Search published articles


Showing 2 results for Ehealth
Telehealth palliative care for chronic obstructive pulmonary disease in Iran: The Study Protocol of a Randomized Controlled Feasibility Trial
Zahra Arabi , Arvin Mirshahi , Hosein Kazemi Zadeh , Shima Haghani , Anand Iyer , Rachel Wells , Marie Bakitas , Mehraban Shahmari , Arpi Manookian ,
Volume 22, Issue 4 (12-2025)
Abstract
Background: Chronic obstructive pulmonary disease (COPD) is a progressive, irreversible respiratory condition that imposes a significant physical and psychological burden, often leading to a poor quality of life. Although palliative care can help address these challenges, in Iran it is typically limited to cancer patients and is not commonly provided to those with COPD. Globally, the early integration of palliative care for chronic illnesses is expanding. The present study aims to investigate the feasibility and acceptability of an early tele-palliative care intervention for patients with COPD in Iran and to explore its potential effects on quality of life, anxiety, depression, and emergency department readmissions.
Methods: This randomized controlled feasibility trial protocol involves a 3-month early tele-palliative care program delivered by two nurse coaches, targeting patients with COPD. Participantswere randomly assigned to either the intervention group (n = 26) or the control group (n = 26) using permuted block randomization. Both groups received traditional COPD care; however, the intervention group also received six weekly telephone sessions and six weeks of follow-up support via phone call and WhatsApp Messenger. The primary objective was to assess the feasibility and acceptability of early tele-palliative care, measured through recruitment and attrition rates, questionnaire completion rates, patient satisfaction, attitudes toward the intervention, and adherence to the intervention. The secondary outcome included changes in quality of life, anxiety, depression, and hospital readmissions. These were measured using validated instruments at two time points: Baseline (pre-intervention) and three months post-intervention. Statistical analyses were performed using SPSS version 22, including the independent samples t-test, paired samples t-test, chi-square test, and Fisher’s exact test. Analysis of covariance (ANCOVA) was used to compare the mean outcomes between the two groups while statistically controlling for the effect of baseline values. Statistical significance was set at p < 0.05.
Conclusion: This study protocol aimed to determine the feasibility and acceptability of an early tele-palliative care intervention for patients with COPD in Iran. The findings provided essential data to inform the design of a future large-scale clinical trial and support the potential integration of early telehealth palliative care into standard COPD management in the country.
 

Use of information and Communication Technologies to improve health literacy among pregnant women: A scoping review
Emanuela Gomes Falcão, Antônio Alves de Sousa Filho, Edina Maria Araújo, Saiwori de Jesus Silva Bezerra Dos Anjos ,
Volume 23, Issue 2 (6-2026)
Abstract
Background: Health literacy is a key component of informed decision-making during pregnancy and is influenced by access to and interpretation of health information. This study aimed to map and analyze the available evidence on the use of Information and Communication Technologies (ICTs) during pregnancy and their implications for obstetric nursing.
Methods: A scoping review was conducted according to JBI guidance and reported in accordance with PRISMA-ScR. The initial searches were conducted in December 2023 and updated in May 2026, covering records indexed from database inception through May 2026 in MEDLINE, EMBASE, LILACS, Scopus, and ScienceDirect. Controlled and uncontrolled terms based on MeSH, DeCS, and Emtree were used. Primary and secondary studies employing quantitative, qualitative, or mixed-methods approaches were eligible, with no restrictions on language or publication period. The findings were synthesized descriptively and thematically.
Results: Twenty-five studies were included. The evidence indicates that ICTs, including mobile applications, websites, and digital platforms, facilitate access to health information, promote self-care, and improve adherence to prenatal care. However, their effectiveness depends on three factors: digital literacy, information reliability, and integration into professional care. Barriers include digital inequality, low health literacy, information overload, cultural and linguistic limitations, and a lack of content regulation. Despite these challenges, benefits such as increased knowledge of warning signs, greater self-efficacy, and support for decision-making were observed.
Conclusion: ICTs play an important role in supporting maternal care and strengthening health literacy during pregnancy. Their effective use depends on the interaction among digital literacy, information reliability, and professional mediation.

Page 1 from 1     

© 2026 CC BY-NC 4.0 | Journal of Research Development in Nursing and Midwifery

Designed & Developed by : Yektaweb