Tailored health communication: Opportunities and challenges in the digital era

Bol, Nadine; Smit, Eline Suzanne; Lustria, Mia Liza A.

doi:10.1177/2055207620958913

Cited by 35 publications

(34 citation statements)

References 23 publications

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“…The relevance of meaningful technologies to independence is considered necessary in future home care [ 60 ]. Bol et al [ 61 ] indicated room for improvement regarding tailored technology-based HC. Social support and collaborative design (co-design) have been identified as strategies to improve digital inclusion and reduce barriers to technology use, such as attitude, digital ability, and access [ 45 ].…”

Section: Discussionmentioning

confidence: 99%

Using a Mobile Application for Health Communication to Facilitate a Sense of Coherence: Experiences of Older Persons with Cognitive Impairment

Piculell

Skär

Berglund

et al. 2021

IJERPH

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The increasing use of technology by older persons and their preferences for living at home and being independent have created an avenue for self-care and care delivery using mobile technologies and health communication. This study aimed to explain how older persons with cognitive impairment experienced technology-based health communication through the use of a mobile application to facilitate a sense of coherence. Individual, semi-structured interviews with 16 participants in the SMART4MD project were conducted. The interviews were transcribed then coded deductively and thematically, creating themes that corresponded to the central components of the sense of coherence model: comprehensibility, manageability, and meaningfulness. The findings produced an overall theme: a challenging technology that can provide support, based on the three identified themes: making sense of mobile technologies, mastering mobile technologies, and the potential added value to use mobile technologies. The participants’ experiences were influenced by their previous use and expectations for the application. Personal support, cognitive and physical ability, and different sources for information impacted use. The participants experienced that using the application created an ambiguity to be challenging and have possible benefits. The study suggests that the sense of coherence model may be used as a method to understand the use of technology by older populations.

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Section: Discussionmentioning

confidence: 99%

Using a Mobile Application for Health Communication to Facilitate a Sense of Coherence: Experiences of Older Persons with Cognitive Impairment

Piculell

Skär

Berglund

et al. 2021

IJERPH

View full text Add to dashboard Cite

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“…Numa era de avanço acelerado das mídias digitais e em contraposição em circunstâncias de recursos limitados, adesão organizacional insuficiente e mudança comportamental, a política de saúde digital deve estar no foco de atenção dos gestores de serviços de saúde. (22)(23)(24)(25)(26) Existem evidências de que o encaminhamento para intervenções digitais têm elevado potencial para direcionar maior proporção de pacientes ao acesso de intervenções estruturadas para seu autocuidado, promovendo mudança de comportamento em relação à saúde em diferentes contextos, (27)(28)(29)(30)(31)(32) desenvolvendo também confiança profissional; (33) além disso, intervenções digitais de saúde podem se configurar como estratégia de engajamento do cliente nos serviços de saúde, (34)(35)(36)(37) podem integrar diferentes profissionais de saúde entre si, ou alinhar determinados profissionais aos protocolos adotados pelo sistema de saúde. Todavia, é notório que seu uso excessivo pode infringir o código de ética profissional e que o comportamento aditivo pode vir a causar prejuízos.…”

Section: Discussionunclassified

Saúde digital e enfermagem: ferramenta de comunicação na Estratégia Saúde da Família

Almeida¹,

Godoy²,

Silva³

et al. 2022

Acta Paulista De Enfermagem

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Conflitos de interesse: nada a declarar.Métodos: Estudio descriptivo, transversal, con enfoque cuantitativo. La investigación fue llevada a cabo en los meses de abril y mayo de 2020 en una ciudad con una cobertura del 100 % de la Atención Básica. Se invitó a todos los enfermeros registrados (140) y que trabajan en la ESF del municipio.Resultados: Se analizaron las respuestas de 39 enfermeros, entre 29 y 50 años, mayoría de mujeres, que trabajan hace más de 10 años en la Estrategia Salud de la Familia de un municipio del norte del estado de Minas Gerais. La mayor parte de los enfermeros informó que conocía las tecnologías que el Ministerio de Salud pone a disposición, pero 25 (64,1 %) no conocen la aplicación DigiSUS.

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“…Lastly, to address the various information preferences of older patients, it is important that the information can be individually tailored, or in other words, adjusted to the specific preferences of each individual patient [ 33 ]. The option to tailor the content in online tools was previously shown to increase perceived relevance and improve information processing [ 33 – 35 ]. For this reason, content tailoring was incorporated in the Patient Navigator based on this previous research.…”

Section: Phase 1: Development Of the Patient Navigatormentioning

confidence: 99%

The Patient Navigator: Can a systematically developed online health information tool improve patient participation and outcomes related to the consultation in older patients newly diagnosed with colorectal cancer?

et al. 2022

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Background Older cancer patients may search for health information online to prepare for their consultations. However, seeking information online can have negative effects, for instance increased anxiety due to finding incorrect or unclear information. In addition, existing online cancer information is not necessarily adapted to the needs of older patients, even though cancer is a disease often found in older individuals. Objective The aim of this study was to systematically develop, implement and evaluate an online health information tool for older cancer patients, the Patient Navigator, providing information that complements the consultation with healthcare providers. Method For the development and evaluation of the Patient Navigator, the four phases of the MRC framework were used. In the first and second phase the Patient Navigator was developed and pilot tested based on previous research and sub-studies. During the third phase the Patient Navigator was implemented in four Dutch hospitals. In the last phase, a pilot RCT was conducted to evaluate the Patient Navigator in terms of usage (observational tracking data), user experience (self-reported satisfaction, involvement, cognitive load, active control, perceived relevance of the tool), patient participation (observational data during consultation), and patient outcomes related to the consultation (questionnaire data regarding anxiety, satisfaction, and information recall). Recently diagnosed colorectal cancer patients (N = 45) were randomly assigned to the control condition (usual care) or the experimental condition (usual care + Patient Navigator). Results The Patient Navigator was well used and evaluated positively. Patients who received the Patient Navigator contributed less during the consultation by using less words than patients in the control condition and experienced less anxiety two days after the consultation than patients in the control condition. Conclusion Since the Patient Navigator was evaluated positively and decreased anxiety after the consultation, this tool is potentially a valuable addition to the consultation for patients. Usage of the Patient Navigator resulted in patients using less words during consultations, without impairing patients’ satisfaction, possibly because information needs might be fulfilled by usage of the Patient Navigator. This could create the possibility to personalize communication during consultations and respond to other patient needs.

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Tailored health communication: Opportunities and challenges in the digital era

Cited by 35 publications

References 23 publications

Using a Mobile Application for Health Communication to Facilitate a Sense of Coherence: Experiences of Older Persons with Cognitive Impairment

Using a Mobile Application for Health Communication to Facilitate a Sense of Coherence: Experiences of Older Persons with Cognitive Impairment

Saúde digital e enfermagem: ferramenta de comunicação na Estratégia Saúde da Família

The Patient Navigator: Can a systematically developed online health information tool improve patient participation and outcomes related to the consultation in older patients newly diagnosed with colorectal cancer?

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