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Challenges Using Technology in a Health Coaching Intervention, Early Lessons Learned

Technology provides opportunities to engage with those who are too busy, overwhelmed, or distant for face-to-face interventions, such as lay caregivers of adults with heart failure. While testing the efficacy of virtual health coaching for caregivers on stress and self-care we have encountered chall...

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Autores principales: Riegel, Barbara, Hirschman, Karen, Thomas, Gladys, Shepard, Brooke, Walser, Tracie, Stawnychy, Michael, Bowles, Kathryn, Garcia, Lydia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7742427/
http://dx.doi.org/10.1093/geroni/igaa057.2255
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author Riegel, Barbara
Hirschman, Karen
Thomas, Gladys
Shepard, Brooke
Walser, Tracie
Stawnychy, Michael
Bowles, Kathryn
Garcia, Lydia
author_facet Riegel, Barbara
Hirschman, Karen
Thomas, Gladys
Shepard, Brooke
Walser, Tracie
Stawnychy, Michael
Bowles, Kathryn
Garcia, Lydia
author_sort Riegel, Barbara
collection PubMed
description Technology provides opportunities to engage with those who are too busy, overwhelmed, or distant for face-to-face interventions, such as lay caregivers of adults with heart failure. While testing the efficacy of virtual health coaching for caregivers on stress and self-care we have encountered challenges in implementing the intervention and learned early lessons. Caregivers (n=250) enrolled into a randomized controlled trial receive a Samsung Galaxy tablet with Internet access. Half receive health information by tablet (control) and half receive 10 live virtual health coaching sessions plus health information all by tablet (intervention). Tablets are configured to allow access to preselected websites and a Vidyo conference room for the intervention group. Completing the first 6 months of enrollment, 36 caregivers have enrolled (34% black, all female, 74% spouses, mean age 56.4 years, 40% employed full-time, mean 9.3 hours spent caregiving daily), with 18 randomized to intervention. Only 2 of the 79 assessed for eligibility reported discomfort with technology. Yet, one early challenge is difficulty connecting with the health coach via Vidyo. Another is the uncertain nature of the patient’s condition, which frequently precludes the caregivers’ attendance at prescheduled sessions. Although tablets were anticipated to facilitate the intervention, in some cases, these two challenges interact to further accentuate caregiver stress. Alternatives such as FaceTime and plain old telephone contact suffice. We found that flexibility in intervention delivery is essential for such a real-world intervention. Contributing factors and implications of these challenges for future caregiving research and practice will be discussed.
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spelling pubmed-77424272020-12-21 Challenges Using Technology in a Health Coaching Intervention, Early Lessons Learned Riegel, Barbara Hirschman, Karen Thomas, Gladys Shepard, Brooke Walser, Tracie Stawnychy, Michael Bowles, Kathryn Garcia, Lydia Innov Aging Abstracts Technology provides opportunities to engage with those who are too busy, overwhelmed, or distant for face-to-face interventions, such as lay caregivers of adults with heart failure. While testing the efficacy of virtual health coaching for caregivers on stress and self-care we have encountered challenges in implementing the intervention and learned early lessons. Caregivers (n=250) enrolled into a randomized controlled trial receive a Samsung Galaxy tablet with Internet access. Half receive health information by tablet (control) and half receive 10 live virtual health coaching sessions plus health information all by tablet (intervention). Tablets are configured to allow access to preselected websites and a Vidyo conference room for the intervention group. Completing the first 6 months of enrollment, 36 caregivers have enrolled (34% black, all female, 74% spouses, mean age 56.4 years, 40% employed full-time, mean 9.3 hours spent caregiving daily), with 18 randomized to intervention. Only 2 of the 79 assessed for eligibility reported discomfort with technology. Yet, one early challenge is difficulty connecting with the health coach via Vidyo. Another is the uncertain nature of the patient’s condition, which frequently precludes the caregivers’ attendance at prescheduled sessions. Although tablets were anticipated to facilitate the intervention, in some cases, these two challenges interact to further accentuate caregiver stress. Alternatives such as FaceTime and plain old telephone contact suffice. We found that flexibility in intervention delivery is essential for such a real-world intervention. Contributing factors and implications of these challenges for future caregiving research and practice will be discussed. Oxford University Press 2020-12-16 /pmc/articles/PMC7742427/ http://dx.doi.org/10.1093/geroni/igaa057.2255 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of The Gerontological Society of America. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
Riegel, Barbara
Hirschman, Karen
Thomas, Gladys
Shepard, Brooke
Walser, Tracie
Stawnychy, Michael
Bowles, Kathryn
Garcia, Lydia
Challenges Using Technology in a Health Coaching Intervention, Early Lessons Learned
title Challenges Using Technology in a Health Coaching Intervention, Early Lessons Learned
title_full Challenges Using Technology in a Health Coaching Intervention, Early Lessons Learned
title_fullStr Challenges Using Technology in a Health Coaching Intervention, Early Lessons Learned
title_full_unstemmed Challenges Using Technology in a Health Coaching Intervention, Early Lessons Learned
title_short Challenges Using Technology in a Health Coaching Intervention, Early Lessons Learned
title_sort challenges using technology in a health coaching intervention, early lessons learned
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7742427/
http://dx.doi.org/10.1093/geroni/igaa057.2255
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