This is a competing continuation reapplication for the research titled, Rural Chronically III Women: Online Support Network (a.k.a Women to Women Project, WTW). Chronic care interventions are emerging to assist those with chronic illnesses to learn the self-management skills necessary to successfully adapt to living with their illnesses and maintain quality of life. These have been shown to improve outcomes and reduce costs. However, access to programs that enhance effective self-management strategies may be inaccessible to underserved populations, such as chronically ill rural women. From its inception, the WTW telehealth intervention has been harnessing technology and using it as a means of enhancing the potential for rural chronically ill women to more successfully adapt to their chronic illnesses. The WTW Project is based on a carefully crafted and paced program of research which uses its evolving research findings and those of others to guide its progression. The goal is to test the impact of a computer-based intervention on psychosocial adaptation, chronic illness self-management, and quality of life among rural women with chronic illness. Within this context, specific aims are to: (a) test the effectiveness of a more parsimonious computer-based intervention on psychosocial adaptation; (b) test the effectiveness of a more parsimonious computer-based intervention on chronic illness self-management; (c) test the effectiveness of a more parsimonious computer-based intervention on quality of life; (d) explore associations among focal, contextual, and residual stimuli (illness characteristics, demographics, degree of rurality, hardiness, optimism, spirituality), psychosocial adaptation, chronic illness self-management, and quality of life; and (e) analyze the chatroom computer exchanges among women to explicate the complex process of ? managing chronic illness within the rural context. WTW is an intervention that is providing social support and enhancing self-management skills for geographically isolated individuals via the use of telecommunication technology. The implementation and evaluation of the first two phases of the WTW have contributed to the understanding of the role this computer-based intervention is playing in enhancing the women's self-management skills in an effort to help them successfully adapt to chronic illness. The proposed research trajectory will move toward reducing the complexity of the research design and intervention and further developing and refining a model of psychosocial adaptation to chronic illness. ? ? ? ?
| Cudney, Shirley; Weinert, Clarann (2012) An online approach to providing chronic illness self-management information. Comput Inform Nurs 30:110-7 |
| Kelly, Catherine G; Cudney, Shirley; Weinert, Clarann (2012) Use of creative arts as a complementary therapy by rural women coping with chronic illness. J Holist Nurs 30:48-54 |
| Marcille, Lisa Ann; Cudney, Shirley; Weinert, Clarann (2012) Loneliness as experienced by women living with chronic illness in rural areas. J Holist Nurs 30:244-52; quiz 253-4 |
| Weinert, Clarann; Cudney, Shirley; Comstock, Bryan et al. (2011) Computer intervention impact on psychosocial adaptation of rural women with chronic conditions. Nurs Res 60:82-91 |
| Spring, Amber; Cudney, Shirley; Weinert, Clarann et al. (2011) Spousal support experiences of rural women living with chronic illness. Holist Nurs Pract 25:71-9 |
| Cudney, Shirley; Weinert, Clarann; Kinion, Elizabeth (2011) Forging partnerships between rural women with chronic conditions and their health care providers. J Holist Nurs 29:53-60 |
| Winters, C A; Cudney, S; Sullivan, T (2010) Expressions of depression in rural women with chronic illness. Rural Remote Health 10:1533 |
| Weinert, Clarann; Cudney, Shirley; Kinion, Elizabeth (2010) Development of My Health Companion to enhance self-care management of chronic health conditions in rural dwellers. Public Health Nurs 27:263-9 |
| Weinert, Clarann; Cudney, Shirley; Spring, Amber (2008) Evolution of a conceptual model for adaptation to chronic illness. J Nurs Scholarsh 40:364-72 |
| Weinert, Clarann; Cudney, Shirley; Hill, Wade G (2008) Rural women, technology, and self-management of chronic illness. Can J Nurs Res 40:114-34 |
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