Rural Chronically III Women: Online Support Group

农村慢性病 III 妇女：在线支持小组

• 批准号: 7264634
• 负责人: CLARANN L WEINERT
• 金额: $ 30.64万
• 依托单位: MONTANA STATE UNIVERSITY - BOZEMAN
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-03-01 至 2010-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7264634
• 关键词: Acute; Characteristics; Chronic Care; Chronic Disease; Chronically Ill; Communication; Complex; Computer Literacy; Computers; Data; Development; Diagnosis; Education; Educational process of instructing; Effectiveness; Environment; Evaluation; Gender; Geography; Goals; Growth; Hand; Happiness; Health; Health Resources; Health education; Healthy People 2010; Individual; Internet; Intervention; Intervention Studies; Knowledge; Learning; Life; Location; Loneliness; Measures; Mental Depression; Misinformation; Modeling; Motivation; Numbers; Nurses; Outcome; Persons; Phase; Play; Population; Preventive Intervention; Process; Quality of life; Questionnaires; Range; Reapplication; Reporting; Research; Research Design; Research Support; Residual state; Resources; Review Literature; Role; Rural; Rural Community; Science; Scientist; Score; Self Efficacy; Self Management; Social support; Solutions; Source; Spirituality; Standards of Weights and Measures; Stimulus; Stress; Study models; Support Groups; Support System; Systems Theory; Technology; Telecommunications; Testing; Underserved Population; Vulnerable Populations; Woman; Work; World Health Organization; base; behavior change; chronic care model; concept; cost; day; demographics; disability; experience; health disparity; illness length; improved; innovation; optimism; outreach; peer; programs; psychologic; psychosocial; residence; response; rural area; self esteem; self help; skills; social; stress management; success; telehealth; theories; virtual

DESCRIPTION (provided by applicant): This is a competing continuation reapplication for the research titled, Rural Chronically III Women: Online Support Network (a.k.a Women to Women Project, WTW). Chronic care interventions are emerging to assist those with chronic illnesses to learn the self-management skills necessary to successfully adapt to living with their illnesses and maintain quality of life. These have been shown to improve outcomes and reduce costs. However, access to programs that enhance effective self-management strategies may be inaccessible to underserved populations, such as chronically ill rural women. From its inception, the WTW telehealth intervention has been harnessing technology and using it as a means of enhancing the potential for rural chronically ill women to more successfully adapt to their chronic illnesses. The WTW Project is based on a carefully crafted and paced program of research which uses its evolving research findings and those of others to guide its progression. The goal is to test the impact of a computer-based intervention on psychosocial adaptation, chronic illness self-management, and quality of life among rural women with chronic illness. Within this context, specific aims are to: (a) test the effectiveness of a more parsimonious computer-based intervention on psychosocial adaptation; (b) test the effectiveness of a more parsimonious computer-based intervention on chronic illness self-management; (c) test the effectiveness of a more parsimonious computer-based intervention on quality of life; (d) explore associations among focal, contextual, and residual stimuli (illness characteristics, demographics, degree of rurality, hardiness, optimism, spirituality), psychosocial adaptation, chronic illness self-management, and quality of life; and (e) analyze the chatroom computer exchanges among women to explicate the complex process of managing chronic illness within the rural context. WTW is an intervention that is providing social support and enhancing self-management skills for geographically isolated individuals via the use of telecommunication technology. The implementation and evaluation of the first two phases of the WTW have contributed to the understanding of the role this computer-based intervention is playing in enhancing the women's self-management skills in an effort to help them successfully adapt to chronic illness. The proposed research trajectory will move toward reducing the complexity of the research design and intervention and further developing and refining a model of psychosocial adaptation to chronic illness.

描述（由申请人提供）：这是针对题为《乡村长期III妇女：在线支持网络》（又称妇女到妇女项目，wtw）的研究的竞争延续。慢性护理干预措施正在采取措施，以帮助患有慢性病的人学习成功适应其疾病并保持生活质量所必需的自我管理技能。这些已被证明可以改善结果并降低成本。但是，访问增强有效自我管理策略的计划可能是服务不足的人群（例如慢性乡村妇女）无法访问的。从成立开始，WTW远程医疗干预一直是利用技术，并将其用作增强农村慢性病妇女的潜力，以更加成功地适应其慢性病。 WTW项目基于精心制作且节奏的研究计划，该计划使用其不断发展的研究发现以及其他研究结果来指导其发展。目的是测试基于计算机的干预对心理社会适应，慢性疾病自我管理以及慢性疾病妇女生活质量的影响。在这种情况下，具体的目的是：（a）测试基于计算机的基于计算机的干预对社会心理适应的有效性； （b）测试基于计算机的更简约干预对慢性疾病自我管理的有效性； （c）测试更简约的基于计算机的干预对生活质量的有效性； （d）探索焦点，情境和残留刺激之间的关联（疾病特征，人口统计学，乡村程度，坚韧，乐观，灵性），心理社会适应性，慢性疾病自我管理和生活质量； （e）分析女性之间的聊天室计算机交换，以阐明复杂的过程 在农村背景下管理慢性疾病。 WTW是一种干预措施，正在通过使用电信技术为地理上孤立的个人提供社会支持并提高自我管理技能。 WTW的前两个阶段的实施和评估有助于理解这种基于计算机的干预措施在增强女性自我管理技能方面发挥的作用，以帮助她们成功适应慢性病。拟议的研究轨迹将朝着降低研究设计和干预的复杂性，并进一步发展和完善对慢性病的社会心理适应模型。