A process evaluation using a Self Determination Theory measure of the co-delivery of self management training by clinicians and by lay tutors

Sharma, Shilpi; Wallace, Louise; Anderson, Janice R.; Turner, Andy

doi:10.1016/j.pec.2012.09.002

Cited by 8 publications

(11 citation statements)

References 48 publications

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“…Tutors decide in advance which activities they would like to lead on. Our observations of the SMP (reported elsewhere) using process evaluation using a Self Determination Theory [18] showed co-delivery was a successful model and that lay and health professional tutors had similar motivational styles to promote participant engagement and learning [19].…”

Section: Interventionsupporting

confidence: 51%

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An evaluation of a self-management program for patients with long-term conditions

Turner¹,

Anderson²,

Wallace³

et al. 2015

Patient Education and Counseling

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Section: Interventionsupporting

confidence: 51%

“…We have reported elsewhere that the co-delivery model was well received by patients [19]. Generally, more men, ethnic minorities, people who lived alone, who had no educational qualifications and did not own their own homes, attended the SMP when compared to other UK selfmanagement programs [9].…”

Section: Characteristicsmentioning

confidence: 95%

An evaluation of a self-management program for patients with long-term conditions

Turner¹,

Anderson²,

Wallace³

et al. 2015

Patient Education and Counseling

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“…Our observations (Ahmad et al, 2009;Sharma et al, 2013) of CCH SMP found that participants valued the peer support, offered by the other participants and the encouragement from tutors to achieve personally relevant and freely chosen goals.…”

Section: Improvement In Outcomesmentioning

confidence: 65%

“…The participants were positive about the use of a peer and a health professional tutor to deliver the SMP, feeling that this was a better model than previous SMP models where two peer tutors deliver the course (Ahmad et al, 2009;Sharma et al, 2013). Participants recognised the different skills that each of the tutors brought to the SMP, valuing the peer tutors' life experience of living with a LTC, and also appreciating the medical expertise of the health practitioner.…”

Section: Improvement In Outcomesmentioning

confidence: 97%

A co-produced self-management programme improves psychosocial outcomes for people living with depression

Turner

Realpe

Wallace

et al. 2015

Mental Health Review Journal

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Access to this document was granted through an Emerald subscription provided by emerald-srm:368933 [] For AuthorsIf you would like to write for this, or any other Emerald publication, then please use our Emerald for Authors service information about how to choose which publication to write for and submission guidelines are available for all. Please visit www.emeraldinsight.com/authors for more information. About Emerald www.emeraldinsight.comEmerald is a global publisher linking research and practice to the benefit of society. The company manages a portfolio of more than 290 journals and over 2,350 books and book series volumes, as well as providing an extensive range of online products and additional customer resources and services.Emerald is both COUNTER 4 and TRANSFER compliant. The organization is a partner of the Committee on Publication Ethics (COPE) and also works with Portico and the LOCKSS initiative for digital archive preservation. AbstractPurpose -There is growing interest in self-management support for people living with mental health problems. The purpose of this paper is to describe the evaluation of a co-designed and co-delivered self-management programme (SMP) for people living with depression delivered as part of large scale National Health Service quality improvement programme, which was grounded in the principles of co-production. The authors investigated whether participants became more activated, were less psychologically distressed enjoyed better health status, and quality of life, and improved their self-management skills after attending the seven-week SMP. Design/methodology/approach -The authors conducted a longitudinal study of 114 people living with depression who attended the SMP. Participants completed self-reported measures before attending the SMP and at six months follow up. Findings -Patient activation significantly improved six months after the SMP (baseline M ¼ 49.6, SD ¼ 12.3, follow up M ¼ 57.2, SD ¼ 15.0, t(113) ¼ 4.83, po0.001; d ¼ 0.61). Participants' experience of depression symptoms as measured by the Patient Health Questionnaire-9 significantly reduced (baseline M ¼ 15.5, SD ¼ 6.8, follow up M ¼ 10.6, SD ¼ 6.9, t(106) ¼ 7.22, po 0.001, d ¼ −0.72). Participants' anxiety and depression as measured by the Hospital Anxiety Depression Scale also decreased significantly (baseline anxiety: M ¼ 13.1, SD ¼ 4.2, follow up M ¼ 10.2, SD ¼ 4.4, t(79) ¼ 6.29, p o0.001, d ¼ −0.69); (baseline depression: M ¼ 10.3, SD ¼ 4.6, follow up M ¼ 7.7, SD ¼ 4.5, t(79) ¼ 5.32, po 0.001, d ¼ −0.56). The authors also observed significant improvement in participants' health status (baseline M ¼ 0.5, SD ¼ 0.3, follow up M ¼ 0.6, SD ¼ 0.3, t(97) ¼ −3.86, po0.001, d ¼ 0.33), and health-related quality of life (baseline M ¼ 45.4, SD ¼ 20.5, follow up M ¼ 60.8, SD ¼ 22.8, t(91) ¼ −2.71, p ¼ 0.008, d ¼ 0.75). About 35 per cent of participant showed substantial improvements of self-management skills.Originality/value -The co-produced depression SMP is innovative in a UK mental health setting. Improvements ...

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“…We have reported elsewhere that the co-delivery model was well received by patients with LTCs. 29 Patients with COPD who were less activated, more depressed and had lower healthrelated quality of life and health status were more likely to drop out of the SMP. This is unfortunate as research shows that these patients are likely to benefit the most from attending a group-based SMP.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a self-management programme for patients with chronic obstructive pulmonary disease

et al. 2014

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Self-management is becoming an important part of treatment for patients with chronic obstructive pulmonary disease (COPD). We conducted a longitudinal survey of patients with COPD who attended a 7-week group-based lay and clinician co-delivered COPD self-management programme (SMP)to see whether they became more activated, enjoyed better health status, and quality of life, were less psychologically distressed and improved their self-management abilities. The main analysis was a per-protocol analysis (N = 131), which included only patients who attended ≥5 SMP sessions and who returned a 6-month follow-up questionnaires. Changes in the mean values of the patient outcomes were compared over time using paired t tests and general linear model for repeated measures. Patient activation significantly improved 6 months after the SMP (p < 0.001). There were also significant improvements in COPD mastery (p = 0.001) and significant improvements in a range of self-management abilities (self-monitoring and insight p = 0.03), constructive attitude shift (p = 0.04), skills and technique acquisition, (p < 0.001)). This study showed that a lay and clinician-led SMP for patients with COPD has the potential to produce improvements in important outcomes such as activation, mastery and self-management abilities.

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A process evaluation using a Self Determination Theory measure of the co-delivery of self management training by clinicians and by lay tutors

Cited by 8 publications

References 48 publications

An evaluation of a self-management program for patients with long-term conditions

An evaluation of a self-management program for patients with long-term conditions

A co-produced self-management programme improves psychosocial outcomes for people living with depression

Evaluation of a self-management programme for patients with chronic obstructive pulmonary disease

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