E-health program for patients with chronic disease.

The aim of this pilot study was to examine the feasibility and benefits of a computer Internet-based videoconferencing healthcare support program for community-dwelling older adults with chronic disease. Eighteen participants (n = 18) who met inclusion criteria were recruited from a community health clinic, provided informed signed consent, and were assigned in groups of six to an Internetbased support group program. Where needed, participants were supplied equipment (computers, Web cams, audio headsets) and trained to access an easy-to-use, password-protected Web site that uses videoconferencing to support group member-facilitator interactive communication. The aim of the intervention was to support group member bonding and sharing of challenges and strategies for managing a chronic disease. Following 10 weekly professionally facilitated sessions, the groups met weekly in a self-help mode for an additional 3 months. Participants were interviewed at 6-month follow-up. An interview guide was used to gain feedback on using the Internet to access a health service and to ask about the benefits of having participated in the videoconferencing support group program. At follow-up, participants responded positively to using technology to communicate with healthcare professionals and other group members. They also valued the information shared regarding self-care, and reported reduction in feelings of loneliness and isolation. Our Internet-based, videoconferencing intervention program can be viewed as a prototype for designing technology platforms for the delivery of professional healthcare services to home-based older adults with chronic disease.