title: Computer intervention impact on psychosocial adaptation of rural women with chronic conditions.
abstract: BACKGROUND
  Adapting to living with chronic conditions is a life-long psychosocial challenge.
  
  
  OBJECTIVE
  The purpose of this study was to report the effect of a computer intervention on the psychosocial adaptation of rural women with chronic conditions.
  
  
  METHODS
  A two-group study design was used with 309 middle-aged, rural women who had chronic conditions, randomized into either a computer-based intervention or a control group. Data were collected at baseline, at the end of the intervention, and 6 months later on the psychosocial indicators of social support, self-esteem, acceptance of illness, stress, depression, and loneliness.
  
  
  RESULTS
  The impact of the computer-based intervention was statistically significant for five of six of the psychosocial outcomes measured, with a modest impact on social support. The largest benefits were seen in depression, stress, and acceptance.
  
  
  CONCLUSIONS
  The women-to-women intervention resulted in positive psychosocial responses that have the potential to contribute to successful management of illness and adaptation. Other components of adaptation to be examined are the impact of the intervention on illness management and quality of life and the interrelationships among environmental stimuli, psychosocial response, and illness management.
authors.affiliation: College of Nursing, Montana State University, Bozeman, MT 59717, USA. cweinert@montana.edu
authors.forename: Clarann
authors.initials: C
authors.lastname: Weinert
authors.forename: Shirley
authors.initials: S
authors.lastname: Cudney
authors.forename: Bryan
authors.initials: B
authors.lastname: Comstock
authors.forename: Aasthaa
authors.initials: A
authors.lastname: Bansal
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D001294:Attitude to Health; D002908:Chronic Disease / Q000517:prevention & control* / Q000523:psychology; D003863:Depression / Q000517:prevention & control / Q000523:psychology; D005260:Female; D006801:Humans; D020407:Internet / Q000458:organization & administration*; D016015:Logistic Models; D008132:Loneliness / Q000523:psychology; D008875:Middle Aged; D015146:Midwestern United States; D008960:Models, Psychological; D015205:Northwestern United States; D015403:Nursing Evaluation Research; D012424:Rural Population; D012649:Self Concept; D012657:Self-Help Groups / Q000458:organization & administration*; D012944:Social Support; D013315:Stress, Psychological / Q000517:prevention & control / Q000523:psychology; D014930:Women / Q000193:education / Q000523:psychology*