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

Annie Banbury; Susan Nancarrow; Jared Dart; Len Gray; Sarity Dodson; Richard Osborne; Lynne Parkinson

doi:10.1016/j.pec.2019.10.005

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

Patient Educ Couns. 2020 Mar;103(3):597-606. doi: 10.1016/j.pec.2019.10.005. Epub 2019 Oct 4.

Authors

Annie Banbury¹, Susan Nancarrow², Jared Dart³, Len Gray⁴, Sarity Dodson⁵, Richard Osborne⁶, Lynne Parkinson⁷

Affiliations

¹ School of Nursing, Midwifery & Social Sciences, Central Queensland University, Rockhampton, Queensland, Australia; Centre for Online Health, The University of Queensland, Brisbane, Australia. Electronic address: a.banbury@cqu.edu.au.
² School of Health and Human Sciences, Southern Cross University, Lismore, New South Wales, Australia.
³ Faculty of Health Sciences and Medicine, Bond University, Gold Coast, Queensland, Australia.
⁴ Centre for Health Services Research, The University of Queensland, Brisbane, Queensland, Australia.
⁵ The Fred Hollows Foundation, Melbourne, Australia.
⁶ Centre for Population Health Research, Deakin University, Melbourne, Australia.
⁷ School of Nursing, Midwifery & Social Sciences, Central Queensland University, Rockhampton, Queensland, Australia; Faculty of Health and Medicine, University of Newcastle, Australia.

PMID: 31744701
DOI: 10.1016/j.pec.2019.10.005

Abstract

Objective: 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.

Keywords: Chronic disease self-management; Health education; Health literacy; Monitoring; Older people; Remote patient; Telehealth; Videoconferencing.

Publication types

Controlled Clinical Trial
Research Support, Non-U.S. Gov't

MeSH terms

Aged
Aged, 80 and over
Chronic Disease
Female
Focus Groups
Health Literacy / methods*
Humans
Interviews as Topic
Male
Middle Aged
Outcome Assessment, Health Care
Patient Education as Topic / methods*
Qualitative Research
Remote Consultation
Self Care / methods*
Self Care / psychology
Social Support
Surveys and Questionnaires
Telemedicine / methods*
Telemedicine / organization & administration
Videoconferencing*