scholarly journals Preferences for self-management support: Findings from a survey of diabetes patients in safety-net health systems

2008 ◽  
Vol 70 (1) ◽  
pp. 102-110 ◽  
Author(s):  
Urmimala Sarkar ◽  
John D. Piette ◽  
Ralph Gonzales ◽  
Daniel Lessler ◽  
Lisa D. Chew ◽  
...  
2006 ◽  
Vol 35 (5) ◽  
pp. 664-682 ◽  
Author(s):  
Dean Schillinger ◽  
Hali Hammer ◽  
Frances Wang ◽  
Jorge Palacios ◽  
Ivonne McLean ◽  
...  

The authors examined whether tailored self-management support (SMS) strategies reach patients in a safety net system and explored variation by language, literacy, and insurance. English-, Spanish-, and Cantonese-speaking diabetes patients were randomized to weekly automated telephone disease management (ATDM) or monthly group medical visits. The SMS programs employ distinct communication methods but share common objectives, including behavioral “action plans.” Reach was measured using three complementary dimensions: (a) participation among clinics, clinicians, and patients; (b) patient representativeness; and (c) patient engagement with SMS. Participation rates were high across all levels and preferentially attracted Spanish-language speakers, uninsured, and Medicaid recipients. Although both programs engaged a significant proportion in action planning, ATDM yielded higher engagement, especially among those with limited English proficiency and limited literacy. These results provide important insights for health communication and translational research with respect to realizing the public health benefits of SMS and can inform system-level planning to reduce health disparities.


2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
M. van Vugt ◽  
M. de Wit ◽  
F. Sieverink ◽  
Y. Roelofsen ◽  
S. H. Hendriks ◽  
...  

We studied the use, uptake, and effects of e-Vita, a personal health record, with self-management support and personalized asynchronized coaching, for type 2 diabetes patients treated in primary care. Patients were invited by their practice nurse to join the study aimed at testing use and effects of a personal health record. Patients were followed up for 6 months. Uptake and usage were monitored using log data. Outcomes were self-reported diabetes self-care, diabetes-related distress, and emotional wellbeing. Patients’ health status was collected from their medical chart. 132 patients agreed to participate in the study of which less than half (46.1%) did not return to the personal health record after 1st login. Only 5 patients used the self-management support program within the personal health record, 3 of whom asked a coach for feedback. Low use of the personal health record was registered. No statistical significant differences on any of the outcome measures were found between baseline and 6 month follow-up. This study showed minimal impact of implementing a personal health record including self-management support in primary diabetes care. Successful adoption of web-based platforms, as ongoing patient centered care, is hard to achieve without additional strategies aimed at enhancing patient motivation and engaging professionals.


2012 ◽  
Vol 30 (3) ◽  
pp. 189-194 ◽  
Author(s):  
Michaela Schiøtz ◽  
Anne Frølich ◽  
Allan Krasnik ◽  
Warren Taylor ◽  
John Hsu

PLoS ONE ◽  
2019 ◽  
Vol 14 (6) ◽  
pp. e0218242 ◽  
Author(s):  
Anne L. van Puffelen ◽  
Mieke Rijken ◽  
Monique J. W. M. Heijmans ◽  
Giel Nijpels ◽  
François G. Schellevis ◽  
...  

2008 ◽  
Vol 23 (4) ◽  
pp. 459-465 ◽  
Author(s):  
Urmimala Sarkar ◽  
Margaret A. Handley ◽  
Reena Gupta ◽  
Audrey Tang ◽  
Elizabeth Murphy ◽  
...  

2019 ◽  
Vol 42 (2) ◽  
pp. 158-168
Author(s):  
Janie Houle ◽  
Stephanie Radziszewski ◽  
Préscilla Labelle ◽  
Simon Coulombe ◽  
Matthew Menear ◽  
...  

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 1195-P
Author(s):  
ROOPA KALYANARAMAN MARCELLO ◽  
JOHANNA DOLLE ◽  
SHARANJIT KAUR ◽  
SAWKIA R. PATTERSON ◽  
NICHOLA DAVIS

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