Depression in the Context of Chronic and Multiple Chronic Illnesses

Stanners, Melinda; Barton, Chris

doi:10.5772/38470

Cited by 4 publications

(3 citation statements)

References 83 publications

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“…Depression is common among people with chronic illness, adversely affecting their ability to consistently engage in goal-directed activities related to treatment, including consistent adherence to medication regimens ( DiMatteo, Lepper, & Croghan, 2000 ; Grenard et al, 2011 ; Pangalila et al, 2015 ; Stanners & Barton, 2012 ). A large body of research indicates that cognitive biases play a major role in inconsistent goal pursuit among individuals experiencing depression ( Joormann & D’Avanzato, 2010 ).…”

Section: Introductionmentioning

confidence: 99%

Goal Setting and Treatment Adherence Among Patients With Chronic Illness and Depressive Symptoms: Applying a Patient-Centered Approach

Houston¹,

Tatum²,

Guy³

et al. 2015

GJHS

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Objective:Poor treatment adherence is a major problem among individuals with chronic illness. Research indicates that adherence is worsened when accompanied by depressive symptoms. In this preliminary study, we aimed to describe how a patient-centered approach could be employed to aid patients with depressive symptoms in following their treatment regimens.Methods:The sample consisted of 14 patients undergoing antiretroviral therapy (ART) for HIV who reported clinically-significant depressive symptoms. Participant ratings of 23 treatment-related statements were examined using two assessment and analytic techniques. Interviews were conducted with participants to determine their views of information based on the technique.Results:Results indicate that while participants with optimal adherence focused on views of treatment associated with side effects to a greater extent than participants with poor adherence, they tended to relate these side effects to sources of intrinsic motivation.Conclusion:The study provides examples of how practitioners could employ the assessment techniques outlined to better understand how patients think about treatment and aid them in effectively framing their health-related goals.

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Section: Introductionmentioning

confidence: 99%

Goal Setting and Treatment Adherence Among Patients With Chronic Illness and Depressive Symptoms: Applying a Patient-Centered Approach

Houston¹,

Tatum²,

Guy³

et al. 2015

GJHS

View full text Add to dashboard Cite

show abstract

“…Unplanned readmission is relatively costly and substantially impairs the patient’s health (Robinson & Hudali, 2017). Patients with MCIs have a high risk for readmission, leading to poor health status, limitations on self‐care, poor ability to perform activities of daily living (ADLs) (Friedman et al, 2008), poor adherence to treatment, and unfavorable quality of life (QOL; Pruchno, Wilson‐Genderson, & Heid, 2016; Stanners & Barton, 2012). Bauer et al (2014) suggested that health professionals should identify more effective strategies to link with community resources and clinical services to improve the quality of health care.…”

mentioning

confidence: 99%

Effectiveness of a Nurse‐Led Tele‐Homecare Program for Patients With Multiple Chronic Illnesses and a High Risk for Readmission: A Randomized Controlled Trial

Liang

Lin

Chang

et al. 2021

J of Nursing Scholarship

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Purpose Multiple chronic illnesses, such as those associated with advanced age, are leading causes of poor health, disability, death, and high healthcare expenditures. Tele‐homecare is a novel method for providing home care to patients with chronic illnesses. The purpose of this study was to evaluate the effectiveness of an integrated nurse‐led tele‐homecare program for patients with multiple chronic illnesses and a high risk for readmission. Design A randomized controlled trial. Methods Two hundred patients from a regional hospital who were scheduled to receive home care after discharge were randomly assigned to the intervention group (n = 100) or the control group (n = 100). The patients in the intervention group participated in an integrated tele‐homecare program. For outcome evaluation, primary outcomes included the number of emergency department (ED) visits as well as readmittance and mortality. Secondary outcomes included patients’ medication adherence, activities of daily living, health status, and quality of life (QOL). Data were collected at three time points: pretest baseline (T0), 3 months after intervention (T3), and 6 months after intervention (T6). A generalized estimating equation model was used to compare changes and evaluate the effect of differences between the two groups over time. Findings For primary outcome evaluation, we found that the tele‐homecare program significantly reduced mortality and ED visits, whereas no significant effect on readmission was observed. For secondary outcome evaluation, patients’ QOL indicated significant improvement. Conclusions and Clinical Relevance The nurse‐led tele‐homecare program involves daily 24‐hr remote monitoring and surveillance. In this study, the system detected patients’ physical changes early and provided timely and appropriate management, consequently reducing ED visits and mortality. Additionally, it improved patients’ QOL. On the basis of our findings, nurses’ independent roles and functions revealed that the effectiveness of this nurse‐led tele‐homecare program strengthened the care of patients with multiple chronic illnesses.

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“…In particular, several studies have noted the association of depression with other chronic diseases [1][2][3][4][5]. For example, Corbin and Strauss [1], in a landmark qualitative study, determined that emotions were one of three major concerns for people with chronic illness.…”

mentioning

confidence: 99%

Effects of chronic disease self-management programs for participants with higher depression scores: secondary analyses of an on-line and a small-group program

Ritter

Ory

Laurent

et al. 2014

Behav. Med. Pract. Policy Res.

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Depression often accompanies chronic illness. Study aims included determining (1) the level of current depression (Patient Health Questionnaire (PHQ)-8≥10) for two sets of Chronic Disease Self-Management Programs (CDSMP) participants; (2) if depression or other outcomes improved for those with PHQ-8≥10; and (3) if outcomes differed for participants with or without depression. This study utilized longitudinal secondary data analysis of depression cohorts (PHQ-8≥10) from two independent translational implementations of the CDSMP, small-group (N=175) and Internet-based (N= 110). At baseline, 27 and 55 % of the two samples had PHQ-8 10 or greater. This decreased to 16 and 37 % by 12 months (p<0.001). Both depressed and nondepressed cohorts demonstrated improvements in most 12-month outcomes (pain, fatigue, activity limitations, and medication adherence). The CDSMP was associated with long-term improvements in depression regardless of delivery mode or location, and the programs appeared beneficial for participants with and without depression.

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Depression in the Context of Chronic and Multiple Chronic Illnesses

Cited by 4 publications

References 83 publications

Goal Setting and Treatment Adherence Among Patients With Chronic Illness and Depressive Symptoms: Applying a Patient-Centered Approach

Goal Setting and Treatment Adherence Among Patients With Chronic Illness and Depressive Symptoms: Applying a Patient-Centered Approach

Effectiveness of a Nurse‐Led Tele‐Homecare Program for Patients With Multiple Chronic Illnesses and a High Risk for Readmission: A Randomized Controlled Trial

Effects of chronic disease self-management programs for participants with higher depression scores: secondary analyses of an on-line and a small-group program

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