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Sunday, November 1, 2009
Learning Objective 1: apply a modification of Knowles' Adult Learning Theory for use in understanding e-health care learning.
Learning Objective 2: compare older patients outcomes for preparedness and problem-solving confidence to manage problems related to CPAP using information and problem-solving algorithms from an Internet website.
Nursing is taking a leadership role in the development and application of computer and Internet based health care interventions. However, few controlled studies are available to document health related outcomes of Internet based interventions with older patients. A secondary analysis of the data collected during a clinical trial of a multi-component comprehensive intervention on continuous positive airway pressure (CPAP) ventilation in rural dwelling older adults with obstructive sleep apnea was conducted. The study compared patient outcomes for preparedness and problem-solving confidence to manage problems related to CPAP therapy using information and problem-solving algorithms on an Internet website. In addition, the study explained the variables associated with preparedness for problem-solving confidence, described a sample of users and non-users of the Internet and analyzed patient’s evaluation of Internet websites. A modification of Knowles’ Adult Learning theory was used as an organizing framework for this study.The study supports the technological advances of using the Internet to assist patients to self-manage their diseases and to form partnerships with health care professionals. Health care interventions on the Internet allows for new and creative ways to deliver nursing care for literally millions of elderly patients at a distance.