Faridah Faridah, Anies Anies, Martha I Kartasurya, Bagoes Widjanarko
Online educational intervention: Improving maternal knowledge and attitudes in providing developmental stimulation for stunting toddlers
Narra J
thailand rapidly increasing population older persons living hemodialysis oplwh quality life clinical outcomes main focus study aims assess feasibility integrated home telehealth model quality life laboratory parameters oplwh study second phase mixed methods exploratory sequential design conducted using repeated measures experimental design participants met inclusion criteria included oplwh single hemodialysis center one hospital chiang mai province thailand experimental period 1 april 30 september 2018 willing participate study 54 participants purposively selected randomly assigned receive either intervention n 24 consisting health education health monitoring using telehealth device ipad web application usual care n 30 instruments included demographic data form analyzed using chisquare test healthrelated quality life questionnaire 9item thai health status assessment questionnaire blood chemistry bun cr hb hct alb k ktv npcr compared measured baseline 3 6 months enrolment using independent ttest oneway repeated measures anova comparison quality life two groups two points repeated measurement 3 months showed statistically significant difference mental health scores p 005 six months intervention mean scores health outcomes patients quality life improved however change reach statistical significance integrated home telehealth model implemented hemodialysis nurse feasible holistic care approach oplwh however absence statistical significance may partly associated clinical characteristics frailty risk factors increased age hypertension diabetes heart disease longer dialysis time inadequacy ktv largescale multicentre trials warranted fully examine acceptability model duration longterm effects telehealth model also recommended investigation development home telehealth model collaborative process patients caregivers healthcare professionals hemodialysis unit research team