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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00005749naa a2200505 4500
001oai:DiVA.org:liu-200993
003SwePub
008240222s2024 | |||||||||||000 ||eng|
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-2009932 URI
0247 a https://doi.org/10.1186/s12913-023-10508-52 DOI
040 a (SwePub)liu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Storm, Marianneu Univ Stavanger, Norway; Molde Univ Coll, Norway; Stavanger Univ Hosp, Norway4 aut
2451 0a 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
264 1b BMC,c 2024
338 a print2 rdacarrier
500 a Funding Agencies|Norges Forskningsrd
520 a 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).
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi0 (SwePub)303012 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Health Care Service and Management, Health Policy and Services and Health Economy0 (SwePub)303012 hsv//eng
653 a Heart failure; Colorectal cancer; Self-efficacy; eHealth; Randomised controlled trial; Hospital discharge; Protocol
7001 a Morken, Ingvild Margretau Stavanger Univ Hosp, Norway; Univ Stavanger, Norway4 aut
7001 a Austin, Rosalynn C.u Univ Stavanger, Norway; Portsmouth Hosp Univ NHS Trust, England; Natl Inst Hlth & Care Res NIHR, England4 aut
7001 a Nordfonn, Odau Western Norway Univ Appl Sci, Norway4 aut
7001 a Wathne, Hege Bjokneu Univ Stavanger, Norway4 aut
7001 a Urstad, Kristin Hjorthaugu Univ Stavanger, Norway; VID Specialized Univ, Norway4 aut
7001 a Karlsen, Bjorgu Univ Stavanger, Norway4 aut
7001 a Dalen, Ingvildu Univ Stavanger, Norway; Stavanger Univ Hosp, Norway4 aut
7001 a Gjeilo, Kari Hanneu NTNU Norwegian Univ Sci & Technol, Norway; Trondheim Reg & Univ Hosp, Norway4 aut
7001 a Richardson, Alisonu Natl Inst Hlth & Care Res NIHR, England; Univ Hosp Southampton NHS Fdn Trust, England4 aut
7001 a Elwyn, Glynu Dartmouth Coll, NH USA4 aut
7001 a Bru, Edvinu Univ Stavanger, Norway4 aut
7001 a Soreide, Jon Arneu Stavanger Univ Hosp, Norway; Univ Bergen, Norway4 aut
7001 a Korner, Hartwigu Stavanger Univ Hosp, Norway; Univ Bergen, Norway4 aut
7001 a Mo, Runeu St Olavs Hosp, Norway; Trondheim Reg & Univ Hosp, Norway; NTNU Norwegian Univ Sci & Technol, Norway4 aut
7001 a Strömberg, Annau Linköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US4 aut0 (Swepub:liu)annst40
7001 a Luras, Hildeu Akershus Univ Hosp, Norway; Univ Oslo, Norway4 aut
7001 a Husebo, Anne Marie Lundeu Univ Stavanger, Norway; Stavanger Univ Hosp, Norway4 aut
7102 a Univ Stavanger, Norway; Molde Univ Coll, Norway; Stavanger Univ Hosp, Norwayb Stavanger Univ Hosp, Norway; Univ Stavanger, Norway4 org
7730 t BMC Health Services Researchd : BMCg 24:1q 24:1x 1472-6963
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-200993
8564 8u https://doi.org/10.1186/s12913-023-10508-5

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