Teaching Self-Management Skills in Persons with Chronic Lower Limb Swelling and Limited Mobility: Evidence for Usability of Telerehabilitation

Authors

  • Becky L. Faett University of Pittsburgh
  • David M. Brienza University of Pittsburgh
  • Mary Jo Geyer University of Pittsburgh
  • Leslie A Hoffman University of Pittsburgh

DOI:

https://doi.org/10.5195/ijt.2013.6114

Abstract

The purpose of this study was to evaluate the usability of telerehabilitation as a method of teaching self-management for chronic swelling of the lower limbs in persons with limited mobility. An in-home telerehabilitation self-management education protocol for chronic swelling of the lower limbs, termed Telerehabilitation to Empower You to Manage and Prevent Swelling (TR-PUMPS), was implemented using the Versatile and Integrated System for Telerehabilitation (VISYTER) software platform. Participants (n=11) were 36-79 years old, predominately female (72.7%) and diagnosed with a variety of health conditions. Participants’ perceived usability scores of the remote delivery of TR-PUMPS was high with a median score of 6.67 (range 4.90 - 7.00) on a Likert scale: 1= disagree to 7= agree. There was no correlation between participants’ familiarity with information technology and their perception of telerehabilitation usability. These results support telerehabilitation as a viable method for teaching a home-based, self-management

  

Author Biographies

Becky L. Faett, University of Pittsburgh

PhD Student

Department of Rehabilitation Science and Technology

School of Health and Rehabiltation Sciences

University of Pittsburgh

David M. Brienza, University of Pittsburgh

Professor

Department of Rehabilitation Science and Technology

School of Health and Rehabiltation Sciences

University of Pittsburgh

Mary Jo Geyer, University of Pittsburgh

Assistant Professor

Department of Rehabilitation Science and Technology

School of Health and Rehabiltation Sciences

University of Pittsburgh

Leslie A Hoffman, University of Pittsburgh

Professor

Department of Acute and Tertiary Care

School of Nursing

University of Pittsburgh

 

References

Baddour, L. (2006). Recent considerations in recurrent cellulitis. Current Infections and Disease Reports, 3, 461-465.

Bogan, L., Powell, J., & Dudgeon, B. (2007). Experiences of living with non-cancer related lymphedema: Implications for clinical practice. Qualitative Health Research 17, 213- 224.

Brennan, M., & Miller, L. (1998). Overview of treatment options and review of the current role and use of compression garments, intermittent pumps, and exercise in management of lymphedema. Cancer Supplement, 83, 2822-2827.

Bourbeau, J., Julien, M., Maltais, F., Rouleau, M., Beaupré, A., Bégin, R.,…Collet, J.P. (2003). Reduction of hospital utilization in patients with chronic obstructive pulmonary disease: A disease-specific self-management intervention. Archives of Internal Medicine, 163, 585-591.

Cavorsi, J. (2000). Venous ulcers of the lower extremities: Current and newer management techniques. Topics in Geriatric Rehabilitation, 16(2), 24-34.

DeWalt, D., Pignone, M., Malone, R., Rawls, C., Kosnar, M.,…Angel, B. (2004). Development and pilot testing of a disease management program for low literacy patients with heart failure. Patient Education and Counseling, 55, 78-86.

Dupuy, A., Benchikhi, H., Roujeau, J-C., Bernard, P., Vaillant, L., Chosidow, O.,…Bastuji-Garin S. (1999). Risks factors for erysipelas of the leg: A case control study. British Medical Journal, 318, 1591-1594.

Drainoni, M, Lee-Hood, Tobias, C., Bachman, S., Andrew, J., & Maisels, L. (2006). Cross- disability experiences of barriers to health-care access. Journal of Disability Policy Studies, 17, 101-115.

Faett, B., Geyer, M.J., Hoffman, L., & Brienza, D. (2012). Design and development of a telerehabilitation self- management program for persons with chronic lower limb swelling and mobility limitations: Preliminary evidence. Nursing Research and Practice, 2012, 1-10. doi: 10.1155/2012/608059 Retrieved from: http://www. hindawi.com/journals/nrp/2012/608059/

Finkelstein, J., Lapshin, O., Castro, H., Cha, E., & Provance, P. (2008). Home-based physical telerehabilitation in patients with multiple sclerosis: A pilot study. Journal of Rehabilitation Research and Development, 45, 1136-1137. doi: 10.1682/JRRD.2008.01.0001

Foldi, E. (1998). The treatment of lymphedema. Cancer, 83, 2833-2844.

Foldi, E., Foldi, M., & Clodius, L. (1989). The lymphedema chaos: A lancet. Annals of Plastic Surgery, 22, 505-515.

Geyer, M. J. (2010) Chronic edema in wheelchair- dependent persons. Presented at the 2nd International Lymphoedema Framework Conference, Brighton, UK.

Holden, M.K., Dyar, T.A., & Dayan-Cimardoro, L. (2007). Telerehabilitation using a virtual environment improves upper extremity function in patients with strokes. IEEE Transactions on Neural Systems and Rehabilitation, 15(1), 36-42.

Iezzoni, L.I., Killeen, M.B., & O’Day, B.L. (2006). Rural residents with disabilities confront substantial barriers to obtaining primary care. Health Services Research, 41, 1258- 1275. doi:10.1111/j.1475-6773.2006.00534.x

Iezzoni, L., McCarthy, E., Davis, R., & Siebens, H. (2000). Mobility impairments and use of screening and preventive services. American Journal of Preventive Health, 90, 955-961.

International Society of Lymphology (2009) The diagnosis and treatment if peripheral lymphedema: 2009 consensus document of the International Society of Lymphology. Lymphology, 42, 51-60. Retrieved from http://www. solarismed.com/rr/journal.pdf

Kaye, S., Kang, T., & LaPlante, M. (2000). Mobility device use in the United States. Disability Statistics Report, (14). Washington, D.C.: U.S. Department of Education, National Institute on Disability and Rehabilitation Research. Retrieved from http://dsc.ucsf.edu/pub_listing. php?pub_type=report

Kerchner, K., Fleischer, A., & Yosipovitch, G. (2008). Lower extremity lymphedema update: Pathophysiology, diagnosis, and treatment guidelines. Journal of American Academy of Dermatology, 59, 324-331. doi: 10.1016/j. jaad.2008.04.013.

Ko., D., Learner,R., Klose, G., & Cosimi, A. (1998). Effective treatment of lymphedema of the extremities. Archives of Surgery, 133, 452-458.

Kunimoto, B., Cooling, M., Gulliver, W., Houghton, P., Orsted, H., & Sibbald, R.G. (2001). Best practices for the prevention and treatment of venous leg ulcers. Ostomy/ Wound Management, 47(2), 34-50.

Published

2013-06-11

How to Cite

Faett, B. L., Brienza, D. M., Geyer, M. J., & Hoffman, L. A. (2013). Teaching Self-Management Skills in Persons with Chronic Lower Limb Swelling and Limited Mobility: Evidence for Usability of Telerehabilitation. International Journal of Telerehabilitation, 5(1). https://doi.org/10.5195/ijt.2013.6114

Issue

Section

Research