Better knowledge, better health: piloting an education intervention in chronic condition self-management support

2011 ◽  
Vol 17 (1) ◽  
pp. 4 ◽  
Author(s):  
Jennifer M. Newton ◽  
Leah Falkingham ◽  
Lyn Clearihan
Keyword(s):  
General Practice ◽  
Pilot Study ◽  
Chronic Condition ◽  
Self Management ◽  
Learning Needs ◽  
Management Support ◽  
Management Skills ◽  
Allied Health Professionals ◽  
Lifestyle Risk ◽  
Risk Modification

Chronic condition self-management and lifestyle risk modification education is paramount for General Practice registrars. A multi-dimensional learning package ‘Better Knowledge, Better Health’ was developed and piloted to improve General Practice registrars’ understanding of their role in supporting chronic condition self-management in patients with osteoarthritis. This pilot study was supported by the Australian Better Health Initiative. Pre-training learning needs analysis with a new intake of General Practice registrars (n = 40) indicated high levels of confidence in supporting patients in chronic condition management and lifestyle risk modification, and locating and interacting with local resources and allied health professionals. Conversely, interviews with General Practice Supervisors (n = 13) found most would not identify chronic condition self-management skills as priorities for registrar learning. Supervisors were also not familiar with core principles of chronic condition self-management, in particular application of motivational interviewing to behaviour change. Disparities between General Practice Supervisors’ perceptions of the importance of chronic condition self-management and lifestyle risk modification education and levels of access to learning opportunities in chronic condition self-management for registrars are discussed. Difficulties in implementing a pilot study within tight timeframes are also explored.

scholarly journals Increasing Self-Management Skills in Heart Failure Patients: A Pilot Study

2005 ◽  
Vol 11 (6) ◽  
pp. 297-302 ◽  
Author(s):  
Kristin J. Flynn ◽  
Lynda H. Powell ◽  
Carlos F. Mendes de Leon ◽  
Rocio Muñoz ◽  
Claudia B. Eaton ◽  
...  
Keyword(s):  
Heart Failure ◽  
Pilot Study ◽  
Self Management ◽  
Management Skills ◽  
Heart Failure Patients

scholarly journals Diabetes Text-Message Self-Management Support Program (SMS4BG): A Pilot Study

2015 ◽  
Vol 3 (1) ◽  
pp. e32 ◽  
Author(s):  
Rosie Dobson ◽  
Karen Carter ◽  
Richard Cutfield ◽  
Ashley Hulme ◽  
Richard Hulme ◽  
...  
Keyword(s):  
Pilot Study ◽  
Text Message ◽  
Support Program ◽  
Self Management ◽  
Management Support

scholarly journals Characteristics of self-management among patients with complex health needs: a thematic analysis review

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e028344 ◽  
Author(s):  
Annie-Pier Gobeil-Lavoie ◽  
Maud-Christine Chouinard ◽  
Alya Danish ◽  
Catherine Hudon
Keyword(s):  
Chronic Diseases ◽  
Thematic Analysis ◽  
Healthcare Providers ◽  
Self Management ◽  
Management Support ◽  
Management Skills ◽  
Healthcare Needs ◽  
Frequent Use ◽  
Dominant Condition ◽  
Use Of Health Services

ObjectiveThere is a gap of knowledge among healthcare providers on characteristics of self-management among patients with chronic diseases and complex healthcare needs. Consequently, the objective of this paper was to identify characteristics of self-management among patients with chronic diseases and complex healthcare needs.DesignThematic analysis review of the literature.MethodsWe developed search strategies for the MEDLINE and CINAHL databases, covering the January 2000–October 2018 period. All articles in English or French addressing self-management among an adult clientele (18 years and older) with complex healthcare needs (multimorbidity, vulnerability, complexity and frequent use of health services) were included. Studies that addressed self-management of a single disease or that did not have any notion of complexity or vulnerability were excluded. A mixed thematic analysis, deductive and inductive, was performed by three evaluators as described by Mileset al.ResultsTwenty-one articles were included. Patients with complex healthcare needs present specific features related to self-management that can be exacerbated by deprived socioeconomic conditions. These patients must often prioritise care based on one dominant condition. They are at risk for depression, psychological distress and low self-efficacy, as well as for receiving contradictory information from healthcare providers. However, the knowledge and experiences acquired in the past in relation to their condition may help them improve their self-management skills.ConclusionsThis review identifies challenges to self-management for patients with complex healthcare needs, which are exacerbated in contexts of socioeconomic insecurity and proposes strategies to help healthcare providers better adapt their self-management support interventions to meet the specific needs of this vulnerable clientele.

scholarly journals Between knowing and doing person-centredness: A qualitative examination of health professionals’ perceptions of roles in self-management support

2019 ◽  
pp. 136345931988908
Author(s):  
Marika Franklin ◽  
Karen Willis ◽  
Sophie Lewis ◽  
Anne Rogers ◽  
Lorraine Smith
Keyword(s):  
Health Professionals ◽  
Chronic Condition ◽  
Social Representations ◽  
Self Management ◽  
Clinical Aspects ◽  
Management Support ◽  
Health Capital ◽  
Clinical Interactions ◽  
Depth Interviews ◽  
Unrealistic Expectations

Self-management is a contemporary model of chronic condition care that places expectations on, and roles for, both patients and health professionals. Health professionals are expected to form partnerships with their patients, and patients are expected to be active participants in their own care. In these new roles, control and responsibility for self-management are shared between people with chronic conditions and their health professionals. We still have limited knowledge about how these new roles are enacted in self-management support. In this article, we examine how health professionals perceive the roles of patients and professionals in chronic condition self-management, drawing on Bourdieu’s concepts of field, doxa and capital. In this qualitative study, 32 in-depth interviews were conducted with 11 health professionals in Sydney, Australia. Data were analysed thematically. Three themes were derived. First, there was incongruence between how participants characterised and enacted their roles. Second, participants compartmentalised clinical and non-clinical aspects of self-management support. Finally, the roles of health professionals entwined with emotions and judgements of patienthood revealed that the provision of self-management support was linked to a fit between individuals’ cultural health capital and the expectations governing the field. We argue that ‘taken for granted’ assumptions about self-management and self-management support must be challenged to mitigate negative social representations and unrealistic expectations placed on patients and health professionals, particularly those patients with less capital, who are more marginalised within clinical interactions.

scholarly journals Evaluating the feasibility of a nurse-led self-management support intervention for kidney transplant recipients: a pilot study

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Janet M. J. Been-Dahmen ◽  
Denise K. Beck ◽  
Mariëlle A. C. Peeters ◽  
Heleen van der Stege ◽  
Mirjam Tielen ◽  
...  
Keyword(s):  
Pilot Study ◽  
Kidney Transplant ◽  
Self Management ◽  
Management Support ◽  
Transplant Recipients ◽  
Kidney Transplant Recipients ◽  
Support Intervention

An evaluation of the self-management support capacity of providers of chronic condition primary care

2012 ◽  
Vol 18 (2) ◽  
pp. 112 ◽  
Author(s):  
Tracy E. Cheffins ◽  
Julie A. Twomey ◽  
Jane A. Grant ◽  
Sarah L. Larkins
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Professionals ◽  
Chronic Condition ◽  
Health Care Services ◽  
Readiness To Change ◽  
Structured Interview ◽  
Self Management ◽  
Management Support ◽  
Primary Health

Self-management support (SMS) is an important skill for health professionals providing chronic condition management in the primary health care sector. Training in SMS alone does not always lead to its utilisation. This study aimed to ascertain whether SMS is being used, and to identify barriers and enablers for SMS in practice. Health professionals who underwent SMS training were invited to participate in a semi-structured interview. A response rate of 55% (14 of 24) was achieved. All interviewees rated their understanding of the principles of SMS as moderate or better. In relation to how much they use these principles in their practice, several (5 of 14) said minimally or not at all. The tools they were most likely to use were SMART goals (8 of 14) and decision balance (5 of 14). Core skills that were being used included problem solving (11 of 14), reflective listening (13 of 14), open-ended questions (12 of 14), identifying readiness to change (12 of 14) and goal setting (10 of 14). The most important barriers to implementing SMS were current funding models for health care, lack of space and staff not interested in change. The most highly rated enabling strategies were more training for general practitioners and more training for practice nurses; the lowest rated was more training for receptionists. The increasing prevalence of chronic conditions due to ageing and lifestyle factors must be addressed through new ways of delivering primary health care services. Self-management support is a necessary component of such programs, so identified barriers to SMS must be overcome.

scholarly journals Training peers to provide ongoing diabetes self-management support (DSMS): Results from a pilot study

2011 ◽  
Vol 85 (2) ◽  
pp. 160-168 ◽  
Author(s):  
Tricia S. Tang ◽  
Martha M. Funnell ◽  
Marylou Gillard ◽  
Robin Nwankwo ◽  
Michele Heisler
Keyword(s):  
Pilot Study ◽  
Self Management ◽  
Management Support

Changes in self-management skills during inpatient treatment in an internal-naturopathic clinic: A pilot study

2009 ◽  
Vol 1 (4) ◽  
pp. 194
Author(s):  
A. Paul ◽  
S. Lange ◽  
R. Lauche ◽  
K. Wagner ◽  
T. Esch ◽  
...  
Keyword(s):  
Pilot Study ◽  
Inpatient Treatment ◽  
Self Management ◽  
Management Skills

scholarly journals Testing the Feasibility and Usability of a Novel Smartphone-Based Self-Management Support System for Dialysis Patients: A Pilot Study

2017 ◽  
Vol 6 (4) ◽  
pp. e63 ◽  
Author(s):  
Aki Hayashi ◽  
Satoko Yamaguchi ◽  
Kayo Waki ◽  
Katsuhito Fujiu ◽  
Norio Hanafusa ◽  
...  
Keyword(s):  
Pilot Study ◽  
Support System ◽  
Self Management ◽  
Management Support ◽  
Dialysis Patients

Web-based self-management support training for health professionals: A pilot study

2013 ◽  
Vol 90 (1) ◽  
pp. 29-37 ◽  
Author(s):  
Veronica Yank ◽  
Diana Laurent ◽  
Kathryn Plant ◽  
Kate Lorig
Keyword(s):  
Pilot Study ◽  
Health Professionals ◽  
Self Management ◽  
Management Support ◽  
Web Based
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