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Qualitative Evaluation of Evidence‐Based Online Decision Aid and Resources for Osteoarthritis Management: Understanding Patient Perspectives
Author(s) -
Jeon YunHee,
Flaherty Ian,
Urban Hema,
Wortley Sally,
Dickson Chris,
Salkeld Glenn,
Hunter David J.
Publication year - 2019
Publication title -
arthritis care and research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.032
H-Index - 163
eISSN - 2151-4658
pISSN - 2151-464X
DOI - 10.1002/acr.23572
Subject(s) - medicine , health literacy , qualitative research , applied psychology , literacy , content analysis , knowledge management , medical education , health care , psychology , computer science , sociology , social science , economics , economic growth , pedagogy
Objective To qualitatively examine the experiences with, and impact of, evidence‐based online resources in self‐management among Australians with osteoarthritis. Methods Telephone interviews were conducted with 36 users of a novel osteoarthritis resource, the Osteoarthritis Awareness Hub. Rogers’ 5 attributes of innovation (relative advantage, compatibility, complexity, trialability, and observability) and outcomes guided the semistructured interview and analysis. Maximum variation sampling was used, and data saturation occurred after 33 interviews. A coding scheme was agreed upon and all interview data were entered into NV ivo for qualitative content analysis. Results Study participants had high levels of literacy and health literacy. For adoption and implementation of an innovation, the participants’ narratives confirmed and underscored the fact that it was important that it come from an authoritative and trusting voice and that its perceived benefits align with participants’ values and existing practices (relative advantage and compatibility). The participants also valued seeing the practical benefits of the innovation, such as its capacity to impart quality and balanced new insights and information, and to maintain and monitor their personal progress. Notably, many participants spoke about the mental and physical health benefits that they derived from engagement with the online resources. Conclusion Our study findings confirm that web‐based tools can be a useful adjunct to patients adopting self‐management strategies. Rogers’ theory provides a framework for a deeper appreciation of the how, why, and what questions concerning the adoption and implementation processes, especially among people with good technology and health literacy.