自我管理
疾病管理
病人教育
医学教育
医学
混合学习
医疗保健
健康素养
计算机科学
知识管理
心理学
健康管理体系
护理部
教育技术
教育学
人工智能
替代医学
经济
病理
经济增长
作者
Ruheena Sangrar,Susan Maureen Docherty-Skippen,Karen A. Beattie
标识
DOI:10.1016/j.pec.2019.05.009
摘要
To review the literature on chronic disease self-management programs that blend face-to-face and online/computer-based education design and delivery.A critical interpretive synthesis was conducted. Studies that described blended chronic disease self-management programs were reviewed. Two reviewers performed independent database searches, eligibility screening, and data extraction. Findings were synthesized using a conceptual mapping process.Twelve articles were included in the final review. Studies focused on patients with diagnoses of diabetes, asthma, and chronic obstructive pulmonary disorder. Factors influencing the design and delivery of programs focused on patient characteristics (such as disease prognosis, time since diagnosis, social determinants of health, health literacy, and proficiency with online/computer-based technologies).Blended learning self-management programs should consider the suitability of programs in light of health conditions and patient characteristics. Individual patient needs can be identified through clinician-driven assessments, including collaborative goal setting and the selection of pertinent educational tools.When considering the design and delivery of chronic disease self-management education programs, healthcare providers should consider three factors: 1) patient characteristics, 2) learning perspectives, and 3) design technology options that best meet patient abilities, clinician expertise, and administrative capacity.
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