Development and Validation of an Online Program for Promoting Self-Management Among Korean Patients with Chronic Hepatitis B

Monday, 22 July 2013

Jinhyang Yang, RN, GNP, PhD
Department of Nursing, College of Medicine, Inje University, Pusan, Korea, South Korea
Hae-Ok Lee, RN, MS, DNSc
School of Nursing Health Science, University of Massachusetts Boston, Boston, MA, Boston, MA
Wan-Ju Park, RN, PhD
College of Nursing, Kyungpook National University, Daegu, South Korea

Learning Objective 1: The learner will be able to have key ideas about innovative strategies to promote self-management among the patients with chronic disease.

Learning Objective 2: The learner will be able to get specific strategies to develop online self mangement program for the chronic hepatitis B patients in one's own country.

Purpose: Hepatitis B virus is second only to tobacco as a known human carcinogen. However, chronic hepatitis B usually does not produce symptoms and people feel healthy even in the early stages of live cancer. Therefore, chronically infected people should perceive it as serious health problem, and move on to appropriate health behaviour. The purpose of this paper is to develop and validate an online program for promoting self-management among Korean patients with chronic hepatitis B.

Methods: The online program was developed using prototyping approach and system developing life cycle method. The structure of the online program was based on self-management model theory for chronic disease patients. The program was evaluated by users for their satisfaction with the web-site and experts for the quality of the site. To evaluate application of the online program, knowledge and self-management compliance of the users were measured and compared before and after application of the online program for three weeks.

Results: The developed online program is registered at the web address: The main screen of the site is composed of six areas: introduction with intromovie; knowing exactly hepatitis B; lifelong health management; management of my liver health; bulletin board; and sharing board. There were statistically significant increases in knowledge and self-management compliance between pretest and posttest in the user group.

Conclusion: An online program with high accessibility and applicability including information, motivation, and behavior skill factors can promote self-management of the patient with chronic hepatitis B. Finding from this study allows Korean patients with chronic hepatitis B to engage in proactive and effective health management in the community or clinical practice.