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Teaching Self-Management Skills in Persons with Chronic Lower Limb Swelling and Limited Mobility: Evidence for Usability of Telerehabilitation

Identifieur interne : 007342 ( Ncbi/Merge ); précédent : 007341; suivant : 007343

Teaching Self-Management Skills in Persons with Chronic Lower Limb Swelling and Limited Mobility: Evidence for Usability of Telerehabilitation

Auteurs : Becky L. Faett [États-Unis] ; David M. Brienza [États-Unis] ; Mary Jo Geyer [États-Unis] ; Leslie A. Hoffman [États-Unis]

Source :

RBID : PMC:4296833

Abstract

The purpose of this study was to evaluate the usability of telerehabilitation as a method of teaching self-management for chronic swelling of the lower limbs in persons with limited mobility. An in-home telerehabilitation self-management education protocol for chronic swelling of the lower limbs, termed Telerehabilitation to Empower You to Manage and Prevent Swelling (TR-PUMPS), was implemented using the Versatile and Integrated System for Telerehabilitation (VISYTER) software platform. Participants (n=11) were 36–79 years old, predominately female (72.7%) and diagnosed with a variety of health conditions. Participants’ perceived usability scores of the remote delivery of TR-PUMPS was high with a median score of 6.67 (range 4.90 – 7.00) on a Likert scale: 1= disagree to 7= agree. There was no correlation between participants’ familiarity with information technology and their perception of telerehabilitation usability. These results support telerehabilitation as a viable method for teaching a home-based, self-management protocol for chronic swelling.


Url:
DOI: 10.5195/ijt.2013.6114
PubMed: 25945210
PubMed Central: 4296833

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PMC:4296833

Le document en format XML

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</author>
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<name sortKey="Saptono, A" uniqKey="Saptono A">A Saptono</name>
</author>
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<name sortKey="Brienza, D" uniqKey="Brienza D">D Brienza</name>
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</analytic>
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</author>
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<name sortKey="Brienza, D" uniqKey="Brienza D">D Brienza</name>
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</author>
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</back>
</TEI>
<pmc article-type="research-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Int J Telerehabil</journal-id>
<journal-id journal-id-type="iso-abbrev">Int J Telerehabil</journal-id>
<journal-id journal-id-type="publisher-id">IJT</journal-id>
<journal-title-group>
<journal-title>International Journal of Telerehabilitation</journal-title>
</journal-title-group>
<issn pub-type="epub">1945-2020</issn>
<publisher>
<publisher-name>University Library System, University of Pittsburgh</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">25945210</article-id>
<article-id pub-id-type="pmc">4296833</article-id>
<article-id pub-id-type="doi">10.5195/ijt.2013.6114</article-id>
<article-id pub-id-type="publisher-id">v5n1-art-10.5195-ijt.2013.6114</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Research</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Teaching Self-Management Skills in Persons with Chronic Lower Limb Swelling and Limited Mobility: Evidence for Usability of Telerehabilitation</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Faett</surname>
<given-names>Becky L.</given-names>
</name>
<degrees>PhD, MBA, RN</degrees>
<xref ref-type="aff" rid="af1-v5n1-art-10.5195-ijt.2013.6114">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Brienza</surname>
<given-names>David M.</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="af2-v5n1-art-10.5195-ijt.2013.6114">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Geyer</surname>
<given-names>Mary Jo</given-names>
</name>
<degrees>PT, PhD, C.Ped</degrees>
<xref ref-type="aff" rid="af2-v5n1-art-10.5195-ijt.2013.6114">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hoffman</surname>
<given-names>Leslie A.</given-names>
</name>
<degrees>RN, PhD</degrees>
<xref ref-type="aff" rid="af1-v5n1-art-10.5195-ijt.2013.6114">
<sup>1</sup>
</xref>
</contrib>
</contrib-group>
<aff id="af1-v5n1-art-10.5195-ijt.2013.6114">
<label>1</label>
Department of Acute and Tertiary Care, School of Nursing, University of Pittsburgh, Pittsburgh, PA</aff>
<aff id="af2-v5n1-art-10.5195-ijt.2013.6114">
<label>2</label>
Department of Rehabilitation Science and Technology, University of Pittsburgh, Pittsburgh, PA</aff>
<pub-date pub-type="collection">
<season>Spring</season>
<year>2013</year>
</pub-date>
<pub-date pub-type="epub">
<day>11</day>
<month>6</month>
<year>2013</year>
</pub-date>
<volume>5</volume>
<issue>1</issue>
<fpage>17</fpage>
<lpage>26</lpage>
<permissions>
<copyright-year>2013</copyright-year>
<license>
<license-p>This work is licensed by the author(s) under a Creative Commons Attribution 3.0 United States License.</license-p>
</license>
</permissions>
<abstract>
<p>The purpose of this study was to evaluate the usability of telerehabilitation as a method of teaching self-management for chronic swelling of the lower limbs in persons with limited mobility. An in-home telerehabilitation self-management education protocol for chronic swelling of the lower limbs, termed Telerehabilitation to Empower You to Manage and Prevent Swelling (TR-PUMPS), was implemented using the Versatile and Integrated System for Telerehabilitation (VISYTER) software platform. Participants (n=11) were 36–79 years old, predominately female (72.7%) and diagnosed with a variety of health conditions. Participants’ perceived usability scores of the remote delivery of TR-PUMPS was high with a median score of 6.67 (range 4.90 – 7.00) on a Likert scale: 1= disagree to 7= agree. There was no correlation between participants’ familiarity with information technology and their perception of telerehabilitation usability. These results support telerehabilitation as a viable method for teaching a home-based, self-management protocol for chronic swelling.</p>
</abstract>
<kwd-group>
<kwd>Telerehabilitation</kwd>
<kwd>telehealth</kwd>
<kwd>lower limb swelling</kwd>
<kwd>self-management</kwd>
<kwd>usability</kwd>
<kwd>chronic disease management and mobility limitation</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group>
<fig id="f1-v5n1-art-10.5195-ijt.2013.6114" position="float">
<label>Figure 1.</label>
<caption>
<p>IT Familiarity Questionnaire (Geyer, M. J.)</p>
</caption>
<graphic xlink:href="v5n1-art-10.5195-ijt.2013.6114f1"></graphic>
</fig>
<fig id="f2-v5n1-art-10.5195-ijt.2013.6114" position="float">
<label>Figure 2:</label>
<caption>
<p>Telehealth Usability Questionnaire (
<xref rid="b28-v5n1-art-10.5195-ijt.2013.6114" ref-type="bibr">Parmanto et al., 2013</xref>
)</p>
</caption>
<graphic xlink:href="v5n1-art-10.5195-ijt.2013.6114f2"></graphic>
<graphic xlink:href="v5n1-art-10.5195-ijt.2013.6114f2a"></graphic>
</fig>
<table-wrap id="t1-v5n1-art-10.5195-ijt.2013.6114" position="float">
<label>Table 1.</label>
<caption>
<p>Participants’ demographic characteristics (N = 11)</p>
</caption>
<table frame="box" rules="all">
<thead>
<tr content-type="color:#FFFFFF">
<th align="left" valign="top" content-type="background-color:#4857A4" rowspan="1" colspan="1">
<bold>Subject</bold>
</th>
<th align="left" valign="top" content-type="background-color:#4C5DB3" rowspan="1" colspan="1">
<bold>Sex</bold>
</th>
<th align="left" valign="top" content-type="background-color:#4C5DB3" rowspan="1" colspan="1">
<bold>Age</bold>
</th>
<th align="left" valign="top" content-type="background-color:#4857A4" rowspan="1" colspan="1">
<bold>Years of Education</bold>
</th>
<th align="left" valign="top" content-type="background-color:#6774A7" rowspan="1" colspan="1">
<bold>Diagnosis</bold>
</th>
<th align="left" valign="top" content-type="background-color:#4857A4" rowspan="1" colspan="1">
<bold>Years of Swelling</bold>
</th>
<th align="left" valign="top" content-type="background-color:#4857A4" rowspan="1" colspan="1">
<bold>Previous Treatment</bold>
</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top" content-type="background-color:#E9E9E9" rowspan="1" colspan="1">1</td>
<td align="left" valign="top" rowspan="1" colspan="1">F</td>
<td align="left" valign="top" content-type="background-color:#DCDFF0" rowspan="1" colspan="1">63</td>
<td align="left" valign="top" rowspan="1" colspan="1">12+</td>
<td align="left" valign="top" content-type="background-color:#F7F6E4" rowspan="1" colspan="1">Spina Bifida</td>
<td align="left" valign="top" rowspan="1" colspan="1">47</td>
<td align="left" valign="top" content-type="background-color:#E9E9E9" rowspan="1" colspan="1">Y</td>
</tr>
<tr>
<td align="left" valign="top" content-type="background-color:#E9E9E9" rowspan="1" colspan="1">4</td>
<td align="left" valign="top" rowspan="1" colspan="1">F</td>
<td align="left" valign="top" content-type="background-color:#DCDFF0" rowspan="1" colspan="1">48</td>
<td align="left" valign="top" rowspan="1" colspan="1">12+</td>
<td align="left" valign="top" content-type="background-color:#F7F6E4" rowspan="1" colspan="1">Lipo-lymphedema, lymphedmatardia</td>
<td align="left" valign="top" rowspan="1" colspan="1">6</td>
<td align="left" valign="top" content-type="background-color:#E9E9E9" rowspan="1" colspan="1">Y</td>
</tr>
<tr>
<td align="left" valign="top" content-type="background-color:#E9E9E9" rowspan="1" colspan="1">5</td>
<td align="left" valign="top" rowspan="1" colspan="1">M</td>
<td align="left" valign="top" content-type="background-color:#DCDFF0" rowspan="1" colspan="1">51</td>
<td align="left" valign="top" rowspan="1" colspan="1">12</td>
<td align="left" valign="top" content-type="background-color:#F7F6E4" rowspan="1" colspan="1">SCI, C5–C7</td>
<td align="left" valign="top" rowspan="1" colspan="1">2</td>
<td align="left" valign="top" content-type="background-color:#E9E9E9" rowspan="1" colspan="1">N</td>
</tr>
<tr>
<td align="left" valign="top" content-type="background-color:#E9E9E9" rowspan="1" colspan="1">6</td>
<td align="left" valign="top" rowspan="1" colspan="1">F</td>
<td align="left" valign="top" content-type="background-color:#DCDFF0" rowspan="1" colspan="1">62</td>
<td align="left" valign="top" rowspan="1" colspan="1">12</td>
<td align="left" valign="top" content-type="background-color:#F7F6E4" rowspan="1" colspan="1">Head Injury, Age 3</td>
<td align="left" valign="top" rowspan="1" colspan="1">20</td>
<td align="left" valign="top" content-type="background-color:#E9E9E9" rowspan="1" colspan="1">N</td>
</tr>
<tr>
<td align="left" valign="top" content-type="background-color:#E9E9E9" rowspan="1" colspan="1">7</td>
<td align="left" valign="top" rowspan="1" colspan="1">M</td>
<td align="left" valign="top" content-type="background-color:#DCDFF0" rowspan="1" colspan="1">43</td>
<td align="left" valign="top" rowspan="1" colspan="1">12+</td>
<td align="left" valign="top" content-type="background-color:#F7F6E4" rowspan="1" colspan="1">Multiple Sclerosis</td>
<td align="left" valign="top" rowspan="1" colspan="1">3</td>
<td align="left" valign="top" content-type="background-color:#E9E9E9" rowspan="1" colspan="1">N</td>
</tr>
<tr>
<td align="left" valign="top" content-type="background-color:#E9E9E9" rowspan="1" colspan="1">8</td>
<td align="left" valign="top" rowspan="1" colspan="1">M</td>
<td align="left" valign="top" content-type="background-color:#DCDFF0" rowspan="1" colspan="1">79</td>
<td align="left" valign="top" rowspan="1" colspan="1">12+</td>
<td align="left" valign="top" content-type="background-color:#F7F6E4" rowspan="1" colspan="1">Chronic Venous Insufficiency</td>
<td align="left" valign="top" rowspan="1" colspan="1">3</td>
<td align="left" valign="top" content-type="background-color:#E9E9E9" rowspan="1" colspan="1">Y</td>
</tr>
<tr>
<td align="left" valign="top" content-type="background-color:#E9E9E9" rowspan="1" colspan="1">9</td>
<td align="left" valign="top" rowspan="1" colspan="1">F</td>
<td align="left" valign="top" content-type="background-color:#DCDFF0" rowspan="1" colspan="1">52</td>
<td align="left" valign="top" rowspan="1" colspan="1">12+</td>
<td align="left" valign="top" content-type="background-color:#F7F6E4" rowspan="1" colspan="1">Multiple Sclerosis</td>
<td align="left" valign="top" rowspan="1" colspan="1">2</td>
<td align="left" valign="top" content-type="background-color:#E9E9E9" rowspan="1" colspan="1">N</td>
</tr>
<tr>
<td align="left" valign="top" content-type="background-color:#E9E9E9" rowspan="1" colspan="1">10</td>
<td align="left" valign="top" rowspan="1" colspan="1">F</td>
<td align="left" valign="top" content-type="background-color:#DCDFF0" rowspan="1" colspan="1">36</td>
<td align="left" valign="top" rowspan="1" colspan="1">12</td>
<td align="left" valign="top" content-type="background-color:#F7F6E4" rowspan="1" colspan="1">Life-long swelling, Familial</td>
<td align="left" valign="top" rowspan="1" colspan="1">36</td>
<td align="left" valign="top" content-type="background-color:#E9E9E9" rowspan="1" colspan="1">N</td>
</tr>
<tr>
<td align="left" valign="top" content-type="background-color:#E9E9E9" rowspan="1" colspan="1">11</td>
<td align="left" valign="top" rowspan="1" colspan="1">F</td>
<td align="left" valign="top" content-type="background-color:#DCDFF0" rowspan="1" colspan="1">64</td>
<td align="left" valign="top" rowspan="1" colspan="1">12+</td>
<td align="left" valign="top" content-type="background-color:#F7F6E4" rowspan="1" colspan="1">Multiple Sclerosis</td>
<td align="left" valign="top" rowspan="1" colspan="1">2</td>
<td align="left" valign="top" content-type="background-color:#E9E9E9" rowspan="1" colspan="1">N</td>
</tr>
<tr>
<td align="left" valign="top" content-type="background-color:#E9E9E9" rowspan="1" colspan="1">12</td>
<td align="left" valign="top" rowspan="1" colspan="1">F</td>
<td align="left" valign="top" content-type="background-color:#DCDFF0" rowspan="1" colspan="1">54</td>
<td align="left" valign="top" rowspan="1" colspan="1">12+</td>
<td align="left" valign="top" content-type="background-color:#F7F6E4" rowspan="1" colspan="1">Multiple Sclerosis</td>
<td align="left" valign="top" rowspan="1" colspan="1">2</td>
<td align="left" valign="top" content-type="background-color:#E9E9E9" rowspan="1" colspan="1">N</td>
</tr>
<tr>
<td align="left" valign="top" content-type="background-color:#E9E9E9" rowspan="1" colspan="1">13</td>
<td align="left" valign="top" rowspan="1" colspan="1">F</td>
<td align="left" valign="top" content-type="background-color:#DCDFF0" rowspan="1" colspan="1">50</td>
<td align="left" valign="top" rowspan="1" colspan="1">12</td>
<td align="left" valign="top" content-type="background-color:#F7F6E4" rowspan="1" colspan="1">Multiple Sclerosis</td>
<td align="left" valign="top" rowspan="1" colspan="1">7</td>
<td align="left" valign="top" content-type="background-color:#E9E9E9" rowspan="1" colspan="1">N</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="t2-v5n1-art-10.5195-ijt.2013.6114" position="float">
<label>Table 2.</label>
<caption>
<p>Telehealth Usability Questionnaire Scores TUQ [Likert Scale (1=Disagree; 7=Agree); N = 11]</p>
</caption>
<table frame="box" rules="all">
<thead>
<tr content-type="color:#FFFFFF">
<th align="left" valign="bottom" content-type="background-color:#4857A4" rowspan="1" colspan="1">
<bold>Variable</bold>
</th>
<th align="left" valign="bottom" content-type="background-color:#4C5DB3" rowspan="1" colspan="1">
<bold>Median</bold>
</th>
<th align="left" valign="bottom" content-type="background-color:#6774A7" rowspan="1" colspan="1">
<bold>Range</bold>
</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top" content-type="background-color:#E9E9E9" rowspan="1" colspan="1">Usefulness</td>
<td align="left" valign="top" rowspan="1" colspan="1">6.34</td>
<td align="left" valign="top" content-type="background-color:#F7F6E4" rowspan="1" colspan="1">6.36 – 6.90</td>
</tr>
<tr>
<td align="left" valign="top" content-type="background-color:#E9E9E9" rowspan="1" colspan="1">Ease of Use & Learnability</td>
<td align="left" valign="top" rowspan="1" colspan="1">6.45</td>
<td align="left" valign="top" content-type="background-color:#F7F6E4" rowspan="1" colspan="1">6.27 – 6.64</td>
</tr>
<tr>
<td align="left" valign="top" content-type="background-color:#E9E9E9" rowspan="1" colspan="1">Interface Quality</td>
<td align="left" valign="top" rowspan="1" colspan="1">6.59</td>
<td align="left" valign="top" content-type="background-color:#F7F6E4" rowspan="1" colspan="1">6.45 – 6.64</td>
</tr>
<tr>
<td align="left" valign="top" content-type="background-color:#E9E9E9" rowspan="1" colspan="1">Interaction Quality</td>
<td align="left" valign="top" rowspan="1" colspan="1">6.68</td>
<td align="left" valign="top" content-type="background-color:#F7F6E4" rowspan="1" colspan="1">6.45 – 6.91</td>
</tr>
<tr>
<td align="left" valign="top" content-type="background-color:#E9E9E9" rowspan="1" colspan="1">Reliability</td>
<td align="left" valign="top" rowspan="1" colspan="1">5.09</td>
<td align="left" valign="top" content-type="background-color:#F7F6E4" rowspan="1" colspan="1">4.50 – 5.27</td>
</tr>
<tr>
<td align="left" valign="top" content-type="background-color:#E9E9E9" rowspan="1" colspan="1">Satisfaction and Future Use</td>
<td align="left" valign="top" rowspan="1" colspan="1">6.95</td>
<td align="left" valign="top" content-type="background-color:#F7F6E4" rowspan="1" colspan="1">6.82 – 7.00</td>
</tr>
<tr>
<td align="left" valign="top" content-type="background-color:#E9E9E9" rowspan="1" colspan="1">TUQ Total Score</td>
<td align="left" valign="top" rowspan="1" colspan="1">6.67</td>
<td align="left" valign="top" content-type="background-color:#F7F6E4" rowspan="1" colspan="1">4.90 – 7.00</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="t3-v5n1-art-10.5195-ijt.2013.6114" position="float">
<label>Table 3:</label>
<caption>
<p>Spearman’s correlation coefficient analysis of IT Familiarity and TUQ Scores</p>
<p>[Likert Scale (1=Daily use for this activity, 2=Seldom use for this activity, 3=Never use for this activity); N = 11]</p>
</caption>
<table frame="box" rules="all">
<thead>
<tr content-type="color:#FFFFFF">
<th align="left" valign="bottom" content-type="background-color:#4857A4" rowspan="1" colspan="1">
<bold>Variable</bold>
</th>
<th align="left" valign="bottom" content-type="background-color:#4C5DB3" rowspan="1" colspan="1">
<bold>Median</bold>
</th>
<th align="left" valign="bottom" content-type="background-color:#4C5DB3" rowspan="1" colspan="1">
<bold>Range</bold>
</th>
<th align="left" valign="bottom" content-type="background-color:#4C5DB3" rowspan="1" colspan="1">
<bold>r
<sub>s</sub>
</bold>
</th>
<th align="left" valign="bottom" content-type="background-color:#6774A7" rowspan="1" colspan="1">
<bold>p</bold>
</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top" content-type="background-color:#E9E9E9" rowspan="1" colspan="1">IT Familiarity</td>
<td align="left" valign="top" rowspan="1" colspan="1">1.69</td>
<td align="left" valign="top" content-type="background-color:#DCDFF0" rowspan="1" colspan="1">1.00 – 2.63</td>
<td align="left" valign="top" rowspan="1" colspan="1">−.006</td>
<td align="left" valign="top" content-type="background-color:#F7F6E4" rowspan="1" colspan="1">.987</td>
</tr>
<tr>
<td align="left" valign="top" content-type="background-color:#E9E9E9" rowspan="1" colspan="1">TUQ</td>
<td align="left" valign="top" rowspan="1" colspan="1">6.67</td>
<td align="left" valign="top" content-type="background-color:#DCDFF0" rowspan="1" colspan="1">4.90 – 7.00</td>
<td align="left" valign="top" rowspan="1" colspan="1"></td>
<td align="left" valign="top" content-type="background-color:#F7F6E4" rowspan="1" colspan="1"></td>
</tr>
</tbody>
</table>
</table-wrap>
</floats-group>
</pmc>
<affiliations>
<list>
<country>
<li>États-Unis</li>
</country>
<region>
<li>Pennsylvanie</li>
</region>
</list>
<tree>
<country name="États-Unis">
<region name="Pennsylvanie">
<name sortKey="Faett, Becky L" sort="Faett, Becky L" uniqKey="Faett B" first="Becky L." last="Faett">Becky L. Faett</name>
</region>
<name sortKey="Brienza, David M" sort="Brienza, David M" uniqKey="Brienza D" first="David M." last="Brienza">David M. Brienza</name>
<name sortKey="Geyer, Mary Jo" sort="Geyer, Mary Jo" uniqKey="Geyer M" first="Mary Jo" last="Geyer">Mary Jo Geyer</name>
<name sortKey="Hoffman, Leslie A" sort="Hoffman, Leslie A" uniqKey="Hoffman L" first="Leslie A." last="Hoffman">Leslie A. Hoffman</name>
</country>
</tree>
</affiliations>
</record>

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