The effectiveness of Internet-mediated support in the well-being of elders with osteoarthritis: A single subject approach
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The purpose of this single subject study was to investigate the feasibility and effectiveness of Internet-mediated support to promote a healthy behavior among older adults with osteoarthritis. The intervention would enable participants to browse health information online and to receive e-mail encouragement to engage in exercise from a health professional. Daily logs of exercise and pain were recorded by participants and process measures were analyzed by visual analyses and binomial test. Arthritis Impact Measurement Scale, UCLA Loneliness Scale, and Wellness Inventory of Older Adult were adopted as outcome measures analyzed by the Wilcoxon signed-ranks test and Friedman two-way analysis of variance by ranks. It was found that older adults with osteoarthritis utilized the Internet and e-mail to engage in exercise and their perceived pain decreased. In addition, their loneliness was reduced with increasing social interaction. Therefore, Internet-mediated support intervention was feasible to promote healthy behaviors.