ARTHRITIS SELF-CARE EDUCATION BY INTERACTIVE TELEVISION

通过互动电视进行关节炎自我护理教育

• 批准号: 2257137
• 负责人: DONNA J HAWLEY
• 金额: $ 9.19万
• 依托单位: WICHITA STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1992
• 资助国家: 美国
• 起止时间: 1992-07-01 至 1995-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2257137
• 关键词: arthritis education; chronic disease /disorder; health care service evaluation; human subject; pain; patient care management; prognosis; rural area; self care; television

Essentially the management of a chronic, painful, and disabling condition such as arthritis is the responsibility of the individual. However, community education is one method nurses use to assist these people. 'ne Arthritis Self-Management Course (ASMC), a six week lay-lead, standardized educational pro ram has been empirically validated with over 2500 people during an 11 year period. It is offered throughout the United States, albeit primarily in metropolitan areas, under the sponsorship 1;f the Arthritis Foundation. The program has been shown to help people with arthritis learn certain skills that enable them to lessen their pain, improve their psychological status, and increase their confidence in all aspects of disease management. While the program has been shown to be very effective in small groups with face-to-face instructor-participant interaction, it has not reached large numbers of people with arthritis especially those living in rural areas. Additional ways need. to be found to deliver this important program. lb.is preliminary study will use a quasi-experimental pre-test post-test control group design to evaluate the effectiveness of Che ASMC when delivered by interactive television rather than through the standard small group approach now used by the Arthritis Foundation. Specific aims are as follows: (1) The program materials and teaching techniques will be adapted for television broadcast. (2) The ASMC will be provided to three groups: a control group receiving ASMC in the standard face-to-face approach and two experimental groups taught by interactive television. The two experimental groups will be taught simultaneously with one group located in the television studio/classroom on the Wichita State University campus and the second group located off campus. The second experimental group will be divided in sections with participants located at four different high schools in Wichita. (3) The effectiveness of ASMC will be evaluated by comparing outcomes between and among groups at the end of the program and at 4, 8 and 12 months follow-up. Outcome measures are self-efficacy, health status (i.e. pain, functional disability, depression), self-care activities (i.e. exercise, relaxation), and knowledge. If teaching the ASMC via interactive television can produce results similar to those found using the present small group approach, the technology exits for serving large numbers of people with arthritis who are currently not being served.

基本上是一种慢性、疼痛和致残性疾病的管理 如关节炎是个人的责任。 然而，在这方面， 社区教育是护士用来帮助这些人的一种方法。 '旧姓的 关节炎自我管理课程（ASMC），一个为期六周的奠定领先，标准化 教育proram已经过2500多人的经验验证 在11年期间。 它在美国各地提供， 虽然主要是在大都市地区，但在赞助下， 关节炎基金会。 该计划已被证明可以帮助人们 关节炎学习某些技能，使他们能够减轻他们的痛苦， 改善他们的心理状况，增加他们对所有人的信心 疾病管理方面。虽然该计划已被证明是非常 在小团体中有效， 互动，它还没有达到大量的人与关节炎 特别是那些生活在农村地区的人。 需要更多的方式。被发现 来完成这个重要的项目lb.is初步研究将使用 准实验前测后测控制组设计，以评估 当通过交互式电视传送时， 而不是通过标准的小组方法， 基金会 具体目标如下：（1）课程材料和 教学方法将适用于电视广播。(2)ASMC 将提供给三组：对照组接受ASMC， 标准的面对面的方法和两个实验组教 互动电视 两个实验组将被教导 与位于电视演播室/教室的一组同时进行 威奇托州立大学校园和第二组位于 校园 第二个实验组将被分成几个部分， 参与者位于四个不同的高中在威奇托。(3)的 ASMC的有效性将通过比较和 在方案结束时以及4个月、8个月和12个月随访时， 结果测量是自我效能、健康状况（即疼痛、功能 残疾、抑郁）、自我护理活动（即锻炼、放松）， 和知识 如果通过交互式电视教学ASMC可以产生 结果类似于那些发现使用目前的小组方法， 技术出口为大量的人与关节炎谁是 目前没有服务。