Design and Development of a Telerehabilitation Self-Management Program for Persons with Chronic Lower Limb Swelling and Mobility Limitations: Preliminary Evidence
Identifieur interne : 005413 ( Ncbi/Merge ); précédent : 005412; suivant : 005414Design and Development of a Telerehabilitation Self-Management Program for Persons with Chronic Lower Limb Swelling and Mobility Limitations: Preliminary Evidence
Auteurs : Becky L. Faett [États-Unis] ; Mary Jo Geyer [États-Unis] ; Leslie A. Hoffman [États-Unis] ; David M. Brienza [États-Unis]Source :
- Nursing Research and Practice [ 2090-1429 ] ; 2012.
Abstract
This paper describes design and development of a self-management program, delivered by telerehabilitation (TR), to address the problem of chronic lower limb swelling in persons with limited mobility. The 18.6 million persons with limited mobility in the USA are at increased risk for chronic lower limb swelling and related secondary complications, including cellulitis and skin ulcers. Over time, chronic swelling often progresses to lymphedema, an incurable condition requiring lifelong care. Without successful self-management, lymphedema and its related complications inevitably worsen. Access and adherence to appropriate treatment are challenging for persons with limited mobility. Program development involved a structured process to establish content validity (videos and manuals), readability, suitability, and selection of a TR platform to deliver the educational program. Our goal was to develop a program that would engage patients in self-management skills. The TR software platform chosen, Versatile and Integrated System for Telerehabilitation (VISYTER) was designed to facilitate face-to-face delivery of an interactive home-based self-management program via the internet in real time. Results demonstrated validity of the educational program and ease of use with TR. Future plans are to evaluate ability of this approach to promote self-management skills, home monitoring, and improved management of persons with lymphedema and limited mobility.
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DOI: 10.1155/2012/608059
PubMed: 23227323
PubMed Central: 3514836
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Faett</name><affiliation wicri:level="4"><nlm:aff id="I1">Department of Rehabilitation Science and Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh, Suite 401, 6425 Penn Avenue, Pittsburgh, PA 15206, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Rehabilitation Science and Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh, Suite 401, 6425 Penn Avenue, Pittsburgh, PA 15206</wicri:regionArea><orgName type="university">Université de Pittsburgh</orgName><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Geyer, Mary Jo" sort="Geyer, Mary Jo" uniqKey="Geyer M" first="Mary Jo" last="Geyer">Mary Jo Geyer</name><affiliation wicri:level="4"><nlm:aff id="I1">Department of Rehabilitation Science and Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh, Suite 401, 6425 Penn Avenue, Pittsburgh, PA 15206, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Rehabilitation Science and Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh, Suite 401, 6425 Penn Avenue, Pittsburgh, PA 15206</wicri:regionArea><orgName type="university">Université de Pittsburgh</orgName><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Hoffman, Leslie A" sort="Hoffman, Leslie A" uniqKey="Hoffman L" first="Leslie A." last="Hoffman">Leslie A. Hoffman</name><affiliation wicri:level="4"><nlm:aff id="I2">Department of Acute and Tertiary Care, School of Nursing, University of Pittsburgh, 336 Victoria Building, 3500 Victoria Street, Pittsburgh, PA 15261, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Acute and Tertiary Care, School of Nursing, University of Pittsburgh, 336 Victoria Building, 3500 Victoria Street, Pittsburgh, PA 15261</wicri:regionArea><orgName type="university">Université de Pittsburgh</orgName><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Brienza, David M" sort="Brienza, David M" uniqKey="Brienza D" first="David M." last="Brienza">David M. Brienza</name><affiliation wicri:level="4"><nlm:aff id="I1">Department of Rehabilitation Science and Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh, Suite 401, 6425 Penn Avenue, Pittsburgh, PA 15206, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Rehabilitation Science and Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh, Suite 401, 6425 Penn Avenue, Pittsburgh, PA 15206</wicri:regionArea><orgName type="university">Université de Pittsburgh</orgName><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName></affiliation></author></analytic><series><title level="j">Nursing Research and Practice</title><idno type="ISSN">2090-1429</idno><idno type="eISSN">2090-1437</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>This paper describes design and development of a self-management program, delivered by telerehabilitation (TR), to address the problem of chronic lower limb swelling in persons with limited mobility. The 18.6 million persons with limited mobility in the USA are at increased risk for chronic lower limb swelling and related secondary complications, including cellulitis and skin ulcers. Over time, chronic swelling often progresses to lymphedema, an incurable condition requiring lifelong care. Without successful self-management, lymphedema and its related complications inevitably worsen. Access and adherence to appropriate treatment are challenging for persons with limited mobility.
Program development involved a structured process to establish content validity (videos and manuals), readability, suitability, and selection of a TR platform to deliver the educational program. Our goal was to develop a program that would engage patients in self-management skills. The TR software platform chosen, Versatile and Integrated System for Telerehabilitation (VISYTER) was designed to facilitate face-to-face delivery of an interactive home-based self-management program via the internet in real time. Results demonstrated validity of the educational program and ease of use with TR. Future plans are to evaluate ability of this approach to promote self-management skills, home monitoring, and improved management of persons with lymphedema and limited mobility.
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Evidence</title><author><name sortKey="Faett, Becky L" sort="Faett, Becky L" uniqKey="Faett B" first="Becky L." last="Faett">Becky L. Faett</name><affiliation wicri:level="4"><nlm:aff id="I1">Department of Rehabilitation Science and Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh, Suite 401, 6425 Penn Avenue, Pittsburgh, PA 15206, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Rehabilitation Science and Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh, Suite 401, 6425 Penn Avenue, Pittsburgh, PA 15206</wicri:regionArea><orgName type="university">Université de Pittsburgh</orgName><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Geyer, Mary Jo" sort="Geyer, Mary Jo" uniqKey="Geyer M" first="Mary Jo" last="Geyer">Mary Jo Geyer</name><affiliation wicri:level="4"><nlm:aff id="I1">Department of Rehabilitation Science and Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh, Suite 401, 6425 Penn Avenue, Pittsburgh, PA 15206, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Rehabilitation Science and Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh, Suite 401, 6425 Penn Avenue, Pittsburgh, PA 15206</wicri:regionArea><orgName type="university">Université de Pittsburgh</orgName><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Hoffman, Leslie A" sort="Hoffman, Leslie A" uniqKey="Hoffman L" first="Leslie A." last="Hoffman">Leslie A. Hoffman</name><affiliation wicri:level="4"><nlm:aff id="I2">Department of Acute and Tertiary Care, School of Nursing, University of Pittsburgh, 336 Victoria Building, 3500 Victoria Street, Pittsburgh, PA 15261, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Acute and Tertiary Care, School of Nursing, University of Pittsburgh, 336 Victoria Building, 3500 Victoria Street, Pittsburgh, PA 15261</wicri:regionArea><orgName type="university">Université de Pittsburgh</orgName><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Brienza, David M" sort="Brienza, David M" uniqKey="Brienza D" first="David M." last="Brienza">David M. Brienza</name><affiliation wicri:level="4"><nlm:aff id="I1">Department of Rehabilitation Science and Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh, Suite 401, 6425 Penn Avenue, Pittsburgh, PA 15206, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Rehabilitation Science and Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh, Suite 401, 6425 Penn Avenue, Pittsburgh, PA 15206</wicri:regionArea><orgName type="university">Université de Pittsburgh</orgName><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23227323</idno><idno type="pmc">3514836</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3514836</idno><idno type="RBID">PMC:3514836</idno><idno type="doi">10.1155/2012/608059</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">004230</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">004230</idno><idno type="wicri:Area/Pmc/Curation">004229</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">004229</idno><idno type="wicri:Area/Pmc/Checkpoint">002A65</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002A65</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Design and Development of a Telerehabilitation Self-Management Program for Persons with Chronic Lower Limb Swelling and Mobility Limitations: Preliminary Evidence</title><author><name sortKey="Faett, Becky L" sort="Faett, Becky L" uniqKey="Faett B" first="Becky L." last="Faett">Becky L. Faett</name><affiliation wicri:level="4"><nlm:aff id="I1">Department of Rehabilitation Science and Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh, Suite 401, 6425 Penn Avenue, Pittsburgh, PA 15206, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Rehabilitation Science and Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh, Suite 401, 6425 Penn Avenue, Pittsburgh, PA 15206</wicri:regionArea><orgName type="university">Université de Pittsburgh</orgName><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Geyer, Mary Jo" sort="Geyer, Mary Jo" uniqKey="Geyer M" first="Mary Jo" last="Geyer">Mary Jo Geyer</name><affiliation wicri:level="4"><nlm:aff id="I1">Department of Rehabilitation Science and Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh, Suite 401, 6425 Penn Avenue, Pittsburgh, PA 15206, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Rehabilitation Science and Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh, Suite 401, 6425 Penn Avenue, Pittsburgh, PA 15206</wicri:regionArea><orgName type="university">Université de Pittsburgh</orgName><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Hoffman, Leslie A" sort="Hoffman, Leslie A" uniqKey="Hoffman L" first="Leslie A." last="Hoffman">Leslie A. Hoffman</name><affiliation wicri:level="4"><nlm:aff id="I2">Department of Acute and Tertiary Care, School of Nursing, University of Pittsburgh, 336 Victoria Building, 3500 Victoria Street, Pittsburgh, PA 15261, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Acute and Tertiary Care, School of Nursing, University of Pittsburgh, 336 Victoria Building, 3500 Victoria Street, Pittsburgh, PA 15261</wicri:regionArea><orgName type="university">Université de Pittsburgh</orgName><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Brienza, David M" sort="Brienza, David M" uniqKey="Brienza D" first="David M." last="Brienza">David M. Brienza</name><affiliation wicri:level="4"><nlm:aff id="I1">Department of Rehabilitation Science and Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh, Suite 401, 6425 Penn Avenue, Pittsburgh, PA 15206, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Rehabilitation Science and Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh, Suite 401, 6425 Penn Avenue, Pittsburgh, PA 15206</wicri:regionArea><orgName type="university">Université de Pittsburgh</orgName><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName></affiliation></author></analytic><series><title level="j">Nursing Research and Practice</title><idno type="ISSN">2090-1429</idno><idno type="eISSN">2090-1437</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>This paper describes design and development of a self-management program, delivered by telerehabilitation (TR), to address the problem of chronic lower limb swelling in persons with limited mobility. The 18.6 million persons with limited mobility in the USA are at increased risk for chronic lower limb swelling and related secondary complications, including cellulitis and skin ulcers. Over time, chronic swelling often progresses to lymphedema, an incurable condition requiring lifelong care. Without successful self-management, lymphedema and its related complications inevitably worsen. Access and adherence to appropriate treatment are challenging for persons with limited mobility.
Program development involved a structured process to establish content validity (videos and manuals), readability, suitability, and selection of a TR platform to deliver the educational program. Our goal was to develop a program that would engage patients in self-management skills. The TR software platform chosen, Versatile and Integrated System for Telerehabilitation (VISYTER) was designed to facilitate face-to-face delivery of an interactive home-based self-management program via the internet in real time. Results demonstrated validity of the educational program and ease of use with TR. Future plans are to evaluate ability of this approach to promote self-management skills, home monitoring, and improved management of persons with lymphedema and limited mobility.
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sortKey="Faett, Becky L" sort="Faett, Becky L" uniqKey="Faett B" first="Becky L" last="Faett">Becky L. Faett</name><affiliation wicri:level="4"><nlm:affiliation>Department of Rehabilitation Science and Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh, Suite 401, 6425 Penn Avenue, Pittsburgh, PA 15206, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Rehabilitation Science and Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh, Suite 401, 6425 Penn Avenue, Pittsburgh, PA 15206</wicri:regionArea><placeName><region type="state">Pennsylvanie</region><settlement type="city">Pittsburgh</settlement></placeName><orgName type="university">Université de Pittsburgh</orgName></affiliation></author><author><name sortKey="Geyer, Mary Jo" sort="Geyer, Mary Jo" uniqKey="Geyer M" first="Mary Jo" last="Geyer">Mary Jo Geyer</name></author><author><name sortKey="Hoffman, Leslie A" sort="Hoffman, Leslie A" uniqKey="Hoffman L" first="Leslie A" last="Hoffman">Leslie A. Hoffman</name></author><author><name sortKey="Brienza, David M" sort="Brienza, David M" uniqKey="Brienza D" first="David M" last="Brienza">David M. Brienza</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2012">2012</date><idno type="RBID">pubmed:23227323</idno><idno type="pmid">23227323</idno><idno type="doi">10.1155/2012/608059</idno><idno type="wicri:Area/PubMed/Corpus">001E14</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001E14</idno><idno type="wicri:Area/PubMed/Curation">001E14</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001E14</idno><idno type="wicri:Area/PubMed/Checkpoint">001E14</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001E14</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Design and development of a telerehabilitation self-management program for persons with chronic lower limb swelling and mobility limitations: preliminary evidence.</title><author><name sortKey="Faett, Becky L" sort="Faett, Becky L" uniqKey="Faett B" first="Becky L" last="Faett">Becky L. Faett</name><affiliation wicri:level="4"><nlm:affiliation>Department of Rehabilitation Science and Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh, Suite 401, 6425 Penn Avenue, Pittsburgh, PA 15206, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Rehabilitation Science and Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh, Suite 401, 6425 Penn Avenue, Pittsburgh, PA 15206</wicri:regionArea><placeName><region type="state">Pennsylvanie</region><settlement type="city">Pittsburgh</settlement></placeName><orgName type="university">Université de Pittsburgh</orgName></affiliation></author><author><name sortKey="Geyer, Mary Jo" sort="Geyer, Mary Jo" uniqKey="Geyer M" first="Mary Jo" last="Geyer">Mary Jo Geyer</name></author><author><name sortKey="Hoffman, Leslie A" sort="Hoffman, Leslie A" uniqKey="Hoffman L" first="Leslie A" last="Hoffman">Leslie A. Hoffman</name></author><author><name sortKey="Brienza, David M" sort="Brienza, David M" uniqKey="Brienza D" first="David M" last="Brienza">David M. Brienza</name></author></analytic><series><title level="j">Nursing research and practice</title><idno type="eISSN">2090-1437</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This paper describes design and development of a self-management program, delivered by telerehabilitation (TR), to address the problem of chronic lower limb swelling in persons with limited mobility. The 18.6 million persons with limited mobility in the USA are at increased risk for chronic lower limb swelling and related secondary complications, including cellulitis and skin ulcers. Over time, chronic swelling often progresses to lymphedema, an incurable condition requiring lifelong care. Without successful self-management, lymphedema and its related complications inevitably worsen. Access and adherence to appropriate treatment are challenging for persons with limited mobility. Program development involved a structured process to establish content validity (videos and manuals), readability, suitability, and selection of a TR platform to deliver the educational program. Our goal was to develop a program that would engage patients in self-management skills. The TR software platform chosen, Versatile and Integrated System for Telerehabilitation (VISYTER) was designed to facilitate face-to-face delivery of an interactive home-based self-management program via the internet in real time. Results demonstrated validity of the educational program and ease of use with TR. Future plans are to evaluate ability of this approach to promote self-management skills, home monitoring, and improved management of persons with lymphedema and limited mobility.</div></front></TEI></pubmed></double></record>Pour manipuler ce document sous Unix (Dilib)
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