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Web-baserat stöd i astmavården – en randomiserad kontrollerad studie
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
2018 (Swedish)Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesisAlternative title
Web-based support in asthma care – a randomized controlled trial (English)
Abstract [sv]

Syfte

Syftet med studien var att undersöka effekten på astmakontroll och lungfunktion av ett web-baserat stödprogram för astmapatienter inom primärvården.

Metod

Studien var en 2-armad randomiserad, kontrollerad studie med kvantitativ ansats som pågick under 6 månader. Båda grupperna fick astmavård utifrån hur den bedrivs på vårdcentralerna och interventionsgruppen fick även tillgång till ett nyskapat web-baserat stödprogram (Astmakollen) för astmapatienter. Totalt slutförde 83 deltagare studien, varav 39 ingick i interventionsgruppen och 44 i kontrollgruppen.

Resultat

Denna studie visade signifikant förbättring av astmakontroll hos de patienter som haft tillgång till det web-baserade stödprogrammet Astmakollen under 6 månader. Medelvärdet på astma kontroll test i interventionsgruppen steg med 2,23 poäng medan värdet i kontrollgruppen var tämligen oförändrat. Effektstorleken för denna förändring mätt i Cohens

d var 0,57. Medelvärdet av lungfunktionen i interventionsgruppen steg med 0,3% under studietiden medan den försämrades i kontrollgruppen och effektstorleken uppgick till 0,45. Skillnaden mellan grupperna var signifikant.

Konklusion

I denna studie framkommer det att e-hälsa kan ge en förbättrad astmakontroll och bibehållen lungfunktion samt vara ett komplement till dagens astmavård genom att öka tillgängligheten av individanpassad och evidensbaserad vård.

Abstract [en]

Objective

The aim of this study was to examine the impact on asthma control and lung function of a web-based support program for asthma patients in primary care.

Method

The study was a quantitative, parallel, 2-arm, randomized controlled trial over a 6-month period.

Both groups received asthma care based on how it was conducted at the health centers and the intervention group also gained access to a newly created web-based support program (Astmakollen) for asthma patients. In total, 83 participants completed the study, of whom 39 were in the intervention group and 44 in the control group.

Results

This study has showed significant improvement in asthma management in the sample group who had access to the web-based support program for 6 months. The mean score for asthma control test in the intervention group increased by 2,23 points while the score in the control group remained almost the same. The effect size for this change measured in Cohens

d was 0,57. The mean score of lungfunction in the intervention group increased by 0,3% during the study period, while it deteriorated in the control group and the effect size amounted to 0,45. The difference between the groups were significant.

Conclusions

In this study, it appears that eHealth can provide improved asthma control and maintained lung function and be a complement in today's asthma care by increasing accessibility of personalized and evidence-based care.

Place, publisher, year, edition, pages
2018.
Keywords [en]
asthma, asthma management, eHealth, lungfunction, quantitative, self-care.
Keywords [sv]
astma, astmakontroll, egenvård, e-hälsa, kvantitativ, lungfunktion.
National Category
Nursing
Identifiers
URN: urn:nbn:se:du-29488OAI: oai:DiVA.org:du-29488DiVA, id: diva2:1288066
Available from: 2019-02-12 Created: 2019-02-12

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