Evidence map›Paper›PMID 30368440›Full record

ArticleJMIR human factors2018

Usefulness and Relevance of an eHealth Tool in Supporting the Self-Management of Chronic Obstructive Pulmonary Disease: Explorative Qualitative Study of a Cocreative Process.

Malin Tistad, Sara Lundell, Maria Wiklund, André Nyberg, Åsa Holmner, Karin Wadell

Registry-linked trialAbstract read
In one paragraph

Article in JMIR human factors, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04056663 (Health-circuit Evaluation as a Digital Support for the Management of Patients at Risk of Hospitalization), which is not on this map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04056663 nacompletednot on this mapstarted 2019, after this paper: background citation

Health-circuit Evaluation as a Digital Support for the Management of Patients at Risk of Hospitalization

TypeinterventionalSponsorHospital Clinic of BarcelonaRan2019 to 2020Enrolled400ConditionsMultiple Chronic Conditions, Chronic DiseaseArmsHealth-Circuit mobile application
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Malin Tistad *Unit of Physiotherapy, Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.ORCID http://orcid.org/0000-0003-0581-2895
Sara LundellUnit of Physiotherapy, Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.ORCID http://orcid.org/0000-0001-9688-8101
Maria WiklundUnit of Physiotherapy, Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.ORCID http://orcid.org/0000-0001-6636-9597
André NybergUnit of Physiotherapy, Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.ORCID http://orcid.org/0000-0003-2782-7959
Åsa HolmnerDepartment of Radiation Sciences, Umeå University, Umeå, Sweden.ORCID http://orcid.org/0000-0002-6367-3937
Karin WadellUnit of Physiotherapy, Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.ORCID http://orcid.org/0000-0001-7334-8698

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNew strategies are urgently needed to support self-management for people with chronic obstructive pulmonary disease (COPD) in primary care. The use of electronic health (eHealth) solutions is promising. However, there is a lack of knowledge about how such eHealth tools should be designed in order to be perceived as relevant and useful and meet the needs and expectations of the health professionals as well as people with COPD and their relatives.

objectiveThe objective of this study was to explore the aspects of an eHealth tool design and content that make it relevant and useful for supporting COPD-related self-management strategies from the perspective of health care professionals, people with COPD and their relatives, and external researchers.

methodsData were collected during the development of an eHealth tool. A cocreation process was carried out with participants from two primary care units in northern Sweden and external researchers. Individual interviews were performed with health care professionals (n=13) as well as people with COPD (n=6) and their relatives (n=2), and focus group discussions (n=9) were held with all groups of participants. Data were analyzed using qualitative content analysis.

resultsThe overarching theme, reinforcing existing support structures, reflects participant views that the eHealth tool needs to be directly applicable and create a sense of commitment in users. Moreover, participants felt that the tool needs to fit with existing routines and contexts and preferably should not challenge existing hierarchies between health care professionals and people with COPD. Important content for health care professionals and people with COPD included knowledge about self-management strategies. Videos were regarded as the most effective method for communicating such knowledge.

conclusionsThe cocreation in the development process enables participant perspectives and priorities to be built into the eHealth tool. This is assumed to contribute to a tool that is useful and relevant and, therefore, adopted into clinical practice and everyday life. Findings from this study can inform the development of eHealth tools for people with COPD in other contexts, as well as the development of eHealth tools for self-management support of other chronic diseases.

Indexed as

cocreationCOPDeHealthprimary care, chronic diseaseself-management

Identifiers

PMID30368440
PMCPMC6229513

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.