Personalised care planning for adults with chronic or long-term health conditions

Coulter, Angela; Entwistle, Vikki; Eccles, Abi; Ryan, Sara; Shepperd, Sasha; Perera, Rafael

doi:10.1002/14651858.cd010523

Cited by 192 publications

(270 citation statements)

References 42 publications

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“…14 The effects tended to be larger when the programme was more intense, or the patient had more contact with their practice nurse. As SeMaS was used in routine care in the study presented here, but did not form an intensive programme, its intensity may have been too low.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

Effectiveness of personalised support for self-management in primary care: a cluster randomised controlled trial

et al. 2016

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BackgroundSelf-management support is an important component of the clinical management of many chronic conditions. The validated Self-Management Screening questionnaire (SeMaS) assesses individual characteristics that influence a patient’s ability to self-manage.AimTo assess the effect of providing personalised self-management support in clinical practice on patients’ activation and health-related behaviours.Design and settingA cluster randomised controlled trial was conducted in 15 primary care group practices in the south of the Netherlands.MethodAfter attending a dedicated self-management support training session, practice nurses in the intervention arm discussed the results of SeMaS with the patient at baseline, and tailored the self-management support. Participants completed a 13-item Patient Activation Measure (PAM-13) and validated lifestyle questionnaires at baseline and after 6 months. Data, including individual care plans, referrals to self-management interventions, self-monitoring, and healthcare use, were extracted from patients’ medical records. Multilevel multiple regression was used to assess the effect on outcomes.ResultsThe PAM-13 score did not differ significantly between the control (n= 348) and intervention (n= 296) arms at 6 months. In the intervention arm, 29.4% of the patients performed self-monitoring, versus 15.2% in the control arm (effect sizer= 0.9,P= 0.01). In the per protocol analysis (controln= 348; interventionn= 136), the effect of the intervention was significant on the number of individual care plans (effect sizer= 1.3,P= 0.04) and on self-monitoring (effect sizer= 1.0,P= 0.01).ConclusionThis study showed that discussing SeMaS and offering tailored support did not affect patient activation or lifestyle, but did stimulate patients to self-monitor and use individual care plans.

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Section: Comparison With Existing Literaturementioning

confidence: 99%

Effectiveness of personalised support for self-management in primary care: a cluster randomised controlled trial

et al. 2016

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“…Research indicates the importance of individualizing DSMES to each participant (129,130). The assessment process is collaboratively conducted by a health care professional with the participant to identify needs and potential self-management support strategies.…”

Section: Standard 7 Individualizationmentioning

confidence: 99%

2017 National Standards for Diabetes Self-Management Education and Support

et al. 2017

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“…1 Studies show that the disease is responsible for impairments that are reflected negatively in the quality of life of the affected individuals and in the increase of premature deaths, besides generating enormous costs in the control and treatment of its complications. [1][2][3] Given the complexity of this chronic disease, it is essential to recognize the central role that individuals play in the management of their illness and in the performance of self-care actions. 3 Investment in these actions includes a coping strategy that requires the preparation, investment and persistence of health professionals and, in particular, nurses, in view of the long-term results.…”

Section: Introductionmentioning

confidence: 99%

Perspectives of individuals with diabetes on selfcare: contributions for assistance

Teston¹,

Sales²,

Marcon³

2017

Escola Anna Nery - Revista De Enfermagem

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Objective: To know the perspectives of people with type 2 diabetes mellitus on self-care actions. Methods: Qualitative study, carried out in a municipality in the north of Paraná. The data were collected in the months of June and July of 2014, through home interviews and, after that, submitted to content analysis. Results: Some individuals recognize that adopting self-care actions is their responsibility, although these actions are not always put into practice. Others attribute the non-performance of these actions to external factors related to the organization of the health service, the family environment and the work environment. Conclusion and implications for practice: The perspective of self-care actions is a challenge to care, since the individual needs to recognize the fundamental role that he plays in the development of these actions so that the nurse can support him in the process of change.Keywords: Nursing; Self-care; Type 2 Diabetes Mellitus. Investigación cualitativa realizada en una ciudad del norte del estado de Paraná. Los datos fueron recolectados en los meses de junio y julio de 2014, por medio de entrevista domiciliaria y, después, sometidos al análisis de contenido. Resultados: Algunos individuos reconocen que la adopción de acciones de autocuidado es de su responsabilidad, aunque no siempre las pongan en práctica. Otros atribuyen la no realización de estas acciones a factores externos relacionados a la organización del servicio de salud, al ambiente familiar y laboral. Conclusión y consecuencias para la práctica: La perspectiva frente a la realización de acciones de autocuidado constituye un desafío a la atención, pues el individuo necesita reconocer el papel fundamental que desempeña en el desarrollo de estas acciones a fin de que el enfermero pueda apoyarlo en el proceso de cambio.

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Personalised care planning for adults with chronic or long-term health conditions

Cited by 192 publications

References 42 publications

Effectiveness of personalised support for self-management in primary care: a cluster randomised controlled trial

Effectiveness of personalised support for self-management in primary care: a cluster randomised controlled trial

2017 National Standards for Diabetes Self-Management Education and Support

Perspectives of individuals with diabetes on selfcare: contributions for assistance

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