The effectiveness of a bibliotherapy in increasing the self-management ability of slightly to moderately frail older people

2006 ◽  
Vol 61 (2) ◽  
pp. 219-227 ◽  
Author(s):  
Nynke Frieswijk ◽  
Nardi Steverink ◽  
Bram P. Buunk ◽  
Joris P.J. Slaets
Keyword(s):  
Older People ◽  
The Self ◽  
Self Management ◽  
Frail Older People ◽  
Management Ability

scholarly journals A disability prevention programme for community-dwelling frail older persons

2011 ◽  
Vol 25 (11) ◽  
pp. 963-974 ◽  
Author(s):  
Ramon Daniels ◽  
Erik van Rossum ◽  
Silke Metzelthin ◽  
Walther Sipers ◽  
Herbert Habets ◽  
...  
Keyword(s):  
Risk Factors ◽  
Older People ◽  
Older Persons ◽  
Action Plan ◽  
Community Dwelling ◽  
Self Management ◽  
Prevention Programme ◽  
Disability Prevention ◽  
Frail Older People ◽  
Intervention Mapping Protocol

This series of articles for rehabilitation in practice aims to cover a knowledge element of the rehabilitation medicine curriculum. Nevertheless they are intended to be of interest to a multidisciplinary audience. The competency addressed in this article is ‘The trainee consistent demonstrates a knowledge of how evidence based methods and strategies can be incorporated in an integral and multidisciplinary programme for community-dwelling frail elderly.’ Abstract Objective: To describe and justify a primary care interdisciplinary programme for community-dwelling frail older people aimed to prevent disability. Background: Disability is a negative outcome of frailty among older persons. Policy reports and research studies emphasize the need for programmes to reduce disability progression. Between 2008 and 2010 we developed such a programme. Development: Following the Intervention Mapping protocol, a research team and a multidisciplinary professional developed the programme. Literature reviews and an expert meeting led to identification of basic elements, theory-based methods and practical tools. The programme: The general practitioner and the practice nurse comprise the core team that can be extended by other professionals such as occupational and physical therapist. The programme includes six steps: (1) screening, (2) assessment, (3) analysis and preliminary action plan, (4) agreement on an action plan, (5) execution of the action plan (toolbox parts) and (6) evaluation and follow-up. The main features are: identifying risks for developing disability and targeting risk factors using professional standards and the 5A Behavioural Change Model to support self management, and identifying problems in performing activities and enhancing meaningful activities based on the Model of Human Occupation. Screening, individual assessment, tailor-made and client-centred care, self-management support, case management and interdisciplinary cooperation are important principles in delivering the programme. Discussion: The disability-prevention programme seems promising for addressing the needs of frail older people for independent living and for targeting risk factors. Its feasibility and effects are currently being tested in a randomized controlled trial.

scholarly journals Self-Efficacy of Older People Using Technology to Self-Manage COPD, Hypertension, Heart Failure, or Dementia at Home: An Overview of Systematic Reviews

2020 ◽  
Author(s):  
Garuth Chalfont ◽  
Céu Mateus ◽  
Sandra Varey ◽  
Christine Milligan
Keyword(s):  
Heart Failure ◽  
Older People ◽  
Systematic Reviews ◽  
Self Efficacy ◽  
Patient Activation ◽  
Self Care ◽  
The Self ◽  
Self Management ◽  
Overview Of Systematic Reviews ◽  
At Home

Abstract Background and Objectives Although telehealth research among the general population is voluminous, the quality of studies is low and results are mixed. Little is known specifically concerning older people and their self-efficacy to engage with and benefit from such technologies. This article reviews the evidence for which self-care telehealth technology supports the self-efficacy of older people with long-term conditions (LTCs) living at home. Research Design and Methods Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement (PRISMA) guidelines, this overview of systematic reviews focused on four LTCs and the concept of “self-efficacy.” Quality was appraised using R-AMSTAR and study evaluation was guided by the PRISMS taxonomy for reporting of self-management support. Heterogeneous data evidencing technology-enhanced self-efficacy were narratively synthesized. Results Five included articles contained 74 primary studies involving 9,004 participants with chronic obstructive pulmonary disease, hypertension, heart failure, or dementia. Evidence for self-care telehealth technology supporting the self-efficacy of older people with LTCs living at home was limited. Self-efficacy was rarely an outcome, also attrition and dropout rates and mediators of support or education. The pathway from telehealth to self-efficacy depended on telehealth modes and techniques promoting healthy lifestyles. Increased self-care and self-monitoring empowered self-efficacy, patient activation, or mastery. Discussion and Implications Future research needs to focus on the process by which the intervention works and the effects of mediating variables and mechanisms through which self-management is achieved. Self-efficacy, patient activation, and motivation are critical components to telehealth’s adoption by the patient and hence to the success of self-care in self-management of LTCs. Their invisibility as outcomes is a limitation.

scholarly journals Development and Testing of Self-Management Scale for PD Patients

2015 ◽  
Vol 35 (3) ◽  
pp. 342-350 ◽  
Author(s):  
Xiao-hua Wang ◽  
Jian-hong Pang ◽  
Lu Lin ◽  
Yi Xu ◽  
Qing Jiang ◽  
...  
Keyword(s):  
Social Life ◽  
Reliability And Validity ◽  
Preliminary Test ◽  
The Self ◽  
Self Management ◽  
Five Factors ◽  
Management Ability ◽  
Initial Scale ◽  
Test Retest Reliability ◽  
Depth Interviews

ObjectivesTo develop and evaluate the self-management scale for peritoneal dialysis (PD) patients.MethodsThe item pool was formulated based on literature reviews and in-depth interviews. An initial scale containing five factors and 44 items was constructed through two rounds of Delphi expert consultation and a preliminary test. A total of 313 PD patients from the Jiangsu-Zhejiang-Shanghai area were surveyed to test the reliability and validity of the scale.ResultsFive factors, namely solution bag replacement, troubleshooting during operation, diet management, complication monitoring, emotion management and return to social life, were extracted by exploratory factor analysis: the 28 items could explain 64.567% of the total variance; the content validity index was 0.963; the Cronbach's α coefficient and split-half coefficient were 0.926 and 0.960 respectively; and test-retest reliability was 0.937.ConclusionThe scale has been proved to be a reliable and valid tool which allows PD nurses to evaluate the self-management ability of PD patients. The evaluation outcomes can serve as a basis for individualized nursing plans and interventions so as to provide highly effective nursing care.

scholarly journals A cross-sectional study investigating the relationships between self-management abilities, productive patient-professional interactions, and well-being of community-dwelling frail older people

2020 ◽  
Author(s):  
Lotte Vestjens ◽  
Jane Murray Cramm ◽  
Anna Petra Nieboer
Keyword(s):  
Older People ◽  
Well Being ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Self Management ◽  
Sectional Study ◽  
Frail Older People ◽  
Cross Sectional ◽  
Ageing Populations ◽  
Professional Interactions

Abstract Worldwide, the maintenance of well-being in ageing populations with associated frailty has become increasingly important. To maintain well-being during ageing, investment in frail older people’s self-management abilities and the fostering of productive interactions with healthcare professionals may lead to higher levels of well-being. The aim of this study was to investigate the relationships between community-dwelling frail older people’s self-management abilities, productive patient-professional interactions and well-being, while controlling for socio-demographic characteristics. This cross-sectional study included 588 community-dwelling frail older people (aged ≥ 75 years) from 15 general practitioner (GP) practices in the Netherlands. Well-being (Social Production Function Instrument for the Level of well-being short), productivity of interactions with GPs (relational coproduction instrument), and self-management abilities (Self-Management Ability Scale short) were measured during in-home face-to-face interviews by trained interviewers. Data were analysed using descriptive statistics, correlation analyses, and linear mixed-effects models. Significant relationships were detected between self-management abilities and the overall, social, and physical well-being of older people, and between productive interactions with GPs and overall and social well-being, but not physical well-being. In a time of ageing populations with associated frailty, investment in frail older people’s self-management abilities and the productivity of patient-professional interactions may be beneficial for this population’s well-being.

Study on Self-Сonfiguration Model and Environment Awareness Algorithm for Mission-Critical Systems

2014 ◽  
Vol 981 ◽  
pp. 240-243
Author(s):  
Jian Wang ◽  
Guo Sheng Zhao
Keyword(s):  
The Self ◽  
Self Management ◽  
Configuration Model ◽  
Context Modeling ◽  
Critical Systems ◽  
Modeling Technology ◽  
Management Ability ◽  
Mission Critical ◽  
Software Bug ◽  
Environment Awareness

It is becoming more and more difficult to manage, maintain and keep the key services of mission-critical systems by manual because of hardware problems, software bug, misoperation and malicious attacks. In order to solve the above problems, a self-configuration model was proposed, and awareness algorithm was discussed. The heartbeat mechanism was utilized to realize internal environment awareness, and then the context-modeling technology was introduced to describe user activities and system resources formally, which can obtain the external environment awareness. The self-configuration model has interactivity among modules during operations, and able to improve the self-management ability of mission-critical systems effectively.

scholarly journals Development and validation of oral chemotherapy self-management scale

2020 ◽  
Author(s):  
Qi Peng ◽  
Wanying Wu
Keyword(s):  
Reliability And Validity ◽  
Oral Chemotherapy ◽  
The Self ◽  
Assessment Tools ◽  
Self Management ◽  
Validity And Reliability ◽  
Structured Interviews ◽  
Good Reliability ◽  
Chemotherapy Drugs ◽  
Management Ability

Abstract Background: With the increase of oral chemotherapy drugs, patients receiving cancer treatment prefer oral chemotherapy versus intravenous, given equal efficacy and toxicity. However, they need to take an active part in their care, which is vital with home-based oral therapy, therefore the self-management is important for patients with oral chemotherapy. Unfortunately, the development of self-management assessment tools for oral chemotherapy still lags behind. Methods: The OCSMS item pool was formulated based on literature review and semi-structured interviews, An initial scale containing 5 dimensions and 38 items was constructed through research seminar, Delphi survey and pilot testing. To assess the validity and reliability, We recruited 261 patients from cancer hospital in China.Results: A 36-item scale was developed with five dimensions identified through factor analysis: daily life management, symptom management, medication management, emotional cognitive management and social support. Cronbach’s coefficient Alpha, split-half coefficient, test-retest reliability and S-CVI/UA scores were 0.929, 0.773, 0.966 and 0.833, respectively, indicating that OCSMS has good reliability and validity.Conclusions: The OCSMS is a valid, reliable measurement method of the self-management ability of patients with oral chemotherapy. The OCSMS shows potential as a tool to ensure the safety of patients with cancer. The OCSMS may help evaluate the effectiveness of interventions to improve the self-management ability of patients.

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