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Anderson JA, Willson P, Godwin KM, Peterson NJ, Kent T. Use of a Clinical Video Teleconference (CVT) Technology Model to Implement Patient Self-Management to Prevent Stroke. The Internet Journal of Advanced Nursing Practice. 2014 Sep 1; 13(1):ispub.com/IJANP/13/1/15930.
Dimensions for VA is a web-based tool available to VA staff that enables detailed searches of published research and research projects. Purpose: Pooled V-STOP Program data were used to evaluate a nurse practitioner led, patient-centered stroke-risk reduction program delivered to veterans at risk for stroke living in rural areas via clinical video teleconferencing technology. Data Sources: Originally a formative evaluation was completed based on a pilot, open trial, pretest/posttest design in 2 community based outpatient clinics. Veterans at risk for stroke completed questionnaires on stroke risk, self-management behaviors, self-efficacy, and quality of life. Conclusions: Participants (N = 37) showed improvement in their stroke risk knowledge (t = 5.95, p < .001) over time; they had increases in their physical (t = 2.15, p = .039) and emotional (t = 1.99, p = .055) quality of life. Moreover, program participants had improvement in their self-management behavior of communication with health care providers at both 12 weeks (t = 2.6, p.014) and 18 weeks (t = 3.2, p = .003) post intervention. Implications for Practice: The V-STOP Program not only promotes nurse-led, patient-centered care but also utilizes clinical video teleconferencing technology and partners with community clinics in rural areas to increase knowledge of stroke risk. The use of technology and community partnerships in this program allowed nurse practitioner providers to effectively deliver self-management support and stroke-risk reduction education among a population of rural veterans at risk for stroke.
