Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-31T22:32:12.441Z Has data issue: false hasContentIssue false
  • English
  • Français

Multimedia psychoeducational interventions to support patient self-care in degenerative conditions: A realist review

Published online by Cambridge University Press:  22 October 2014

Peter O'Halloran ,
David Scott ,
Joanne Reid  and
Sam Porter
Peter O'Halloran*
Affiliation:
School of Nursing and Midwifery, Queen's University Belfast, Belfast, BT9 7BL, United Kingdom
David Scott
Affiliation:
School of Nursing and Midwifery, Queen's University Belfast, Belfast, BT9 7BL, United Kingdom
Joanne Reid
Affiliation:
School of Nursing and Midwifery, Queen's University Belfast, Belfast, BT9 7BL, United Kingdom
Sam Porter
Affiliation:
School of Nursing and Midwifery, Queen's University Belfast, Belfast, BT9 7BL, United Kingdom
*
Address correspondence and reprint requests to: Peter O'Halloran, Medical Biology Centre, School of Nursing and Midwifery, Queen's University Belfast, 97 Lisburn Road, Belfast BT9 7BL, United Kingdom. E-Mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

Multimedia interventions are increasingly used to deliver information in order to promote self-care among patients with degenerative conditions. We carried out a realist review of the literature to investigate how the characteristics of multimedia psychoeducational interventions combine with the contexts in which they are introduced to help or hinder their effectiveness in supporting self-care for patients with degenerative conditions.

Method:

Electronic databases (Medline, Science Direct, PSYCHinfo, EBSCO, and Embase) were searched in order to identify papers containing information on multimedia psychoeducational interventions. Using a realist review approach, we reviewed all relevant studies to identify theories that explained how the interventions work.

Results:

Ten papers were included in the review. All interventions sought to promote self-care behaviors among participants. We examined the development and content of the multimedia interventions and the impact of patient motivation and of the organizational context of implementation. We judged seven studies to be methodologically weak. All completed studies showed small effects in favor of the intervention.

Significance of Results:

Multimedia interventions may provide high-quality information in an accessible format, with the potential to promote self-care among patients with degenerative conditions, if the patient perceives the information as important and develops confidence about self-care. The evidence base is weak, so that research is needed to investigate effective modes of delivery at different resource levels. We recommend that developers consider how an intervention will reduce uncertainty and increase confidence in self-care, as well as the impact of the context in which it will be employed.

Keywords

Realist reviewMultimediaPsychoeducationalSelf-careDegenerative conditionsPalliative care
Type
Review Article
Information
Palliative & Supportive Care , Volume 13 , Issue 5 , October 2015 , pp. 1473 - 1486
Copyright
Copyright © Cambridge University Press 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Abraham, C. & Michie, S. (2008). A taxonomy of behavior change techniques used in interventions. Health Psychology, 27(3), 379–287.Google Scholar
Albert, N.M., Buchsbaum, R. & Li, J. (2007). Randomized study of the effect of video education on heart failure healthcare utilization, symptoms, and self-care behaviors. Patient Education and Counseling, 69(1–3), 129–139.Google Scholar
Angus, K., Cairns, G. & Purves, R. (2013). Systematic literature review to examine the evidence for the effectiveness of interventions that use theories and models of behaviour change: Towards the prevention. Available at https://dspace.stir.ac.uk/handle/1893/16455.Google Scholar
Bandura, A. (1997). Self-efficacy: The exercise of control. New York: Freeman.Google Scholar
Boyde, M., Song, S., Peters, R., et al. (2013). Pilot testing of a self-care education intervention for patients with heart failure. European Journal of Cardiovascular Nursing, 12(1), 39–46.Google Scholar
Capewell, C., Gregory, W., Closs, S., et al. (2010). Brief DVD-based educational intervention for patients with cancer pain: Feasibility study. Palliative Medicine, 24(6), 616–622.Google Scholar
Chambers, S. K., Schover, L., Halford, K., et al. (2008). ProsCan for Couples: Randomised controlled trial of a couples-based sexuality intervention for men with localised prostate cancer who receive radical prostatectomy. BMC Cancer, 8, 226.Google Scholar
Chiou, C.-P. & Chung, Y.-C. (2012). Effectiveness of multimedia interactive patient education on knowledge, uncertainty and decision making in patients with end-stage renal disease. Journal of Clinical Nursing, 21(9–10), 1223–1231.Google Scholar
Collins, T.C., Krueger, P.N., Kroll, T.L., et al. (2009). Face-to-face interaction compared with video watching on use of physical activity in peripheral arterial disease: A pilot trial. Angiology, 60(1), 21–30.Google Scholar
Department of Health (2010). Liberating the NHS. Available at https://www.gov.uk/government/publications/liberating-the-nhs-white-paper.Google Scholar
Elander, J., Robinson, G. & Morris, J. (2011). Randomized trial of a DVD intervention to improve readiness to self-manage joint pain. Pain, 152(10), 2333–2341.Google Scholar
Greenhalgh, T. (2009). Patient and public involvement in chronic illness: Beyond the expert patient. BMJ (Clinical Research ed.), 338, b49.Google Scholar
Hoffman, J., Salzman, C., Garbaccio, C., et al. (2011). Use of on-demand video to provide patient education on spinal cord injury. Journal of Spinal Cord Medicine, 34(4), 404–409.Google Scholar
Jensen, M.P., Nielson, W.R. & Kerns, R.D. (2003). Toward the development of a motivational model of pain self-management. The Journal of Pain, 4(9), 477–492.Google Scholar
Jerant, A., Sohler, N., Fiscella, K., et al. (2011). Tailored interactive multimedia computer programs to reduce health disparities: Opportunities and challenges. Patient Education and Counseling, 85(2), 323–330.Google Scholar
Jeste, D.V, Dunn, L.B., Folsom, D.P., et al. (2008). Multimedia educational aids for improving consumer knowledge about illness management and treatment decisions: A review of randomized controlled trials. Journal of Psychiatric Research, 42(1), 1–21.Google Scholar
Knowles, M.S. (1998). The adult learner: The definitive classic in adult education and human resource development, 5th ed. Houston: Gulf Publishing Company.Google Scholar
Pawson, R. & Manzano-Santaella, A. (2012). A realist diagnostic workshop. Evaluation, 18(2), 176–191.Google Scholar
Pawson, R. & Tilley, N. (1997). Realistic evaluation. Thousand Oaks, CA: Sage Publications. Available from http://www.amazon.co.uk/Realistic-Evaluation-Ray-Pawson/dp/0761950095.Google Scholar
Pawson, R., Greenhalgh, T., Harvey, G., et al. (2005). Realist review: A new method of systematic review designed for complex policy interventions. Journal of Health Services Research & Policy, 10 (Suppl. 1), 21–34.Google Scholar
Public Health Resource Unit (1993). Critical appraisal checklist for an article on treatment of prevention. Available at http://www.healthknowledge.org.uk/sites/default/files/documents/interactivel/fae/rct/CASP_11_Questions_for_an_RCT_with_HealthKnowledge_logo.pdf.Google Scholar
Riegel, B. & Dickson, V.V. (2008). A situation-specific theory of heart failure self-care. The Journal of Cardiovascular Nursing, 23(3), 190–196.Google Scholar
Riley, W.T., Rivera, D.E., Atienza, A.A., et al. (2011). Health behavior models in the age of mobile interventions: Are our theories up to the task? Translational Behavioral Medicine, 1(1), 53–71.Google Scholar
Syrjala, K.L., Abrams, J.R., Polissar, N.L., et al. (2008). Patient training in cancer pain management using integrated print and video materials: A multisite randomized controlled trial. Pain, 135(1–2), 175–186.Google Scholar
United States House of Representatives (2010). Patient Protection and Affordable Care Act. Washington: Government Printing Office.Google Scholar
Veroff, D.R., Sullivan, L.A., Shoptaw, E.J., et al. (2012). Improving self-care for heart failure for seniors: The impact of video and written education and decision aids. Population Health Management, 15(1), 37–45.Google Scholar
Wilson, E.A., Makoul, G., Bojarski, E.A., et al. (2012). Comparative analysis of print and multimedia health materials: A review of the literature. Patient Education and Counseling, 89(1), 7–14.Google Scholar
Wong, G., Greenhalgh, T. & Pawson, R. (2010). Internet-based medical education: A realist review of what works, for whom and in what circumstances. BMC Medical Education, 10(1), 12.Google Scholar
Wong, G., Greenhalgh, T., Westhorp, G., et al. (2013). RAMESES publication standards: Realist syntheses. BMC Medicine, 11(1), 21.Google Scholar
World Health Organization (WHO) (2013). World health statistics 2013. Available at http://www.who.int/gho/publications/world_health_statistics/2013/en/ Google Scholar