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  • Storm, MarianneUniv Stavanger, Norway; Molde Univ Coll, Norway; Stavanger Univ Hosp, Norway (author)

Evaluation of the nurse-assisted eHealth intervention 'eHealth@Hospital-2-Home' on self-care by patients with heart failure and colorectal cancer post-hospital discharge: protocol for a randomised controlled trial

  • Article/chapterEnglish2024

Publisher, publication year, extent ...

  • BMC,2024
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:liu-200993
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-200993URI
  • https://doi.org/10.1186/s12913-023-10508-5DOI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Funding Agencies|Norges Forskningsrd
  • BackgroundPatients with heart failure (HF) and colorectal cancer (CRC) are prone to comorbidity, a high rate of readmission, and complex healthcare needs. Self-care for people with HF and CRC after hospitalisation can be challenging, and patients may leave the hospital unprepared to self-manage their disease at home. eHealth solutions may be a beneficial tool to engage patients in self-care.MethodsA randomised controlled trial with an embedded evaluation of intervention engagement and cost-effectiveness will be conducted to investigate the effect of eHealth intervention after hospital discharge on the self-efficacy of self-care. Eligible patients with HF or CRC will be recruited before discharge from two Norwegian university hospitals. The intervention group will use a nurse-assisted intervention-eHealth@Hospital-2-Home-for six weeks. The intervention includes remote monitoring of vital signs; patients' self-reports of symptoms, health and well-being; secure messaging between patients and hospital-based nurse navigators; and access to specific HF and CRC health-related information. The control group will receive routine care. Data collection will take place before the intervention (baseline), at the end of the intervention (Post-1), and at six months (Post-2). The primary outcome will be self-efficacy in self-care. The secondary outcomes will include measures of burden of treatment, health-related quality of life and 30- and 90-day readmissions. Sub-study analyses are planned in the HF patient population with primary outcomes of self-care behaviour and secondary outcomes of medication adherence, and readmission at 30 days, 90 days and 6 months. Patients' and nurse navigators' engagement and experiences with the eHealth intervention and cost-effectiveness will be investigated. Data will be analysed according to intention-to-treat principles. Qualitative data will be analysed using thematic analysis.DiscussionThis protocol will examine the effects of the eHealth@ Hospital-2-Home intervention on self-care in two prevalent patient groups, HF and CRC. It will allow the exploration of a generic framework for an eHealth intervention after hospital discharge, which could be adapted to other patient groups, upscaled, and implemented into clinical practice.Trial registrationClinical trials.gov (ID 301472).

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Added entries (persons, corporate bodies, meetings, titles ...)

  • Morken, Ingvild MargretaStavanger Univ Hosp, Norway; Univ Stavanger, Norway (author)
  • Austin, Rosalynn C.Univ Stavanger, Norway; Portsmouth Hosp Univ NHS Trust, England; Natl Inst Hlth & Care Res NIHR, England (author)
  • Nordfonn, OdaWestern Norway Univ Appl Sci, Norway (author)
  • Wathne, Hege BjokneUniv Stavanger, Norway (author)
  • Urstad, Kristin HjorthaugUniv Stavanger, Norway; VID Specialized Univ, Norway (author)
  • Karlsen, BjorgUniv Stavanger, Norway (author)
  • Dalen, IngvildUniv Stavanger, Norway; Stavanger Univ Hosp, Norway (author)
  • Gjeilo, Kari HanneNTNU Norwegian Univ Sci & Technol, Norway; Trondheim Reg & Univ Hosp, Norway (author)
  • Richardson, AlisonNatl Inst Hlth & Care Res NIHR, England; Univ Hosp Southampton NHS Fdn Trust, England (author)
  • Elwyn, GlynDartmouth Coll, NH USA (author)
  • Bru, EdvinUniv Stavanger, Norway (author)
  • Soreide, Jon ArneStavanger Univ Hosp, Norway; Univ Bergen, Norway (author)
  • Korner, HartwigStavanger Univ Hosp, Norway; Univ Bergen, Norway (author)
  • Mo, RuneSt Olavs Hosp, Norway; Trondheim Reg & Univ Hosp, Norway; NTNU Norwegian Univ Sci & Technol, Norway (author)
  • Strömberg, AnnaLinköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US(Swepub:liu)annst40 (author)
  • Luras, HildeAkershus Univ Hosp, Norway; Univ Oslo, Norway (author)
  • Husebo, Anne Marie LundeUniv Stavanger, Norway; Stavanger Univ Hosp, Norway (author)
  • Univ Stavanger, Norway; Molde Univ Coll, Norway; Stavanger Univ Hosp, NorwayStavanger Univ Hosp, Norway; Univ Stavanger, Norway (creator_code:org_t)

Related titles

  • In:BMC Health Services Research: BMC24:11472-6963

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