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An, Q., Sandlund, M., Agnello, D., Mccaffrey, L., Chastin, S., Helleday, R. & Wadell, K. (2023). A scoping review of co-creation practice in the development of non-pharmacological interventions for people with chronic obstructive pulmonary disease. Paper presented at 2023 ERS International Congress. European Respiratory Journal, 62(Suppl. 67), Article ID PA2416.
Open this publication in new window or tab >>A scoping review of co-creation practice in the development of non-pharmacological interventions for people with chronic obstructive pulmonary disease
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2023 (English)In: European Respiratory Journal, ISSN 0903-1936, E-ISSN 1399-3003, Vol. 62, no Suppl. 67, article id PA2416Article in journal, Meeting abstract (Refereed) [Artistic work] Published
Abstract [en]

Background: Incorporating co-creation process in the development of interventions may improve the outcome. However, there is a lack of synthesis of co-creation practices in the development of Non-Pharmacological Interventions (NPIs) for Chronic Obstructive Pulmonary Disease (COPD).

Objective: This scoping review aimed to examine the co-creation practice used when developing NPIs for people with COPD.

Methods: The methodology proposed by Arksey and O’Malley for scoping reviews was followed, and it was reported according to the PRISMA-ScR framework. The search included PubMed, Scopus, CINAHL, and Web of Science. Studies reporting on the process and/or analysis of applying co-creation practice in developing NPIs for people with COPD were included.

Results: 13 articles complied with the inclusion criteria. The composition of co-creators was diverse and reported in most of the included studies. Facilitating factors described in the co-creation practices included administrative preparations, diversity of stakeholders, cultural considerations, employment of creative methods, creation of an appreciative environment, and digital assistance. Few creative methods were mentioned or explained in the studies. Challenges around the physical limitations of patients, the absence of key stakeholder opinions, a prolonged process, recruitment, and digital illiteracy of co-creators were listed. Most of the studies did not report implementation considerations as a discussion point in their co-creation workshops.

Conclusion: This review provides suggestions for evidence-based co-creation in COPD care which may improve the quality of care delivered by NPIs.

Place, publisher, year, edition, pages
European Respiratory Society (ERS), 2023
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-221314 (URN)10.1183/13993003.congress-2023.PA2416 (DOI)001109120504395 ()
Conference
2023 ERS International Congress
Available from: 2024-02-20 Created: 2024-02-20 Last updated: 2024-02-21Bibliographically approved
An, Q., Sandlund, M., Agnello, D., McCaffrey, L., Chastin, S., Helleday, R. & Wadell, K. (2023). A scoping review of co-creation practice in the development of non-pharmacological interventions for people with chronic obstructive pulmonary disease: a health CASCADE study. Respiratory Medicine, 211, Article ID 107193.
Open this publication in new window or tab >>A scoping review of co-creation practice in the development of non-pharmacological interventions for people with chronic obstructive pulmonary disease: a health CASCADE study
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2023 (English)In: Respiratory Medicine, ISSN 0954-6111, E-ISSN 1532-3064, Vol. 211, article id 107193Article, review/survey (Refereed) Published
Abstract [en]

Background: Incorporating co-creation processes may improve the quality of outcome interventions. However, there is a lack of synthesis of co-creation practices in the development of Non-Pharmacological Interventions (NPIs) for people with Chronic Obstructive Pulmonary Disease (COPD), that could inform future co-creation practice and research for rigorously improving the quality of care.

Objective: This scoping review aimed to examine the co-creation practice used when developing NPIs for people with COPD.

Methods: This review followed Arksey and O'Malley scoping review framework and was reported according to the PRISMA-ScR framework. The search included PubMed, Scopus, CINAHL, and Web of Science Core Collection. Studies reporting on the process and/or analysis of applying co-creation practice in developing NPIs for people with COPD were included.

Results: 13 articles complied with the inclusion criteria. Limited creative methods were reported in the studies. Facilitators described in the co-creation practices included administrative preparations, diversity of stakeholders, cultural considerations, employment of creative methods, creation of an appreciative environment, and digital assistance. Challenges around the physical limitations of patients, the absence of key stakeholder opinions, a prolonged process, recruitment, and digital illiteracy of co-creators were listed. Most of the studies did not report including implementation considerations as a discussion point in their co-creation workshops.

Conclusion: Evidence-based co-creation in COPD care is critical for guiding future practice and improving the quality of care delivered by NPIs. This review provides evidence for improving systematic and reproducible co-creation. Future research should focus on systematically planning, conducting, evaluating, and reporting co-creation practices in COPD care.

Place, publisher, year, edition, pages
Elsevier, 2023
Keywords
COPD, Co-creation, Creativity, Non-pharmacological interventions, Participation, Stakeholder
National Category
Nursing Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:umu:diva-205629 (URN)10.1016/j.rmed.2023.107193 (DOI)000952167500001 ()36889517 (PubMedID)2-s2.0-85150368110 (Scopus ID)
Funder
EU, Horizon 2020, 956501
Available from: 2023-03-10 Created: 2023-03-10 Last updated: 2023-09-05Bibliographically approved
Björklund, F., Palm, A., Gorani, J. A., Ahmadi, Z., Sundh, J., Theorell-Haglöw, J., . . . Ekström, M. (2023). Breathlessness and exercise performance to predict mortality in long-term oxygen therapy – The population-based DISCOVERY study. Respiratory Medicine, 216, Article ID 107306.
Open this publication in new window or tab >>Breathlessness and exercise performance to predict mortality in long-term oxygen therapy – The population-based DISCOVERY study
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2023 (English)In: Respiratory Medicine, ISSN 0954-6111, E-ISSN 1532-3064, Vol. 216, article id 107306Article in journal (Refereed) Published
Abstract [en]

Background: Patients with chronic respiratory failure treated with long-term oxygen therapy (LTOT) often have severe breathlessness, impaired exercise performance, and high but variable mortality that is difficult to predict. We aimed to evaluate breathlessness and exercise performance upon starting LTOT as predictors of overall and short-term mortality.

Methods: This was a longitudinal, population-based study of patients who initiated LTOT between 2015 and 2018 in Sweden. Breathlessness was measured using the Dyspnea Exertion Scale, and exercise performance using the 30s-Sit-To-Stand test. Associations with overall and three-month mortality were analyzed using Cox-regression. Subgroup analyses were performed for patients with chronic obstructive pulmonary disease (COPD) and interstitial lung disease (ILD) respectively. The predictive capacity of models was assessed using a C-statistic.

Results: A total of 441 patients (57.6% female, aged 75.4 ± 8.3 years) were analyzed, of whom 141 (32%) died during a median follow-up of 260 (IQR 75–460) days. Both breathlessness and exercise performance were independently associated with overall mortality in the crude models, but only exercise performance remained independently associated with overall mortality when models were adjusted for other predictors, when short-term mortality was analyzed, or when breathlessness and exercise capacity were analyzed concurrently. The multivariable model including exercise performance but not breathlessness provided a relatively high predictive capacity for overall mortality, C-statistic 0.756 (95% CI 0.702–0.810). Similar results were seen in the COPD and ILD subgroups.

Conclusion: Exercise performance as measured by the 30s-STS may be useful to identify patients with higher mortality on LTOT for optimized management and follow-up.

Place, publisher, year, edition, pages
Elsevier, 2023
Keywords
Breathlessness, Exercise performance, Long-term oxygen therapy
National Category
Respiratory Medicine and Allergy
Identifiers
urn:nbn:se:umu:diva-210198 (URN)10.1016/j.rmed.2023.107306 (DOI)2-s2.0-85161342765 (Scopus ID)
Funder
Region BlekingeUppsala UniversityRegion GavleborgSwedish Heart Lung Foundation, 20180567Swedish Research Council, 2019–02081
Available from: 2023-06-28 Created: 2023-06-28 Last updated: 2023-06-28Bibliographically approved
An, Q., Gebart-Hedman, K. & Wadell, K. (2023). Democratising eHealth design: empowering healthcare providers with healthcare design abilities through a co-creation training. In: Lyndon Buck; Hilary Grierson; Erik Bohemia (Ed.), DS 123: proceedings of the international conference on engineering and product design education (E&PDE 2023). Paper presented at E&PDE 2023, 25th International Conference on Engineering and Product Design Education, Barcelona, Spain, September 7-8, 2023 (pp. 235-240). The Design Society
Open this publication in new window or tab >>Democratising eHealth design: empowering healthcare providers with healthcare design abilities through a co-creation training
2023 (English)In: DS 123: proceedings of the international conference on engineering and product design education (E&PDE 2023) / [ed] Lyndon Buck; Hilary Grierson; Erik Bohemia, The Design Society, 2023, p. 235-240Conference paper, Published paper (Refereed)
Abstract [en]

The market penetration of eHealth interventions is substantially lower than investors anticipated due to their low acceptance. Main causes include the use of top-down approaches and the tendency for research to concentrate on technology rather than service delivery from users’ perspective. Healthcare professionals have exclusive expert knowledge of evidence-based practice in a specific area, which may explain why many eHealth intervention development projects continue to use top-down approaches. It is therefore crucial to empower healthcare professionals with design skills and mindset. On the otherhand, the roles and responsibilities of designers in the twenty-first century have been controversial. Many farsighted designers assert that we are at a turning point of transforming design from an expert driven process focused on objects and services within a taken-for-granted social and economic order towards design practices that advocates design-led societal transition toward more sustainable futures. To foster the transformation, design education should cater to all abilities. Health CASCADE is a MarieSklodowska-Curie Innovative Training Network to consolidate co-creation as an effective tool to fight public health problems. Imparting the knowledge of co-creation in public health to healthcare professionals has the potential to alleviate the gap between design and healthcare, meanwhile provides opportunities for stakeholder participation in the development process to increase trust. This paper illustrates a curriculum development process partnered with a healthcare professional aiming for delivering knowledge of co-creation in public health to healthcare professionals working on designing eHealth programmes on the national healthcare support platform, 1177.se – Support and Treatment in Sweden. 

Place, publisher, year, edition, pages
The Design Society, 2023
Keywords
eHealth, empowerment, healthcare provider, co-creation
National Category
Design
Identifiers
urn:nbn:se:umu:diva-214493 (URN)10.35199/EPDE.2023.40 (DOI)2-s2.0-85185712900 (Scopus ID)9781912254194 (ISBN)
Conference
E&PDE 2023, 25th International Conference on Engineering and Product Design Education, Barcelona, Spain, September 7-8, 2023
Funder
EU, Horizon 2020, 956501
Available from: 2023-09-18 Created: 2023-09-18 Last updated: 2024-03-11Bibliographically approved
Nyberg, A., Sondell, A., Lundell, S., Marklund, S., Tistad, M. & Wadell, K. (2023). Experiences of using an electronic health tool among health care professionals involved in chronic obstructive pulmonary disease management: qualitative analysis. JMIR Human Factors, 10, Article ID e43269.
Open this publication in new window or tab >>Experiences of using an electronic health tool among health care professionals involved in chronic obstructive pulmonary disease management: qualitative analysis
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2023 (English)In: JMIR Human Factors, E-ISSN 2292-9495, Vol. 10, article id e43269Article in journal (Refereed) Published
Abstract [en]

Background: Chronic obstructive pulmonary disease (COPD) is one of the most common and deadliest chronic diseases of the 21st century. eHealth tools are seen as a promising way of supporting health care professionals in providing evidence-based COPD care, for example, by reinforcing information and interventions provided to the patients and providing easier access and support to the health care professional themselves. Still, knowledge is scarce on the experience of using eHealth tools from the perspective of the health care professional involved in COPD management.

Objective: The study explored the experiences of using an eHealth tool among health care professionals that worked with patients with COPD in their daily clinical practice.

Methods: This exploratory qualitative study is part of a process evaluation in a parallel group, controlled, pragmatic pilot trial. Semistructured interviews were performed with 10 health care professionals 3 and 12 months after getting access to an eHealth tool, the COPD Web. The COPD Web, developed using cocreation, is an interactive web-based platform that aims to help health care professionals provide health-promoting strategies. Data from the interviews were analyzed using qualitative content analysis with an inductive approach.

Results: The main results reflected health care professionals’ experiences in 3 categories: receiving competence support and adjusting practice, improving quality of care, and efforts required for implementation. These categories highlighted that using an eHealth tool such as the COPD Web was experienced to provide knowledge support for health care professionals that led to adaptation and facilitation of working procedures and person-centered care. Taken together, these changes were perceived to improve the quality of care through enhanced patient contact and encouragement of interprofessional collaboration. In addition, health care professionals expressed that patients using the COPD Web were better equipped to tackle their disease and adhered better to provided treatment, increasing their self-management ability. However, structural and external barriers bar the successful implementation of an eHealth tool in daily praxis.

Conclusions: This study is among the first to explore experiences of using an eHealth tool among health care professionals involved in COPD management. Our novel findings highlight that using an eHealth tool such as the COPD Web may improve the quality of care for patients with COPD (eg, by providing knowledge support for health care professionals and adapting and facilitating working procedures). Our results also indicate that an eHealth tool fosters collaborative interactions between patients and health care professionals, which explains why eHealth is a valuable means of encouraging well-informed and autonomous patients. However, structural and external barriers requiring time, support, and education must be addressed to ensure that an eHealth tool can be successfully implemented in daily praxis.

Place, publisher, year, edition, pages
JMIR Publications Inc., 2023
Keywords
care, chronic, clinical, COPD, eHealth, electronic, health care professionals, implementation, internet, management, primary care, pulmonary, support, tools, web based
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Physiotherapy
Identifiers
urn:nbn:se:umu:diva-206748 (URN)10.2196/43269 (DOI)36995743 (PubMedID)2-s2.0-85151911915 (Scopus ID)
Available from: 2023-05-03 Created: 2023-05-03 Last updated: 2024-03-22Bibliographically approved
Nyberg, A., Lundell, S., Stenlund, T., Marklund, S. & Wadell, K. (2023). KOLwebben ökar kunskapen hos både personer med KOL och personal. Fysioterapi (1), 30-35
Open this publication in new window or tab >>KOLwebben ökar kunskapen hos både personer med KOL och personal
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2023 (Swedish)In: Fysioterapi, ISSN 1653-5804, no 1, p. 30-35Article, review/survey (Other (popular science, discussion, etc.)) Published
Abstract [sv]

I ett försök att minska gapet mellan rådande riktlinjer gällande icke-farmakologiska interventioner och den vård som erbjuds till personer med KOL har vi, tillsammans med användare, utvecklat och utvärderat KOLwebben. Användning av KOLwebben ledde till en kliniskt relevant ökad fysisk aktivitetsnivå och en ökad kunskap om egenvårdsstrategier hos personer med KOL. Hälso- och sjukvårdspersonal i regional primärvård och kommunal hemsjukvård rapporterade ökad kunskap om sjukdomen, behandlingsmetoder, arbetssätt och att verktyget är ett stöd i deras arbete. Initialt krävs dock extra resurser i form av tid och rutiner för att implementering ska ske. Ett digitalt stöd som KOLwebben kan rekommenderas till personer som är motiverade till att använda e-hälsoverktyg och som har en tillräcklig förmåga att ta till sig information om sin hälsa.

Place, publisher, year, edition, pages
Fysioterapeuterna, 2023
Keywords
COPD, e-health, chronic obstructive pulmonary disease, KOL, e-hälsa, kroniskt obstruktiv lungsjukdom
National Category
Physiotherapy
Research subject
physiotherapy
Identifiers
urn:nbn:se:umu:diva-222316 (URN)
Available from: 2024-03-13 Created: 2024-03-13 Last updated: 2024-03-22Bibliographically approved
Verloigne, M., Altenburg, T., Cardon, G., Chinapaw, M., Dall, P., Deforche, B., . . . Chastin, S. (2023). Making co-creation a trustworthy methodology for closing the implementation gap between knowledge and action in health promotion: the Health CASCADE project [Letter to the editor]. Perspectives in Public Health, 143(4), 196-198
Open this publication in new window or tab >>Making co-creation a trustworthy methodology for closing the implementation gap between knowledge and action in health promotion: the Health CASCADE project
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2023 (English)In: Perspectives in Public Health, ISSN 1757-9139, E-ISSN 1757-9147, Vol. 143, no 4, p. 196-198Article in journal, Letter (Other academic) Published
Abstract [en]

This article looks at the Health CASCADE project, a European-funded Innovative Training Network project that aims to advance co-creation into a rigorous scientific methodology with evidence-based methods, practices and supportive technologies.

Place, publisher, year, edition, pages
Sage Publications, 2023
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-213739 (URN)10.1177/17579139221136718 (DOI)37589328 (PubMedID)2-s2.0-85168246550 (Scopus ID)
Funder
EU, Horizon 2020, 956501
Available from: 2023-09-06 Created: 2023-09-06 Last updated: 2023-09-06Bibliographically approved
Sönnerfors, P., Skavberg Roaldsen, K., Lundell, S., Toots, A., Wadell, K. & Halvarsson, A. (2023). Preferences for an eHealth tool to support physical activity and exercise training in COPD: a qualitative study from the viewpoint of prospective users. BMC Pulmonary Medicine, 23(1), Article ID 65.
Open this publication in new window or tab >>Preferences for an eHealth tool to support physical activity and exercise training in COPD: a qualitative study from the viewpoint of prospective users
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2023 (English)In: BMC Pulmonary Medicine, E-ISSN 1471-2466, Vol. 23, no 1, article id 65Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Despite well-known positive effects of pulmonary rehabilitation, access is limited. New strategies to improve access are advocated, including the use of eHealth tools.

OBJECTIVES: The aim of this study was to explore prospective users' preferences for an eHealth tool to support the self-management of physical activity and exercise training in COPD.

METHODS: A qualitative research design was applied. Data was collected in six, audio recorded, digital co-creation workshops, which were guided by a participatory and appreciative action and reflection approach. A total of 17 prospective users took part in the process, including people with COPD (n = 10), relatives (n = 2), health care givers (n = 4) and a patient organization representative (n = 1). During the workshops, pre-selected relevant topics to exploring end-users' preferences for eHealth support in self-management in COPD were discussed. The workshops were recorded and transcribed. Data was analysed using inductive qualitative content analysis.

RESULTS: The overarching theme "fusing with, rather than replacing existing support structures" was uncovered when the two-sided relationship between positive expectations towards digital solutions and the fear of losing access to established rehabilitation systems, emerged in the discussions. Three categories were identified, focused on wishes for an evidence-based support platform of information about COPD, a well-designed eHealth tool including functionalities to motivate in the self-management of physical activity and exercise training, and requirements of various forms of support. Co-creators believed that there were clear benefits in combining the best of digital and existing support systems.

CONCLUSIONS: Co-creators viewed an eHealth tool including support for physical activity and exercise training as a valuable digital complement to the now existing rehabilitation services. A future eHealth tool needs to focus on user-friendliness and prospective users's requests.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023
Keywords
Communication, Health literacy, Internet use, Telemedicine, Telerehabilitation
National Category
Physiotherapy
Identifiers
urn:nbn:se:umu:diva-205129 (URN)10.1186/s12890-023-02353-3 (DOI)000932073000001 ()36782155 (PubMedID)2-s2.0-85147958142 (Scopus ID)
Funder
Swedish Heart Lung Foundation, 20190406Konung Gustaf V:s och Drottning Victorias Frimurarestiftelse
Available from: 2023-02-23 Created: 2023-02-23 Last updated: 2024-01-17Bibliographically approved
Marklund, S., Sörlin, A., Stenlund, T., Wadell, K. & Nyberg, A. (2023). To act or not to act - a sense of control is important for people with chronic obstructive pulmonary disease to increase physical activity: grounded theory study. JMIR Formative Research, 7, Article ID e39969.
Open this publication in new window or tab >>To act or not to act - a sense of control is important for people with chronic obstructive pulmonary disease to increase physical activity: grounded theory study
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2023 (English)In: JMIR Formative Research, E-ISSN 2561-326X, Vol. 7, article id e39969Article in journal (Refereed) Published
Abstract [en]

Background: Among people with chronic obstructive pulmonary disease (COPD), low level of daily physical activity (PA) is the main risk factor for developing cardiovascular, metabolic, and musculoskeletal comorbidities. Increasing PA in people with COPD is complex as PA behavior itself is complex and multifaceted, including personal, physiological, and psychologicalelements as well as social and environmental factors. Although eHealth solutions such as web-based support or websites haveshown positive effects on PA in people with COPD, the results are inconclusive, and it is still unclear how eHealth solutionsmight be used to support positive changes in PA behavior in people with COPD.

Objective: This study aimed to explore the perceptions of increasing objective PA when using a web-based eHealth tool amongpeople with COPD.

Methods: This study was part of a pragmatic randomized controlled trial with in-depth interviews between the 3- and 12-month follow-ups. The methodology used was constructivist grounded theory. All sampling included participants from the randomized controlled trial intervention group, that is, participants who had access to the eHealth tool in question and agreed to be contacted for an in-depth interview. Inclusion of participants continued until data saturation was reached, resulting in an inclusion of 14 (n=8, 57% women) participants aged between 49 and 84 years and living in 8 municipalities in Middle and Northern Sweden. Two interviews were conducted face-to-face, and the remaining interviews were conducted via telephone. All interviews were recorded using a Dictaphone.

Results: The analysis resulted in 3 main categories: welcoming or not welcoming action, having or lacking resources, and lowering the threshold. The first 2 categories contain barriers and facilitators, whereas the third category contains only facilitators. The categories lead to the more latent theme Perceiving enough control to enable action, meaning that it seems that perceiving the right amount of control is essential to maintain or increase the level of PA when using an eHealth tool, among patients with COPD. However, the right amount of control seemed to depend on the individual (and context) in question.

Conclusions: The core category indicates that a need for a certain sense of control was interpreted as necessary for increasing the PA level as well as for using an eHealth tool to help increase the PA level. The eHealth tool seemed to strengthen or weaken the perception of control by either providing support or by being too demanding on the user. Perceptions varied depending onother environmental factors. The Fogg Behavior Model illustrated how motivational levels, ability levels, and functional triggers interact within our findings. Thus, this study provides further evidence for the importance of empowering the patients to boost their level of agency and their ability to improve PA levels.

Place, publisher, year, edition, pages
JMIR Publications, 2023
Keywords
physical activity, chronic obstructive pulmonary disease, COPD, eHealth, interview, eHealth tools, KOL, kroniskt obstruktiv lungsjukdom, fysisk aktivitet, eHälsa, intervju
National Category
Physiotherapy
Research subject
physiotherapy; Public health
Identifiers
urn:nbn:se:umu:diva-204180 (URN)10.2196/39969 (DOI)000998490100036 ()2-s2.0-85149129676 (Scopus ID)
Note

Originally included in thesis with title: "To Act, or Not to Act, a Sense of Control Is Important for People With Chronic Obstructive Pulmonary Disease to Increase Physical Activity: Grounded Theory Study"

Available from: 2023-01-30 Created: 2023-01-30 Last updated: 2024-03-22Bibliographically approved
Nyberg, A., Lundell, S., Pesola, U.-M., Audulv, Å. & Wadell, K. (2022). Evaluation of a Digital COPD Education Program for Healthcare Professionals in Long-Term Care: A Mixed Methods Study. The International Journal of Chronic Obstructive Pulmonary Disease, 17, 905-918
Open this publication in new window or tab >>Evaluation of a Digital COPD Education Program for Healthcare Professionals in Long-Term Care: A Mixed Methods Study
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2022 (English)In: The International Journal of Chronic Obstructive Pulmonary Disease, ISSN 1176-9106, E-ISSN 1178-2005, Vol. 17, p. 905-918Article in journal (Refereed) Published
Abstract [en]

Background: Lack of routines and competence among healthcare professionals have been reported as barriers to COPD management in long-term care. Online education could be used as a strategy to make COPD education more accessible.

Purpose: The aim of this study was to evaluate a digital COPD education program for healthcare professionals in long-term care regarding feasibility, knowledge and working procedures.

Methods: A randomized controlled feasibility trial with a convergent mixed methods design was conducted. Two municipalities in Sweden were randomized to intervention (n=20) or control (n=17). The intervention was a digital COPD education program accessible for three months. Data was collected through questionnaires on COPD-specific knowledge, conceptual knowledge, feasibility and usage of the COPD Web platform. Repeated individual interviews using a semi-structured interview guide was also performed. Quantitative and qualitative findings were merged using a mixed methods design.

Results: The digital COPD education program appears feasible based on the expressed satisfaction of the healthcare workers and their reports that it supported them in their work. Across questionnaires, objective COPD-specific knowledge increased by 14 to 16 percentage points in the intervention group compared to 0 to 6 percentage points in the control group (p=0.001). The objective increase in COPD-specific knowledge was also captured in the interviews, where a perceived increase in knowledge led to increased security and focus on COPD management. Few changes in working procedures were expressed, but participants felt that attention was raised regarding COPD and the importance of preventive healthcare services. In addition, increased knowledge of healthcare services provided by other involved professions was emphasized, leading to discussions with other professions in relation to COPD management. 

Conclusion: A digital COPD education program is feasible and can increase the COPD-specific knowledge of healthcare professionals in long-term care, leading to increased focus on COPD-related issues. More comprehensive measures, including organizational changes, might be needed to change working procedures.

Place, publisher, year, edition, pages
Dove press, 2022
Keywords
e-health, feasibility, work task, qualitative longitudinal research, questionnaire
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-194111 (URN)10.2147/copd.s353187 (DOI)000791768200005 ()35497374 (PubMedID)2-s2.0-85129780793 (Scopus ID)
Funder
Swedish Heart Lung Foundation, 20160505Konung Gustaf V:s och Drottning Victorias Frimurarestiftelse
Note

The abstract of this paper was presented at the European Respiratory Society Annual Conference 2021 as a poster presentation with interim findings. The poster’s abstract was published in “Poster Abstracts” in European Respiratory Journal 2021 58: PA758; DOI: 10.1183/13993003.congress-2021.PA758.

Available from: 2022-04-25 Created: 2022-04-25 Last updated: 2024-03-22Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-7334-8698

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