A Clinical Trail of Translation of Evidence Based Interventions to Mobile Tablets and Illness Specific Internet Sites

Abstract

This article describes a method to translate an evidence based health care intervention to the mobile environment. This translation assisted patient participants to: avoid life threatening infections; monitor emotions and fatigue; keep involved in healthy activities. The mobile technology also decreased costs by reducing for example travel to visit health care providers. Testing of this translation method and its use by comparison groups of patients adds to the knowledge base for assessing technology for its impact on health outcome measures. The challenges and workflow of designing materials for the mobile format are described. Transitioning clinical trial verified interventions, previously provided in person to patients, onto tablet and internet platforms is an important process that must be evaluated. In this study, our evidence based guide’s intravenous (IV) homeCare interventions (IVhomeCare) were delivered via Apple iPad mini™ tablet audiovisual instruction / discussion sessions and on a website. Each iPad audiovisual session (n = 41), included three to five families, a mental health specialist, and healthcare professionals. Patients and their family caregivers readily learned to use the wireless mobile tablets, and the IVhomeCare interventions, as described here, were successfully translated onto these mobile technology platforms. Using Likert scale responses on a questionnaire (1 = not helpful and 5 = very helpful) participants indicated that they gained problem solving skills for home care through iPad group discussion (M = 4.60, SD = 0.60). The firewall protected videoconferencing in real time with multiple healthcare professionals effectively allowed health history taking and visual inspection of the patient’s IV insertion site for signs of infection. Supportive interactions with peer families on videoconferencing were documented during discussions. Discussion topics included low moods, fatigue, infection worry, how to maintain independence, and need for support from others with their same lifelong IV experiences. The visual family interactions, discussions with professionals, and the iPad internet links were highly rated. Mobile distance care delivery can result in saved time and money for both healthcare professionals and families.

Themes of Stressors, Emotional Fatigue, and Communication Challenges Found in Mobile Care Discussion Sessions With Patients Requiring Lifelong Home Parenteral Nutrition Infusions

“…HPN requires time‐consuming, daily self‐management; highly skilled intravenous (IV) infusion administration; significant medical supplies acquisition; and vigilant monitoring for managing numerous life‐threatening side‐effects that must be prevented. We have previously published, and others have replicated, our research findings that our nursing interventions for infection and depression prevention and fatigue management resulted in fewer infections, reduced incidence of depression, greater problem‐solving with professionals, improved quality of life, and lowered healthcare costs 10,11 …”

“…We have previously published, and others have replicated, our research findings that our nursing interventions for infection and depression prevention and fatigue management resulted in fewer infections, reduced incidence of depression, greater problem-solving with professionals, improved quality of life, and lowered healthcare costs. 10,11…”

Telemedicine Support Groups for Home Parenteral Nutrition Users

“…The research framework guiding the 2 trials was the family home care model 38 . The 2‐pronged intervention in each trial translates evidence‐based strategies to (1) deliver synchronous facilitated support group videoconferencing sessions via the tablets (eg, iPad mini) and (2) upload the asynchronous IVhomeCare interventions (eg, written information, forms, illustrations, and graphics) to the mobile device Internet links 39 , 40 …”

Internet Reflections on Teenagers

“…It is a greatly quickly developing correspondence medium, particularly among young people [84][85][86][87][88][89][90][91][92][93][94][95]. Young people use IM on a successive premise frequently utilizes awful linguistic use, poor accentuation, and dishonourable truncations which influences their scholarly written work [96][97][98] …”