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

Autor/inn/en	Stellefson, Michael; Kinder, Caitlin; Boyd, Isabelle; Elijah, Odunayo; Naher, Shabnam; McFadden, Ny'Nika
Titel	COPD Self-Management for Adults Living in Rural Areas: Systematic Review of Telehealth and Non-Telehealth Interventions
Quelle	In: American Journal of Health Education, 53 (2022) 5, S.269-281 (13 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Stellefson, Michael) ORCID (Elijah, Odunayo) ORCID (McFadden, Ny'Nika)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1932-5037
DOI	10.1080/19325037.2022.2100525
Schlagwörter	Chronic Illness; Diseases; Rural Areas; Access to Health Care; Self Management; Intervention; Adults; Program Effectiveness; Videoconferencing; Telecommunications; Audiovisual Aids; Web Sites + Suchen Sie Ihr Suchwort? Chronic disease; Chronische Krankheit; Disease; Krankheit; Rural area; Ländlicher Raum; Selbstmanagement; Telekommunikationstechnik; Audiovisuelles Medium; Web-Design
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. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01