- Title
- Adding value to remote monitoring: co-design of a health literacy intervention for older people with chronic disease delivered by telehealth - The telehealth literacy project
- Creator
- Banbury, Annie; Nancarrow, Susan; Dart, Jared; Gray, Len; Dodson, Sarity; Osborne, Richard; Parkinson, Lynne
- Relation
- Patient Education and Counseling Vol. 103, Issue 3, p. 597-606
- Publisher Link
- http://dx.doi.org/10.1016/j.pec.2019.10.005
- Publisher
- Elsevier
- Resource Type
- journal article
- Date
- 2020
- Description
- To co-design, test and evaluate a health literacy, chronic disease self-management and social support intervention for older people delivered by group videoconferencing into the home. Method: The Telehealth Literacy Project (THLP) was a mixed methods, quasi-experimental, non-randomised trial nested within a telehealth remote monitoring study. An intervention group (n = 52) participated in five, weekly videoconference group meetings lasting for 1.5 h and a control group (n = 60) received remote monitoring only. Outcomes were measured using the nine-scale Health Literacy Questionnaire (HLQ) and two scales of the Health Education Impact Questionnaire (heiQ). Semi-structured interviews and focus group data were thematically analysed. Result: At 3 month follow-up, univariate analysis identified small effects in the intervention group only, with improved health literacy behaviours (five HLQ scales) and self-management skills (two heiQ scales). ANOVA of HLQ scales indicated no significant differences between the two groups over time indicating a contributing effect of the remote monitoring project. Intervention participants reported improved perception of companionship, emotional and informational support. Conclusion: The THLP delivered with telemonitoring indicates potential to improve social support and some health literacy factors in older people. Practice implications: Patient education can be delivered by group videoconferencing.
- Subject
- health literacy; telehealth; videoconferencing; older people; chronic disease self-management; health education; remote patient; monitoring
- Identifier
- http://hdl.handle.net/1959.13/1452944
- Identifier
- uon:44547
- Identifier
- ISSN:0738-3991
- Language
- eng
- Reviewed
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