Evaluation of the nurse-assisted eHealth intervention ‘eHealth@Hospital-2-Home’ on self-care by patients with heart failure and colorectal cancer post-hospital discharge: protocol for a randomised controlled trial
dc.contributor.author | Storm, Marianne | |
dc.contributor.author | Morken, Ingvild M. | |
dc.contributor.author | Austin, Rosalynn C. | |
dc.contributor.author | Nordfonn, Oda | |
dc.contributor.author | Wathne, Hege B. | |
dc.contributor.author | Urstad, Kristin H. | |
dc.contributor.author | Karlsen, Bjørg | |
dc.contributor.author | Dalen, Ingvild | |
dc.contributor.author | Gjeilo, Kari H. | |
dc.contributor.author | Richardson, Alison | |
dc.contributor.author | Elwyn, Glyn | |
dc.contributor.author | Bru, Edvin | |
dc.contributor.author | Søreide, Jon A. | |
dc.contributor.author | Kørner, Hartwig | |
dc.contributor.author | Mo, Rune | |
dc.contributor.author | Strömberg, Anna | |
dc.contributor.author | Lurås, Hilde | |
dc.contributor.author | Husebø, Anne M. L. | |
dc.date.accessioned | 2024-01-09T06:03:31Z | |
dc.date.available | 2024-01-09T06:03:31Z | |
dc.date.issued | 2024 | |
dc.identifier.citation | BMC Health Services Research. 2024 Jan 04;24(1):18 | |
dc.identifier.uri | http://hdl.handle.net/10852/106646 | |
dc.description.abstract | Background Patients with heart failure (HF) and colorectal cancer (CRC) are prone to comorbidity, a high rate of readmission, and complex healthcare needs. Self-care for people with HF and CRC after hospitalisation can be challenging, and patients may leave the hospital unprepared to self-manage their disease at home. eHealth solutions may be a beneficial tool to engage patients in self-care. Methods A randomised controlled trial with an embedded evaluation of intervention engagement and cost-effectiveness will be conducted to investigate the effect of eHealth intervention after hospital discharge on the self-efficacy of self-care. Eligible patients with HF or CRC will be recruited before discharge from two Norwegian university hospitals. The intervention group will use a nurse-assisted intervention—eHealth@Hospital-2-Home—for six weeks. The intervention includes remote monitoring of vital signs; patients’ self-reports of symptoms, health and well-being; secure messaging between patients and hospital-based nurse navigators; and access to specific HF and CRC health-related information. The control group will receive routine care. Data collection will take place before the intervention (baseline), at the end of the intervention (Post-1), and at six months (Post-2). The primary outcome will be self-efficacy in self-care. The secondary outcomes will include measures of burden of treatment, health-related quality of life and 30- and 90-day readmissions. Sub-study analyses are planned in the HF patient population with primary outcomes of self-care behaviour and secondary outcomes of medication adherence, and readmission at 30 days, 90 days and 6 months. Patients’ and nurse navigators’ engagement and experiences with the eHealth intervention and cost-effectiveness will be investigated. Data will be analysed according to intention-to-treat principles. Qualitative data will be analysed using thematic analysis. Discussion This protocol will examine the effects of the eHealth@ Hospital-2-Home intervention on self-care in two prevalent patient groups, HF and CRC. It will allow the exploration of a generic framework for an eHealth intervention after hospital discharge, which could be adapted to other patient groups, upscaled, and implemented into clinical practice. Trial registration Clinical trials.gov (ID 301472). | |
dc.language.iso | eng | |
dc.rights | The Author(s) | |
dc.rights | Attribution 4.0 International | |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
dc.title | Evaluation of the nurse-assisted eHealth intervention ‘eHealth@Hospital-2-Home’ on self-care by patients with heart failure and colorectal cancer post-hospital discharge: protocol for a randomised controlled trial | |
dc.type | Journal article | |
dc.date.updated | 2024-01-09T06:03:32Z | |
dc.creator.author | Storm, Marianne | |
dc.creator.author | Morken, Ingvild M. | |
dc.creator.author | Austin, Rosalynn C. | |
dc.creator.author | Nordfonn, Oda | |
dc.creator.author | Wathne, Hege B. | |
dc.creator.author | Urstad, Kristin H. | |
dc.creator.author | Karlsen, Bjørg | |
dc.creator.author | Dalen, Ingvild | |
dc.creator.author | Gjeilo, Kari H. | |
dc.creator.author | Richardson, Alison | |
dc.creator.author | Elwyn, Glyn | |
dc.creator.author | Bru, Edvin | |
dc.creator.author | Søreide, Jon A. | |
dc.creator.author | Kørner, Hartwig | |
dc.creator.author | Mo, Rune | |
dc.creator.author | Strömberg, Anna | |
dc.creator.author | Lurås, Hilde | |
dc.creator.author | Husebø, Anne M. L. | |
dc.identifier.doi | https://doi.org/10.1186/s12913-023-10508-5 | |
dc.type.document | Tidsskriftartikkel | |
dc.type.peerreviewed | Peer reviewed | |
dc.type.version | PublishedVersion | |
cristin.articleid | 18 |
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