The effects of patient–professional partnerships on the self-management and health outcomes for patients with chronic back pain: A quasi-experimental study

Fu, Yu; Yu, Ge; McNichol, Elaine; Marczewski, Kathryn; Closs, S. José

doi:10.1016/j.ijnurstu.2016.04.009

Cited by 12 publications

(7 citation statements)

References 58 publications

(13 reference statements)

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“…Embracing the patient as a partner, and building a partnership, is one of the cornerstones of person-centered care [ 10 ] and has also shown to be able to augment patient self-management practices [ 29 ]. In Excerpt 4, we met a patient who took on new responsibilities as a patient and initiated a partnership [ 30 ] with the health care professional, by inviting her to be part of his project to continue his home BP measurements.…”

Section: Discussionmentioning

confidence: 99%

Patient contributions during primary care consultations for hypertension after self-reporting via a mobile phone self-management support system

Bengtsson

Kjellgren

Hallberg

et al. 2018

Scandinavian Journal of Primary Health Care

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ObjectiveThis paper reports on how the clinical consultation in primary care is performed under the new premises of patients’ daily self-reporting and self-generation of data. The aim was to explore and describe the structure, topic initiation and patients’ contributions in follow-up consultations after eight weeks of self-reporting through a mobile phone-based hypertension self-management support system.DesignA qualitative, explorative study design was used, examining 20 audio- (n = 10) and video-recorded (n = 10) follow-up consultations in primary care hypertension management, through interaction analysis. Clinical trials registry: ClinicalTrials.gov NCT01510301.SettingFour primary health care centers in Sweden.SubjectsPatients with hypertension (n = 20) and their health care professional (n = 7).ResultsThe consultations comprised three phases: opening, examination and closing. The most common topic was blood pressure (BP) put in relation to self-reported variables, for example, physical activity and stress. Topic initiation was distributed symmetrically between parties and BP talk was lifestyle-centered. The patients’ contributed to the interpretation of BP values by connecting them to specific occasions, providing insights to the link between BP measurements and everyday life activities.ConclusionPatients’ contribution through interpretations of BP values to specific situations in their own lives brought on consultations where the patient as a person in context became salient. Further, the patients’ and health care professionals’ equal contribution during the consultations showed actively involved patients. The mobile phone-based self-management support system can thus be used to support patient involvement in consultations with a person-centered approach in primary care hypertension managementKey points The clinical consultation is important to provide opportunities for patients to gain understanding of factors affecting high blood pressure, and for health care professionals to motivate and promote changes in life-style. This study shows that self-reporting as base for follow-up consultations in primary care hypertension management can support patients and professionals to equal participation in clinical consultations.Self-reporting combined with increased patient–health care professional interaction during follow-up consultations can support patients in understanding the blood pressure value in relation to their daily life.These findings implicate that the interactive mobile phone self-management support system has potential to support current transformations of patients as recipients of primary care, to being actively involved in their own health.

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Section: Discussionmentioning

confidence: 99%

Patient contributions during primary care consultations for hypertension after self-reporting via a mobile phone self-management support system

Bengtsson

Kjellgren

Hallberg

et al. 2018

Scandinavian Journal of Primary Health Care

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“…With the rapid expansion of OHCs, medical professionals who lack sufficient expertise in health-care knowledge cannot handle several needs of online chronic patients [32]. A study asserted that analysing the level of patient empowerment and its effects on physician-patient management may improve patients' decision-making ability [33].…”

Section: Overview Of Existing Ohcsmentioning

confidence: 99%

Enhancing Online Patient Support through Health-Care Knowledge in Online Health Communities: A Descriptive Study

et al. 2018

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Online health communities (OHCs) should utilize health-care knowledge for enhancing online patient support. To examine the use of existing OHCs to identify the challenges and strategies of enhancing online patients’ decision-making support, we conducted a descriptive study to evaluate the information availability, user availability and knowledge usability in 100 carefully-selected health-related websites. On the basis of criteria for effective OHCs, we used three evaluation instruments for health-care professionals to review and score the websites. Questionnaire results were examined from the perspective of information, user and knowledge support. Results corroborate that over 80% of the websites facilitate effective social functions, whereas only 33% provide health-care decision-making services to online patients. Approximately 46% of them satisfy four or five effective OHCs’ criteria. Three of them only offer the functions of patients’ charts and journals to support health data management. Although the existing OHCs are facilitated with good social interaction and support, only a few can assist patients in making effective health-care decisions, not to mention properly using health-care knowledge support.

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“…Conditions such as arthritis can generate pain-inducing 57 functional impairments (e.g., avoiding sports/exercise) (Hunter & Riordan, 2014). Personal 58 care plans embolden patients, by giving them more say over their treatment, and encouraging 59 better partnerships health professionals (Coulter et al, 2013;Fu et al, 2016). Thus, care plans 60 can be set up entirely (or in part) to enable a psychologically vulnerable patient more 61 effectively manage feelings of anxiety and depression associated with having a chronic pain 62 disorder (Kerns et al, 2011).…”

Section: Psychological Benefits 50mentioning

confidence: 99%

Personalised care in patients with chronic pain disorders: educational implications from a population-based study

Umeh

Puddephatt

2018

International Journal of Health Promotion and Education

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The effects of patient–professional partnerships on the self-management and health outcomes for patients with chronic back pain: A quasi-experimental study

Cited by 12 publications

References 58 publications

Patient contributions during primary care consultations for hypertension after self-reporting via a mobile phone self-management support system

Patient contributions during primary care consultations for hypertension after self-reporting via a mobile phone self-management support system

Enhancing Online Patient Support through Health-Care Knowledge in Online Health Communities: A Descriptive Study

Personalised care in patients with chronic pain disorders: educational implications from a population-based study

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