TY - JOUR
T1 - Planning locally relevant Internet programs for secondary prevention of cardiovascular disease
AU - Neubeck, Lis
AU - Ascanio, Rhoda
AU - Bauman, Adrian
AU - Briffa, Tom
AU - Clark, Alexander M.
AU - Freedman, Ben
AU - Redfern, Julie
N1 - Funding Information:
LN has a PhD scholarship from the Heart Foundation of Australia. AMC is supported by career awards from Alberta Heritage Foundation for Medical Research and the Canadian Institutes for Health Research. JR is currently an NHMRC-Heart Foundation Post-Doctoral Research Fellow.
PY - 2011/12
Y1 - 2011/12
N2 - Background: Although the Internet has been shown to be an effective tool for supporting behavioural change in other chronic diseases, less in known about the efficacy of, or need for, Internet-based interventions in the prevention of coronary heart disease (CHD). Aims: We investigated computer literacy, consumer need and perceived usefulness of the Internet as a secondary prevention tool in people with CHD. Methods: A two-step mixed-method process was used that included a survey and two focus groups. The 12-item survey explored participants' access and confidence using the Internet. For the focus groups, we used standard methodology. Results: We recruited 66 (88% response rate) consecutive cardiac patients; age 36-73. years (mean 64 ± 13), mostly male (85%), whose primary language was predominantly English (67%). Seventy percent had a home computer with Internet access but only 20% reported researching their heart-health online. There was polarity between those with and without Internet access. Further, we found less women than men could complete online forms (p = 0.03) and that participants aged over 65. years were less likely to access the Internet (p < 0.01) and had lower confidence (p < 0.01) than younger counterparts. Focus groups revealed challenges of an online secondary prevention service, but participants valued relevant, practical advice and placed strong emphasis on simple web design. Conclusion: Using a mixed-methods process we collected locally sensitive information about Internet usage and recommendations for future online health-management strategies. Some patients have more confidence using the Internet, therefore a range of multi-technological secondary prevention interventions should be considered based on individual need.
AB - Background: Although the Internet has been shown to be an effective tool for supporting behavioural change in other chronic diseases, less in known about the efficacy of, or need for, Internet-based interventions in the prevention of coronary heart disease (CHD). Aims: We investigated computer literacy, consumer need and perceived usefulness of the Internet as a secondary prevention tool in people with CHD. Methods: A two-step mixed-method process was used that included a survey and two focus groups. The 12-item survey explored participants' access and confidence using the Internet. For the focus groups, we used standard methodology. Results: We recruited 66 (88% response rate) consecutive cardiac patients; age 36-73. years (mean 64 ± 13), mostly male (85%), whose primary language was predominantly English (67%). Seventy percent had a home computer with Internet access but only 20% reported researching their heart-health online. There was polarity between those with and without Internet access. Further, we found less women than men could complete online forms (p = 0.03) and that participants aged over 65. years were less likely to access the Internet (p < 0.01) and had lower confidence (p < 0.01) than younger counterparts. Focus groups revealed challenges of an online secondary prevention service, but participants valued relevant, practical advice and placed strong emphasis on simple web design. Conclusion: Using a mixed-methods process we collected locally sensitive information about Internet usage and recommendations for future online health-management strategies. Some patients have more confidence using the Internet, therefore a range of multi-technological secondary prevention interventions should be considered based on individual need.
KW - Cardiac rehabilitation
KW - Internet
KW - Needs assessment
KW - Secondary prevention
UR - http://www.scopus.com/inward/record.url?scp=80054872826&partnerID=8YFLogxK
U2 - 10.1016/j.ejcnurse.2010.07.003
DO - 10.1016/j.ejcnurse.2010.07.003
M3 - Journal Article
C2 - 20810323
AN - SCOPUS:80054872826
SN - 1474-5151
VL - 10
SP - 213
EP - 220
JO - European Journal of Cardiovascular Nursing
JF - European Journal of Cardiovascular Nursing
IS - 4
ER -