e‐Health self‐management intervention for oral and oropharyngeal cancer survivors: design and single‐arm pilot study of empowered survivor

Head & Neck ◽  
2020 ◽  
Vol 42 (11) ◽  
pp. 3375-3388 ◽  
Author(s):  
Sharon Manne ◽  
Shawna Hudson ◽  
Sara Frederick ◽  
Anna Mitarotondo ◽  
Soly Baredes ◽  
...  
Keyword(s):  
Pilot Study ◽  
Cancer Survivors ◽  
Oropharyngeal Cancer ◽  
Self Management ◽  
Management Intervention ◽  
Oral And Oropharyngeal Cancer

scholarly journals 83 A Medication Self-Management Intervention to Improve Medication Adherence For Older People with Multimorbidity: A Pilot Study

2021 ◽  
Vol 50 (Supplement_1) ◽  
pp. i12-i42
Author(s):  
C Yang ◽  
Z Hui ◽  
S Zhu ◽  
X Wang ◽  
G Tang ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Pilot Study ◽  
Older People ◽  
Intervention Group ◽  
Self Management ◽  
Control Group ◽  
Medication Knowledge ◽  
Management Intervention ◽  
Patient Reported

Abstract Introduction Medication self-management support has been recognised as an essential element in primary health care to promote medication adherence and health outcomes for older people with chronic conditions. A patient-centred intervention empowering patients and supporting medication self-management activities could benefit older people. This pilot study tested a newly developed medication self-management intervention for improving medication adherence among older people with multimorbidity. Method This was a two-arm randomised controlled trial. Older people with multimorbidity were recruited from a community healthcare centre in Changsha, China. Participants were randomly allocated to either a control group receiving usual care (n = 14), or to an intervention group receiving three face-to-face medication self-management sessions and two follow-up phone calls over six weeks, targeting behavioural determinants of adherence from the Information-Motivation-Behavioural skills model (n = 14). Feasibility was assessed through recruitment and retention rates, outcome measures collection, and intervention implementation. Follow-up data were measured at six weeks after baseline using patient-reported outcomes including medication adherence, medication self-management capabilities, treatment experiences, and quality of life. Preliminary effectiveness of the intervention was explored using generalised estimating equations. Results Of the 72 approached participants, 28 (38.89%) were eligible for study participation. In the intervention group, 13 participants (92.86%) completed follow-up and 10 (71.42%) completed all intervention sessions. Ten participants (71.42%) in the control group completed follow-up. The intervention was found to be acceptable by participants and the intervention nurse. Comparing with the control group, participants in the intervention group showed significant improvements in medication adherence (β = 0.26, 95%CI 0.12, 0.40, P < 0.001), medication knowledge (β = 4.43, 95%CI 1.11, 7.75, P = 0.009), and perceived necessity of medications (β = −2.84, 95%CI -5.67, −0.01, P = 0.049) at follow-up. Conclusions The nurse-led medication self-management intervention is feasible and acceptable among older people with multimorbidity. Preliminary results showed that the intervention may improve patients’ medication knowledge and beliefs and thus lead to improved adherence.

Effects of jaw exercise intervention timing on outcomes following oral and oropharyngeal cancer surgery: Pilot study

Head & Neck ◽  
2019 ◽  
Vol 41 (11) ◽  
pp. 3806-3817
Author(s):  
Mykayla L. Sandler ◽  
Cathy L. Lazarus ◽  
Meng Ru ◽  
Kayvon F. Sharif ◽  
Lauren E. Yue ◽  
...  
Keyword(s):  
Pilot Study ◽  
Oropharyngeal Cancer ◽  
Exercise Intervention ◽  
Cancer Surgery ◽  
Oral And Oropharyngeal Cancer

scholarly journals Group exercise and self-management for older adults with osteoarthritis: a feasibility study

2015 ◽  
Vol 17 (03) ◽  
pp. 252-264
Author(s):  
Shilpa Patel ◽  
Peter J Heine ◽  
David R Ellard ◽  
Martin Underwood
Keyword(s):  
Older Adults ◽  
Pilot Study ◽  
Controlled Trial ◽  
Behavioural Change ◽  
Self Management ◽  
Management Intervention ◽  
Literature Reviews ◽  
Inflammatory Drugs ◽  
Randomised Controlled ◽  
Combined Intervention

BackgroundOsteoarthritis (OA) is a common condition expected to be the fourth leading cause of disability by the year 2020. Treatment with non-steroidal anti-inflammatory drugs is problematic in older adults (>75 years) where the presence of comorbidities is more prevalent. Exercise has been recommended irrespective of age and comorbidity. The purpose of this project was to develop a combined exercise and self-management intervention to help older adults with OA to manage their comorbidities.MethodsLiterature reviews were conducted to inform the development of an intervention followed by a pilot study to assess feasibility and test outcome measures. Participant interviews and session observation were used to evaluate the pilot study.ResultsEvidence from the literature reviews suggested that a combined intervention consisting of behavioural change/self-management education and exercise was the most appropriate. Each component was developed and then tested as a combined package in a pilot study which comprised 12 sessions delivered over six weeks. Four males and six females aged between 75 and 92 years took part. The average attendance was 89%. Most participants reported some benefit and satisfaction with the programme along with changes in physical ability. The majority of participants continued with some form of exercise at three months.ConclusionThe intervention was well received and has encouraged 80% of participants to continue exercising after the programme. The small but positive changes seen in comorbidities, benefit of the intervention, satisfaction and general health are promising. Randomised controlled trial evidence of effectiveness and cost effectiveness is needed before such interventions can be recommended.

scholarly journals Digital Self-Management in Support of Patients Living With Chronic Pain: Feasibility Pilot Study

10.2196/23893 ◽  
2020 ◽  
Vol 4 (10) ◽  
pp. e23893
Author(s):  
Katrine Bostrøm ◽  
Elin Børøsund ◽  
Cecilie Varsi ◽  
Hilde Eide ◽  
Elise Flakk Nordang ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Pilot Study ◽  
Outcome Measures ◽  
Ease Of Use ◽  
Completion Rate ◽  
Perceived Usefulness ◽  
Self Management ◽  
Management Intervention ◽  
System Use ◽  
System Usability

Background Chronic pain can be complex and taxing to live with, and treatment and support require a multicomponent approach, which may not always be offered or available. Smartphones, tablets, and personal computers are already incorporated into patients’ daily lives, and therefore, they can be used to communicate, educate, and support self-management. Although some web-based self-management interventions exist, research examining the evidence and effect of digital solutions supporting self-management for patients living with chronic pain is limited, findings are inconclusive, and new innovative ideas and solutions are needed. Objective This feasibility pilot study aimed to explore the system use, perceived usefulness, ease of use, and preliminary effects of EPIO, an app-based cognitive-behavioral pain self-management intervention program for patients living with chronic pain. Methods The EPIO intervention was delivered in a blended-care model containing (1) one face-to-face introduction session, (2) nine cognitive behavior–based pain self-management modules, delivered in an app-based format for smartphones or tablets, and (3) one follow-up phone call at 2 to 3 weeks after the introduction session. Patients living with chronic pain (N=50) completed pre-post outcome measures at baseline and 3 months after the introduction session, with registration of system use (ie, log data) until 6 months. The use, perceived usefulness, and ease of use of the EPIO program were examined through system use data, as well as a study-specific use/usability questionnaire and the System Usability Scale (SUS). Outcome measures to test feasibility of use and estimate preliminary effects included the Brief Pain Inventory, health-related quality of life (HRQoL) scale, Hospital Anxiety and Depression Scale, Self-Regulatory Fatigue scale, Pain Catastrophizing Scale, and Chronic Pain Acceptance Questionnaire. Results Participants (N=50) had a median age of 52 years (range 29-74 years) at inclusion and were mainly female (40/50, 80%). Thirty-one participants completed at least six of the nine modules within the 3-month study period (62% completion rate). Forty-five participants completed outcome measures at 3 months, and the EPIO program was rated as useful (ie, “totally agree” or “agree”; 39/45, 87%) and easy to use (42/45, 93%), and as having easily understandable exercises (44/45, 98%). The average overall system usability (SUS) score was 85.7, indicating grade A and excellent system usability. Preliminary psychosocial outcome measure estimates showed primarily nonsignificant pre-post intervention improvements at 3 months, but with significant positive effects related to some aspects of HRQoL (bodily pain, P=.02 and change, P=.049). Conclusions  Digital self-management intervention programs may be of use and support for patients living with chronic pain. In this feasibility study, EPIO showed an acceptable program completion rate and was rated as useful and easy to use, with excellent user satisfaction. Program optimization and efficacy testing in a large-scale randomized controlled trial are warranted and in progress. Trial Registration ClinicalTrials.gov NCT03705104; https://clinicaltrials.gov/ct2/show/NCT03705104

scholarly journals Development of a self-management intervention to improve tamoxifen adherence in breast cancer survivors using an Intervention Mapping framework

2020 ◽  
Author(s):  
Zoe Moon ◽  
Rona Moss-Morris ◽  
Myra S. Hunter ◽  
Lyndsay D. Hughes
Keyword(s):  
Breast Cancer ◽  
Cancer Survivors ◽  
Empirical Evidence ◽  
Iterative Process ◽  
Breast Cancer Survivors ◽  
Intervention Mapping ◽  
Self Management ◽  
Management Intervention ◽  
Patient Representatives ◽  
Key Features

Abstract Objective Up to 50% of women prescribed tamoxifen do not take it as prescribed for the full duration, which increases risk of recurrence and mortality. The current paper describes the development of a self-management intervention aiming to improve adherence in breast cancer survivors taking tamoxifen. Methods The intervention was developed following an Intervention Mapping approach. The content of the intervention was determined by theories of health behaviour and empirical evidence. Development was an iterative process involving input from expert researchers, clinicians and patient representatives. Results The intervention was designed to improve both intentional and unintentional non-adherence. Key features included modifying unhelpful illness and treatment beliefs, improving confidence for coping with side effects and developing strategies for remembering to take tamoxifen. Conclusion Intervention Mapping proved a useful tool for developing an intervention which is grounded in theory and empirical evidence. The intervention has the potential to improve adherence in breast cancer survivors but needs to be trialled before the effectiveness of the intervention can be determined.

scholarly journals Pilot study protocol of a mHealth self‐management intervention for family members of pediatric transplant recipients

2020 ◽  
Vol 43 (2) ◽  
pp. 145-154
Author(s):  
Stacee M. Lerret ◽  
Rosemary White‐Traut ◽  
Barbara Medoff‐Cooper ◽  
Pippa Simpson ◽  
Riddhiman Adib ◽  
...  
Keyword(s):  
Pilot Study ◽  
Study Protocol ◽  
Family Members ◽  
Self Management ◽  
Transplant Recipients ◽  
Management Intervention
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