scholarly journals Effectiveness of an App-Based Mobile Intervention for Precision Oral Self-Care in Patients with Periodontitis from Initial Therapy to Re-Evaluation

2021 ◽  
Vol 11 (9) ◽  
pp. 4229
Author(s):  
Wen-Jen Chang ◽  
Yen-Li Wang ◽  
Yen-Hsiang Chang ◽  
Shih-Yin Lo
Keyword(s):  
Oral Hygiene ◽  
Intervention Group ◽  
Self Care ◽  
Initial Therapy ◽  
Mobile App ◽  
Oral Disease ◽  
Control Group ◽  
Significant Difference ◽  
Mobile Intervention ◽  
Oral Disease Prevention

Good oral hygiene is essential to oral health and oral disease prevention. Strengthening the adherence of patients with periodontitis to oral hygiene behaviors (OHBs) is crucial for the success of periodontal treatment. This study aims to investigate the intervention effectiveness of a novel mobile app for precision oral self-care, which was developed to help patients with periodontitis improving their oral hygiene through daily oral self-care. One-hundred and fifty eligible patients were recruited into this study and randomly allocated to the control (n = 75) or intervention group (n = 75), and their oral hygiene status (OHS) and OHBs were recorded at baseline and re-evaluation. The participants in the intervention group were required to perform daily oral self-care using our oral self-care app (OSCA) and the functional preferences and overall likeability of the OSCA were evaluated through a questionnaire survey. In total, 39 patients from the control group and 49 from the intervention group completed clinical examinations at baseline and re-evaluation. The results demonstrated that there was no significant difference in OHS improvement between the two groups. However, OHS improvement significantly differed between low-, moderate-, and high-frequency users, with frequency of use being positively correlated to the likeability of the app. Further investigation of the effectiveness of the OSCA intervention revealed that behavioral change in oral hygiene, frequency of OSCA use, and smoking affected OHS improvement. These outcomes indicate that our app-based mobile intervention may be of value for precision oral self-care in patients with periodontitis.

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 The Effect of Self-Care Education on the Quality of Life in Patients with Pulmonary Tuberculosis

2020 ◽  
Vol 9 (2) ◽  
Author(s):  
Maryam Abiz ◽  
Hasan Robabi ◽  
Alireza Salar ◽  
Farshid Saeedinezhad
Keyword(s):  
Quality Of Life ◽  
Statistical Tests ◽  
Intervention Group ◽  
Self Care ◽  
T Test ◽  
Control Group ◽  
Care Education ◽  
Significant Difference ◽  
Quasi Experimental

Background: Tuberculosis (TB) affects various aspects of quality of life (QoL), and self-care is the most important form of primary care and one of the main factors involved in the process of treating chronic diseases and improving the patients’ QoL. Objectives: This study aimed to investigate the effect of self-care education on the QoL of TB patients. Methods: In this quasi-experimental study, 110 TB patients referred to the TB coordinating Center in Zahedan, Southeastern Iran, in 2018, are studied. Participants were selected using convenience sampling and were randomly assigned to the intervention (n = 55) and control (n = 55) groups. Data were collected using the tuberculosis quality of life-version 2 (TBQol-v2). For the intervention group, first, patients and their caregivers were divided into groups compromising of 4 to 6 members, and then three sessions of self-care education, including lectures and questions and answers meetings, each lasted for 30 minutes (in total 90 minutes) were provided to each group. Data were analyzed in SPSS version 21 using descriptive statistical tests, independent t-test, paired t-test, and chi-squared test. Results: Mean of the total QoL score of the two groups before the intervention was 67.56 ± 5.99 and 67.09 ± 5.03, respectively, indicating no significant difference (P = 0.65). But after providing the intervention, the mean score of patients QoL in the intervention group (74.84 ± 4.90) was significantly higher than the control group (67.98 ± 0.68) (P = 0.001). Conclusions: Since self-care education can effectively enhance the QoL of TB patients, it is recommended to provide such educations for both treatment and follow-up of these patients along with directly observed treatment, short-course (DOTS).

scholarly journals Electronic Self-Report Assessment for Cancer and Self-Care Support: Results of a Multicenter Randomized Trial

2014 ◽  
Vol 32 (3) ◽  
pp. 199-205 ◽  
Author(s):  
Donna L. Berry ◽  
Fangxin Hong ◽  
Barbara Halpenny ◽  
Ann H. Partridge ◽  
Jesse R. Fann ◽  
...  
Keyword(s):  
Intervention Group ◽  
Self Care ◽  
Symptom Distress ◽  
Self Report ◽  
Analysis Of Covariance ◽  
Control Group ◽  
Web Based ◽  
Significant Difference ◽  
Distress Scale ◽  
Care Support

Purpose The purpose of this trial was to evaluate the effect of a Web-based, self-report assessment and educational intervention on symptom distress during cancer therapy. Patients and Methods A total of 752 ambulatory adult participants were randomly assigned to symptom/quality-of-life (SxQOL) screening at four time points (control) versus screening, targeted education, communication coaching, and the opportunity to track/graph SxQOL over time (intervention). A summary of the participant-reported data was delivered to clinicians at each time point in both groups. All participants used the assessment before a new therapeutic regimen, at 3 to 6 weeks and 6 to 8 weeks later, completing the final assessment at the end of therapy. Change in Symptom Distress Scale–15 (SDS-15) score from pretreatment to end of study was compared using analysis of covariance and regression analysis adjusting for selected variables. Results We detected a significant difference between study groups in mean SDS-15 score change from baseline to end of study: 1.27 (standard deviation [SD], 6.7) in the control group (higher distress) versus −0.04 (SD, 5.8) in the intervention group (lower distress). SDS-15 score was reduced by an estimated 1.21 (95% CI, 0.23 to 2.20; P = .02) in the intervention group. Baseline SDS-15 score (P < .001) and clinical service (P = .01) were predictive. Multivariable analyses suggested an interaction between age and study group (P = .06); in subset analysis, the benefit of intervention was strongest in those age > 50 years (P = .002). Conclusion Web-based self-care support and communication coaching added to SxQOL screening reduced symptom distress in a multicenter sample of participants with various diagnoses during and after active cancer treatment. Participants age > 50 years, in particular, may have benefited from the intervention.

Orem’s Self-Care Model with Multiple Sclerosis Patients’ Balance and Motor Function

2019 ◽  
Vol 33 (1) ◽  
pp. 46-54
Author(s):  
Ardashir Afrasiabifar ◽  
Zahra Mehri ◽  
Hamid Reza Ghaffarian Shirazi
Keyword(s):  
Multiple Sclerosis ◽  
Motor Function ◽  
Intervention Group ◽  
Self Care ◽  
Nursing Intervention ◽  
Control Group ◽  
Care Model ◽  
Significant Difference ◽  
The Mean ◽  
Multiple Sclerosis Patients

Orem’s self-care model has been introduced as a nursing model to empower participants with chronic diseases. This study aims to investigate the effectiveness of nursing interventions using Orem’s self-care model with multiple sclerosis participants’ balance and motor function. Sixty-three participants with multiple sclerosis were randomly assigned to intervention and control groups. The nursing intervention using Orem’s self-care model was performed for eight sessions of 45–60 minutes in the intervention group. In the intervention group, a significant increase (improvement) was observed in the mean scores of balance before (17.09 ± 1.97) and after the intervention (33.75 ± 6.01). A significant decrease (improvement) was observed in the mean of motor functions before (4.12 ± 0.34) and after the intervention (1.59 ± 0.71) ( p = 0.001). However, no significant difference existed in the mean scores of balance ( p = 0.10) and motor function in the control group ( p = 0.20). The nursing intervention using Orem’s self-care model improved balance and motor function of participants with multiple sclerosis.

scholarly journals Effectiveness of the ColorApp Mobile App for Health Education and Promotion for Colorectal Cancer: Quasi-Experimental Study

10.2196/15487 ◽  
2020 ◽  
Vol 7 (1) ◽  
pp. e15487
Author(s):  
Nor Azwany Yaacob ◽  
Muhamad Fadhil Mohamad Marzuki ◽  
Najib Majdi Yaacob ◽  
Shahrul Bariyah Ahmad ◽  
Muhammad Radzi Abu Hassan
Keyword(s):  
Colorectal Cancer ◽  
Mobile Apps ◽  
Intervention Group ◽  
Mobile App ◽  
Control Group ◽  
The Public ◽  
Screening Participation ◽  
Significant Difference ◽  
Quasi Experimental ◽  
Knowledge And Attitude

Background Lack of knowledge and poor attitude are barriers to colorectal cancer screening participation. Printed material, such as pamphlets and posters, have been the main approach in health education on disease prevention in Malaysia. Current information technology advancements have led to an increasing trend of the public reading from websites and mobile apps using their mobile phones. Thus, health information dissemination should also be diverted to websites and mobile apps. Increasing knowledge and awareness could increase screening participation and prevent late detection of diseases such as colorectal cancer. Objective This study aimed to assess the effectiveness of the ColorApp mobile app in improving the knowledge and attitude on colorectal cancer among users aged 50 years and older, who are the population at risk for the disease in Kedah. Methods A quasi-experimental study was conducted with 100 participants in Kedah, Malaysia. Participants from five randomly selected community empowerment programs in Kota Setar district were in the intervention group; Kuala Muda district was the control group. Participants were given a self-administered validated questionnaire on knowledge and attitudes toward colorectal cancer. A mobile app, ColorApp (Colorectal Cancer Application), was developed as a new educational tool for colorectal cancer prevention. The intervention group used the app for two weeks. The same questionnaire was redistributed to both groups after two weeks. The mean percentage scores for knowledge and attitude between groups were compared using repeated measure ANCOVA. Results There was no significant difference in age, sex, highest education level, current occupation, and diabetic status between the two groups. The number of smokers was significantly higher in the intervention group compared with the control group and was controlled for during analysis. The intervention group showed a significantly higher mean knowledge score compared with the control group with regards to time (Huynh-Feldt: F1,95=19.81, P<.001). However, there was no significant difference in mean attitude scores between the intervention and control groups with regards to time (F1,95=0.36, P=.55). Conclusions The ColorApp mobile app may be an adjunct approach in educating the public on colorectal cancer.

scholarly journals EFFECTIVENESS OF SUPERVISED TOOTH BRUSHING EXERCISE ON THE ORAL HYGIENE STATUS OF SCHOOL GOING CHILDREN IN PESHAWAR

2021 ◽  
Vol 71 (3) ◽  
pp. 957-61
Author(s):  
Samrina Nasir ◽  
Rubab Jawed ◽  
Zeeshan Kibria ◽  
Shazia Makhdoom ◽  
Aiman Khan ◽  
...  
Keyword(s):  
Oral Health ◽  
Oral Hygiene ◽  
Intervention Group ◽  
Tooth Brushing ◽  
Index Score ◽  
Plaque Index ◽  
Mixed Dentition ◽  
Control Group ◽  
Government School ◽  
Significant Difference

Objective: To determine the effects of supervised tooth brushing exercise on the oral hygiene status of school going children in Peshawar. Study Design: Prospective observational study. Place and Duration of Study: This study was conducted at a girl’s government school in university town, Peshawar, from Jul to Dec 2018. Methodology: All girls between age 7-10 years with mixed dentition, minimum plaque index score 2 and gingival index score 0 were included in the study. Sixty four girls were allocated into group A (intervention) and group B (control) using computer generated random numbers. Intervention group (32 subjects) was exposed to video plus supervised tooth brushing on a cast model while control group (32 subjects) only exposed to video on brushing technique. The plaque index score was recorded for oral hygiene status as outcome measure of intervention after one month. Results: The mean age of the participants was 9.53 ± 1.08 years. There was statistically significant difference in the plaque scores of interventional and control group after one month (0.3125 ± 0.470 vs. 1.312 ± 0.644, p<0.001) as compared to baseline data (1.90 ± 0.296 vs. 2.0 ± 0.00, p=0.83). The difference for frequency of tooth brushing between the two groups was not statistically significant (p=0.088). Parental watch during tooth brushing between the two groups was statistically insignificant (p=0.055). Conclusion: Supervised tooth brushing improved the oral hygiene status of the children therefore oral health education was effective in establishing good oral health among school children.

scholarly journals The Effect of Family Empowerment Model on Self-care in Hemodialysis Patients of Zahedan, Iran

Health Scope ◽  
2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Alireza Salar ◽  
Hoda Taheri
Keyword(s):  
Intervention Group ◽  
Self Care ◽  
Hemodialysis Patients ◽  
T Test ◽  
The Self ◽  
Control Group ◽  
Significant Difference ◽  
The Family ◽  
Empowerment Model ◽  
Family Centered

Background: Self-care is one of the important aspects of treatment in hemodialysis patients. This study was done to determine the effect of the family-centered empowerment model on the self-care of hemodialysis patients. Methods: This study was performed on 100 hemodialysis patients referring to the Zahedan hemodialysis department in 2018. For the intervention group, the family-centered empowerment model was executed in four stages, including understanding the threat, problem-solving, educational participation, and evaluation according to the steps of the model, and the control group received the usual care of the department. The data collection tools were the demographic information questionnaire and self-care questionnaire. Data were analyzed using SPSS V.22 by analysis of variance (ANOVA), independent t-test, repeated measures t-test, and Chi-square test. Results: Based on the independent t-test, the mean self-care score of patients in the intervention and control group was significantly different (P < 0.001). There was a significant difference in the "main caregiver relation" variable (P = 0.006). The results of the "time" and "intervention" effects of this test also showed that these two variables had a significant effect on mean self-care scores (P < 0.001). The results of ANOVA showed that self-care score changed in the two groups there was an increase in the self-care score in the intervention group compared with the control group (P < 0.001). Conclusions: Implementing the family-centered empowerment model in hemodialysis patients by strengthening the ability of the patient and their families to care provides a platform for their promotion and maintenance of their self-care.

scholarly journals MyLung: A mHealth Assistive System to Empower Patients with COPD (Preprint)

2020 ◽  
Author(s):  
Abc Xyz
Keyword(s):  
Behavioral Intention ◽  
Self Efficacy ◽  
Care Management ◽  
Intervention Group ◽  
Self Care ◽  
Control Group ◽  
Systems Research ◽  
Significant Difference ◽  
The Impact ◽  
Awareness Level

BACKGROUND Chronic Obstructive Pulmonary Disease (COPD) is one of those progressive diseases that deteriorate lung functions. When patients cannot breathe, nothing else in their lives matter. The breathlessness has negative implications on patients’ lives that lead to physical and psychological limitations. The physical limitations impede daily life activities that are essential for patients with COPD. Psychological limitations are manifested in anxiety that results from the emotional response to breathlessness. Because patients with COPD are always overwhelmed by anxiety and depression, they are less motivated to engage in self-care and education intervention. Moreover, the lack of relevant and updated information about the causes and consequences of the disease can exacerbate the problems of health literacy, information accessibility, and medical adherence. OBJECTIVE The objective of this study is to design an innovative mHealth app system called “MyLung” that provides a complete solution to increase self-awareness and to promote better self-care management. This IT artifact includes three integrative modules that are novel: education, risk reduction, and monitoring. METHODS The utility and effectiveness of the assistive mobile-based technology are evaluated using mixed methods approach. The study combines quantitative and qualitative research methods to thoroughly understand how the assistive mobile-based technology can influence patients’ behavioral intention to change their lifestyle. Thirty patients were assigned in two groups (intervention group and control group). The results from the quantitative analysis introduced several follow-up interviews using a qualitative study RESULTS The results of the quantitative study provide significant evidence that the design of MyLung leads to change in awareness level, self-efficacy and behavioral intention for patients with COPD. T- tests reveal significant difference before and after using mobile based app for awareness level (M = 3.28 versus 4.56, t(10) = 6.062, p < 0.001), self-efficacy (M = 3.11 versus 5.56, t(10) = 2.96, p = 0.014) and behavioral intention (M = 2.91versus 4.55, t(10) = 3.212, p = 0.009). In the same vein, independent sample t-tests reveal significant difference between groups in awareness level (M = 4.56 versus 3.31, t(19) = 4.80, p < 0.001) and self- efficacy (M = 5.56 versus 3.66, t(19) = 2.8, p < 0.012). Integrating findings from quantitative and qualitative strands introduces inferences that describe the impact of the design in a comprehensive view. These inferences are referred in this study as “meta-inferences”. CONCLUSIONS The objective of this research is to empower patients with COPD with assistive mobile-based technology that helps increase awareness levels and to engage patients in self-care management activities. The assistive technology aims to inform patients about the risk factors of COPD, and to improve access to relevant information. Meta-inferences that are emerged from the research outputs contribute to chronic management information systems research by helping us gain more complete understanding of the potential impacts of this proposed mobile-based design on patients with chronic disease.

scholarly journals Effects of Guided Reflection on Diabetes Self-Care: A Randomized Controlled Trial

2018 ◽  
Vol 45 (1) ◽  
pp. 66-79 ◽  
Author(s):  
Jennifer A. Fearon-Lynch ◽  
Kristen A. Sethares ◽  
Marilyn E. Asselin ◽  
Kristine Batty ◽  
Caitlin M. Stover
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Intervention Group ◽  
Self Care ◽  
Control Group ◽  
Diabetes Research ◽  
Diabetes Knowledge ◽  
Convenience Sample ◽  
Randomized Controlled ◽  
Significant Difference

The purpose of this study was to evaluate the effects of guided reflection on self-care behaviors, confidence scores, and diabetes knowledge among adults with diabetes. A randomized controlled trial with a pre/posttest design was used to generate data from a convenience sample of 62 adults with diabetes recruited from a single site. After viewing a 30-minute video on how to manage diabetes, participants were randomized to a control group (CG) (usual care) or an intervention group (IG). The IG further engaged in a reflection educational session. For 8 weeks, the IG isolated diabetes-related events weekly, critically analyzed them using Gibbs’s reflective questions, and recorded their analysis in a journal. They also shared their perspective relative to using the journal in an audiotaped interview. Main measures included baseline and 8-week clinical outcomes (self-care maintenance, monitoring, management, and confidence scores and diabetes knowledge scores) and intervention acceptability. Compared to the CG, the IG had no statistically significant difference in self-care measures over time, although scores trended in the anticipated direction. Importantly, both groups had statistically significant improvement in self-care scores. Furthermore, there was statistically significant improvement in diabetes knowledge among IG participants. Informatively, IG critically analyzed 147 diabetes-related events concentrating on blood glucose, diet, exercise, monitoring, medication, sleep pattern, and health care visits. Participants found the guided reflection activity highly acceptable. Combined educational and reflection interventions are effective approaches for improving self-care outcomes and diabetes knowledge among adults with diabetes. Research concentrating on purposeful patient reflection is warranted in a larger sample paying careful attention to study limitations.

Gargling with Aloe vera extract is effective to prevent the Ventilator-Associated Pneumonia (VAP)

2018 ◽  
Vol 2 (3) ◽  
pp. 70
Author(s):  
Mita Agustina
Keyword(s):  
Oral Hygiene ◽  
Intervention Group ◽  
Aloe Vera ◽  
Control Group ◽  
P Value ◽  
Ventilator Associated Pneumonia ◽  
Control Group Design ◽  
Significant Difference ◽  
Component Temperature

Background: Long-term use of a mechanic ventilator may cause Ventilator- Associated Pneumonia (VAP) infection, nosocomial pneumonia that occurs after 48 hours in patients using mechanical ventilation either through the endotracheal tube or the tracheostomy tube. To prevent the occurrence of VAP, antiseptic liquid (mouthwash) such as chlorhexidine 2% maybe recommended. However, gargling using chlorhexidine may also cause allergies, thus, Aloe vera extract could be an alternative. Aims: The purpose of this study was to determine the effectiveness of Aloe vera extract as mouthwash to prevent the occurrence of Ventilator-associated pneumonia. Methods: This research is a quasi-experiment case-control study with a pre- posttest control group design. The sample size in this study was 30 respondents who were equally distributed into two groups; intervention group was administered using Aloe vera extract, while chlorhexidine was practiced for the control group. To determine the occurrence of VAP, Clinical Pulmonary Infection Score (CPIS) for Ventilator-Associated Pneumonia was measured on the first day of intubation and the fourth day, enumerated by nurses in the emergency room. CPIS is a set of indicators comprised of temperature, leucocyte, trachea secretion, oxygenation (PaO2/FiO in mm Hg), and thorax photo. CPIS value below than five will be regarded non-VAP, while CPIS scored 6-9 will be diagnosed as VAP. Results: Oral hygiene with Aloe vera extract was able to prevent the occurrence of VAP (p-value = 0.001), but there was no significant difference between the control group and intervention in the CPIS component temperature, leukocytes, tracheal secretions, FiO2, and the thoracic component. Conclusions: Oral hygiene with Aloe vera extract effectively prevented the occurrence of V entilator-Associated Pneumonia (V AP) compared to chlorhexidine. 

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