A Nursing Virtual Intervention

Abstract

Based on a philosophy of empowerment, we developed the HIV Treatment, Virtual Nursing Assistance and Education intervention to equip persons living with HIV for managing their daily antiretroviral therapies. In this article, we describe the project and the process of developing it, which was carried out in three phases: (1) development of the intervention's clinical content, (2) generation of a multimedia presentation, and (3) implementation of our Web application via computer interface. The HIV Treatment, Virtual Nursing Assistance and Education consists of four interactive sessions at the computer, animated by a virtual nurse that takes the individual through the learning process about the capabilities necessary for taking the treatment. This information and strategies provided by the virtual nurse are specifically adapted to the participant, according to the responses he/she supplies. The virtual intervention approach, still experimental, is intended to be complementary with the actual clinical follow-up and has been developed in the context of reorganizing services and of the scarcity of resources. While we anticipate direct positive outcomes among the HIV clientele, it is also highly probable that this virtual support application will have ramifications among different clienteles who must also contend with the daily challenges of their health conditions.

Web-Based Nursing Intervention for Self-Management of Pain After Cardiac Surgery: Pilot Randomized Controlled Trial

“…The Web application was created with the help of a prototype developed by the University of Montréal’s Chair for Research into New Practices in Nursing [27]. Computer-tailored technology was used to offer a complementary and personalized tool to empower patients without adding a burden to the clinicians in the busy environment of acute care.…”

Evaluation of a real-time virtual intervention to empower persons living with HIV to use therapy self-management: study protocol for an online randomized controlled trial

“…The study will rest on preliminary work (phases I and II) that served to clearly identify the predictors of treatment adherence by PLHIV [78], and will develop and validate the content of the intervention in question [79], and create the corresponding web application [80]. …”

“…Based on a philosophy of empowerment, the HIV Treatment, Virtual Nursing Assistance and Education (Virus de l’immunodéficience Humaine–Traitement Assistance Virtuelle Infirmière et Enseignement; VIH-TAVIE™ a ) web application makes it possible to develop and strengthen the skills needed for PLHIV to self-manage their treatment while boosting their sense of self-efficacy with respect to the daily intake of medication [80]. This application was developed in accordance with the systematic analytic process proposed by Bartholomew et al [81,82], and rests on explanatory and predictive models of health behaviors [79].…”

A Hybrid Web-Based and In-Person Self-Management Intervention to Prevent Acute to Chronic Pain Transition After Major Lower Extremity Trauma (iPACT-E-Trauma): Protocol for a Pilot Single-Blind Randomized Controlled Trial

“…The first three sessions are planned to be delivered via the Web with the Traitement et Assistance Virtuelle Infirmière et Enseignement (TAVIE) platform [62] (ie, Soulage TAVIE Post-Trauma ) and will be combined with a face-to-face mode of delivery during patient hospitalization. More specifically, participants will be invited to watch a virtual session, followed by a short visit by a research nurse the day after, to answer questions and reinforce learned self-management strategies.…”