scholarly journals Older Adult Peer Support Specialists’ Age-Related Contributions to an Integrated Medical and Psychiatric Self-Management Intervention: A Qualitative Study of Text Message Exchanges (Preprint)

10.2196/22950 ◽  
2020 ◽  
Author(s):  
Mbita Mbao ◽  
Caroline Collins-Pisano ◽  
Karen Fortuna
Keyword(s):  
Qualitative Study ◽  
Peer Support ◽  
Older Adult ◽  
Text Message ◽  
Self Management ◽  
Management Intervention ◽  
Age Related

scholarly journals Older Adult Peer Support Specialists’ Age-Related Contributions to Self-Management Through Text Message Exchanges: A Qualitative Study (Preprint)

2020 ◽  
Author(s):  
Mbita Mbao ◽  
Karen Fortuna
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Physical Health ◽  
Peer Support ◽  
Older Adult ◽  
Text Message ◽  
Text Messages ◽  
Self Management ◽  
Age Related ◽  
Peer Specialists

BACKGROUND Older adults with mental health conditions experience co-morbid physical health conditions, premature nursing home admissions, and an earlier mortality compared to the general population of older adults. Older adult peer support specialists are increasingly using technology to deliver peer support services related to addressing both mental health and physical health needs of older adults. OBJECTIVE This qualitative study examined older adult peer support specialists’ age-related contributions to peer-supported integrated medical and psychiatric self-management through text message exchanges METHODS Older adult peer specialists exchanged text messages with service users as part of a 12-week peer-supported smartphone intervention. Text message exchanges between older adult peer specialists (N=3) and people with serious mental illness were examined (N=8) with a mean age of 68.8 years (SD=4.9). A total of 356 text messages were sent between the older adult peer specialist and people with serious mental illness. Older adult peer specialists sent text messages to older participants' smartphones between from 8 a.m. to 10 p.m. on weekdays and weekends RESULTS Five themes emerged including (1) using technology to simultaneously manage mental health and physical health issues; (2) realizing new capabilities in late life; (3) sharing their roles as parents and grandparents; (4) wisdom; and (5) sharing lived experience of normal age-related changes (emerging). CONCLUSIONS The collaborative non-directive approach by the older adult peer specialists offered key experiential contributions that are important to successfully aging with a mental health condition. Promising evidence suggests older adult peer support specialists may be helpful in addressing age-related mental health and physical health needs of older adults in the community.

scholarly journals Older Peer-Delivered and Smartphone-Supported Integrated Medical and Psychiatric Self-Management Intervention

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 631-631
Author(s):  
Karen Fortuna
Keyword(s):  
Older Adults ◽  
Lived Experience ◽  
Peer Support ◽  
Older Adult ◽  
Health Condition ◽  
Interactive Effects ◽  
Self Management ◽  
Potential Effectiveness ◽  
Management Intervention ◽  
Post Trial

Abstract PeerTECH is older peer-delivered and technology-support integrated medical and psychiatric self-management intervention developed by older adult peer support specialists. Older adult peer support specialists are older adults with a lived experience of a mental health condition, who are trained and accredited to provide support services to others with similar conditions. A pre/post trial by our group has shown PeerTECH is associated with statistically significant improvements in self-efficacy for managing chronic disease and psychiatric self-management skills. This presentation will discuss the feasibility and potential effectiveness of a 3-month pre/post study with older adults with SMI. We will discuss the potential effectiveness of PeerTECH with older adults with SMI related to loneliness, distress, and medical and psychiatric self-management. in conclusion, we will discuss the main and interactive effects of loneliness and factors linked to mortality.

scholarly journals TEXT4myBACK – The development process of a self-management intervention delivered via text message for low back pain

2021 ◽  
pp. 100128
Author(s):  
Carolina G. Fritsch ◽  
Paulo H. Ferreira ◽  
Joanna L Prior ◽  
Giovana Vesentini ◽  
Patricia Schlotfeldt ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Development Process ◽  
Text Message ◽  
Self Management ◽  
Low Back ◽  
Management Intervention

scholarly journals Participants and developers experiences with a chronic pain self-management intervention under development: A qualitative study

2018 ◽  
Vol 6 ◽  
pp. 205031211881742 ◽  
Author(s):  
Kjersti Grønning ◽  
Torunn Hatlen Nøst ◽  
Toril Rannestad ◽  
Ola Bratås
Keyword(s):  
Chronic Pain ◽  
Qualitative Study ◽  
Behavioural Change ◽  
User Involvement ◽  
Social Needs ◽  
Self Management ◽  
Pharmacological Interventions ◽  
Healthy Life ◽  
Management Intervention ◽  
Cognitive Techniques

Background: Non-pharmacological interventions aim to promote health and self-management for people with chronic pain. Objective: The aim of this study was to explore if the participants’ experiences with a self-management intervention under development were aligned with the developers’ rationale and desired outcome of the intervention. Methods: This was a qualitative study interviewing both participants and developers of a chronic pain self-management intervention. Seven participants, six females and one male in the age from early thirties to mid-seventies attended the chronic pain self-management intervention developed by the staff at a Healthy Life Centre. The data were analysed by the systematic text condensation method. Results: The analyses showed that the participants evaluated the intervention as valuable. They described using coping techniques to manage their chronic pain better, and the developers stated that the aim with the intervention was to provide the participants with coping techniques. The intervention was built upon the developers’ professional knowledge and experience in cognitive techniques, health theories, models for behavioural change, and service user involvement. Conclusion: This study found that the chronic pain self-management intervention was in concordance with theory of health promotion and empowerment. The participants experienced the intervention as targeting their resources, capacities, and fulfilling social needs, which aligned with the developers aim with the intervention. The participants found the intervention evocative; they learned new ways to manage their pain through theory/education, movement exercises, homework, and sharing their experiences with each other.

scholarly journals Who Signs Up for and Engages in a Peer Support Heart Failure Self-management Intervention

2015 ◽  
Vol 30 ◽  
pp. S35-S43 ◽  
Author(s):  
Rebecca Mase ◽  
Lakshmi Halasyamani ◽  
Hwajung Choi ◽  
Michele Heisler
Keyword(s):  
Heart Failure ◽  
Peer Support ◽  
Self Management ◽  
Management Intervention

Age-related macular degeneration: A randomized clinical trial of a self-management intervention

1999 ◽  
Vol 21 (4) ◽  
pp. 322-329 ◽  
Author(s):  
Barbara L. Brody ◽  
Rebecca A. Williams ◽  
Ronald G. Thomas ◽  
Robert M. Kaplan ◽  
Ray M. Chu ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Macular Degeneration ◽  
Randomized Clinical Trial ◽  
Age Related Macular Degeneration ◽  
Self Management ◽  
Management Intervention ◽  
Age Related

scholarly journals Process evaluation of the Restore4stroke Self-Management intervention ‘Plan Ahead!’: a stroke-specific self-management intervention

2016 ◽  
Vol 30 (12) ◽  
pp. 1175-1185 ◽  
Author(s):  
Nienke S Tielemans ◽  
Vera PM Schepers ◽  
Johanna MA Visser-Meily ◽  
Jolanda CM van Haastregt ◽  
Wendy JM van Veen ◽  
...  
Keyword(s):  
Peer Support ◽  
Mixed Method ◽  
Qualitative Data ◽  
Action Planning ◽  
Self Management ◽  
Planning Tool ◽  
Stroke Patients ◽  
Management Intervention ◽  
Management Interventions ◽  
Intervention Plan

Objective: To investigate whether the self-management intervention was implemented as intended. Additionally, we studied involvement in and satisfaction with the intervention among patients, their partners and therapists. Design: Mixed method, prospective study. Setting: Outpatient facilities of hospitals/rehabilitation centres. Participants: Stroke patients, their partners and therapists from the experimental arm of the Restore4Stroke Self-Management study. Intervention: ‘Plan Ahead!’ is a 10-week self-management intervention for stroke patients and partners, consisting of seven two-hour group sessions. Proactive action planning, education and peer support are main elements of this intervention. Main measures: Session logs, questionnaires for therapists, patients and their partners, and focus groups. Data analysis: Qualitative data were analysed with thematic analysis supplemented by quasi-statistics. Quantitative data were reported as descriptive statistics. Results: The study sample consisted of 53 patients and 26 partners taking part in the intervention, and all therapists delivering the intervention ( N = 19). At least three-quarters of the intervention sessions were attended by 33 patients and 24 partners. On a scale from 1 to 10, patients, partners and therapists rated the intervention with mean scores of 7.5 (SD1.6), 7.8 (SD.7) and 7.4 (SD.7), respectively. Peer support was the most frequently appreciated element for participants and therapists. The proactive action planning tool was adequately applied in 76 of the 96 sessions. Conclusion: Although the target audience was reached and both participants and therapists were satisfied with the intervention, the proactive action planning tool that distinguishes the current intervention from existing stroke-specific self-management interventions was only partly implemented according to protocol.

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