Telemed J E Health - Spanning boundaries into remote communities: an exploration of experiences with telehealth chronic disease self-management programs in rural northern ontario, Canada.


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CKGROUND: In rural and remote settings, providing education programs for chronic conditions can be challenging because of the limited access and availability of healthcare services. The purpose of this study was to explore the experiences of participants in a chronic disease self-management program via telehealth (tele-CDSMP) and to identify facilitators and barriers to inform future tele-CDSMP delivery models.MATERIALS AND METHODS: Nineteen tele-CDSMP courses were delivered to 13 Northern Ontario (Canada) communities. Two types of group were delivered: (1) single telehealth site (one community formed a self-management group linked to program leaders via telehealth) and (2) multiple telehealth sites (several remote communities were linked to each other and program leaders via telehealth). Following the completion of the courses, participants were invited to partake in a focus group.RESULTS: Overall, 44 people participated in the focus groups. Four main themes were identified by tele-CDSMP participants related to the overall experience of the program: (1) bridging the access gap, (2) importance of group dynamics, (3) importance of strong leaders, and (4) preference for extended session time. Key barriers were related to transportation, lack of session time, and access to Internet-based resources. The main facilitators were having strong program leaders, encouraging the development of group identity, and providing enough time to be comfortable with technology.CONCLUSIONS: Our findings suggest overall the tele-CDSMP was a positive experience for participants and that tele-CDSMPs are an effective option to increasing access to more geographically isolated communities.

Resumo Limpo

ckground rural remot set provid educ program chronic condit can challeng limit access avail healthcar servic purpos studi explor experi particip chronic diseas selfmanag program via telehealth telecdsmp identifi facilit barrier inform futur telecdsmp deliveri modelsmateri method nineteen telecdsmp cours deliv northern ontario canada communiti two type group deliv singl telehealth site one communiti form selfmanag group link program leader via telehealth multipl telehealth site sever remot communiti link program leader via telehealth follow complet cours particip invit partak focus groupresult overal peopl particip focus group four main theme identifi telecdsmp particip relat overal experi program bridg access gap import group dynam import strong leader prefer extend session time key barrier relat transport lack session time access internetbas resourc main facilit strong program leader encourag develop group ident provid enough time comfort technologyconclus find suggest overal telecdsmp posit experi particip telecdsmp effect option increas access geograph isol communiti

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