COPD Self-Management for Adults Living in Rural Areas: Systematic Review of Telehealth and Non-Telehealth Interventions

IF 0.7 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American Journal of Health Education Pub Date : 2022-08-09 DOI:10.1080/19325037.2022.2100525

M. Stellefson, Caitlin Kinder, Isabelle Boyd, O. Elijah, S. Naher, Ny’Nika McFadden

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引用次数: 2

Abstract

ABSTRACT Background Chronic Obstructive Pulmonary Disease (COPD) is more prevalent in rural areas than in non-rural areas due to factors such as limited access to healthcare; however, no known studies have systematically reviewed evidence related to the impact of self-management interventions on rural adults with COPD. Purpose Systematically review telehealth and non-telehealth self-management interventions delivered to adults with COPD in rural areas. Methods Six electronic databases were searched to identify eleven eligible articles. Results Six studies delivered telehealth interventions, while five delivered non-telehealth interventions. Six interventions (54.5%) reported the use of a behavioral theory, and four (36.4%) employed a randomized control trial (RCT) design. Three studies (n = 2 telehealth; n = 1 non-telehealth) reported significant improvements in self-management efficacy, five (n = 3 telehealth; n = 2 non-telehealth) reported improvements in quality of life, four (n = 1 telehealth; n = 3 non-telehealth) demonstrated improved exercise capacity, and four (n = 2 telehealth; n = 2 non-telehealth) reported improved COPD knowledge. Discussion There is promising evidence that telehealth interventions could be as beneficial as non-telehealth interventions for improving COPD self-management in rural areas. Translation to Health Education Practice: Community-based needs assessments in rural areas may help determine the optimal method of delivery (i.e., telehealth and/or non-telehealth strategies) for local COPD self-management interventions. A AJHE Self-Study quiz is online for this article via the SHAPE America Online Institute (SAOI) http://portal.shapeamerica.org/trn-Webinars

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农村成年人COPD自我管理：远程健康和非远程健康干预的系统综述

摘要背景慢性阻塞性肺病（COPD）在农村地区比在非农村地区更普遍，这是由于获得医疗保健的机会有限等因素造成的；然而，没有已知的研究系统地回顾了与自我管理干预对患有COPD的农村成年人的影响有关的证据。目的系统回顾向农村地区患有慢性阻塞性肺病的成年人提供的远程健康和非远程健康自我管理干预措施。方法检索6个电子数据库，确定11篇符合条件的文章。结果6项研究提供了远程医疗干预，5项提供了非远程医疗干预。六项干预措施（54.5%）报告使用了行为理论，四项（36.4%）采用了随机对照试验（RCT）设计。三项研究（n=2远程医疗；n=1非远程医疗）报告了自我管理效能的显著改善，五项研究（n=3远程医疗；n=2非远程医疗。讨论有很有希望的证据表明，在改善农村地区COPD自我管理方面，远程医疗干预可能与非远程医疗干预一样有益。转化为健康教育实践：农村地区基于社区的需求评估可能有助于确定当地COPD自我管理干预的最佳实施方法（即远程健康和/或非远程健康策略）。AJHE自学测验通过SHAPE美国在线研究所（SAOI）在线为本文提供http://portal.shapeamerica.org/trn-Webinars

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来源期刊

American Journal of Health Education PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

1.70

自引率

10.00%

发文量

期刊介绍： AJHE is sponsored by the American Association for Health Education of the American Alliance for Health, Physical Education, Recreation and Dance. The mission of the American Association for Health Education(AAHE) is to advance the profession by serving health educators and others who strive to promote the health of all people through education and other systematic strategies.AAHE addresses the following priorities •Develop and promulgate standards, resources and services regarding health education to professionals and non-professionals •Foster the development of national research priorities in health education and promotion. Provide mechanisms for the translation and interaction between theory, research and practice.