title: Health knowledge acquisition by rural women with chronic health conditions: a tale of two Web approaches.
abstract: OBJECTIVE
  To determine the differences in health knowledge acquisition and the perceived impact on self-management of chronic illness provided by two approaches to providing Web-based information.
  
  
  METHODS
  Repeated-measure questionnaire administered at four time points: baseline, 11, 23 and 53 weeks; a post-computer intervention survey.
  
  
  METHODS
  One hundred and seventy-six chronically ill women (aged 32-68 years) living in rural areas.
  
  
  METHODS
  Scores on knowledge questions within repeated measures; participant ratings on perceptions of abilities to self-manage.
  
  
  METHODS
  The 22-week computer-based intervention provided online support and health information. Women were randomly assigned to an intense intervention (n = 54), less-intense intervention (n = 58) or control group (n = 64).
  
  
  RESULTS
  Both computer intervention groups gained significantly in health knowledge with little differential effect at intervention conclusion or after 6 months, when there was a drop-off in health knowledge retention of about one-third (intense - baseline mean = 0.54, week 23 = 0.69, week 53 = 0.65; less intense - 0.58, 0.68, 0.65). Control remained about the same (0.51, 0.51, 0.53). Using an anova analysis, there was no appreciable difference between intervention groups in perceptions of ability to self-manage illness (intense - mean = 4.02 (on a scale of 1-6), standard deviation = 0.99); less intense - (mean = 3.85, standard deviation = 1.00), t(107) = 0.90, P = 0.37).
  
  
  CONCLUSIONS
  A less-intense intervention can be as effective as a more complex, labour-intensive and costly intervention in assisting chronically ill rural women to acquire health knowledge they consider to be moderately helpful in managing their chronic conditions.
authors.affiliation: Montana State University College of Nursing, Bozeman, Montana 59717, USA. weinert@montana.edu
authors.forename: Clarann
authors.initials: C
authors.lastname: Weinert
authors.forename: Shirley
authors.initials: S
authors.lastname: Cudney
authors.forename: Wade
authors.initials: W
authors.lastname: Hill
mesh_terms: D000328:Adult; D000368:Aged; D002908:Chronic Disease; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D020407:Internet; D008875:Middle Aged; D015146:Midwestern United States; D015205:Northwestern United States; D012424:Rural Population; D011795:Surveys and Questionnaires