Remote delivery of a standardized educational protocol for self-management of chronic swelling of the lower limbs in individuals with limited mobility
Notice bibliographique
Résumé
The purpose of this study was to develop and evaluate the remote delivery of a standardized self-management protocol for chronic swelling of the lower limbs, termed Telerehabilitation to Empower You to Manage and Prevent Swelling (TR-PUMPS). This protocol was a component of a clinical trial designed to evaluate an in-home self-management program for chronic lower limb swelling in people with limited mobility that utilized TR to provide real time face-to face interactive educational and assessment sessions over a six week period. Developed as a series of videos, the protocol was designed to encompass 10 learning goals for self-management of chronic swelling/lymphedema. Content validity was determined by eight certified lymphedema therapists. The mean score for the videos was 4.5 ± 0.35 (Likert scale of 5 = strongly agree to 1 = strongly disagree). The readability level of 5th grade and superior suitability rating using the Suitability Assessment of Materials indicated materials were appropriate for various levels of health literacy in the study population. TR-PUMPS was implemented utilizing the Versatile and Integrated System for Telerehabilitation (VISYTER) software platform, a secure system that provides the ability for real-time teleconferencing. Evaluation of the subjects’ post intervention Competency in Self Care and Self-Management (CSCSM) of their chronic swelling resulted in a mean score of 94% + 4%. Inter-rater reliability of the CSCSM was high. The Intraclass Correlation Coefficient (ICC) for single measures was .913 with a 95% confidence interval of .913 - .980 (p = .000). ICC of average measures was .979 with a 95% confidence interval of .955 - .990 (p = .000). Self-identified performance goals measured by the Canadian Occupation Performance Measurement showed significant improvement post intervention (p = .008) and exceeded the minimal importance difference. There was no significant change in the subjects’ self-efficacy in management of their chronic swelling scores (p = .065). The subjects’ perceived usability of the remote delivery of TR-PUMPS was high with a mean score of 6.4 + 0.65 (Likert scale of 1 = disagree to 7 = agree). These results support TR-PUMPS as a viable method for providing a home-based self-management program for chronic swelling.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».