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Active Levels of self-management for COPD patients via e-health - a scoping review

Linn, Vivien (2016) Active Levels of self-management for COPD patients via e-health - a scoping review.

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Abstract:Abstract Objective: This scoping review of fourteen studies is conducted to explore self-management for COPD patients via e-health and to map key concepts of it. Thereby, the content aspects of e-health self-management platforms, the level of self-management and the form of communication are analyzed. Background: Chronic Obstructive Pulmonary Disease (COPD) is a rising cause of mortality. E-health platforms provide opportunities for supporting active self-management for COPD patients to improve their health. Up to this day, the literature about the levels of self-management of e-health for COPD is scarce. Therefore, this scoping review tries to answer this gap scientifically. Method: A comprehensive search strategy was designed and implemented across eight different databases, in which 110 Studies were identified. 48 abstracts were reviewed, resulting in 22 full-text reviews. A final sample of 14 studies was analyzed in this scoping review. To answer the research questions, a predesigned rating framework was used to extract content aspects of self-management for COPD patients, the levels of activity in self-management and the forms of e-health technology and communication. Results: It is found that most technologies use up to six different content aspects. The most frequent used content aspect is “symptom management”. Regarding the level of activity in self-management, the majority of technologies uses content aspects of more than level of self-management. Half of the technologies used content aspects of level 0 and all technologies used content aspects of level 1. Significantly fewer technologies used content aspects of level 2 and just one technology used content aspects of level 3, where the patient was autonomous in health-related decision-making. The patient takes initiative of communication most often and the communication is one most frequently. However, technologies that use interactive two-way communication between patient and healthcare professional, of which the studies are also published more recently, reach higher levels of self-management. Conclusion: There is no prevailing guideline for the design of e-health self-management technologies for COPD patents. Future studies should focus on the design of e-health technologies reaching higher levels of self-management, by that conceding autonomous health-related decision-making to the patient.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
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