A qualitative systematic review on the experiences of self-management in community-dwelling older women living with chronic illnesses

Ru, Tay Zhi; Associate, Adjunct; Hegney, Desley

doi:10.11124/jbisrir-2011-75

Cited by 3 publications

(2 citation statements)

References 26 publications

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“…) and they carry out activities that allow them to avoid thinking about their illness (Ru et al . ). The escape mechanisms that participants of this study use, detach them from the context of their relative's illness and their own, and help them to experience positive emotions.…”

Section: Findings and Discussionmentioning

confidence: 97%

“…People respond to these emotional changes with management aimed at decreasing the possible negative influences on their illness. For example, they try to change negative thinking for positive thinking (Chen et al 2008) and they carry out activities that allow them to avoid thinking about their illness (Ru et al 2011). The escape mechanisms that participants of this study use, detach them from the context of their relative's illness and their own, and help them to experience positive emotions.…”

Section: Controlling Their Emotionsmentioning

confidence: 99%

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Women's self‐management of chronic illnesses in the context of caregiving: a grounded theory study

Martínez-Marcos

Benjumea

2014

Journal of Clinical Nursing

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Section: Findings and Discussionmentioning

confidence: 97%

Section: Controlling Their Emotionsmentioning

confidence: 99%

Women's self‐management of chronic illnesses in the context of caregiving: a grounded theory study

Martínez-Marcos

Benjumea

2014

Journal of Clinical Nursing

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Implementing self-management: a mixed methods study of women’s experiences of a postpartum hypertension intervention (SNAP-HT)

Cairns

Tucker

Crawford

et al. 2020

Trials

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Background: Self-management strategies are effective in a number of medical conditions; however, implementation studies have demonstrated adoption into clinical practice can be problematic. The process of implementation was explored during a pilot randomised controlled trial evaluating postpartum blood pressure selfmanagement in women with medicated hypertensive disorders of pregnancy. Methods: A mixed methods study using semi-structured interviews with a qualitative and a scored (quantitative) component were undertaken as part of a pilot randomised controlled trial (SNAP-HT) in postnatal women with medicated gestational hypertension or pre-eclampsia. Women were randomised to usual care or blood pressure self-management. Self-management entailed daily home blood pressure monitoring and automated medication reduction via telemonitoring. Women from both groups optionally consented to participate in audio-recorded interviews at 4 weeks and 6 months postpartum. Interview questions were developed to explore the proposed benefits of self-management and the constructs of normalisation process theory. Participants provided a score (Likert scale 1-5) for each question and were encouraged to expand upon these answers through further discussion. The interviews were transcribed and analysed using the framework approach. Results: Sixty-eight women, 34 from each randomised group, completed at least one audio-recorded interview. Several overarching themes emerged from analysis of 126 interview transcripts: control; convenience; confidence, communication and knowledge; concern; constraints; and components of the intervention. In the scored component of the analysis, both groups reported feeling more in control of their condition postpartum compared to during pregnancy, more so in those self-managing at both 4 weeks and 6 months: adjusted differences 0.6 (95% confidence interval [CI] 0.2 to 1.1) and 0.7 (95% CI 0.3 to 1.2) respectively.

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Implementing self-management: a mixed-methods study of women’s experiences of a postpartum hypertension intervention (SNAP-HT)

Cairns

Tucker

Crawford

et al. 2020

Preprint

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Background Self-management strategies are effective in a number of medical conditions; however, implementation studies have demonstrated adoption into clinical practice can be problematic. The process of implementation was explored during a pilot randomised controlled trial evaluating postpartum blood pressure self-management, in women with medicated hypertensive disorders of pregnancy. Methods A mixed methods study using semi-structured interviews with a qualitative and a scored (quantitative) component were undertaken as part of a pilot randomised controlled trial (SNAP-HT) in postnatal women with medicated gestational hypertension or pre-eclampsia. Women were randomised to usual care or blood pressure self-management. Self-management entailed daily home blood pressure monitoring and automated medication reduction via telemonitoring. Women from both groups optionally consented to participate in audio-recorded interviews, at four weeks and six months postpartum. Interview questions were developed to explore the proposed benefits of self-management and the constructs of Normalisation Process Theory. Participants provided a score (Likert scale 1-5) for each question and were encouraged to expand upon these answers through further discussion. The interviews were transcribed and analysed using the framework approach. Results Sixty-eight women, 34 from each randomised group, completed at least one audio-recorded interview. Several overarching themes emerged from analysis of 126 interview transcripts: control; convenience; confidence, communication and knowledge; concern; constraints; and components of the intervention. In the scored component of the analysis, both groups reported feeling more in control of their condition postpartum compared to during pregnancy, more so in those self-managing at both four weeks and six months: adjusted differences 0.6 (95% confidence interval (CI) 0.2 to 1.1) and 0.7 (95% CI 0.3 to 1.2) respectively. Conclusions Interviews and quantitative data showed that self-management enhanced women’s sense of control, and improved their blood pressure-related anxiety. Prior to taking part, a few women anticipated that home monitoring might increase anxiety, but stated that it had the opposite effect. Self-management was perceived as more flexible, reactive and as enabling more targeted down-titration of medication. These data provide considerable support for blood pressure self-management postpartum, and reinforce the effectiveness of the intervention used in this study. Trial registration Prospectively registered with ClinicalTrials.gov on 07/01/2015 (NCT02333240) https://clinicaltrials.gov/ct2/show/NCT02333240.

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A qualitative systematic review on the experiences of self-management in community-dwelling older women living with chronic illnesses

Cited by 3 publications

References 26 publications

Women's self‐management of chronic illnesses in the context of caregiving: a grounded theory study

Women's self‐management of chronic illnesses in the context of caregiving: a grounded theory study

Implementing self-management: a mixed methods study of women’s experiences of a postpartum hypertension intervention (SNAP-HT)

Implementing self-management: a mixed-methods study of women’s experiences of a postpartum hypertension intervention (SNAP-HT)

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