Helping Patients Help Themselves: Chronic Disease Self-management Interventions

Conn, Vicki S.

doi:10.1177/0193945910386194

Cited by 8 publications

(11 citation statements)

References 2 publications

(2 reference statements)

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“…Similar to a previous study in Swedish adults,37 the present analysis showed that DRSCA were positively associated with SWB. This finding strengthens the suggestion of the benefits of DRSCA in improving psychological health in chronic illnesses,64 which needs to be confirmed by studies using an intervention design. Although people still feel the impact of diabetes on life domains of DRQoL after the performance of DRSCA, they may experience positive mood and vitality in SWB due to achieving a disciplined lifestyle and self-care.…”

Section: Discussionsupporting

confidence: 84%

Association between diabetes-related self-care activities and positive health: a cross-sectional study

et al. 2019

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ObjectivesThe study aimed to examine the diabetes-related self-care activities (DRSCA) in association with positive health consisting of resilience, subjective well-being (SWB) and disease-related quality of life (DRQoL), and the associations of background information with resilience, SWB and DRQoL.DesignA cross-sectional study.MethodsA convenience sample of people with type 2 diabetes (T2DM) was recruited from two tertiary hospitals in eastern China. Self-reported survey data included DRSCA, resilience, SWB, DRQoL, and background information comprising demographics and social support. Data were analysed using hierarchical multiple regression analyses.ResultsTwo hundred and forty-six valid questionnaires were analysed. Among the components of positive health, hierarchical multiple regression analysis showed that DRSCA were significantly associated with improved SWB (β=0.140, p=0.020), but not with resilience and DRQoL after adjusting for background information. Participants with higher level of education had higher resilience and men had higher SWB than women. Social support (β=0.186, p=0.003) in Model 1 and resilience (β=0.298, p<0.001) in Model 2 were positively associated with SWB.ConclusionsThis study indicated an association between DRSCA and one component of positive health, namely SWB. This finding could help motivate patients to perform DRSCA and to improve SWB in people with T2DM. In addition, the fact that demographics, for example, gender, were associated with SWB and education was associated with resilience also needs to be accommodated when aiming to improve SWB and build resilience.Trial registration numberNCT02594748

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Section: Discussionsupporting

confidence: 84%

Association between diabetes-related self-care activities and positive health: a cross-sectional study

et al. 2019

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“…It enables patients with LTCs to live longer, healthier, and independent lives [29]. Selfmanagement interventions result in increased knowledge for patients and carers, enabling them to perform management behaviours to delay disease progression, resulting in improve clinical, physical and psychological outcomes in addition to QOL [8,24]. It also reduces the disruptiveness of LTCs on family life and improve family functioning [32].…”

Section: The Benefits Of Self-managementmentioning

confidence: 99%

“…Patients and carers undertake 90% of the tasks related to daily living with LTCs whilst health professionals perform the remaining 10% [11]. Whilst patients and carers spend minutes with their health professionals, they spend their remaining time managing symptoms, medications and the incapacity resulting from the condition [8]. Thus patients (and families) with LTCs are responsible for the management of symptoms, treatment and responding to the physical and psychosocial impact of their diseases on a daily basis through self-management [10,12].…”

Section: Chapter 1: Introduction To the Researchmentioning

confidence: 99%

“…In these countries dedicated programmes have been incorporated into the public health systems [13,14]. Stimuli such as increasing occurrence of LTCs, rising costs of health care, the predominant focus of health systems on acute illnesses, the threat of economic burden of LTCs on a country's physical resources, and the awareness of the patient as an important health resource have driven the focus on self-management [8,15]. Consequently, it is believed that self-management will be the principal means of managing LTCs for the future [8].…”

Section: Chapter 1: Introduction To the Researchmentioning

confidence: 99%

“…Stimuli such as increasing occurrence of LTCs, rising costs of health care, the predominant focus of health systems on acute illnesses, the threat of economic burden of LTCs on a country's physical resources, and the awareness of the patient as an important health resource have driven the focus on self-management [8,15]. Consequently, it is believed that self-management will be the principal means of managing LTCs for the future [8]. SCD is a LTC and lends itself to self-management, hence pursuing endeavour in self-management for this condition as this study seeks to achieve is relevant.…”

Section: Chapter 1: Introduction To the Researchmentioning

confidence: 99%

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Self management strategies for people with sickle cell disease in Ghana

Druye¹

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<p>Sickle cell disease (SCD) is the commonest inherited haemoglobinopathy worldwide. Although it is a chronic disease, there is presently no international best practice for self-management of SCD. This exploratory sequential mix-methods study was designed to describe the self-management strategies utilised and their effectiveness for persons with SCD in Ghana. Self-management was conceptualised as actions that concerned preventive health, self-monitoring, self-diagnosing, self-treatment and self-evaluation. A four-stage sequential data collection and analysis process was used. Methods included website review, key informant interviews and surveys. The website review extracted from publically available websites the advice provided to people with SCD regarding keeping well, minimising the development of complications and managing complications. Health professional (n=9) interviews concerned self-management advice and the experiences patients shared of their self-management. Patients with SCD (n=9) and parents of children with SCD (n=10) interviews captured their experiences of self-management; and 112 patients (≥ 16 years) and 201 parents of children (≤15 years) were surveyed about their self-management strategies. Analysis used descriptive and inferential statistics and content and thematic techniques. Patients and parents reported that despite receiving limited clinical advice on self-management they undertook at least one self-management action daily. Most patients reported using multiple strategies; preventive health and maintenance actions were the commonest. Whilst most actions were directed at pain, patients and parents also outlined strategies for managing problems such as fever, leg ulcers, anaemia, priapism, abdominal swelling, jaundice, and hip pain. Most self-management actions were clinically safe, however several unsafe actions identified could pose health risks to patients. Overall, parents tended to be more frequent users of self-management actions for their children than the adults were for themselves. Apart from being an adult or child, self-management was not significantly influenced by key vulnerabilities and contextual factors. Although, many patients and parents had tried traditional practices, most only utilised recommendations from health professionals. Most patients and parents had rated the quality their or their child’s quality of life as good. There is a need for the development of an international, evidenced-informed approach to self-management of SCD. The Ministry of Health, health professionals and the Sickle Cell Association of Ghana could work collectively on this to ensure a culturally appropriate and economically viable approach is developed and implemented.</p>

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Promoting Self-Management of Chronic Medical Problems

Ligon

2019

Empirically Based Interventions Targeting Social Problems

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Helping Patients Help Themselves: Chronic Disease Self-management Interventions

Cited by 8 publications

References 2 publications

Association between diabetes-related self-care activities and positive health: a cross-sectional study

Association between diabetes-related self-care activities and positive health: a cross-sectional study

Self management strategies for people with sickle cell disease in Ghana

Promoting Self-Management of Chronic Medical Problems

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