J Korean Acad Nurs.  2013 Aug;43(4):547-556. 10.4040/jkan.2013.43.4.547.

Effects of Gout Web based Self-management Program on Knowledge Related to Disease, Medication Adherence, and Self-management

• Oh HS
• Park W
• Kwon SR
• Lim MJ
• Suh YO
• Seo WS
• Park JS

• KMID: 1707156
• DOI: http://doi.org/10.4040/jkan.2013.43.4.547

Abstract

PURPOSE
This study was conducted to examine the changing patterns of knowledge related to disease, medication adherence, and self-management and to determine if outcomes were more favorable in the experimental group than in the comparison group through 6 months after providing a web-based self-management intervention.
METHODS
A non-equivalent control group quasi-experimental design was used and 65 patients with gout, 34 in experimental group and 31 in comparison group, were selected from the rheumatic clinics of two university hospitals. Data were collected four times, at baseline, at 1 month, 3 months, and 6 months after the intervention.
RESULTS
According to the study results, the changing patterns of knowledge and self-management were more positive in the experimental group than in the control group, whereas difference in the changing pattern of medication adherence between two groups was not significant.
CONCLUSION
The results indicate that the web-based self-management program has significant effect on improving knowledge and self-management for middle aged male patients with gout. However, in order to enhance medication adherence, the web-based intervention might not be sufficient and other strategies need to be added.

Keyword

Gout; Self-management; Web-based intervention

MeSH Terms

Adult
Gout/*prevention & control
Health Knowledge, Attitudes, Practice
Hospitals, University
Humans
*Internet
Male
*Medication Adherence
Middle Aged
*Program Evaluation
*Self Care
User-Computer Interface

Figure

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  Figure 1 Process of developing gout web-based self-management program.

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  Figure 2 Contents of gout web-based self-management program.

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  Figure 3 Differences in changing pattern of outcome variables between groups.

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