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. 2010 Nov-Dec;39(6 Suppl):S34-46.
doi: 10.1016/j.hrtlng.2010.09.003.

Technology-enhanced practice for patients with chronic cardiac disease: home implementation and evaluation

Patricia Flatley Brennan  1 , Gail R Casper, Laura J Burke, Kathy A Johnson, Roger Brown, Rupa S Valdez, Marge Sebern, Oscar A Perez, Billie Sturgeon
Affiliations

Technology-enhanced practice for patients with chronic cardiac disease: home implementation and evaluation

Patricia Flatley Brennan et al. Heart Lung. 2010 Nov-Dec.

Abstract

Objective: This 3-year field experiment engaged 60 nurses and 282 patients in the design and evaluation of an innovative home-care nursing model, referred to as technology-enhanced practice (TEP).

Methods: Nurses using TEP augmented the usual care with a web-based resource (HeartCareII) that provided patients with self-management information, self-monitoring tools, and messaging services.

Results: Patients exposed to TEP demonstrated better quality of life and self-management of chronic heart disease during the first 4 weeks, and were no more likely than patients in usual care to make unplanned visits to a clinician or hospital. Both groups demonstrated the same long-term symptom management and achievements in health status.

Conclusion: This project provides new evidence that the purposeful creation of patient-tailored web resources within a hospital portal is possible; that nurses have difficulty with modifying their practice routines, even with a highly-tailored web resource; and that the benefits of this intervention are more discernable in the early postdischarge stages of care.

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Figures

Figure 1
Figure 1
Flow Diagram of Participant Enrollment: Modified Version of CONSORT
Figure 2
Figure 2
Outcomes over time using adjusted means
See this image and copyright information in PMC

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