11 . Telemonitoring : Using Persuasive Technology to Improve Engagement
John Conway , RN , MSN Ed , DNPc , and Kimberly Shea PhD , RN , CHPN
University of Arizona-College of Nursing
Background : Many healthcare clients struggle to maintain office visits and contiguous communication with primary care providers . This is often related to travel limitations such as extensive distances ( Win , 2015 ), or dehabilitating comorbidities that complicate leaving home ( Morrissey , 2013 ). Telemonitoring is emerging as a viable conduit to extend healthcare capacity by managing chronic healthcare issues while clients remain at home and utilize technology to maintain office visits ( Arizona Telemedicine Program , 2017 ). Although telemonitoring has been successful , concerns for effective client engagement due to lack of understanding technology , client complacency , and failure to report accurate data remains of great concern ( Fairbrother et . al , 2014 ).
Method : Persuasive Technology ( PT ) provides rewards for accurate and effective client engagement when utilizing telemonitoring . Virtual rewards , such as electronic thank you cards , prize points , or access to internet resources are examples of the positive reinforcement inherent to PT ( Venkatesh , Thong , Xu , 2012 ). The purpose is to validate if implementing PT improves client engagement in utilizing TM technology .
Methods : Scoping reviews were conducted to yield a preliminary assessment of existing research associated with PT ’ s effect on improving client engagement in telemonitoring . Reviews included searching CIHNAL , Medline and PubMed databases . Search terminology included the words : telemonitoring and persuasive technology .
Results : Few studies directly examined the use of PT among telemonitoring participants . CIHNAL yielded 502 articles using telemonitoring ; 28 articles using PT , and 0 articles using both terms . Similarly , Medline ( OVID ) yielded 1 article ; PubMed : yielded 0 articles , and the Cochrane Library yielded 0 articles using the combined search terms : persuasive communication & telemedicine .
Conclusions : The paucity of literature regarding PT to promote client engagement in telemonitoring warrants a deeper systematic review , or more importantly , development of mixed method studies to determine the effectiveness of hedonistic rewards on improving client engagement with telemonitoring .
12 . Helping Asthmatic Children in Rural Alabama through Building Relationships with School Districts
Nathan Culmer , PhD , Karen Burgess , MD , Elizabeth Smith , CRNP
The University of Alabama College of Community Health Sciences
Background : Because asthma poses unique challenges to children in terms of their physical and academic involvement in school , children with this condition face additional barriers to success . Furthermore , the management of this condition places added demands on the children themselves , their parents , school nurses and schools in general . In order to reduce this burden , we sought to provide asthma education and training via tele-educational means to groups of school children during their school time to better equip and assist asthmatic school-age children in self-management of their condition . However , the challenges of delivering this information were daunting due to significant demands on time ; fit of the project to student , nurse , and school needs ; and the need to generate appropriate institutional support .
Methods : Our intervention consisted of four remotely delivered educational modules with asthma knowledge assessments before , immediately after , and , when possible , approximately 2 months after the delivery of the education modules .
Results : We developed a strong working relationship with a local school district characterized by an over representation of rural students . Key components of the high-quality working relationship we developed included : strategic partner selection , goal alignment , communication , IT infrastructure and support , adaptability , and advocacy .
Conclusions : Based on very encouraging preliminary data and enthusiasm from district leadership , we are expanding to more schools and exploring clinical interventions to further serve school age children , their parents , school nurses , and the schools themselves .
13 . Overcoming Barriers to Use of Telemedicine in Inpatient Wound Ostomy Care
Mary Ellen Dziedzic , MSN , RN , CWOCN , Michael Cola , BSN , RN , CCRN , Lauren Murphy , MSN , RN , ACNS-BC , Michele Wrazien , MSN , RN , CWOCN , Maurie Tassey , BSN , RN , CWOCN , Michelle Llewellyn , BSN , RN , CWOCN
Geisinger Health System-Geisinger Wyoming Valley Medical Community Medical Center
Background : The wound ostomy department at Geisinger Wyoming valley and Geisinger Community Medical Centers in Northeastern PA are part of the Geisinger Health system . This integrated health care system is on the edge of technology and is a leader in electronic documentation . This wound osto-
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