scholarly journals Experiences of a health coaching self-management program in patients with COPD: a qualitative content analysis

2018 ◽  
Vol Volume 13 ◽  
pp. 1527-1536
Author(s):  
Lan Wang ◽  
Jan Mårtensson ◽  
Yue Zhao ◽  
Annette Nygårdh
2020 ◽  
Author(s):  
Druye A Andrews ◽  
Nelson Katherine ◽  
Robinson Brian

This paper reports on the findings of a study designed to establish website-based self-management recommendations for sickle cell disease. Google and Yahoo search engines were used to search the World-Wide-Web. Purposive sampling was utilized to select 28 websites that met the inclusion criteria. Data were manually collected from health education materials and subjected to qualitative content analysis. Self-management was conceptualized as actions involving preventive health, self-monitoring, self-diagnosing, and self-treatment. The results show that the websites recommend more self-management actions for preventive health and self-treatment than for self-monitoring and self-diagnosis. Frequent oral fluid intake, limitation of overactivity, eating a healthy diet, avoiding extreme temperatures, and infections were the commonest preventive health recommendations. Daily pain monitoring and general bodily inspections were the most frequent self-monitoring recommendations. Commonly cited self-diagnostic indicators were fever, persistent pain, enlarged spleen, and leg ulcers. The use of analgesics and non-pharmacological measures were regularly cited for self-treatment. Most recommendations were assessed as clinically safe as they align with standards for sickle cell management. Nurses and other professionals should teach patients how to assess the credibility of websites. This article is protected by copyright. All rights reserved.


2020 ◽  
Author(s):  
Druye A Andrews ◽  
Brian Robinson ◽  
Katherine Nelson

This paper reports on the findings of a study designed to establish website-based self-management recommendations for sickle cell disease. Google and Yahoo search engines were used to search the World-Wide-Web. Purposive sampling was utilized to select 28 websites that met the inclusion criteria. Data were manually collected from health education materials and subjected to qualitative content analysis. Self-management was conceptualized as actions involving preventive health, self-monitoring, self-diagnosing, and self-treatment. The results show that the websites recommend more self-management actions for preventive health and self-treatment than for self-monitoring and self-diagnosis. Frequent oral fluid intake, limitation of overactivity, eating a healthy diet, avoiding extreme temperatures, and infections were the commonest preventive health recommendations. Daily pain monitoring and general bodily inspections were the most frequent self-monitoring recommendations. Commonly cited self-diagnostic indicators were fever, persistent pain, enlarged spleen, and leg ulcers. The use of analgesics and non-pharmacological measures were regularly cited for self-treatment. Most recommendations were assessed as clinically safe as they align with standards for sickle cell management. Nurses and other professionals should teach patients how to assess the credibility of websites. This article is protected by copyright. All rights reserved.


2020 ◽  
Author(s):  
Druye A Andrews ◽  
Brian Robinson ◽  
Katherine Nelson

This paper reports on the findings of a study designed to establish website-based self-management recommendations for sickle cell disease. Google and Yahoo search engines were used to search the World-Wide-Web. Purposive sampling was utilized to select 28 websites that met the inclusion criteria. Data were manually collected from health education materials and subjected to qualitative content analysis. Self-management was conceptualized as actions involving preventive health, self-monitoring, self-diagnosing, and self-treatment. The results show that the websites recommend more self-management actions for preventive health and self-treatment than for self-monitoring and self-diagnosis. Frequent oral fluid intake, limitation of overactivity, eating a healthy diet, avoiding extreme temperatures, and infections were the commonest preventive health recommendations. Daily pain monitoring and general bodily inspections were the most frequent self-monitoring recommendations. Commonly cited self-diagnostic indicators were fever, persistent pain, enlarged spleen, and leg ulcers. The use of analgesics and non-pharmacological measures were regularly cited for self-treatment. Most recommendations were assessed as clinically safe as they align with standards for sickle cell management. Nurses and other professionals should teach patients how to assess the credibility of websites. This article is protected by copyright. All rights reserved.


2020 ◽  
Author(s):  
Druye A Andrews ◽  
Nelson Katherine ◽  
Robinson Brian

This paper reports on the findings of a study designed to establish website-based self-management recommendations for sickle cell disease. Google and Yahoo search engines were used to search the World-Wide-Web. Purposive sampling was utilized to select 28 websites that met the inclusion criteria. Data were manually collected from health education materials and subjected to qualitative content analysis. Self-management was conceptualized as actions involving preventive health, self-monitoring, self-diagnosing, and self-treatment. The results show that the websites recommend more self-management actions for preventive health and self-treatment than for self-monitoring and self-diagnosis. Frequent oral fluid intake, limitation of overactivity, eating a healthy diet, avoiding extreme temperatures, and infections were the commonest preventive health recommendations. Daily pain monitoring and general bodily inspections were the most frequent self-monitoring recommendations. Commonly cited self-diagnostic indicators were fever, persistent pain, enlarged spleen, and leg ulcers. The use of analgesics and non-pharmacological measures were regularly cited for self-treatment. Most recommendations were assessed as clinically safe as they align with standards for sickle cell management. Nurses and other professionals should teach patients how to assess the credibility of websites. This article is protected by copyright. All rights reserved.


2020 ◽  
Author(s):  
Su Golder ◽  
Millie Bach ◽  
Karen O'Connor ◽  
Robert Gross ◽  
Sean Hennessy ◽  
...  

BACKGROUND Diabetes mellitus is a major global public health issue where self-management is critical to reducing disease burden. Social media has been a powerful tool to understand public perceptions. Public perception of drugs used to treat the disease may be useful for orienting interventions to increase adherence. OBJECTIVE To explore the perceptions of anti-diabetic drugs (ADDs) through the analysis of health-related tweets mentioning such medications. METHODS 4000 tweets from 1st January to 1st October 2019 containing key terms related to ADDs were coded using qualitative content analysis. Tweets were coded for whether they were truly about an ADD, and then whether they were health-related. Health-related tweets were further coded based on who was tweeting, which ADD was being tweeted about, and the content discussed in the tweet. The main outcome of the analysis was the themes identified by analyzing the content of health-related tweets on ADDs. RESULTS 1664 health-related tweets about 33 ADDs were identified. A quarter (415/1664 of tweets were confirmed to have come from people with diabetes, 18% (298/1664) from people posting about someone else, and 3% (45/1664) from healthcare professionals. However, the role of the tweeter was unidentifiable from two-thirds of the tweets. 13 themes were identified, with the health consequences of the cost of ADDs being the most extensively discussed, followed by the efficacy and availability. We also identified issues patients may conceal from healthcare professionals, such as purchasing medications from unofficial sources. CONCLUSIONS This study is the first to use Twitter to explore perceptions exclusively related to ADDs. This analysis gives an insight into the real-life issues individual’s face when taking ADDs, and such findings may be incorporated into health policies to improve compliance and efficacy. This study suggests there is a fear of not having access to ADDs, whether due to cost or physical availability and also highlights the impact of the sacrifices made to access ADDs. Alongside screening for diabetes-related health issues, healthcare professionals should also ask their patients about any non-health concerns with their ADDs. The positive tweets about dietary changes indicate that people with type 2 diabetes may be more open to self-management than healthcare professionals believe.


10.2196/31689 ◽  
2021 ◽  
Vol 10 (9) ◽  
pp. e31689 ◽  
Author(s):  
Eric Evans ◽  
Ayse Zengul ◽  
Allyson Hall ◽  
Haiyan Qu ◽  
Amanda Willig ◽  
...  

Background Individuals with disabilities and type 2 diabetes require self-management programs that are accessible, sustainable, inclusive, and adaptable. Health coaching has been shown to be an effective approach for improving behavioral changes in self-management. Health coaching combined with telehealth technology has the potential to improve the overall quality of and access to health services. Objective This protocol outlines the study design for implementing the Artificial Intelligence for Diabetes Management (AI4DM) intervention. The protocol will assess the feasibility, acceptability, and preliminary efficacy of the AI4DM telehealth platform for people with disabilities. Methods The AI4DM study is a 2-arm randomized controlled trial for evaluating the delivery of a 12-month intervention, which will involve telecoaching, diabetes educational content, and technology access, to 90 individuals with diabetes and physical disabilities. The hypothesis is that this pilot project is feasible and acceptable for adults with permanently impaired mobility and type 2 diabetes. We also hypothesize that adults in the AI4DM intervention groups will have significantly better glycemic control (glycated hemoglobin) and psychosocial and psychological measures than the attention control group at the 3-, 6-, and 12-month follow-ups. Results The AI4DM study was approved by the university’s institutional review board, and recruitment and enrollment will begin in October 2021. Conclusions The AI4DM study will improve our understanding of the feasibility and efficacy of a web-based diabetes self-management program for people with disabilities. The AI4DM intervention has the potential to become a scalable and novel method for successfully managing type 2 diabetes in people with disabilities. Trial Registration ClinicalTrials.gov NCT04927377; https://clinicaltrials.gov/ct2/show/NCT04927377 International Registered Report Identifier (IRRID) PRR1-10.2196/31689


2017 ◽  
Vol Volume 12 ◽  
pp. 1079-1088 ◽  
Author(s):  
Yeon-Hwan Park ◽  
Sun-Hee Moon ◽  
Ji Yeon Ha ◽  
Min Hye Lee

2021 ◽  
Author(s):  
Eric Evans ◽  
Ayse Zengul ◽  
Allyson Hall ◽  
Haiyan Qu ◽  
Amanda Willig ◽  
...  

BACKGROUND Individuals with disabilities and type 2 diabetes require self-management programs that are accessible, sustainable, inclusive, and adaptable. Health coaching has been shown to be an effective approach for improving behavioral changes in self-management. Health coaching combined with telehealth technology has the potential to improve the overall quality of and access to health services. OBJECTIVE This protocol outlines the study design for implementing the Artificial Intelligence for Diabetes Management (AI4DM) intervention. The protocol will assess the feasibility, acceptability, and preliminary efficacy of the AI4DM telehealth platform for people with disabilities. METHODS The AI4DM study is a 2-arm randomized controlled trial for evaluating the delivery of a 12-month intervention, which will involve telecoaching, diabetes educational content, and technology access, to 90 individuals with diabetes and physical disabilities. The hypothesis is that this pilot project is feasible and acceptable for adults with permanently impaired mobility and type 2 diabetes. We also hypothesize that adults in the AI4DM intervention groups will have significantly better glycemic control (glycated hemoglobin) and psychosocial and psychological measures than the attention control group at the 3-, 6-, and 12-month follow-ups. RESULTS The AI4DM study was approved by the university’s institutional review board, and recruitment and enrollment will begin in October 2021. CONCLUSIONS The AI4DM study will improve our understanding of the feasibility and efficacy of a web-based diabetes self-management program for people with disabilities. The AI4DM intervention has the potential to become a scalable and novel method for successfully managing type 2 diabetes in people with disabilities. CLINICALTRIAL ClinicalTrials.gov NCT04927377; https://clinicaltrials.gov/ct2/show/NCT04927377 INTERNATIONAL REGISTERED REPORT PRR1-10.2196/31689


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