Interventions to Support Behavioral Self-Management of Chronic Diseases

Allegrante, John P.; Wells, Martin T.; Peterson, Janey C.

doi:10.1146/annurev-publhealth-040218-044008

Cited by 233 publications

(188 citation statements)

References 105 publications

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“…This study was conducted to document the experience of healthcare providers and patients at Muhimbili National hospital diabetic clinic. Shared decision making plays an important role in supporting self-management of patients with chronic conditions for better outcome (13,18,19).…”

Section: Discussionmentioning

confidence: 99%

Shared Decision-making between health care providers and patients at a Tertiary Hospital Diabetic Clinic in Tanzania

Vedasto

Morris

Fredrick

2020

Preprint

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Background Patients’ participation in decision making regarding their treatment is defined in ethical, legal and human rights standards in the provision of care that concerns health providers and the entire community. This study was conducted to document experiences of patients and health care providers on shared decision making. Methods:This study employed a phenomenological study design using in-depth interview technique. Study participants were diabetic patients visiting the clinic and healthcare providers working at Muhimbili National Hospital. Data was collected using the semi-structured interview guide with open-ended questions using an audio digital recorder. Content analysis method was used during analysis whereby categories were reached through the process of coding assisted by Nvivo 12 software. Results Participants in this study expressed the role of shared decision-making in the care of patients with diabetes, with report of engagement of patients by health care providers in making treatment decisions. Participants reported no use of decision-making aids; however, health education tools were reported by participants to be used for educating patients. Limited time, patient beliefs and literacy were documented as barriers of effective engagement of patients in decision making by their healthcare providers. Conclusion Engagement of patients in decision-making was noted in this study as experienced by participants of this study. Time, patient beliefs and patient literacy were documented as barriers for patients engagement, therefore diabetic clinic at Muhimbili National Hospital need to devise mechanisms for ensuring patients involvement in treatment decisions.

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Section: Discussionmentioning

confidence: 99%

Shared Decision-making between health care providers and patients at a Tertiary Hospital Diabetic Clinic in Tanzania

Vedasto

Morris

Fredrick

2020

Preprint

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“…Wound healing follows a dynamic and orderly process, and according to the nature of wound healing, it can be classified into acute wound and chronic wound . Acute wounds, also known as normal wounds, are usually caused by mechanical, burn, or chemical injuries . The wounds can be completely healed with the smallest scar, and the healing time is usually 8–12 weeks …”

Section: Causes and Healing Of Woundsmentioning

confidence: 99%

“…[20][21][22][23] Acute wounds, also known as normal wounds, are usually caused by mechanical, burn, or chemical injuries. [24][25][26] The wounds can be completely healed with the smallest scar, and the healing time is usually 8-12 weeks. [27,28] As we all know, healthy skin mainly includes epidermis, dermis, and subcutaneous.…”

Section: Introductionmentioning

confidence: 99%

Advances and Impact of Antioxidant Hydrogel in Chronic Wound Healing

Han

et al. 2020

Adv Healthcare Materials

402

267

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The accelerating and thorough treatment of chronic wounds still represents a major unmet medical need owing to the complex symptoms resulting from metabolic disorder of the wound microenvironment. Although numerous strategies and bioactive hydrogels are developed, an effective and widely used method of chronic wound treatment remains a bottleneck. With the aim to accelerate chronic wound healing, many hydrogel dressings with antioxidant functions have emerged and are proven to accelerate wound healing, especially for chronic wound repair. The new strategy in chronic wound treatment brought by antioxidant hydrogels is of great significance to human health. Here, the application of antioxidant hydrogels in the repair of chronic wounds is discussed systematically, aiming to provide an important theoretical reference for the further breakthrough of chronic wound healing.

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“…5 As an essential component of chronic disease management, selfmanagement is widely recognized as a cost-effective intervention to control patients' ongoing chronic conditions and improve patients' quality of life. 6,7 However, selfmanagement required sufficient focus, resources, and emotional processing to ensure to complete the specific tasks and address kinds of challenges when living with chronic diseases. 8 Nevertheless, there is also a diversity of determinants that affect the implementation and maintenance of self-management.…”

Section: Introductionmentioning

confidence: 99%

<p>Chinese Hospitalized Cardiovascular Patients’ Attitudes Towards Self-Management: A Qualitative Study</p>

Qiu¹,

Schick‐Makaroff²,

Tang³

et al. 2020

PPA

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Purpose: This study is aiming to investigate cardiovascular patients' attitudes towards selfmanagement during hospitalization in China. Patients and Methods: Twenty-nine individuals living with cardiovascular disease from one designated Cardiology Department in Hangzhou, China, were recruited through a purposive sampling procedure. A qualitative descriptive methodology was used. Semi-structured interviews were also used to gain attitudes toward self-management. The interviews were audiorecorded, transcribed and analyzed by thematic analysis to develop the results. Results: Four themes were identified from the qualitative data: (1): Responsibilities of selfmanagement; (2): Reflections on self-management; (3): Acknowledgement of self-management support; (4): Challenges in implementing and adherence to self-management. Additionally, interview data were also given to illustrate these main themes emerging during the analysis. Patients gradually took their responsibilities to manage chronic symptoms. During their self-management process, they did reflections to help correct their regiments through supportive interactions. Health system responsiveness, health disparities, social capital, and cultural setting were the main external factors influencing better self-management implementation and adherence. Conclusion: This study revealed the hospitalized cardiovascular patients' attitudes towards self-management in China. These findings emphasized the importance of patients' responsibility, reflections, and various social support receiving and pointed out specific external factors influencing the health outcomes and their quality of life. This study also proves the guide for the policymakers and health system better instructions to develop individually and culturally tailored advanced self-management interventions and programs.

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Interventions to Support Behavioral Self-Management of Chronic Diseases

Cited by 233 publications

References 105 publications

Shared Decision-making between health care providers and patients at a Tertiary Hospital Diabetic Clinic in Tanzania

Shared Decision-making between health care providers and patients at a Tertiary Hospital Diabetic Clinic in Tanzania

Advances and Impact of Antioxidant Hydrogel in Chronic Wound Healing

<p>Chinese Hospitalized Cardiovascular Patients’ Attitudes Towards Self-Management: A Qualitative Study</p>

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