Faett, Becky
(2013)
REMOTE DELIVERY OF A STANDARDIZED EDUCATIONAL PROTOCOL FOR SELF-MANAGEMENT OF CHRONIC SWELLING OF THE LOWER LIMBS IN INDIVIDUALS WITH LIMITED MOBILITY.
Doctoral Dissertation, University of Pittsburgh.
(Unpublished)
Abstract
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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Details
| Item Type: |
University of Pittsburgh ETD
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| Status: |
Unpublished |
| Creators/Authors: |
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| ETD Committee: |
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| Date: |
22 January 2013 |
| Date Type: |
Publication |
| Defense Date: |
29 August 2012 |
| Approval Date: |
22 January 2013 |
| Submission Date: |
6 December 2012 |
| Access Restriction: |
No restriction; Release the ETD for access worldwide immediately. |
| Number of Pages: |
159 |
| Institution: |
University of Pittsburgh |
| Schools and Programs: |
School of Health and Rehabilitation Sciences > Rehabilitation Science and Technology |
| Degree: |
PhD - Doctor of Philosophy |
| Thesis Type: |
Doctoral Dissertation |
| Refereed: |
Yes |
| Uncontrolled Keywords: |
telerehabilitation, telehealth, lymphedema, chronic swelling. immobility, self-management |
| Date Deposited: |
22 Jan 2013 15:00 |
| Last Modified: |
15 Nov 2016 14:08 |
| URI: |
http://d-scholarship.pitt.edu/id/eprint/16846 |
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