scholarly journals Understanding Family-Level Effects of Adult Chronic Disease Management Programs: Perceived Influences of Behavior Change on Adolescent Family Members' Health Behaviors Among Low-Income African Americans With Uncontrolled Hypertensions

2019 ◽  
Vol 6 ◽  
Author(s):  
Rachel L. J. Thornton ◽  
Tracy J. Yang ◽  
Patti L. Ephraim ◽  
L. Ebony Boulware ◽  
Lisa A. Cooper
Keyword(s):  
Chronic Disease ◽  
African Americans ◽  
Disease Management ◽  
Behavior Change ◽  
Health Behaviors ◽  
Low Income ◽  
Chronic Disease Management ◽  
Family Members ◽  
Disease Management Programs ◽  
Family Level

scholarly journals IMPROVING CHRONIC DISEASE MANAGEMENT FOR LOW INCOME ELDERS VIA FEDERAL INTERAGENCY COLLABORATION

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 1220-1220
Author(s):  
L. Simon-Rusinowitz ◽  
E. Fazio ◽  
K. Kulinski ◽  
J. Weiss
Keyword(s):  
Chronic Disease ◽  
Disease Management ◽  
Low Income ◽  
Chronic Disease Management ◽  
Interagency Collaboration

scholarly journals Chronic Disease Management Programs Based On Caring Theory With Blood Pressure Reduction

2021 ◽  
Vol 5 (1) ◽  
pp. 70-76
Author(s):  
Apriyani Puji Hastuti ◽  
Ardhiles Wahyu Kurniawan ◽  
Hanim Mufarokhah
Keyword(s):  
Blood Pressure ◽  
Chronic Disease ◽  
Disease Management ◽  
Diastolic Blood Pressure ◽  
Chronic Disease Management ◽  
Blood Pressure Reduction ◽  
Management Program ◽  
Pressure Reduction ◽  
Cross Sectional ◽  
Disease Management Programs

Background: Hypertension cases to overcome the patient's hypertension condition would be well or prosperous condition and the patient could prevent complications and control blood pressure. Activities in Chronic Disease Management Program (Prolanis) include medical or educational consultations, home visits, reminders, club activities.Purpose: This study aimed to analyze the application of the prolanis program based on the caring theory by reducing blood pressure in hypertensive patients.Methods: The design of this research is pre-experimental with cross sectional study approach. The population in this study were all patients with hypertension who took part in management program activities in the public health center (PHC), a number of 40 people, with the sampling technique used was accidental sampling and the total sample was 28 people. The data collection method used a questionnaire. The data analysis of this research is to use the Paired t test.Results: The result of this study is that there is a relationship between the application of a chronis disease management programs based on caring theory with blood pressure reduction with an average systolic blood pressure before the intervention of 142?26.15 and after the intervention of 138?1.21 with p= 0.000 which means that the module intervention can decrease systolic and diastolic blood pressure. While for diastolic blood pressure, the results of the study showed that the mean blood pressure before the intervention was 85?10.36 and after the intervention was 85?7.61 with p= 0.000.Conclusion: It can be concluded that there is a possitive effect between giving prolanis module based on caring theory with systolic and diastolic blood pressure

A Survey of Leading Chronic Disease Management Programs: Are They Consistent with the Literature?

2002 ◽  
Vol 16 (2) ◽  
pp. 67-80 ◽  
Author(s):  
Edward H. Wagner ◽  
Connie Davis ◽  
Judith Schaefer ◽  
Michael Von Korff ◽  
Brian Austin
Keyword(s):  
Chronic Disease ◽  
Disease Management ◽  
Chronic Disease Management ◽  
Disease Management Programs

Chronic disease management programs for adults with asthma

2009 ◽  
Author(s):  
Isabelle Peytremann-Bridevaux ◽  
Grégoire Gex ◽  
Pierre-Olivier Bridevaux ◽  
Bernard Burnand
Keyword(s):  
Chronic Disease ◽  
Disease Management ◽  
Chronic Disease Management ◽  
Disease Management Programs

scholarly journals Conversational Agents as Mediating Social Actors in Chronic Disease Management Involving Healthcare Professionals, Patients, and Family Members (Preprint)

2020 ◽  
Author(s):  
Tobias Kowatsch ◽  
Theresa Schachner ◽  
Samira Harperink ◽  
Filipe Barata ◽  
Ullrich Dittler ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Disease Management ◽  
Family Member ◽  
Working Alliance ◽  
Healthcare Professionals ◽  
Chronic Disease Management ◽  
Family Members ◽  
Inhalation Technique ◽  
Conversational Agents ◽  
Behavioral Skills

BACKGROUND Successful management of chronic diseases requires a trustful collaboration between healthcare professionals, patients, and family members. Scalable conversational agents (CAs), designed to assist healthcare professionals, may play a significant role in supporting this collaboration in a scalable way by reaching out into the everyday lives of patients and their family members. Until now, however, it has not been clear whether CAs, in such a role, would be accepted and whether they can support this multi-stakeholder collaboration. OBJECTIVE With asthma in children representing a relevant target of chronic disease management, this work has two objectives: (1) To describe the design of MAX, a CA-delivered asthma intervention that supports healthcare professionals targeting child-parent teams in their everyday lives; (2) To assess the (a) reach of MAX, (b) CA-patient working alliance, (c) acceptance of MAX, (d) intervention completion rate, (e) cognitive and behavioral outcomes, and (f) human effort and responsiveness of healthcare professionals in primary and secondary care settings. METHODS MAX was designed to increase cognitive skills (i.e. knowledge about asthma) and behavioral skills (i.e. inhalation technique) in 10-15-year-olds with asthma and enables support by a health professional and a family member. To this end, three design goals guided the development: (1) To build a CA-patient working alliance; (2) To offer hybrid (human- and CA-supported) ubiquitous coaching; (3) To provide an intervention with a high experiential value. An interdisciplinary team of computer scientists, asthma experts, and young patients with their parents developed the intervention collaboratively. The CA communicates with healthcare professionals via email, with patients via a mobile chat app and with a family member via SMS. A single-arm feasibility study in primary and secondary care settings was conducted to assess MAX. RESULTS Results indicate an overall positive evaluation of MAX with respect to its reach (49.5% (49 out of 99) of recruited and eligible patient-family member teams participated), a strong patient-CA working alliance, and a high acceptance by all relevant stakeholders. Moreover, MAX led to improved cognitive and behavioral skills and an intervention completion rate of 75.5%. Family members supported the patients in 269 out of 275 (97.8%) coaching sessions. Most of the conversational turns (99.5%) were conducted between patients and the CA as opposed to between patient and healthcare professional, thus indicating the scalability of MAX. In addition, it took healthcare professionals less than four minutes to assess the inhalation technique and three days to deliver that feedback to the patients. Several suggestions for improvement were made. CONCLUSIONS For the first time, this work provides evidence that CAs, designed as mediating social actors involving healthcare professionals, patients and family members, are not only accepted in such a “team player” role, but also show potential to improve health-relevant outcomes in chronic disease management.

scholarly journals Social Support: a Key Variable for Health Promotion and Chronic Disease Management in Hispanic Patients with Rheumatic Diseases

2014 ◽  
Vol 7 ◽  
pp. CMAMD.S13849 ◽  
Author(s):  
Alyssa T. Brooks ◽  
Regina E. Andrade ◽  
Kimberly R. Middleton ◽  
Gwenyth R. Wallen
Keyword(s):  
Social Support ◽  
Health Promotion ◽  
Chronic Disease ◽  
Disease Management ◽  
Rheumatic Diseases ◽  
Chronic Disease Management ◽  
Family Members ◽  
Psychosocial Burden ◽  
Cross Sectional

Chronic diseases, including rheumatic diseases, can cause immense physical and psychosocial burden for patients. Many Hispanics suffering with arthritis face activity limitations. Social support, or the functional content of relationships, may be important to consider when examining treatment and outcomes for Hispanic individuals. Participants were recruited from an urban community health center (CHC) as part of a larger health behavior study. A cross-sectional, descriptive, mixed methods analysis was conducted to explore the role of social support in the sample. Only Hispanic/Latino patients (n = 46) were included in this analysis. Interviews were conducted in both English and Spanish. The majority of the sample (87%) perceived some presence of social support in their lives. The two most commonly cited types of social support were emotional and instrumental. The two most common sources of social support were family members other than spouses (52.2%) and spouses (32.6%). Body mass index (BMI) was significantly correlated with the number of perceived sources of support. The presence or absence and the role of social support in supporting optimal health outcomes should be considered for Hispanics with chronic rheumatic diseases. Involving family members and spouses in the plan of care for this population could facilitate health promotion and chronic disease management.

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