Self-Management Skills in Chronic Disease Management

Mackey, Laura; Doody, Catherine; Werner, Erik L.; Fullen, Brona M.

doi:10.1177/0272989x16638330

Cited by 246 publications

(210 citation statements)

References 75 publications

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“…In general, improved health literacy enables patients to feel included in their health plan and gives autonomy over their health . Patients' improved health literacy has been shown to improve self‐management, encourage adherence to treatment, promote wound healing, and prevent illness in certain target groups . Additionally, establishing effective partnerships between practitioners and health care consumers is accepted as an effective means of improving patient‐centred care .…”

Section: Introductionmentioning

confidence: 99%

Patient education materials on pressure injury prevention in hospitals and health services in Victoria, Australia: Availability and content analysis

Team

Bouguettaya

Richards

et al. 2019

International Wound Journal

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Pressure injuries (PIs) are a common quality indicator for hospital care, and preventing PIs often requires patient engagement; as such, Australian consensus research has recommended that high‐quality education materials be made to patients for PIs via hospital networks. The purpose of the present study was to assess the availability and accuracy of patient education materials on PIs in publicly available hospital websites in Victoria, Australia. Two independent coders assessed 212 websites for content on PI prevention and management, analysing availability and accuracy of PI definitions, risk factors, preventive strategies, referral, visual tools, consumer endorsement, information for family/carers, and translation on community languages. A greater proportion of hospitals did not have any patient education materials on PI prevention publicly available, with private hospitals (compared with public) and metropolitan hospitals (compared to rural) more likely to have materials available on their sites. The available materials contained accurate messages on PI defining characteristics and risk factors for PIs, although there was considerable variability on the availability of other information. Our findings suggest a significant deficit in the availability of educational materials for acute care patients and their families. There is a need for evidence‐based, consumer‐endorsed, uniform materials on all hospital websites to prevent PIs in acute care.

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Section: Introductionmentioning

confidence: 99%

Patient education materials on pressure injury prevention in hospitals and health services in Victoria, Australia: Availability and content analysis

Team

Bouguettaya

Richards

et al. 2019

International Wound Journal

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“…The prevalence of low HL and its role in chronic pain outcomes is not well understood, despite its known impact on the development of self‐management skills (Mackey et al, ) – a core component for the effective management of chronic pain (Scottish Intercollegiate Guidelines Network, ). Evidence‐based approaches that involve psychological, physical and medical management require ongoing engagement with a range of health services, which chronic pain patients must navigate, and therefore it is plausible that this has a positive impact on their levels of HL.…”

Section: Discussionmentioning

confidence: 99%

An investigation of healthcare utilization and its association with levels of health literacy in individuals with chronic pain

Mackey

Blake

Squiers

et al. 2019

Musculoskeletal Care

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Objective Chronic pain patients are frequent and recurrent users of health services, which may have an impact on levels of health literacy (HL). Therefore, the aim of the present study was to investigate associations between healthcare utilization and varying levels of HL in individuals with and without chronic pain. Methods A cross‐sectional questionnaire was distributed in three pain clinics in Dublin, Ireland, comprising a demographic section, a validated HL assessment tool (Newest Vital Sign) and self‐reported healthcare utilization in the previous year (i.e., general practitioner [GP] visits, accident and emergency room attendance, hospital services and allied health services). Patients with chronic pain, and a control group (no pain) were recruited. Results Overall, 262 participants were recruited: those with chronic pain (n = 131) and controls (n = 131). Those in the chronic pain group were more likely to be female (p = 0.004), have less education (p = 0.01), be unable to work (p < 0.001), have a lower monthly income (p = 0.001), be more likely to have a medical card (i.e., free access to public health services) (p = 0.002) and have a greater number of comorbidities (p < 0.0001). Although bivariate analyses demonstrated increased healthcare utilization in chronic pain patients (i.e., GP visits, hospital services and allied therapies; p < 0.05), there was no difference in HL levels between groups in multivariate analysis (chronic pain: 54%, n = 71; control group 49%, n = 64; p = 0.39). Higher educational attainment, greater levels of income and being younger remained independently associated with higher levels of HL. Conclusions Further research is needed to understand the nature of how HL is acquired, both from individual and organizational perspectives. Once this has been established, it may facilitate the development or advancement of current HL‐sensitive management strategies.

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“…Individuals' confidence in identifying problems related to their illness and seeking solutions is important in developing self-management skills to maintain their health (Mackey et al, 2016). It is because a person knows themselves better than others do, and they are also the best judge of what are achievable goals (Lorig, 2002).…”

Section: Skillsmentioning

confidence: 99%

“…Having knowledge to manage symptoms or select and/or adhere to an appropriate treatment is essential to reduce the impact of disease and to improve HRQoL (Lorig & Holman, 2003;Novak et al, 2013). A recent review (Mackey et al, 2016) indicates that disease-related knowledge is integral to self-management because having adequate knowledge is needed for active engagement in making decisions. Two further systematic reviews indicate that providing self-management education is vital in improving patients' knowledge of their disease, which helps to prevent complications and improve their quality of life (Bhurji, Javer, Gasevic, & Khan, 2016;Dinh, Bonner, Clark, Ramsbotham, & Hines, 2016).…”

Section: Skillsmentioning

confidence: 99%

Self-Management Program for People with Chronic Kidney Disease in Vietnam: A Pragmatic Randomised Controlled Trial

Nguyen¹

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Self-Management Skills in Chronic Disease Management

Cited by 246 publications

References 75 publications

Patient education materials on pressure injury prevention in hospitals and health services in Victoria, Australia: Availability and content analysis

Patient education materials on pressure injury prevention in hospitals and health services in Victoria, Australia: Availability and content analysis

An investigation of healthcare utilization and its association with levels of health literacy in individuals with chronic pain

Self-Management Program for People with Chronic Kidney Disease in Vietnam: A Pragmatic Randomised Controlled Trial

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