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Evaluation of the n...
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
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- Storm, Marianne (author)
- Univ Stavanger, Norway; Molde Univ Coll, Norway; Stavanger Univ Hosp, Norway
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- Morken, Ingvild Margreta (author)
- Stavanger Univ Hosp, Norway; Univ Stavanger, Norway
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- Austin, Rosalynn C. (author)
- Univ Stavanger, Norway; Portsmouth Hosp Univ NHS Trust, England; Natl Inst Hlth & Care Res NIHR, England
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- Nordfonn, Oda (author)
- Western Norway Univ Appl Sci, Norway
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- Wathne, Hege Bjokne (author)
- Univ Stavanger, Norway
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- Urstad, Kristin Hjorthaug (author)
- Univ Stavanger, Norway; VID Specialized Univ, Norway
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- Karlsen, Bjorg (author)
- Univ Stavanger, Norway
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- Dalen, Ingvild (author)
- Univ Stavanger, Norway; Stavanger Univ Hosp, Norway
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- Gjeilo, Kari Hanne (author)
- NTNU Norwegian Univ Sci & Technol, Norway; Trondheim Reg & Univ Hosp, Norway
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- Richardson, Alison (author)
- Natl Inst Hlth & Care Res NIHR, England; Univ Hosp Southampton NHS Fdn Trust, England
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- Elwyn, Glyn (author)
- Dartmouth Coll, NH USA
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- Bru, Edvin (author)
- Univ Stavanger, Norway
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- Soreide, Jon Arne (author)
- Stavanger Univ Hosp, Norway; Univ Bergen, Norway
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- Korner, Hartwig (author)
- Stavanger Univ Hosp, Norway; Univ Bergen, Norway
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- Mo, Rune (author)
- St Olavs Hosp, Norway; Trondheim Reg & Univ Hosp, Norway; NTNU Norwegian Univ Sci & Technol, Norway
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- Strömberg, Anna (author)
- Linköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US
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- Luras, Hilde (author)
- Akershus Univ Hosp, Norway; Univ Oslo, Norway
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- Husebo, Anne Marie Lunde (author)
- Univ Stavanger, Norway; Stavanger Univ Hosp, Norway
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(creator_code:org_t)
- BMC, 2024
- 2024
- English.
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In: BMC Health Services Research. - : BMC. - 1472-6963. ; 24:1
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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- 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).
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Keyword
- Heart failure; Colorectal cancer; Self-efficacy; eHealth; Randomised controlled trial; Hospital discharge; Protocol
Publication and Content Type
- ref (subject category)
- art (subject category)
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Storm, Marianne
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Morken, Ingvild ...
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Austin, Rosalynn ...
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Nordfonn, Oda
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Wathne, Hege Bjo ...
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Urstad, Kristin ...
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Karlsen, Bjorg
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Dalen, Ingvild
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Gjeilo, Kari Han ...
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Richardson, Alis ...
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Elwyn, Glyn
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Bru, Edvin
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Soreide, Jon Arn ...
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Korner, Hartwig
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Mo, Rune
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Strömberg, Anna
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Luras, Hilde
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Husebo, Anne Mar ...
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Linköping University