Groepsmotivatiestrategieën in telemedicine toepassingen ter bevordering van beweeggedrag: een mixed-method studie naar bruikbaarheid en behoeften bij chronische patiënten.

Brons, Jesper (2011) Groepsmotivatiestrategieën in telemedicine toepassingen ter bevordering van beweeggedrag: een mixed-method studie naar bruikbaarheid en behoeften bij chronische patiënten.

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Abstract:Introduction: Telemedicine is a rising field within the Dutch healthcare system, particularly within care for chronic illnesses, due to its ability to help manage and overcome the escalating demand for healthcare. Traditional face-to-face treatment to tackle activity change and stimulation is most commonly done in group sessions. It is because of this group element that it is expected telemedicine group features could further facilitate activity change. Research is based upon the GMS-Model (Group Motivation Strategy model) which includes 10 specific approaches for addressing motivation of health behaviour change in groups. The main research question addresses: Which group strategies can be used within telemedicine group features and how can these be applied, and what are the requirements, needs and considerations for practicing physiotherapists and patients? Method: There are three main sub-sections to the research conducted. First, a literature review conducted in Pubmed to summarise existing group strategies in use and available applicable telemedicine group features. The second and third research sub-sections consisted of qualitative semi-structured interviews with stakeholders, namely practicing group-therapists (N=7) and patients (N=10) respectively. These interviews addressed use and efficacy of the existing ten motivation strategies, from the GMS-model, during regular treatment and how these may be integrated within telemedicine group features. Results: The literature review yielded 564 papers, of which 12 met inclusion criteria for this study. A limited number of group strategies are discussed; context of the papers often addresses use of forums and show inconclusive results to activity effects. All participants made use of specific group strategies. Interviews supported the validity of the GMS-model, finding it to be complete and useful within regular treatment, except the „Normative influence‟ strategy. Among patients needs, four potential features were particularly desired: a „group goal‟; use of a forum; an appointment calendar and a compliment button. Conclusions: The GMS-model is complete and all strategies are translatable to telemedicine group features. Not all group strategies are applied in existing literature about telemedicine. By development of the use of “Personal Digital Assistants” (PDA), gaming and videoconferencing, these un-applied strategies could be synchronised more easily. Both therapists and patients are wary of introducing telemedicine aspects, possibly as a result of their lack of specific knowledge to the ICT field and its medical potential. In order to establish the effect of face-to-face group strategies and telemedicine group features, these group features must be designed and developed. A quantitative study within a pilot RCT is therefore recommended as the next development step.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
Link to this item:http://purl.utwente.nl/essays/61197
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