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Multimedia psychoeducational interventions to support patient self-care in degenerative conditions: A realist review

Published online by Cambridge University Press:  22 October 2014

Peter O'Halloran ,
David Scott ,
Joanne Reid  and
Sam Porter
Peter O'Halloran*
Affiliation:
School of Nursing and Midwifery, Queen's University Belfast, Belfast, BT9 7BL, United Kingdom
David Scott
Affiliation:
School of Nursing and Midwifery, Queen's University Belfast, Belfast, BT9 7BL, United Kingdom
Joanne Reid
Affiliation:
School of Nursing and Midwifery, Queen's University Belfast, Belfast, BT9 7BL, United Kingdom
Sam Porter
Affiliation:
School of Nursing and Midwifery, Queen's University Belfast, Belfast, BT9 7BL, United Kingdom
*
Address correspondence and reprint requests to: Peter O'Halloran, Medical Biology Centre, School of Nursing and Midwifery, Queen's University Belfast, 97 Lisburn Road, Belfast BT9 7BL, United Kingdom. E-Mail: p.ohalloran@qub.ac.uk
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Abstract

Objective:

Multimedia interventions are increasingly used to deliver information in order to promote self-care among patients with degenerative conditions. We carried out a realist review of the literature to investigate how the characteristics of multimedia psychoeducational interventions combine with the contexts in which they are introduced to help or hinder their effectiveness in supporting self-care for patients with degenerative conditions.

Method:

Electronic databases (Medline, Science Direct, PSYCHinfo, EBSCO, and Embase) were searched in order to identify papers containing information on multimedia psychoeducational interventions. Using a realist review approach, we reviewed all relevant studies to identify theories that explained how the interventions work.

Results:

Ten papers were included in the review. All interventions sought to promote self-care behaviors among participants. We examined the development and content of the multimedia interventions and the impact of patient motivation and of the organizational context of implementation. We judged seven studies to be methodologically weak. All completed studies showed small effects in favor of the intervention.

Significance of Results:

Multimedia interventions may provide high-quality information in an accessible format, with the potential to promote self-care among patients with degenerative conditions, if the patient perceives the information as important and develops confidence about self-care. The evidence base is weak, so that research is needed to investigate effective modes of delivery at different resource levels. We recommend that developers consider how an intervention will reduce uncertainty and increase confidence in self-care, as well as the impact of the context in which it will be employed.

Keywords

Realist reviewMultimediaPsychoeducationalSelf-careDegenerative conditionsPalliative care
Type
Review Article
Information
Palliative & Supportive Care , Volume 13 , Issue 5 , October 2015 , pp. 1473 - 1486
Copyright
Copyright © Cambridge University Press 2014 

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