Patient-centered outcomes on quality of life and anthroposophic healthcare: a qualitative triangulation study

Koster, Evi B.; Baars, Erik W.; Delnoij, Diana

doi:10.1007/s11136-016-1276-8

Cited by 15 publications

(26 citation statements)

References 43 publications

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“…Illnesses of the respondents varied between minor illnesses (e.g., low hemoglobin levels, common cold), allergies, chronic and progressive diseases, aging problems, psychosomatic conditions, and life-threatening diseases (e.g., cancer and heart failure). Data from the interviews has been published earlier as part of a larger study on patient-relevant outcomes on AM and quality of life [9]. Domains from this analysis that are related to self-management were included in the current literature analysis of AM and self-management.…”

Section: Methodsmentioning

confidence: 99%

“…Table 1 shows corresponding items of 3 patient evaluation studies of AM treatments, based on a large qualitative study on patient-relevant contributions of AM to health and quality of life [9]. This qualitative study demonstrates relevant domains regarding a patient-centered collaborative approach, namely 'Care relation' and 'Being well-informed'.…”

Section: Contributions To a Patient-centered Collaborative Approach mentioning

confidence: 99%

“…The interviews with patients about their experiences with AM [9] illustrate the described topics: CJ: 'I have an anthroposophic GP and we interact on an equal footing. So communication is very easy.'…”

Section: Contributions To a Patient-centered Collaborative Approach mentioning

confidence: 99%

“…Relevant domains from Koster et al [9] are 'Natural healing', 'Active contribution/Autonomy' and 'Meaning'. Table 2 shows corresponding items of Koster et al [27] and Esch et al [28] within these domains.…”

Section: Contributions To a Better Coping Of Patientsmentioning

confidence: 99%

“…The interviews with patients about their experiences with AM [9] illustrate the described topics: GH: 'I went to an anthroposophic doctor, because with my conventional GP I could not speak about other aspects of my disease and the story of my biography.' And: 'I'd like to be more positive and deal better with my feelings Koster et al 2016 [9] Koster et al …”

Section: Contributions To a Better Coping Of Patientsmentioning

confidence: 99%

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The Contribution of Anthroposophic Medicine to Self-Management: An Exploration of Concepts, Evidence, and Patient Perspectives

Baars¹,

Koster

Verhoef

2017

Complement Med Res

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Background: In Western healthcare policies, promotion of self-management of patients is an important topic. Currently, there is also a worldwide interest in the integration of complementary and alternative medicine (CAM) and conventional medicine into integrative medicine. This article explores the contribution of anthroposophic medicine (AM) to the promotion of self-management of patients. Material and Methods: The scientific literature on concepts of, evidence on and experiences of patients with AM was explored. Results: The AM approach contributes to: (1) a patient-centered, collaborative promotion of patient self-management by means of application of basic values (equivalence, servitude, and presence of mind) and specific methods; (2) a better coping with health-related issues by providing a spiritual worldview that serves as a coping strategy; by treating patients in such a way that they (further) develop self-regulating functioning, both on the physiological and the psychosocial level, thus enabling the self-management of disease-related symptoms; and by treating with (non-verbal) therapies that improve emotion-focused coping skills; and (3) a better self-monitoring of: one's own activity during treatment and in dealing with treatment- and health-related issues, and the physiological and/or psychological responses to these (self-reflection) activities. Conclusion: AM provides specific contributions to promoting self-management of patients.

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Section: Methodsmentioning

confidence: 99%

Section: Contributions To a Patient-centered Collaborative Approach mentioning

confidence: 99%

Section: Contributions To a Patient-centered Collaborative Approach mentioning

confidence: 99%

Section: Contributions To a Better Coping Of Patientsmentioning

confidence: 99%

Section: Contributions To a Better Coping Of Patientsmentioning

confidence: 99%

See 3 more Smart Citations

The Contribution of Anthroposophic Medicine to Self-Management: An Exploration of Concepts, Evidence, and Patient Perspectives

Baars¹,

Koster

Verhoef

2017

Complement Med Res

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Engaging general practice and patients with AusTAPER, a pharmacist facilitated web‐based deprescribing tool

Parkinson

Magin

Etherton‐Beer

et al. 2021

Pharmacy Practice and Res

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The objective of this study was to explore the Australian general practitioner (GP) and patient experience of AusTAPER, a pharmacist facilitated web-based deprescribing tool, within a pilot implementation of the tool. This qualitative study of experiences of using AusTAPER in clinical practice used one-on-one interviews with patients (≥70 years, taking ≥5 medicines) and GPs. Thematic content analyses for patients and GPs were triangulated to synthesise findings. Nine patients and two GPs responded. Three main themes arose from the synthesised results: 'engagement of GPs and patients'; 'pharmacist as central'; and 'patient outcomes'. AusTAPER prompted qualitative deprescribing and was acceptable to both GPs and patients. Patients appreciated medicines being monitored by pharmacists. There was evidence of synergy of GP and pharmacist opinion in facilitating patient understanding and shared decision-making. These qualitative findings provide evidence that AusTAPER engaged GPs and patients and prompted judicious medicine review and deprescribing.

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The influence of self‐management, anxiety and depression on chronic eczema‐related quality of life

Standen

Garip

2022

Skin Health and Disease

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Chronic eczema, a persistent inflammatory skin condition, affects 1 in 12 adults in the United Kingdom and negatively influences quality of life. Self‐management can potentially influence chronic conditions, such as eczema, reducing symptoms and positively influencing quality of life; however, there is a lack of public education for eczema. Anxiety and depression negatively influence quality of life, and frequently present alongside eczema. Psychological interventions for anxiety and depression have shown to be effective for eczema‐related quality of life. This study aimed at examining the relationship between self‐management, anxiety, and depression, on quality of life in individuals with chronic eczema. The main hypothesis proposed that anxiety and depression reduce the influence of eczema self‐management on quality of life, potentially as individuals might be less likely to support their eczema treatment when experiencing symptoms of anxiety and depression. A cross‐sectional design and opportunistic sampling were used to analyse the data from 77 participants who responded to four self‐report scales to assess self‐management understanding, anxiety, depression and quality of life in participants with chronic eczema. Data were analysed by a hierarchical multiple linear regression to assess the variance contributed by each variable added to the model. Results from this sample shows a trend whereby self‐management of eczema contributes less variance to quality of life alongside comorbid anxiety and depression; this suggests that self‐management has reduced influence on eczema‐related quality of life when anxiety and depression are present. Furthermore, low self‐management, high anxiety, and high depression significantly negatively influence quality of life. The three variables combined accounted for 41.1% of variance in quality of life scores, suggesting anxiety, depression and self‐management influence quality of life in the sample. Self‐management, anxiety, and depression significantly influence eczema‐related quality of life, and participants who reported comorbid anxiety and depression were more likely to report lower levels of self‐management in this sample.

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Patient-centered outcomes on quality of life and anthroposophic healthcare: a qualitative triangulation study

Cited by 15 publications

References 43 publications

The Contribution of Anthroposophic Medicine to Self-Management: An Exploration of Concepts, Evidence, and Patient Perspectives

The Contribution of Anthroposophic Medicine to Self-Management: An Exploration of Concepts, Evidence, and Patient Perspectives

Engaging general practice and patients with AusTAPER, a pharmacist facilitated web‐based deprescribing tool

The influence of self‐management, anxiety and depression on chronic eczema‐related quality of life

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