University of Twente Student Theses


The effect of ‘Mijn GezondheidsPlatform’ on physical activity and self-management by patients with chronic diseases

Jasper, J. (2016) The effect of ‘Mijn GezondheidsPlatform’ on physical activity and self-management by patients with chronic diseases.

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Abstract:Purpose: To ensure a professional and patient-oriented treatment of chronic diseases, the evaluation and assessment of e-Health based web platforms is essential. ‘Mijn Gezondheidsplatform’ (MGP) is an online platform which focuses on self-care and selfmanagement of health. This study aimed to evaluate if MGP effects the improvement of selfmanagement and physical activity by patients with chronic diseases. Method: To evaluate the effect of MGP on patients’ self-management and physical activity, patients with diabetes mellitus, cardiovascular disease, asthma or COPD were divided into an experimental- and control group. Patients in the experimental group used MGP for one year. To measure patients self-management and physical activity, the ‘Patient Activation Measure’ (PAM-13) and the ‘International Physical Activity Questionnaire – Short Form’ (IPAQ-SF) were used. For analysis, only the measurement just before the intervention (baseline, T0) and the measurement after the intervention (T= 12 months) were analyzed. Using covariation analysis (ANCOVA), it was tested if the differences of the self-management, resp. physical activity scores between ’baseline’ and T5 are significant. Furthermore, Spearman’s rank-order correlation was conducted to test if self-management and physical activity are associated with each other. Results: It was found that using MGP for a period of one year does not effects patients’ physical activity. However, the results indicate a significant decrease of self-management in the experimental group, with F(1,89) = 4.679, p = .033. In addition to that, results imply that self-management and physical activity are not related with each other. Conclusion: This study revealed that MGP does not increase physical activity, but influences patients’ self-management negatively. However, it should be noted that other aspects can influence patients’ self-management and physical activity strongly (e.g. chronic conditions, character traits). These factors should be integrated into further research. An important limitation of this study is that it does not make use of log-data. However, analysing log-data is an important requirement to evaluate the design of MGP, in order to increase adherence.
Item Type:Essay (Bachelor)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology BSc (56604)
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