Effect of mHealth intervention for tuberculosis self-management based on the Integrated Theory of Health Behavior Change (ITHBC): a randomized controlled trial (Preprint)

2021 ◽  
Author(s):  
Yibo Wu ◽  
Yuhan Bao ◽  
Chunxiang Wang ◽  
Haiping Xu ◽  
Yongjie Lai ◽  
...  
Keyword(s):  
Care Management ◽  
Intervention Group ◽  
Self Care ◽  
Health Behavior Change ◽  
Self Management ◽  
Control Group ◽  
Mhealth Intervention ◽  
Integrated Theory ◽  
And Control ◽  
Management Behaviors

BACKGROUND Improving the level of health self-management of tuberculosis (TB) patients is significant for reducing drug resistance, improving the cure rate and controlling the prevalence of TB. And the mHealth intervention based on behavioral science theories may be a promising intervention for this goal. OBJECTIVE The study aims to explore and conduct a mHealth intervention based on the Integrated Theory of Health Behavior Change (ITHBC) in patients with pulmonary tuberculosis to increase their ability of self-care management, enhance cure rates and diminish infection and drug resistance. METHODS A prospective randomized controlled study was conducted in this study. Convenience sampling was performed in Harbin Chest Hospital to recruit 114 participants according to the inclusion criteria from May, 2020 to August, 2020. Participants were randomized to intervention and control groups through coin tossing. The intervention group added mHealth intervention based on ITHBC theory about TB management on the basis of the control group. Self-designed and standard scales were used to assess each outcome measure, evaluating effect of the intervention. Independent sample t-test was used for inter-group comparison, and paired sample t-test was used for intra-group comparison. The demographic informatics characteristics of the two groups were compared by chi-square test. RESULTS A total of 112 patients (59 for intervention and 53 for control) completed the study. After the intervention, a statistically significant increase was noted in scores of each item of self-care management behaviors compared with scores at the baseline(P<.001). The scores of all self-care management behaviors of control group were lower than intervention group (P＜.05), except item "cover your mouth and nose when coughing or sneezing" and item " wash hands properly " which had no statistically difference with intervention group . Compared with baseline, TB knowledge awareness, self-efficacy, social support, and degree of satisfaction with health education of the intervention group all increased significantly (P<.001), and it had higher scores than the control group (P<.001). CONCLUSIONS Mobile Health intervention for TB self-management based on ITHBC could deepen understanding of TB patients for their diseases, and improve their objective initiative and self-care management behaviors, which were beneficial to promote compliance behavior and quality of prevention and control for pulmonary tuberculosis.

scholarly journals Effects of a Goal-Oriented Intervention on Self-Management Behaviors and Self-Perceived Burden After Acute Stroke: A Randomized Controlled Trial

2021 ◽  
Vol 12 ◽  
Author(s):  
Yu Chen ◽  
Yuanyuan Wei ◽  
Hongjuan Lang ◽  
Ting Xiao ◽  
Yan Hua ◽  
...  
Keyword(s):  
Controlled Trial ◽  
Intervention Group ◽  
Self Management ◽  
Control Group ◽  
Health Promotion Model ◽  
Randomized Controlled ◽  
Perceived Burden ◽  
Pender's Health Promotion Model ◽  
And Control ◽  
Management Behaviors

Background: Stroke generates significant health and social burdens. Self-management has potential importance for supporting individuals in coping and continuing to progress after stroke. However, there is a lack of targeted programs to enhance self-management and reduce self-perceived burden (SPB) following stroke.Purpose: To evaluate the effects of a goal-oriented intervention on self-management behaviors and SPB among patients after acute stroke.Methods: This was a randomized controlled trial with a 4-weeks intervention. Participants were randomly allocated to the intervention (n = 48) or control group (n = 48). The intervention and control groups received eight sessions of goal-oriented self-management intervention based on Pender's health promotion model and control care, respectively. Self-management behaviors and SPB were evaluated and compared between the two groups.Results: After the 1-month follow-up, there were significant differences in the total self-management behaviors score and the scores of six of the self-management dimensions, excluding diet management, between the intervention group and the control group (t = −7.891– −2.815; p ≤ 0.006). Compared to the control group, the intervention group showed a significant decrease in the physical burden, emotional burden, and total SPB scores (t = 2.102–2.071; p = 0.015–0.041). The economic burden score was not significantly different between the two groups (t = 1.707; p = 0.091).Conclusion: The goal-oriented intervention based on Pender's health promotion model can effectively improve self-management behaviors and reduce physical and emotional SPB among stroke survivors.

A patient-centered mobile intervention to promote self-management and improve patient outcomes in chronic heart failure: The ManageHF4Life trial (Preprint)

2020 ◽  
Author(s):  
Michael P. Dorsch ◽  
Karen B. Farris ◽  
Brigid E. Rowell ◽  
Scott L. Hummel ◽  
Todd M. Koelling
Keyword(s):  
Heart Failure ◽  
Mobile Application ◽  
Controlled Trial ◽  
Intervention Group ◽  
Self Care ◽  
Self Management ◽  
Control Group ◽  
Patient Centered ◽  
Self Monitoring ◽  
Heart Failure Questionnaire

BACKGROUND Successful management of heart failure (HF) involves guideline based medical therapy as well as self-care behavior. As a result, the management of HF is moving toward a proactive real-time technological model of assisting patients with monitoring and self-management. OBJECTIVE Evaluate the effectiveness of a mobile application intervention that enhances self-monitoring on health-related quality of life, self-management, and reduces HF readmissions. METHODS A single-center randomized controlled trial was performed. Patients greater than 45 years of age and admitted for acute decompensated HF or recently discharged in the past 4 weeks were included. The intervention group used a mobile application (App). The intervention prompted daily self-monitoring and promoted self-management. The control group (No App) received usual care. The primary outcome was the change in Minnesota Living with Heart Failure Questionnaire (MLHFQ) from baseline to 6 and 12 weeks. Secondary outcomes were the Self-Care Heart Failure Index (SCHFI) questionnaire and recurrent HF admissions. RESULTS Eighty-three patients were enrolled and completed all baseline assessments. Baseline characteristics were similar between groups with the exception of HF etiology. The App group had a reduced MLHFQ at 6 weeks (37.5 ± 3.5 vs. 48.2 ± 3.7, P=0.039) but not at 12 weeks (44.2 ± 4 vs. 45.9 ± 4, P=0.778) compared to No App. There was no effect of the App on the SCHFI at 6 or 12 weeks. The time to first HF admission was not statistically different between the App versus No App groups (HR 0.89, 95% CI 0.39-2.02, P=0.781) over 12 weeks. CONCLUSIONS The mobile application intervention improved MLHFQ at 6 weeks, but did not sustain its effects at 12 weeks. No effect was seen on HF self-care. Further research is needed to enhance engagement in the application for a longer period of time and to determine if the application can reduce HF admissions in a larger study. CLINICALTRIAL NCT03149510

scholarly journals Effect of Self-care Training on Upper Limb Function and Pain After Breast Cancer Surgery

2021 ◽  
Vol 10 (2) ◽  
Author(s):  
Somyye Noura ◽  
Fatemeh Kiani ◽  
Nezarali Moulaei ◽  
Mojtaba Tasbandi ◽  
Ebrahim Ebrahimi Tabas
Keyword(s):  
Breast Cancer ◽  
Upper Limb ◽  
Intervention Group ◽  
Self Care ◽  
Control Group ◽  
Limb Function ◽  
Upper Limb Function ◽  
Care Training ◽  
The Mean ◽  
And Control

Background: Breast cancer patients who undergo mastectomy encounter numerous problems, the most annoying of which is lymphedema followed by pain and decreased function in the affected limb. Objectives: This study examined the effect of self-care training on upper limb function and pain after breast surgery. Methods: This quasi-experimental study was performed on two groups of 60 patients with breast cancer in the Oncology Ward of Zahedan University of Medical Sciences in 2021. The patients were selected based on the inclusion criteria and through convenience sampling and were then randomly divided into intervention and control groups. The patients in the intervention group attended self-care training and exercise programs implemented in five sessions in addition to the routine care. One and three months after the intervention, upper limb function and pain were measured with DASH and McGill pain questionnaires. The repeated measures analysis of variance (ANOVA) and Bonferroni test were used to compare the pre-, and post-intervention mean scores and mean differences in the two groups. Results: The mean scores of upper limb function one and three months after the training program in the intervention group were lower than the mean scores of the control group. In other words, the quality of upper limb function was not significantly different despite the changes in the first month, but upper limb function significantly improved three months after the intervention (P < 0.001 vs. P = 0.06). The mean pain scores before, one month, and three months after the intervention in the intervention group were 10.4, 35.7, and 6.26, respectively, and the corresponding values in the control group were 10.8, 41.7, and 21.1, respectively, showing significant differences between the two groups, with the intervention group having lower pain scores than the control group (P = 0.001). Conclusions: Since lymphedema and its consequences, including decreased upper limb function and pain, are very serious issues, medical staff can give priority to this training program and implement it to prevent and control these complications.

Effectiveness of Asthma Self-Care Program Through Mobile Line Application (SALA) on Lung Function among Asthma Patients in Angthong Hospital: A Randomized Control Trial

2021 ◽  
Vol 104 (2) ◽  
pp. 264-270
Keyword(s):  
Lung Function ◽  
Usual Care ◽  
Controlled Trial ◽  
Demographic Data ◽  
Intervention Group ◽  
Self Care ◽  
Care Program ◽  
Self Management ◽  
Control Group ◽  
Asthma Patients

Background: Asthma is a disease that causes a lot of suffering. It becomes a hurdle in everyday life. Asthma self-care program through mobile Line application (SALA) might be a good choice to help resolving this problem. Objective: To evaluate effectiveness of SALA program among asthma patients. Materials and Methods: The present study was a randomized controlled trial. The study sample consisted of 62 participants aged between 20 to 60 years with mild to moderate asthma. The study sample were randomly assigned to intervention plus usual care (intervention group, n=31) or usual care (control group, n=31) by computer generated. SALA program was sent to participants once a week for two months through their mobile phone, drug reminder appointment date for four months. The study period was six months. Clinical record form and Questionnaire were adapted to collect the demographic data and lung function via spirometer as FEV₁, FVC, FEV₁/FVC, PEFR, ACS, knowledge, attitude, and self-management. Mini Asthma Quality of Life (QOL) questionnaire was used to collect the data. Intention to treat (ITT), Repeated ANOVA, and General Linear model were statistical technique used to analyze the data. Results: Data from 60 asthma patients were available for analyses. The baseline characteristics of both groups were not significantly different. There were statistically significant mean differences in between the groups at three and six months. The mean difference in the following variables were FEV₁ 13.83 (5.01 to 22.65) FVC, 13.36 (2.62 to 24.09) FEV₁/FVC, 11.65 (4.8 to 18.49), PEFR 9.85 (0.03 to 19.67), ACS 2.45 (0.62 to 4.27), knowledge 2.64 (0.81 to 4.46), and self-management 4.26 (2.00 to 6.52). Conclusion: SALA improved knowledge, self-management, asthma status, and lung function among asthma patients. Keywords: Asthma, Self-care program, Mobile line application

scholarly journals Effects of an Outpatient Diabetes Self-Management Education on Patients with Type 2 Diabetes in China: A Randomized Controlled Trial

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Fan Zheng ◽  
Suixin Liu ◽  
Yuan Liu ◽  
Lihua Deng
Keyword(s):  
Type 2 Diabetes ◽  
Blood Glucose ◽  
Diabetes Education ◽  
Fasting Blood Glucose ◽  
Intervention Group ◽  
Self Care ◽  
Education Programme ◽  
Self Management ◽  
Control Group

Objective. This study is aimed at assessing the effectiveness of a simple outpatient diabetes self-management education programme. Methods. In the study, 60 patients with type 2 diabetes mellitus were randomly allocated into the control group (n=30) and intervention group (n=30). Regular and 2-session health education programmes were provided. The summary of diabetes self-care activity measure, problem areas in the diabetes scale, fasting blood glucose, postprandial 2 h blood glucose, and HbA1c were measured before and after the intervention to assess the effects of this 2-session diabetes education programme. Results. The total mean score of the summary of diabetes self-care activities measure was 17.60±6.63 points. The problem areas in the diabetes scale revealed that the total mean score was 29.82±15.22 points; 27% of the patients had diabetes-related distress, while 9% suffered from severe emotional distress. Compared with the control group, scores of the summary of diabetes self-care activities measure and problem areas in the diabetes scale, fasting blood glucose, postprandial 2 h blood glucose, and HbA1c were significantly improved in the intervention group after the intervention (P<0.01). Conclusion. This study showed that the 2-session diabetes education programme could effectively improve the level of self-reported self-management, psychological distress, and glycemic control in patients with type 2 diabetes mellitus.

scholarly journals The Effects of Group Discussion Based Education on the Promotion of Self-Management Behaviors in Hemodialysis Patients

2018 ◽  
Vol 7 (4) ◽  
pp. 225-232 ◽  
Author(s):  
Azam Mahjubian ◽  
Nasrin Bahraminejad ◽  
Koorosh Kamali
Keyword(s):  
Group Discussion ◽  
Hemodialysis Patients ◽  
Wilcoxon Test ◽  
Self Management ◽  
Control Group ◽  
Control Groups ◽  
Educational Method ◽  
Management Interventions ◽  
And Control ◽  
Management Behaviors

Introduction: Improving self-management of the patients undergoing hemodialysis is an effective way to reduce complications and to improve the quality of life of them. The current study aims to assess the effects of group discussion on the promotion of self-management behaviors in hemodialysis patients. Methods: In this quasi -experimental clinical trial study (with experimental and control groups) 60 patients were arranged in two experimental and control groups through using convenience sampling with random allocation. Self-management interventions were conducted on the experimental group during 3 to 4 sessions of group discussion. The control group received routine interventions. The data were collected through Li and colleagues' self-management standard questionnaire before and 3 months after the intervention. The data were analyzed via SPSS software version 13 and chi-square, t-test, Mann-Whitney, and Wilcoxon test. Results: The results showed that the mean scores of four dimension of self-management including participation with the medical team, problem solving, self-care and emotional management after the implementation of group were significantly different between the experimental and control groups. Conclusion: Based on the findings, group discussion was an effective educational method to promote self-management of chronic hemodialysis patients. Therefore, holding group discussion to reinforce the self- management behaviors in patients undergoing hemodialysis is recommended.

scholarly journals The Effectiveness of Self-Care Model on Diabetes Self-Management Behaviour

2020 ◽  
Vol 5 (1) ◽  
pp. 1
Author(s):  
Dewi Prabawati ◽  
Lia Natalia
Keyword(s):  
Glycemic Control ◽  
Self Care ◽  
T Test ◽  
Self Management ◽  
Control Group ◽  
Diabetic Patients ◽  
Care Model ◽  
Management Behaviour ◽  
Significant Difference ◽  
And Control

Introduction: The needs of diabetic patients are not only limited to adequate glycemic control but also correspond with preventing complications and increasing their awareness to participate in self-management. This study aimed to analyze the effectiveness self-care model to Diabetes self-management behaviour (DSM Behaviour) and Fasting Blood Glucose (FBG) levels. Methods: The study was conducted from June to August 2019 at Community Health Centers. This study employed a Quasi-Experimental pre-posttest with a control group design. There were 104 respondents obtained by purposive sampling technique, and assigned into experimental (52 respondents) and control group (52 respondents). FBG levels and DSM Behaviour were evaluated in the first and the seventh week using The Summary of Diabetes Self Care Activities (SDSCA) questionnaire. Results: Paired sample T-test statistical revealed a significant difference in decreasing levels on FBG and increasing level of DSM Behaviour (p<0.05) at before and after the intervention; Independent T-test discovered a significant difference on FBG and DSM Behaviour (p<0.05) between the intervention and control group. The strongest effect as resulting from the parameter estimation model of SDSCA was a dimension of a healthy diet (2.96) followed by foot exercise (2.41) and activity (4.54). SDSCA showed marginal fit for FBG with t-value <2 and contribution determinant of 8.4% (R2 = 0.084). Conclusions: Self-care model is an effective program that can improve DSM Behaviour and increase adequate glycemic control. In addition, this model needs to implement continuously to prevent complications and improve self-care to diabetic patients.

scholarly journals Pengaruh Diabetes Self Management Education and Support (DSME/S) terhadap Diabetes Distress pada Pasien Diabetes Melitus Tipe 2 di RSD dr. Soebandi Jember (The Effect of Diabetes Self Management Education and Support [DSME/S] on Diabetes Distress in Patie

2018 ◽  
Vol 6 (1) ◽  
pp. 133
Author(s):  
Novita Nurkamilah ◽  
Rondhianto Rondhianto ◽  
Nur Widayati
Keyword(s):  
Diabetes Mellitus ◽  
Management Education ◽  
Intervention Group ◽  
Self Care ◽  
T Test ◽  
Self Management ◽  
Diabetes Distress ◽  
Control Group ◽  
Significant Difference

Diabetes Mellitus (DM) is a chronic disease that requires a continous self-care. A low level ofknowledge about self-care can worsen health condition and cause diabetes distress. The continuingstress can cause hyperglycemia that lead to complications of DM. DSME/S is a structured healtheducation that facilitates DM patients in implementing and maintaining their behavior for sustainableself-care. This research aimed to analyze the effect of DSME/S on diabetes distress in patients withtype 2 DM. This research was quasi experimental with non randomized control group pretestposttest design. Thirty respondents in this study were divided into 15 respondents as theintervention group and 15 respondents as the control group by consequtive sampling technique.DSME/S was conducted in 6 sessions: 4 sessions in the hospital and 2 sessions at respondent'shouse. The data were analyzed by using dependent t test and independent t test with significancelevel of 0.05. The result of dependent t test revealed a significant difference of diabetes distressbetween pretest and posttest both in the intervention group (p=0.001) and in the control group(p=0.046). Furthermore, independent t test showed a significant difference between interventiongroup and control group (p=0.001). The decrease of diabetes distress was higher in the interventiongroup than control group. This result indicates that there was a significant effect of DSME/S ondiabetes distress in patients with type 2 DM. Nurses are expected to apply DSME/S as a dischargeplanning to reduce diabetes distress in patients with type 2 DM.Keywords: diabetes distress, DSME/S, Diabetes Mellitus

scholarly journals Efektivitas Peer Group Diabetes Self Care Education terhadap Diabetes Self Care Activities Pasien DM

2018 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Tramirta Trendi Iriani ◽  
Haryani ◽  
Khudazi Aulawi
Keyword(s):  
Education Program ◽  
Management Education ◽  
Peer Group ◽  
Self Care ◽  
Self Management ◽  
Control Group ◽  
Post Test ◽  
And Control ◽  
Group Self

ABSTRAKLatar belakang: Pasien diabetes melitus (DM) perlu mengontrol kadar glukosa darah dengan melakukan perawatan DM yang terdiri dari pengobatan, latihan, diet, dan edukasi. Peer group pada pasien DM dimungkinkan membantu perawatan DM. Tujuan penelitian: mengetahui efektivitas peer group diabetes self management education program (DSMEP) terhadap diabetes self-care activities DM tipe 2. Metode: Pre-eksperimental dengan rancangan one group pre-test-post-test design with control group. Pengambilan sampel menggunakan purposive sampling dari November-Maret 2013, dengan kriteria inklusi: DM tipe II dan >18 tahun. Jumlah sampel masing-masing 13 pasien untuk kelompok intervensi dan kontrol. Kelompok perlakuan mendapatkan DSMEP, kelompok kontrol mendapatkan edukasi standar. Pretest diberikan sebelum intervensi, post test diberikan sebulan sesudah intervensi. Instrumen The Summary of Diabetes Self-Care Activities (validitas nilai r 0,361, Cronbach’s Alpha 0,847) digunakan untuk mengukur aktivitas perawatan diri. Analisis data menggunakan t-test berpasangan dan tidak berpasangan. Hasil: Kebanyakan responden perempuan, lama pengobatan 10 tahun. Mayoritas pendidikan perguruan tinggi, suku Jawa, Islam, dan menikah. Terdapat perbedaan aktivitas perawatan diri sebelum dan sesudah dilakukan intervensi antara kelompok intervensi dan kontrol pada komponen pengobatan pasien DM (p=0,005), tetapi tidak ada perbedaan yang signifikan pada komponen diet (p=0,077), olahraga (p=0,259), tes gula darah (p=0,058), dan perawatan kaki (p=0,309). Kesimpulan: Peer group diabetes self management education program (DSMEP) dapat meningkatkan kemampuan perawatan diri pasien DM tipe 2.Kata Kunci: diabetes, peer group, self care, activitiesEFFECTIVENESS OF PEER GROUP-BASED DIABETES SELF-CARE EDUCATION ONDIABETES SELF-CARE ACTIVITIES IN DM PATIENTSABSTRACTBackground: Diabetic patients need to control their blood glucose level through DM management consisting of medication, exercise, diet, and education. Peer group in DM patients may help DM treatment. Objective: To identify the effectiveness ofpeer group-based diabetes self-management education program (DSMEP) on diabetes self-care activities of type 2 DM. Methods: This study was pre-experimental with one group pre-test-post-test design with control group design. Samples were taken using purposive sampling from November to March 2013, with inclusion criteria of DM type II and >18 years old. The sample size was 13 patients for each of the intervention and control group. The intervention group received DSMEP, while the control group received standard education. Pretest was given before the intervention and posttest was given a month after the intervention. The Summary Instrument of Diabetes Self-Care Activities (validity value r>0.361, Cronbach’s Alpha=0.847) was used to measure self-care activities. Data were analyzed using paired and unpaired t-test. Results: Most of the respondents were female and received more than 10years of treatment. The majority of the respondents were tertiary educated, Javanese, Islamic, and married. There was a difference in self-care activity before and after intervention between the intervention and control groups in the component of DM patient treatment (p=0.005), but there was no significant difference in the components of dietary (p=0.077), exercise (p=0.259), blood sugar test (p=0.058), and foot care (p=0.309). Conclusion: Peer group-based diabetes self-management education program (DSMEP) can improve self-care ability of type 2 diabetes patients.Keywords: diabetes, peer group, self-care, activities

scholarly journals Effect of nursing teaching program on knowledge and self-management behaviors for patients with essential hypertension

2018 ◽  
Vol 7 (2) ◽  
pp. 123
Author(s):  
Shymaa Helmy Ahmed Abd Alaleam ◽  
Zeinab Abd El-Latif Mohammad ◽  
Mohammed Hossam El-dien ◽  
Sahra Zaki Azer
Keyword(s):  
Essential Hypertension ◽  
Self Management ◽  
Control Group ◽  
Simple Explanation ◽  
Teaching Program ◽  
Assessment Sheet ◽  
Quasi Experimental ◽  
Level Scale ◽  
And Control ◽  
Management Behaviors

Background: Essential hypertension is the most common cardiovascular disease (CVD), affecting about one billion individuals worldwide.Aim of the study: was to evaluate the effect of nursing teaching program on knowledge and self-management behaviors for patients with essential hypertension. Study design; quasi-experimental research design was utilized to conduct this study.Setting: The study was conducted in the internal medicine department and outpatient clinics at Assiut University Hospital.Sample: Sixty adult patients of both sexes divided equally into 2 groups study and control group (thirty for each). Tools; four tools were used for data collection; Patients, assessment sheet, Hypertension Knowledge-Level Scale (HK-LS), Hypertension Self-Management Be-havior Questionnaire (HSMBQ)” and Nursing Teaching Program. Results; the majority of the study and control groups were female (83.3%, 66.7%), married (80.0%, 86.7%), illiterate (66.7%, 60.0), and house wives (83.3%, 63.3%).Conclusion: Nursing teaching program was effective in improving patients’ knowledge and self-management behaviors. Recommenda-tions; educational program should be planned and offered to patients on regular basis. Simple booklets should be available for patients to provide them with simple explanation about the disease. 

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