as part of everyday life; (3) online resources as an opportunity for revision of forgotten knowledge; (5) potential for facilitation of decision-making support across geographical and physical barriers; and (4) perceived benefits of online peer support for people with COPD. Conclusions: Overall, these older participants with COPD had positive views of online health information, but did raise the need for guidance to ensure valid and reliable online sources. The capacity for online sources to increase access to decision support and up-to-date information was viewed positively, as was the ability to interact with peers who had similar experiences. Telecommunication tools and approaches are already being utilized in health care interactions. Further research is required into the most appropriate, feasible, and sustainable online health approaches to support patients with chronic illnesses such as COPD.

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http://hdl.handle.net/10453/131038