University of Twente Student Theses
Identifying positive aspects, negative aspects and points for improvement of the MATCH self-management intervention in patients with COPD and heart failure
Ramlal, A.R.R.G. (2019) Identifying positive aspects, negative aspects and points for improvement of the MATCH self-management intervention in patients with COPD and heart failure.
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| Abstract: | Background: Electronic health (eHealth) may address the problem of increasing patient burdens, increasing costs in health-care and the growing number of people who suffer from chronic diseases, such as Chronic Obstructive Pulmonary Disease (COPD) and heart failure (HF), and may ensure that healthcare services remain providable. A way of using eHealth in COPD and HF is via a digital self-management intervention, such as The Self-Management And Telemedicine in patients with COPD and chronic HF (MATCH) intervention. No qualitative studies on self-management interventions aimed at both COPD and HF have been performed so far. The knowledge and insight from this qualitative study can be used as guidance to furtherly develop future digital self-management interventions to become more useful for patients. Aim: The main aim of this qualitative study is to identify positive aspects, negative aspects and points for improvement from users’ experiences with the different components of the MATCH self-management intervention for COPD and HF that was used in the MATCH study. The usage, appreciation and perceived effectiveness were explored with the four determinants of the Unified Theory of Acceptance and Use of Technology (UTAUT). Methods: Nine Dutch patients with COPD and HF (seven male, two female) from the Medisch Spectrum Twente (MST) hospital in Enschede and the Ziekenhuisgroep Twente (ZGT) hospital in Almelo and one Dutch informal caregiver who used the MATCH self-management intervention for COPD and HF were interviewed in one-to-one in-depth semi-structured interviews in April and May 2019. Interviews were audio-recorded, transcribed verbatim and analysed by two independent coders. Results: The participants’ were adequately satisfied with the MATCH self-management intervention and with the digital portal. The majority of the patients had used the MATCH self-management intervention for altruistic reasons. But, not everyone had used the digital portal of the MATCH self-management intervention. Various positive aspects, negative aspects and points for improvement of the different components of the MATCH self-management intervention for COPD and HF were mentioned by the participants. Conclusion: Based on the identified positive aspects, negative aspects and points for improvement, the whole MATCH self-management intervention truly satisfied patients with COPD and HF, especially the digital portal. Therefore, it is advised to use a digital self-management intervention, especially a digital portal. However, improvements are necessary to achieve more patient satisfaction with a digital self-management intervention. |
| Item Type: | Essay (Master) |
| Faculty: | TNW: Science and Technology |
| Subject: | 70 social sciences in general, 77 psychology |
| Programme: | Health Sciences MSc (66851) |
| Link to this item: | https://purl.utwente.nl/essays/79665 |
| Export this item as: | BibTeX EndNote HTML Citation Reference Manager |
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