WillowV1, Main, Corpus, bibRecord, 000F63

How Can eHealth Technology Address Challenges Related to Multimorbidity? Perspectives from Patients with Multiple Chronic Conditions.

Identifieur interne : 000F63 ( Main/Corpus ); précédent : 000F62; suivant : 000F64

How Can eHealth Technology Address Challenges Related to Multimorbidity? Perspectives from Patients with Multiple Chronic Conditions.

Auteurs : Donna M. Zulman ; Emily C. Jenchura ; Danielle M. Cohen ; Eleanor T. Lewis ; Thomas K. Houston ; Steven M. Asch

Source :

Journal of general internal medicine [ 1525-1497 ] ; 2015.

RBID : pubmed:25691239

English descriptors

KwdEn :
- Aged (MeSH), Chronic Disease (therapy), Comorbidity (MeSH), Consumer Health Information (methods), Female (MeSH), Focus Groups (MeSH), Health Surveys (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Patient-Centered Care (MeSH), Self Care (MeSH), Telemedicine (methods).
MESH :
- methods : Consumer Health Information, Telemedicine.
- therapy : Chronic Disease.
- Aged, Comorbidity, Female, Focus Groups, Health Surveys, Humans, Male, Middle Aged, Patient-Centered Care, Self Care.

Abstract

BACKGROUND

Patient eHealth technology offers potential support for disease self-management, but the value of existing applications for patients with multiple chronic conditions (MCCs) is unclear.

OBJECTIVES

To understand self-management and health care navigation challenges that patients face due to MCCs and to identify opportunities to support these patients through new and enhanced eHealth technology.

DESIGN

After administering a screening survey, we conducted 10 focus groups of 3-8 patients grouped by age, sex, and common chronic conditions. Patients discussed challenges associated with having MCCs and their use of (and desires from) technology to support self-management. Three investigators used standard content analysis methods to code the focus group transcripts. Emergent themes were reviewed with all collaborators, and final themes and representative quotes were validated with a sample of participants.

PARTICIPANTS

Fifty-three individuals with ≥3 chronic conditions and experience using technology for health-related purposes.

KEY RESULTS

Focus group participants had an average of five chronic conditions. Participants reported using technology most frequently to search for health information (96%), communicate with health care providers (92%), track medical information (83%), track medications (77%), and support decision-making about treatment (55%). Three themes emerged to guide eHealth technology development: (1) Patients with MCCs manage a high volume of information, visits, and self-care tasks; (2) they need to coordinate, synthesize, and reconcile health information from multiple providers and about different conditions; (3) their unique position at the hub of multiple health issues requires self-advocacy and expertise. Focus groups identified desirable eHealth resources and tools that reflect these themes.

CONCLUSIONS

Although patients with multiple health issues use eHealth technology to support self-care for specific conditions, they also desire tools that transcend disease boundaries. By addressing the holistic needs of patients with MCCs, eHealth technology can advance health care from a disease-centered to a patient-centered model.

DOI: 10.1007/s11606-015-3222-9
PubMed: 25691239
PubMed Central: PMC4510242

Links to Exploration step

pubmed:25691239

Le document en format XML

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<author><name sortKey="Zulman, Donna M" sort="Zulman, Donna M" uniqKey="Zulman D" first="Donna M" last="Zulman">Donna M. Zulman</name>
<affiliation><nlm:affiliation>Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, 795 Willow Road, 152 MPD, Menlo Park, CA, 94025, USA, dzulman@stanford.edu.</nlm:affiliation>
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<author><name sortKey="Jenchura, Emily C" sort="Jenchura, Emily C" uniqKey="Jenchura E" first="Emily C" last="Jenchura">Emily C. Jenchura</name>
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<author><name sortKey="Cohen, Danielle M" sort="Cohen, Danielle M" uniqKey="Cohen D" first="Danielle M" last="Cohen">Danielle M. Cohen</name>
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<author><name sortKey="Lewis, Eleanor T" sort="Lewis, Eleanor T" uniqKey="Lewis E" first="Eleanor T" last="Lewis">Eleanor T. Lewis</name>
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<author><name sortKey="Houston, Thomas K" sort="Houston, Thomas K" uniqKey="Houston T" first="Thomas K" last="Houston">Thomas K. Houston</name>
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<author><name sortKey="Asch, Steven M" sort="Asch, Steven M" uniqKey="Asch S" first="Steven M" last="Asch">Steven M. Asch</name>
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<author><name sortKey="Jenchura, Emily C" sort="Jenchura, Emily C" uniqKey="Jenchura E" first="Emily C" last="Jenchura">Emily C. Jenchura</name>
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<author><name sortKey="Cohen, Danielle M" sort="Cohen, Danielle M" uniqKey="Cohen D" first="Danielle M" last="Cohen">Danielle M. Cohen</name>
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<author><name sortKey="Lewis, Eleanor T" sort="Lewis, Eleanor T" uniqKey="Lewis E" first="Eleanor T" last="Lewis">Eleanor T. Lewis</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term>
<term>Chronic Disease (therapy)</term>
<term>Comorbidity (MeSH)</term>
<term>Consumer Health Information (methods)</term>
<term>Female (MeSH)</term>
<term>Focus Groups (MeSH)</term>
<term>Health Surveys (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Patient-Centered Care (MeSH)</term>
<term>Self Care (MeSH)</term>
<term>Telemedicine (methods)</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Consumer Health Information</term>
<term>Telemedicine</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Chronic Disease</term>
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<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Comorbidity</term>
<term>Female</term>
<term>Focus Groups</term>
<term>Health Surveys</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>Patient eHealth technology offers potential support for disease self-management, but the value of existing applications for patients with multiple chronic conditions (MCCs) is unclear.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b>
</p>
<p>To understand self-management and health care navigation challenges that patients face due to MCCs and to identify opportunities to support these patients through new and enhanced eHealth technology.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>DESIGN</b>
</p>
<p>After administering a screening survey, we conducted 10 focus groups of 3-8 patients grouped by age, sex, and common chronic conditions. Patients discussed challenges associated with having MCCs and their use of (and desires from) technology to support self-management. Three investigators used standard content analysis methods to code the focus group transcripts. Emergent themes were reviewed with all collaborators, and final themes and representative quotes were validated with a sample of participants.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>PARTICIPANTS</b>
</p>
<p>Fifty-three individuals with ≥3 chronic conditions and experience using technology for health-related purposes.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>KEY RESULTS</b>
</p>
<p>Focus group participants had an average of five chronic conditions. Participants reported using technology most frequently to search for health information (96%), communicate with health care providers (92%), track medical information (83%), track medications (77%), and support decision-making about treatment (55%). Three themes emerged to guide eHealth technology development: (1) Patients with MCCs manage a high volume of information, visits, and self-care tasks; (2) they need to coordinate, synthesize, and reconcile health information from multiple providers and about different conditions; (3) their unique position at the hub of multiple health issues requires self-advocacy and expertise. Focus groups identified desirable eHealth resources and tools that reflect these themes.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>Although patients with multiple health issues use eHealth technology to support self-care for specific conditions, they also desire tools that transcend disease boundaries. By addressing the holistic needs of patients with MCCs, eHealth technology can advance health care from a disease-centered to a patient-centered model.</p>
</div>
</front>
</TEI>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Patient eHealth technology offers potential support for disease self-management, but the value of existing applications for patients with multiple chronic conditions (MCCs) is unclear.</AbstractText>
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<AbstractText Label="DESIGN" NlmCategory="METHODS">After administering a screening survey, we conducted 10 focus groups of 3-8 patients grouped by age, sex, and common chronic conditions. Patients discussed challenges associated with having MCCs and their use of (and desires from) technology to support self-management. Three investigators used standard content analysis methods to code the focus group transcripts. Emergent themes were reviewed with all collaborators, and final themes and representative quotes were validated with a sample of participants.</AbstractText>
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<ForeName>Donna M</ForeName>
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How Can eHealth Technology Address Challenges Related to Multimorbidity? Perspectives from Patients with Multiple Chronic Conditions.

How Can eHealth Technology Address Challenges Related to Multimorbidity? Perspectives from Patients with Multiple Chronic Conditions.

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Abstract

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