A systematic review examining whether community-based self-management programs for older adults with chronic conditions actively engage participants and teach them patient-oriented self-management strategies

Warner, Grace; Packer, Tanya; Kervin, Emily; Sibbald, Kaitlin R.; Audulv, Åsa

doi:10.1016/j.pec.2019.07.002

Cited by 29 publications

(23 citation statements)

References 69 publications

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“…Although previous studies have highlighted the benefits of asthma educational programmes (Coombs et al, 2018; Warner et al, 2019; Zhong et al, 2017) they provide little information about the factors that can undermine the usefulness of such programmes. Among the challenges this study documented were lack of accessibility, limited specialist staff, low levels of motivation and experience, low levels of professional commitment, and limited availability of experts to design and implement programmes.…”

Section: Discussionmentioning

confidence: 99%

Facilitators, challenges and usefulness of an asthma educational programme

Naeem

Dailah

2020

Health Education Journal

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Background: This study explored the role of hospitals, specialised doctors and staff in developing patient awareness, participation and motivation concerning asthma control. It also looked at the challenges that undermine the value of asthma educational programmes, especially in an Arab cultural context. Methods: Semi-structured interviews were used to collect data from 30 asthma patients who had been living with asthma for a long period of time. Results: Findings highlight how an asthma educational programme can increase patient knowledge about the causes of asthma. Following the programme, patients had a better understanding of levels of medication, breathing techniques and rest and relaxation. Awareness of support from health professionals for managing depression and frustration also increased. However, some patients felt that the asthma educational programme content and delivery was not very interactive and was too lengthy. Conclusion: Findings can help policy makers, researchers, hospitals, doctors and the national Ministry of Health improve the content of future asthma educational programmes. They can also inform the development of a research framework to extend understanding of relevant issues in an Arabian context.

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Section: Discussionmentioning

confidence: 99%

Facilitators, challenges and usefulness of an asthma educational programme

Naeem

Dailah

2020

Health Education Journal

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“…This is a societal challenge since a large number of people worldwide live with a neurological disorder and experience activity limitations that can compromise their possibility of living an active life [24,25]. Neurological rehabilitation in the early phases of, for instance, a stroke, is well developed but focuses on restoring function rather than on needs related to living an active everyday life or facilitating the process of change people go through to adapt to a changed capacity and life condition [26][27][28][29]. Moreover, access to neurological rehabilitation and prevention is limited and not equally distributed in Sweden [30,31].…”

Section: Operationalising the Idea Of A Sustainable Internet-based Ot Interventionmentioning

confidence: 99%

“…Together with theoretical perspectives and principles of person-centeredness [69][70][71][72], the foundation of the intervention was formed, including each unique client's situation and needs, with participation, sharing and transparency as important elements. The process of self-management [29,33,[73][74][75][76][77][78][79] added knowledge of the importance of the clients' active role when adopting strategies and implementing these strategies into their everyday life. Perspectives on motivation [80][81][82] were also identified and they play an important role during the intervention process as well as for improving the outcome where professionals can use the tool of motivation interviewing.…”

Section: Articulating Programme Theorymentioning

confidence: 99%

Optimising the development of sustainable internet-based occupational therapy interventions: Important key actions and perspectives to consider

Lund

Lexell

Nyman

2021

Scandinavian Journal of Occupational Therapy

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Background: By examining the health needs of the general population and utilising the potential of digitalisation as a driving force, new internet-based services need to be developed in occupational therapy. However, existing guidelines for the development of complex interventions provide scant information on how to develop internet-based interventions. Aim: The aim of this paper is to share experiences and illustrate important key actions and new perspectives to consider during the innovation process of developing and designing an internet-based occupational therapy intervention. Method and Materials: International guidelines for intervention development was reviewed to add important perspectives in the innovation process. Results: The illustration focuses on five key actions in the development phase to highlight new perspectives and questions important to consider when designing new internet-based occupational therapy interventions. Conclusion:The new perspectives can complement existing guidelines to enhance the development of more effective and sustainable internet-based interventions. Significance: The illustration provided has potential to improve the sustainability in innovation processes of new internet-based occupational therapy interventions.

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“…It consists of 7 domains and 26 subdomains. 10 The TEDSS has been used as a framework to examine self-management interventions 22 measurement tools 23 and in systematic reviews.…”

Section: Development Of the Tasmsmentioning

confidence: 99%

The Team Assessment of Self-Management Support (TASMS): A new approach to uncovering how teams support people with chronic conditions

Keddy

Packer

Audulv

et al. 2020

Healthc Manage Forum

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Canadian and other healthcare systems are adopting primary care models founded on multidisciplinary, team-based care. This paper describes the development and use of a new tool, the Team Assessment of Self-Management Support (TASMS), designed to understand and improve the self-management support teams provide to patients with chronic conditions. Team Assessment of Self-Management Support captures the time providers spend supporting seven different types of self-management support (process strategies, resources strategies, disease controlling strategies, activities strategies, internal strategies, social interactions strategies, and healthy behaviours strategies), their referral patterns and perceived gaps in care. Four unique features make TASMS user-friendly: it is patient-centred, it uses provider-level data to create a team profile, it has the ability to be tailored to needs (diagnosis and visit type), and visual presentation of results are quickly and intuitively understood by both providers and planners. Currently being used by providers and planners in Nova Scotia, scaling up will allow more widespread use.

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A systematic review examining whether community-based self-management programs for older adults with chronic conditions actively engage participants and teach them patient-oriented self-management strategies

Cited by 29 publications

References 69 publications

Facilitators, challenges and usefulness of an asthma educational programme

Facilitators, challenges and usefulness of an asthma educational programme

Optimising the development of sustainable internet-based occupational therapy interventions: Important key actions and perspectives to consider

The Team Assessment of Self-Management Support (TASMS): A new approach to uncovering how teams support people with chronic conditions

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