Co-creative development of an eHealth nursing intervention: Self-management support for outpatients with cancer pain

Laura Mj. Hochstenbach; Annemie M. Courtens; Sandra M. G. Zwakhalen; Joan Vermeulen; Maarten van Kleef; Luc P. de Witte

doi:10.1016/j.apnr.2017.03.004

Co-creative development of an eHealth nursing intervention: Self-management support for outpatients with cancer pain

Laura Mj. Hochstenbach^*, Annemie M. Courtens, Sandra M. G. Zwakhalen, Joan Vermeulen, Maarten van Kleef, Luc P. de Witte

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Introduction: Co-creative methods, having an iterative character and including different perspectives, allow for the development of complex nursing interventions. Information about the development process is essential in providing justification for the ultimate intervention and crucial in interpreting the outcomes of subsequent evaluations. This paper describes a co-creative method directed towards the development of an eHealth intervention delivered by registered nurses to support self-management in outpatients with cancer pain.

Methods: Intervention development was divided into three consecutive phases (exploration of context, specification of content, organisation of care). In each phase, researchers and technicians addressed five iterative steps: research, ideas, prototyping, evaluation, and documentation. Health professionals and patients were consulted during research and evaluation steps.

Results: Collaboration of researchers, health professionals, patients and technicians was positive and valuable in optimising outcomes. The intervention includes a mobile application for patients and a web application for nurses. Patients are requested to monitor pain, adverse effects and medication intake, while being provided with graphical feedback, education and contact possibilities. Nurses monitor data, advise patients, and collaborate with the treating physician.

Conclusion: Integration of patient self-management and professional care by means of eHealth key into wellknown barriers and seem promising in improving cancer pain follow-up. Nurses are able to make substantial contributions because of their expertise, focus on daily living, and their bridging function between patients and health professionals in different care settings. Insights from the intervention development as well as the intervention content give thought for applications in different patients and care settings. (C) 2017 Elsevier Inc. All rights reserved.

Original language	English
Pages (from-to)	1-8
Number of pages	8
Journal	Applied Nursing Research
Volume	36
DOIs	https://doi.org/10.1016/j.apnr.2017.03.004
Publication status	Published - Aug 2017

Keywords

Cancer pain
Outpatients
Self-management
Nursing
eHealth
Intervention development
PALLIATIVE CARE
CHRONIC DISEASE
LUNG-CANCER
PATIENT
BARRIERS
EXPERIENCES
EDUCATION
COMMUNICATION
TECHNOLOGY
FRAMEWORK

Access to Document

10.1016/j.apnr.2017.03.004Licence: Unspecified

Cite this

@article{598a04dadff74edea14e4be7478c0cd7,

title = "Co-creative development of an eHealth nursing intervention: Self-management support for outpatients with cancer pain",

abstract = "Introduction: Co-creative methods, having an iterative character and including different perspectives, allow for the development of complex nursing interventions. Information about the development process is essential in providing justification for the ultimate intervention and crucial in interpreting the outcomes of subsequent evaluations. This paper describes a co-creative method directed towards the development of an eHealth intervention delivered by registered nurses to support self-management in outpatients with cancer pain.Methods: Intervention development was divided into three consecutive phases (exploration of context, specification of content, organisation of care). In each phase, researchers and technicians addressed five iterative steps: research, ideas, prototyping, evaluation, and documentation. Health professionals and patients were consulted during research and evaluation steps.Results: Collaboration of researchers, health professionals, patients and technicians was positive and valuable in optimising outcomes. The intervention includes a mobile application for patients and a web application for nurses. Patients are requested to monitor pain, adverse effects and medication intake, while being provided with graphical feedback, education and contact possibilities. Nurses monitor data, advise patients, and collaborate with the treating physician.Conclusion: Integration of patient self-management and professional care by means of eHealth key into wellknown barriers and seem promising in improving cancer pain follow-up. Nurses are able to make substantial contributions because of their expertise, focus on daily living, and their bridging function between patients and health professionals in different care settings. Insights from the intervention development as well as the intervention content give thought for applications in different patients and care settings. (C) 2017 Elsevier Inc. All rights reserved.",

keywords = "Cancer pain, Outpatients, Self-management, Nursing, eHealth, Intervention development, PALLIATIVE CARE, CHRONIC DISEASE, LUNG-CANCER, PATIENT, BARRIERS, EXPERIENCES, EDUCATION, COMMUNICATION, TECHNOLOGY, FRAMEWORK",

author = "Hochstenbach, {Laura Mj.} and Courtens, {Annemie M.} and Zwakhalen, {Sandra M. G.} and Joan Vermeulen and {van Kleef}, Maarten and {de Witte}, {Luc P.}",

year = "2017",

month = aug,

doi = "10.1016/j.apnr.2017.03.004",

language = "English",

volume = "36",

pages = "1--8",

journal = "Applied Nursing Research",

issn = "0897-1897",

publisher = "W B Saunders Co-Elsevier Inc",

}

TY - JOUR

T1 - Co-creative development of an eHealth nursing intervention

T2 - Self-management support for outpatients with cancer pain

AU - Hochstenbach, Laura Mj.

AU - Courtens, Annemie M.

AU - Zwakhalen, Sandra M. G.

AU - Vermeulen, Joan

AU - van Kleef, Maarten

AU - de Witte, Luc P.

PY - 2017/8

Y1 - 2017/8

N2 - Introduction: Co-creative methods, having an iterative character and including different perspectives, allow for the development of complex nursing interventions. Information about the development process is essential in providing justification for the ultimate intervention and crucial in interpreting the outcomes of subsequent evaluations. This paper describes a co-creative method directed towards the development of an eHealth intervention delivered by registered nurses to support self-management in outpatients with cancer pain.Methods: Intervention development was divided into three consecutive phases (exploration of context, specification of content, organisation of care). In each phase, researchers and technicians addressed five iterative steps: research, ideas, prototyping, evaluation, and documentation. Health professionals and patients were consulted during research and evaluation steps.Results: Collaboration of researchers, health professionals, patients and technicians was positive and valuable in optimising outcomes. The intervention includes a mobile application for patients and a web application for nurses. Patients are requested to monitor pain, adverse effects and medication intake, while being provided with graphical feedback, education and contact possibilities. Nurses monitor data, advise patients, and collaborate with the treating physician.Conclusion: Integration of patient self-management and professional care by means of eHealth key into wellknown barriers and seem promising in improving cancer pain follow-up. Nurses are able to make substantial contributions because of their expertise, focus on daily living, and their bridging function between patients and health professionals in different care settings. Insights from the intervention development as well as the intervention content give thought for applications in different patients and care settings. (C) 2017 Elsevier Inc. All rights reserved.

AB - Introduction: Co-creative methods, having an iterative character and including different perspectives, allow for the development of complex nursing interventions. Information about the development process is essential in providing justification for the ultimate intervention and crucial in interpreting the outcomes of subsequent evaluations. This paper describes a co-creative method directed towards the development of an eHealth intervention delivered by registered nurses to support self-management in outpatients with cancer pain.Methods: Intervention development was divided into three consecutive phases (exploration of context, specification of content, organisation of care). In each phase, researchers and technicians addressed five iterative steps: research, ideas, prototyping, evaluation, and documentation. Health professionals and patients were consulted during research and evaluation steps.Results: Collaboration of researchers, health professionals, patients and technicians was positive and valuable in optimising outcomes. The intervention includes a mobile application for patients and a web application for nurses. Patients are requested to monitor pain, adverse effects and medication intake, while being provided with graphical feedback, education and contact possibilities. Nurses monitor data, advise patients, and collaborate with the treating physician.Conclusion: Integration of patient self-management and professional care by means of eHealth key into wellknown barriers and seem promising in improving cancer pain follow-up. Nurses are able to make substantial contributions because of their expertise, focus on daily living, and their bridging function between patients and health professionals in different care settings. Insights from the intervention development as well as the intervention content give thought for applications in different patients and care settings. (C) 2017 Elsevier Inc. All rights reserved.

KW - Cancer pain

KW - Outpatients

KW - Self-management

KW - Nursing

KW - eHealth

KW - Intervention development

KW - PALLIATIVE CARE

KW - CHRONIC DISEASE

KW - LUNG-CANCER

KW - PATIENT

KW - BARRIERS

KW - EXPERIENCES

KW - EDUCATION

KW - COMMUNICATION

KW - TECHNOLOGY

KW - FRAMEWORK

U2 - 10.1016/j.apnr.2017.03.004

DO - 10.1016/j.apnr.2017.03.004

M3 - Article

SN - 0897-1897

VL - 36

SP - 1

EP - 8

JO - Applied Nursing Research

JF - Applied Nursing Research

ER -