Chronic condition self-management support for Aboriginal people: Adapting tools and training

2018 ◽  
Vol 26 (4) ◽  
pp. 232-237
Author(s):  
Malcolm Battersby ◽  
Sharon Lawn ◽  
Inge Kowanko ◽  
Sue Bertossa ◽  
Coral Trowbridge ◽  
...  
Keyword(s):  
Chronic Condition ◽  
Aboriginal People ◽  
Self Management ◽  
Management Support ◽  
And Training

scholarly journals Disability Employment Services in Australia: A Brief Primer

2013 ◽  
Vol 19 (1) ◽  
pp. 46-56 ◽  
Author(s):  
Catherine Byrnes ◽  
Sharon Lawn
Keyword(s):  
Chronic Conditions ◽  
Chronic Condition ◽  
Education And Training ◽  
Self Management ◽  
Management Support ◽  
Support Providers ◽  
Employment Services ◽  
Complex Disability ◽  
Disability Employment ◽  
And Training

This review aims to highlight how the chronic condition self-management support (CCSMS) field might inform and enhance the skills of the disability employment services (DES) workforce, particularly in its interactions with clients with complex disability needs. The approach we have taken involves a consideration of current education and training, recruitment of staff into DES and issues of concern arising from these processes. The main findings of our review are that the current DES workforce may not have the required skills to fully meet the needs of the populations they serve given the growing burden of chronic conditions, generally. We conclude by calling for greater consideration of CCSMS education and training as core required skills for the DES workforce, so that they might integrate their practice more collaboratively alongside other support providers.

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.

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.

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 Self-management support from the perspective of patients with a chronic condition: a thematic synthesis of qualitative studies

2015 ◽  
Vol 19 (2) ◽  
pp. 194-208 ◽  
Author(s):  
Jolanda Dwarswaard ◽  
Ellen J.M. Bakker ◽  
AnneLoes van Staa ◽  
Hennie R. Boeije
Keyword(s):  
Chronic Condition ◽  
Qualitative Studies ◽  
Self Management ◽  
Management Support ◽  
Thematic Synthesis

Chronic condition management and self-management in Aboriginal communities in South Australia: outcomes of a longitudinal study

2013 ◽  
Vol 37 (2) ◽  
pp. 246 ◽  
Author(s):  
Peter W. Harvey ◽  
John Petkov ◽  
Inge Kowanko ◽  
Yvonne Helps ◽  
Malcolm Battersby
Keyword(s):  
Health Status ◽  
Chronic Conditions ◽  
Chronic Condition ◽  
Aboriginal People ◽  
Systems Of Care ◽  
South Australia ◽  
Self Management ◽  
Care Planning ◽  
Aboriginal Communities ◽  
Structured Systems

Objectives. This paper describes the longitudinal component of a larger mixed methods study into the processes and outcomes of chronic condition management and self-management strategies implemented in three Aboriginal communities in South Australia. The study was designed to document the connection between the application of structured systems of care for Aboriginal people and their longer-term health status. Methods. The study concentrated on three diverse Aboriginal communities in South Australia; the Port Lincoln Aboriginal Health Service, the Riverland community, and Nunkuwarrin Yunti Aboriginal Health Service in the Adelaide metropolitan area. Repeated-measure clinical data were collected for individual participants using a range of clinical indicators for diabetes (type 1 and 2) and related chronic conditions. Clinical data were analysed using random effects modelling techniques with changes in key clinical indicators being modelled at both the individual and group levels. Results. Where care planning has been in place longer than in other sites overall improvements were noted in BMI, cholesterol (high density and low density lipids) and HbA1c. These results indicate that for Aboriginal patients with complex chronic conditions, participation in and adherence to structured care planning and self-management strategies can contribute to improved overall health status and health outcomes. Conclusions. The outcomes reported here represent an initial and important step in quantifying the health benefits that can accrue for Aboriginal people living with complex chronic conditions such as diabetes, heart disease and respiratory disease. The study highlights the benefits of developing long-term working relationships with Aboriginal communities as a basis for conducting effective collaborative health research programs. What is known about the topic? Chronic condition management and self-management programs have been available to Aboriginal people in a range of forms for some time. We know that some groups of patients are keen to engage with care planning and self-management protocols and we have anecdotal evidence of this engagement leading to improved quality of life and health outcomes for Aboriginal people. What does this paper add? This paper provides early evidence of sustained improvement over time for a cohort of Aboriginal people who are learning to deal with a range of chronic illnesses through accessing structured systems of support and care. What are the implications for practitioners? This longitudinal evidence of improved outcomes for Aboriginal people is encouraging and should lead on to more definitive studies of outcomes accruing for people engaged in structured systems of care. Not only does this finding have implications for the overall management of chronic illness in Aboriginal communities, but it points the way to how health services might best invest their resources and efforts to improve the health status of people with chronic conditions and, in the process, close the gap between the life expectancy of Aboriginal people and that of other community groups in Australia.

scholarly journals Toward consensus on self-management support: the international chronic condition self-management support framework

2016 ◽  
pp. daw030 ◽  
Author(s):  
Susan L. Mills ◽  
Teresa J. Brady ◽  
Janaki Jayanthan ◽  
Shabnam Ziabakhsh ◽  
Peter M. Sargious
Keyword(s):  
Chronic Condition ◽  
Self Management ◽  
Management Support

scholarly journals Chronic condition self-management support: proposed competencies for medical students

2009 ◽  
Vol 5 (1) ◽  
pp. 7-14 ◽  
Author(s):  
Rene G. Pols ◽  
Malcolm W. Battersby ◽  
Martha Regan-Smith ◽  
Mignon J. Markwick ◽  
John Lawrence ◽  
...  
Keyword(s):  
Medical Students ◽  
Chronic Condition ◽  
Self Management ◽  
Management Support

Research Implementing the Flinders Model of Self-management Support with Aboriginal People who have Diabetes: Findings from a Pilot Study

2008 ◽  
Vol 14 (1) ◽  
pp. 66 ◽  
Author(s):  
Malcolm W. Battersby ◽  
Jackie Ah Kit ◽  
Colleen Prideaux ◽  
Peter W. Harvey ◽  
James P. Collins ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Assessment Tool ◽  
Aboriginal People ◽  
Health Workers ◽  
South Australia ◽  
Management Program ◽  
Self Management ◽  
Management Support ◽  
Structured Interviews

A pilot program for Aboriginal people with diabetes on Eyre Peninsula, South Australia, aimed to test the acceptability and impact of using the Flinders model of self-management care planing to improve patient self-management. A community development approach was used to conduct a twelve-month demonstration project. Aboriginal health workers (AHWs) conducted patient-centred, self-management assessment and care planning. Impacts were measured by patient-completed diabetes self-management assessment tool, goal achievement, quality of life and clinical measures at baseline and 12 months. Impact and acceptability were also assessed by semi-structured interviews and focus groups of AHWs. Sixty Aboriginal people with type 2 diabetes stated their main problems as family and social dysfunction, access to services, nutrition and exercise. Problems improved by 12% and goals by 26%, while quality of life scores showed no significant change. Self-management scores improved in five of six domains. Mean HbA1c reduced from 8.74-8.09 and mean blood pressure was unchanged. AHWs found the process acceptable and appropriate for them and their patients. It was concluded that a diabetes self-management program provided by AHWs is acceptable, improves self-management and is seen to be useful by Aboriginal communities. Barriers include lack of preventative health services, social problems and time pressure on staff. Enablers include community concern regarding the prevalence and mortality associated with diabetes.

Top tips for embedding chronic condition self-management support into practice

2010 ◽  
Vol 16 (4) ◽  
pp. 334 ◽  
Author(s):  
Sharon Lawn
Keyword(s):  
Health Services ◽  
Chronic Condition ◽  
Positive Impact ◽  
Organisational Change ◽  
Self Management ◽  
Service Improvement ◽  
Management Support ◽  
Postgraduate Students ◽  
Leadership Support ◽  
Clear Vision

Organisational change aimed at service improvement continues to be a challenging process for many health services, managers and teams. Current imperatives to develop service models responsive to the growing demands of chronic conditions on health systems suggest that reflection on core change principles is warranted. Dominant themes for progress in embedding chronic condition self-management (CCSM) support into practice settings arose from content analyses of case studies from health professionals who have attempted to implement CCSM support into their health services after undertaking specific training (The Flinders Program of CCSM). This included in-depth interviews with 10 trainers accredited to deliver training in this CCSM care planning approach to the workforce, formal reflections from 47 postgraduate students (currently in the health workforce) enrolled in a dedicated CCSM program at Flinders University and a consensus forum with accredited trainers. Emergent themes were then considered in the context of existing organisational change and CCSM literature. Long understood principles of effective change management continue to be important, including leadership support, clear vision, team cohesion, effective people management and shared values. However, interdependence of these and other factors seems to be most important. Organisational change that builds capacity for CCSM support is possible, given a clearer understanding of where efforts will have the most positive impact on change.

Sign in / Sign up

Export Citation Format

Share Document