Abstract:There is preliminary evidence that the use of an individualized stroke self-management intervention is acceptable and can lead to a change in self-efficacy in this small sample.
“…There has been a substantial increase in the body of literature to suggest the effects of self-management interventions on rehabilitation and recovery across a variety of chronic conditions such as stroke (Jones et al, 2009), lymphoedema (McGowan et al, 2013), chronic obstructive pulmonary disease (Fairbrother et al, 2013;Bourbeau et al, 2013) and vascular risk reduction (Sol et al, 2005;Sol et al, 2008;Mead et al, 2010;Maitland and Chalmers, 2010).…”
Please cite this article as: GUO, P., HARRIS, R.,The effectiveness and experience of self-management following acute coronary syndrome: a review of the literature, International Journal of Nursing Studies (2016), http://dx.doi.org/10. 1016/j.ijnurstu.2016.05.008 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
Conflicts of interestNone.
Funding statementNo external funding.Page 3 Evidence has suggested the effects of self-management interventions on rehabilitation and recovery across a variety of chronic conditions. However, to date less is known about the extent of the literature on self-management for individuals following an acute cardiac event. Despite widespread use of the term 'self-management' and growing interest in the concept, defining how self-management is manifested in terms of observable behaviours remains challenging in the field of health and social care.
What this paper adds? Evidence showed varying effects of the self-management interventions among people following acute coronary syndrome when compared with usual care.Most studies in this review were conducted in western countries and quantitative studies were UK centric. Therefore, more research is needed to explore self-management among people following acute coronary syndrome within different health care contexts.
“…There has been a substantial increase in the body of literature to suggest the effects of self-management interventions on rehabilitation and recovery across a variety of chronic conditions such as stroke (Jones et al, 2009), lymphoedema (McGowan et al, 2013), chronic obstructive pulmonary disease (Fairbrother et al, 2013;Bourbeau et al, 2013) and vascular risk reduction (Sol et al, 2005;Sol et al, 2008;Mead et al, 2010;Maitland and Chalmers, 2010).…”
Please cite this article as: GUO, P., HARRIS, R.,The effectiveness and experience of self-management following acute coronary syndrome: a review of the literature, International Journal of Nursing Studies (2016), http://dx.doi.org/10. 1016/j.ijnurstu.2016.05.008 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
Conflicts of interestNone.
Funding statementNo external funding.Page 3 Evidence has suggested the effects of self-management interventions on rehabilitation and recovery across a variety of chronic conditions. However, to date less is known about the extent of the literature on self-management for individuals following an acute cardiac event. Despite widespread use of the term 'self-management' and growing interest in the concept, defining how self-management is manifested in terms of observable behaviours remains challenging in the field of health and social care.
What this paper adds? Evidence showed varying effects of the self-management interventions among people following acute coronary syndrome when compared with usual care.Most studies in this review were conducted in western countries and quantitative studies were UK centric. Therefore, more research is needed to explore self-management among people following acute coronary syndrome within different health care contexts.
“…In the actions included in advise, we highlight health education, especially aimed at patient's self-management of their chronic condition (38) , being associated with better clinical outcomes and lower costs (36) . This strategy must be supported by scientific evidence and clinical guidelines (31,(33)(34) to promote behavior change in a more extensive and permanent way.…”
Section: Discussionmentioning
confidence: 99%
“…Establish an intervention program with weekly sessions with the aim of improving the knowledge of patients and involve them in selfmanagement (12,18,29,(35)(36)(37) , including the use of educational booklets about self-management (38) *.…”
Objective:To analyze strategies for self-management support by patients with stroke in the light of the methodology of the five A's (ask, advice, assess, assist and arrange). Methods: Integrative review conducted at the following databases CINAHL, SCOPUS, PubMed, Cochrane and LILACS. Results: A total of 43 studies published between 2000 and 2013 comprised the study sample. All proposed actions in the five A's methodology and others were included. We highlight the Assist and Arrange, in which we added actions, especially with regard to the use of technological resources and joint monitoring between patients, families and professionals. No study included all five A's, which suggests that the actions of supported self-management are developed in a fragmented way. Conclusion: The use of five A's strategy provides guidelines for better management of patients with stroke with lower cost and higher effectiveness.
“…The Bridges selfmanagement programme began in stroke but has now extended to brain injury and other complex neurological conditions and in acute and community healthcare settings (Jones, Mandy, & Partridge, 2009;Makela, 2015). Social cognition theory has underpinned our work and self-efficacy was a critical first construct within Bridges (Bandura, 1997).…”
Section: History Of Bridgesmentioning
confidence: 99%
“…Research to develop and test the Bridges stroke self-management programme has shown proof of concept, efficacy, acceptability and feasibility as an approach integrated into rehabilitation (Jones et al, 2009(Jones et al, , 2016McKenna et al, 2013). But we are now mindful that evidence in a trial setting does not help us understand how rehabilitation teams and professionals integrate and sustain self-management support which preferences needs, goals and skills of individuals.…”
Abstract. BACKGROUND:Programmes providing self-management support for patients and families are gaining attention and have shown promising outcomes with regards to reducing long-term unmet needs post stroke. However, notions of what good selfmanagement support looks like can differ depending on professional opinion, individual preferences, skills and experiences of patients and their families as well as on how care and rehabilitation is organised in a particular healthcare setting. This resonates with the perspective of patient-centred care, according to which the meaning of good care is not universal, but rather jointly shaped between healthcare professionals and patients in everyday interactions. While self-management support is continuously co-produced in care and rehabilitation practices, most self-management programmes are typically provided as an 'add-on' to existing statutory care. OBJECTIVE: This paper aims to deepen the understanding of how self-management support can be made an integral part of everyday care and rehabilitation using Bridges methodology.
METHODS:The authors provide a self-reflective account on 'Bridges' an integrated approach to self-management support, which is used by healthcare professionals within acute and community stroke rehabilitation across the UK, and in some parts of New Zealand and Australia. RESULTS: Bridges is based on self-efficacy principles, but has a central aim of professionals sharing decision-making and expertise with patients and families in every healthcare interaction. Methodologically, the co-production of a Bridges support package with local healthcare professionals and patients is critical. The authors present the values articulated by the support package and how it engages professionals, patients and Bridges training facilitators in a continuous process of adjusting and re-adjusting situated self-management support practices. CONCLUSIONS: Our reflections reveal the need to consider development and implementation of self-management support as one and the same on-going process, if we are to facilitate successful engagement and interest from healthcare professionals as well as their patients and families.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.