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Open Access Rural Women, Technology, and Self-Management of Chronic Illness Les femmes des milieux ruraux, la technologie et l'auto-prise en charge des maladies chroniques

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Abstract:

The objective of this study was to determine the differences in the psychosocial status of 3 groups of chronically ill rural women participating in a computer intervention. The 3 groups were: intense intervention, less-intense intervention, and control. At baseline and following the intervention,measures were taken for social support, self-esteem, empowerment, self-efficacy, depression, stress, and loneliness. ANCOVA results showed group differences for social support and self-efficacy among the overall group. The findings differed for a vulnerable subgroup, with significant between-group differences for social support and loneliness. It was concluded that a computer-delivered intervention can improve social support and self-efficacy and reduce loneliness in rural women, enhancing their ability to self-manage and adapt to chronic illness.

French
L'objectif de cette étude était de déterminer les différences intervenant dans l'état psychosocial de 3 groupes de femmes des milieux ruraux atteintes de maladie chronique, qui participaient à une intervention par ordinateur. Elles étaient réparties en 3 groupes: intervention intense, intervention moins intense et groupe témoin. Au départ et ensuite, on a mesuré le soutien social, l'estime de soi, l'autonomisation, l'auto-efficacité, la dépression, le stress et la solitude. Les résultats de l'analyse de covariance (ANCOVA) ont fait apparaître des différences entre les groupes pour ce qui est du soutien social et dans tout le groupe en ce qui concerne l'auto-efficacité. Les résultats étaient différents pour un sousgroupe vulnérable, des différences significatives intervenant entre les groupes en ce qui concerne le soutien social et la solitude. On en a conclu qu'une intervention effectuée par ordinateur peut améliorer le soutien social et l'auto-efficacité et réduire la solitude chez les femmes des milieux ruraux, en renforçant leur capacité d'auto-prise en charge des maladies chroniques et d'adaptation à ces dernières.

Keywords: CHRONIC ILLNESS; COMPUTER-BASED INTERVENTION; PSYCHOSOCIAL OUTCOMES; RURAL

Document Type: Research Article

Publication date: 2008-09-01

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