dc.contributor.author | Storm, Marianne | |
dc.contributor.author | Morken, Ingvild Margreta | |
dc.contributor.author | Austin, Rosalynn | |
dc.contributor.author | Nordfonn, Oda Karin | |
dc.contributor.author | Wathne, Hege Bjøkne | |
dc.contributor.author | Urstad, Kristin Hjorthaug | |
dc.contributor.author | Karlsen, Bjørg | |
dc.contributor.author | Dalen, Ingvild | |
dc.contributor.author | Gjeilo, Kari Hanne | |
dc.contributor.author | Richardson, Alison | |
dc.contributor.author | Elwyn, Glyn | |
dc.contributor.author | Bru, Lars Edvin | |
dc.contributor.author | Søreide, Jon Arne | |
dc.contributor.author | Kørner, Hartwig | |
dc.contributor.author | Moan, Rune | |
dc.contributor.author | Strömberg, Anna | |
dc.contributor.author | Lurås, Hilde | |
dc.contributor.author | Husebø, Anne Marie Lunde | |
dc.date.accessioned | 2024-07-30T07:07:29Z | |
dc.date.available | 2024-07-30T07:07:29Z | |
dc.date.created | 2024-01-22T12:34:29Z | |
dc.date.issued | 2024 | |
dc.identifier.citation | BMC Health Serv Res 24, 18 (2024) | en_US |
dc.identifier.issn | 1472-6963 | |
dc.identifier.uri | https://hdl.handle.net/11250/3143627 | |
dc.description.abstract | Background: Patients with heart failure (HF) and colorectal cancer (CRC) are prone to comorbidity, a high rate of readmission, and complex healthcare needs. Self-care for people with HF and CRC after hospitalisation can be challenging, and patients may leave the hospital unprepared to self-manage their disease at home. eHealth solutions may be a beneficial tool to engage patients in self-care. Methods: A randomised controlled trial with an embedded evaluation of intervention engagement and cost-effectiveness will be conducted to investigate the effect of eHealth intervention after hospital discharge on the self-efficacy of self-care. Eligible patients with HF or CRC will be recruited before discharge from two Norwegian university hospitals. The intervention group will use a nurse-assisted intervention—eHealth@Hospital-2-Home—for six weeks. The intervention includes remote monitoring of vital signs; patients’ self-reports of symptoms, health and well-being; secure messaging between patients and hospital-based nurse navigators; and access to specific HF and CRC health-related information. The control group will receive routine care. Data collection will take place before the intervention (baseline), at the end of the intervention (Post-1), and at six months (Post-2). The primary outcome will be self-efficacy in self-care. The secondary outcomes will include measures of burden of treatment, health-related quality of life and 30- and 90-day readmissions. Sub-study analyses are planned in the HF patient population with primary outcomes of self-care behaviour and secondary outcomes of medication adherence, and readmission at 30 days, 90 days and 6 months. Patients’ and nurse navigators’ engagement and experiences with the eHealth intervention and cost-effectiveness will be investigated. Data will be analysed according to intention-to-treat principles. Qualitative data will be analysed using thematic analysis. Discussion: This protocol will examine the effects of the eHealth@ Hospital-2-Home intervention on self-care in two prevalent patient groups, HF and CRC. It will allow the exploration of a generic framework for an eHealth intervention after hospital discharge, which could be adapted to other patient groups, upscaled, and implemented into clinical practice. | en_US |
dc.description.abstract | Evaluation of the nurse-assisted eHealth intervention ‘eHealth@Hospital-2-Home’ on self-care by patients with heart failure and colorectal cancer post-hospital discharge : protocol for a randomised controlled trial | en_US |
dc.language.iso | eng | en_US |
dc.publisher | BMC | en_US |
dc.relation.uri | https://doi.org/10.1186/s12913-023-10508-5 | |
dc.rights | Navngivelse 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/deed.no | * |
dc.title | Evaluation of the nurse-assisted eHealth intervention ‘eHealth@Hospital-2-Home’ on self-care by patients with heart failure and colorectal cancer post-hospital discharge : protocol for a randomised controlled trial | en_US |
dc.title.alternative | Evaluation of the nurse-assisted eHealth intervention ‘eHealth@Hospital-2-Home’ on self-care by patients with heart failure and colorectal cancer post-hospital discharge : protocol for a randomised controlled trial | en_US |
dc.type | Journal article | en_US |
dc.type | Peer reviewed | en_US |
dc.description.version | publishedVersion | en_US |
dc.source.volume | 24 | en_US |
dc.source.journal | BMC Health Services Research | en_US |
dc.source.issue | 1 | en_US |
dc.identifier.doi | 10.1186/s12913-023-10508-5 | |
dc.identifier.cristin | 2231866 | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 2 | |