Engaging older adults in self-management talk in healthcare encounters: a systematic review protocol

Lawless, Michael; Drioli‐Phillips, Phoebe; Archibald, Mandy M.; Kitson, Alison

doi:10.1186/s13643-020-1276-1

Cited by 5 publications

(4 citation statements)

References 29 publications

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“…Recommendations on preferred language to communicate with people living with obesity and diabetes have been co-produced with their involvement [53,54]. An on-going systematic review on engaging older adults in selfmanagement talk in healthcare encounters may also illuminate communication practices effective for behaviour change support in people living with chronic diseases [55]. Taken together, this body of knowledge represents a welcome contribution for training students and professionals in better communicating with people living with chronic diseases and step forward in developing competencies to engage and empower them.…”

Section: Category Statementmentioning

confidence: 99%

Development of a European competency framework for health and other professionals to support behaviour change in persons self-managing chronic disease

et al. 2021

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Background Healthcare and other professionals are expected to support behaviour change in people living with chronic disease. However, effective behaviour change interventions are largely absent in routine encounters. The Train4Health project, a European strategic partnership for higher education, sought to address this problem. The primary aim of this study, which is part of an early work package, was to develop an interprofessional competency framework for health and other professions to support behaviour change for the self-management of chronic disease at a European level. A secondary aim was to derive a set of behaviour change techniques (BCTs) from an established taxonomy to link with framework competencies. Methods The study comprised two interlinked parts. Part 1 involved a two-round e-Delphi study with an interprofessional panel of 48 experts across 12 European countries to develop the behaviour change competency framework. Preparatory work included drafting a list of competency statements based on seven existing frameworks. Part 2 involved an expert panel of six behavioural psychologists deriving a set of BCTs to link with framework competencies. Their feedback was based on preparatory work, which focused on seven high priority chronic diseases for self-management, identified through European projects on self-management and identifying five relevant target behaviours from key clinical guidelines. A literature search yielded 29 effective BCTs for the target behaviours in the selected chronic diseases. Results Twenty-seven competency statements, were presented in Round 1 to the Delphi panel. Consensus was achieved for all statements. Based on comments, two statements were removed, one was added, and 14 were modified. All 15 statements subjected to Round 2 were consensus-approved, yielding a total of 12 foundational competencies for behaviour change in self-management of chronic disease and 14 behaviour change competencies. Four behaviour change competencies related to BCTs. Behavioural psychologists’ feedback led to a core set of 21 BCTs deemed applicable to the five target behaviours across the seven chronic diseases. Conclusions A behaviour change competency framework comprising 26 statements for European health and other professionals to support self-management of chronic disease was developed, linked with a core set of 21 BCTs from an established taxonomy.

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Section: Category Statementmentioning

confidence: 99%

Development of a European competency framework for health and other professionals to support behaviour change in persons self-managing chronic disease

et al. 2021

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“…Nursing care in the older population presents a particularly complex challenge due, among other factors, to multiple pathologies, high morbidity, and frailty that characterise this profile of patients [ 1 ]. This complexity is not always reflected in the moments of care nor in how the nurse-older-patient relationship is established, creating an image of power imbalance in nursing care.…”

Section: Introductionmentioning

confidence: 99%

Active listening, shared decision-making and participation in care among older women and primary care nurses: a critical discourse analysis approach from a gender perspective

Martínez-Angulo,

Rich-Ruiz,

Jiménez-Mérida

et al. 2024

BMC Nurs

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Background Nursing care for older women represent a challenge worldwide due to its characteristics. When communication is impaired between primary care nurses and older women living alone, an imbalance in power relations occurs. The main objective of this study is to analyse the power relations between older women and primary care nurses in situations of active listening, shared decision-making and participation in care. Methods We developed a qualitative study in southern Spain using a discursive and gender approach. We used purposeful sampling to interview older women who lived alone and received home nursing care. Simultaneously, we conducted focus groups with primary care nurses who provided home care to older women. A linguistic analysis of the transcripts was carried out. Results Nine semi-structured face-to-face interviews were conducted with older women who lived alone and two face-to-face focus groups with four primary care nurses in each. The discourse of the participants demonstrated an imbalance in power relations. Influenced by work overload, active listening was considered a privilege in primary care nurses´ discourse. Regarding shared decision-making, older women´s discourses revealed “mirages” of real situations where they thought they were deciding. Participation in care was difficult since older women saw themselves as a nuisance in nurses´ presence, and primary care nurses did not facilitate older women’s engagement. Older women weren´t considered when organising home visits and had interiorised a subordinated feeling. Similarly, a strict sense of identity made primary care nurses feel powerful in their relationships with older women. Conclusions The discourse of older women represented them as victims of a hostile panorama whilst they were sometimes satisfied with the deficient care received. The discourse of primary care nurses used more discursive strategies to represent themselves as professionals committed to caring. However, it also revealed deficiencies in care, discriminatory elements, and feelings of being limited by their working conditions. Active listening to older women and engagement in decision-making readjust empower the older women. Attending to the needs and concerns of primary care nurses could recalibrate the power imbalance between them and healthcare organisations.

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“…To summarize, we found the following three gaps that today gain special significance: Internet‐based interventions for GPs that target communication skills are scarce (Sinclair et al, 2016; Sun & Rau., 2017). Interventions focused on comprehensive medical communication with mature adults are rarely reported (Corbett et al, 2020; Lawless et al, 2020; van Weert et al, 2016). Assessment of internet‐based interventions for doctors through direct patient‐reported experiences is missing (Pelayo‐Alvarez et al, 2013; Sinclair et al, 2016; Vaona et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

“…• Internet-based interventions for GPs that target communication skills are scarce (Sinclair et al, 2016;Sun & Rau., 2017). • Interventions focused on comprehensive medical communication with mature adults are rarely reported (Corbett et al, 2020;Lawless et al, 2020;van Weert et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Walking in their shoes: How primary‐care experiences of adults aged 50+ reveal the benefits of e‐learning intervention for general practitioners

Rzadkiewicz

Chylińska

2023

Applied Psych Health & Well

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Patient experiences and activation are increasingly researched. However, related data are limited in three areas: interventions for general practitioners (GPs) working with mature adults (50+), dedicated e‐learning interventions for GPs, and assessments of e‐learning for medical staff through patient experiences. We examined how e‐learning intervention focused on improving GPs' skills in activating communication (understood as promoting engagement and active participation in healthcare) can enhance the experiences of mature patients. The intervention was designed for GPs, yet innovative assessment was based on patient experiences post‐visit. Three research conditions for GPs (n = 165) were introduced: (1) e‐learning or (2) pdf‐article intervention and (3) control. Two independent waves of their patients participated before and after the intervention. Experience measures for patients (n = 1639) included the Patient Expectations Scale (post‐visit), perceived GP's Communication Skills scale, and Patient Satisfaction with Visit scale. E‐learning intervention compared with the control group had a favorable effect for 5 out of 8 dimensions of patient experience. Change in emotional support and quality of life was particularly visible. Mature patient experiences can be improved with the e‐learning intervention for GPs. Measuring patient experience enriches the available knowledge and can help design future research and interventions.

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Engaging older adults in self-management talk in healthcare encounters: a systematic review protocol

Cited by 5 publications

References 29 publications

Development of a European competency framework for health and other professionals to support behaviour change in persons self-managing chronic disease

Development of a European competency framework for health and other professionals to support behaviour change in persons self-managing chronic disease

Active listening, shared decision-making and participation in care among older women and primary care nurses: a critical discourse analysis approach from a gender perspective

Walking in their shoes: How primary‐care experiences of adults aged 50+ reveal the benefits of e‐learning intervention for general practitioners

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