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Original Article
Effects of Gout Web based Self-management Program on Knowledge Related to Disease, Medication Adherence, and Self-management
Hyun Soo Oh, Won Park, Seong Ryul Kwon, Mie Jin Lim, Yeon Ok Suh, Wha Sook Seo, Jong Suk Park
Journal of Korean Academy of Nursing 2013;43(4):547-556.
DOI: https://doi.org/10.4040/jkan.2013.43.4.547
Published online: August 30, 2013

1Department of Nursing, Inha University, Incheon, Korea.

2School of Medicine, Inha University, Incheon, Korea.

3Department of Nursing, Soonchunhyang University, Asan, Korea.

4Department of Nursing, Inha University, Inha University Hospital, Incheon, Korea.

Address reprint requests to: Oh, Hyun Soo. Department of Nursing, Inha University, 100 Inharo, Nam-gu, Incheon 402-751, Korea. Tel: +82-32-860-8206, Fax: +82-32-874-5880, hsoh@inha.ac.kr
• Received: March 23, 2013   • Accepted: July 15, 2013

© 2013 Korean Society of Nursing Science

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  • Purpose
    This study was conducted to examine the changing patterns of knowledge related to disease, medication adherence, and self-management and to determine if outcomes were more favorable in the experimental group than in the comparison group through 6 months after providing a web-based self-management intervention.
  • Methods
    A non-equivalent control group quasi-experimental design was used and 65 patients with gout, 34 in experimental group and 31 in comparison group, were selected from the rheumatic clinics of two university hospitals. Data were collected four times, at baseline, at 1 month, 3 months, and 6 months after the intervention.
  • Results
    According to the study results, the changing patterns of knowledge and self-management were more positive in the experimental group than in the control group, whereas difference in the changing pattern of medication adherence between two groups was not significant.
  • Conclusion
    The results indicate that the web-based self-management program has significant effect on improving knowledge and self-management for middle aged male patients with gout. However, in order to enhance medication adherence, the web-based intervention might not be sufficient and other strategies need to be added.
  • Keywords: Gout; Self-management; Web-based intervention
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Figure 1
Process of developing gout web-based self-management program.
jkan-43-547-g001.jpg
Figure 2
Contents of gout web-based self-management program.
jkan-43-547-g002.jpg
Figure 3
Differences in changing pattern of outcome variables between groups.
jkan-43-547-g003.jpg
Table 1
Effects of Web-based Intervention Program on Knowledge, Medication Adherence, and Self-management for Patients with Gout (N=65)
jkan-43-547-i001.jpg

*Repeated Measure ANOVA was performed. As Mauchly's test of Sphericity was rejected, results of Greenhouse-Geisser correction were selected and interpreted; †For post-hoc comparisons, series of paired t-test were performed and in order to reduced type I error, significant level was set as p ≤.010.

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        Effects of Gout Web based Self-management Program on Knowledge Related to Disease, Medication Adherence, and Self-management
        J Korean Acad Nurs. 2013;43(4):547-556.   Published online August 30, 2013
        DOI: https://doi.org/10.4040/jkan.2013.43.4.547
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      Effects of Gout Web based Self-management Program on Knowledge Related to Disease, Medication Adherence, and Self-management
      Image Image Image
      Figure 1 Process of developing gout web-based self-management program.
      Figure 2 Contents of gout web-based self-management program.
      Figure 3 Differences in changing pattern of outcome variables between groups.

      Figure 1

      Figure 2

      Figure 3

      Effects of Gout Web based Self-management Program on Knowledge Related to Disease, Medication Adherence, and Self-management

      Effects of Web-based Intervention Program on Knowledge, Medication Adherence, and Self-management for Patients with Gout (N=65)

      *Repeated Measure ANOVA was performed. As Mauchly's test of Sphericity was rejected, results of Greenhouse-Geisser correction were selected and interpreted; †For post-hoc comparisons, series of paired t-test were performed and in order to reduced type I error, significant level was set as p ≤.010.
      Table 1 Effects of Web-based Intervention Program on Knowledge, Medication Adherence, and Self-management for Patients with Gout (N=65)

      *Repeated Measure ANOVA was performed. As Mauchly's test of Sphericity was rejected, results of Greenhouse-Geisser correction were selected and interpreted; †For post-hoc comparisons, series of paired t-test were performed and in order to reduced type I error, significant level was set as p ≤.010.

      Table 1

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