scholarly journals A review of literature on diabetes self-management: Scope for research and practice in India

2016 ◽  
Vol 04 (02) ◽  
pp. 108-114 ◽  
Author(s):  
Subha Sridharan ◽  
Mahati Chittem ◽  
Nagesh Muppavaram
Keyword(s):  
Diabetes Management ◽  
Self Management ◽  
Future Research ◽  
Review Of Literature ◽  
Self Monitoring ◽  
Research And Practice ◽  
Indian Context ◽  
Strict Diet ◽  
Facilitators And Barriers ◽  
Evidence Based Programs

AbstractDiabetes self-management is a complex phenomenon which refers to patients' attending checkups regularly and adhering to a physician-prescribed regimen including following a strict diet, exercise, self-monitoring of blood glucose (SMBG), and medication. This review will unpack the facilitators and barriers for each of the recommended lifestyle change for improving diabetes management (i.e. the behaviors of diet, exercise, SMBG, and medication). Referred to as the “diabetes capital” of the world, the review will focus on diabetes self-management research and interventions in India, highlighting the dearth for appropriate evidence-based programs in the country. Finally, the review will discuss the scope for future research and practice within this field in the Indian context.

Understanding the characteristics of professional development programs for teachers’ health and wellbeing: Implications for research and practice

2021 ◽  
pp. 000494412110034
Author(s):  
Lucy Corbett ◽  
Philayrath Phongsavan ◽  
Louisa R Peralta ◽  
Adrian Bauman
Keyword(s):  
Professional Development ◽  
Future Research ◽  
Evidence Based ◽  
Development Programs ◽  
Research And Practice ◽  
Health And Wellbeing ◽  
Manual Search ◽  
Australian Education ◽  
Teacher Wellbeing ◽  
Evidence Based Programs

Professional development (PD) provides an opportunity to promote the psychological, social, and physical health tools teachers require to maintain teacher wellbeing. Despite their potential, little is known about PD programs targeting the health and wellbeing of Australian teachers. This study aimed to summarize the characteristics of Australian PD programs targeted at teacher wellbeing, identify gaps in existing PD and make recommendations for future research and practice. Three search strategies, (1) search engine results, (2) a manual search of known Australian education websites, and (3) requests for information from Australian education organizations, were combined to ensure a comprehensive inventory of PD programs was compiled. This study found 63 PD programs promoting health and wellbeing that currently exist for Australian teachers. Of these, only three provided evidence of their evaluation indicating programs are advertised and implemented without evidence of their effectiveness. Future PD should be evaluated with findings of the evaluations reported publicly so evidence-based programs promoting teacher’s health and wellbeing can be recommended and implemented.

A cross-sectional content analysis of Android applications for asthma

2016 ◽  
Vol 23 (2) ◽  
pp. 83-95 ◽  
Author(s):  
Mowafa Househ ◽  
Nassif Hossain ◽  
Amr Jamal ◽  
Nasriah Zakaria ◽  
Ashraf Elmetwally ◽  
...  
Keyword(s):  
Content Analysis ◽  
Health Information ◽  
Information Quality ◽  
Self Management ◽  
Future Research ◽  
Positive Health ◽  
Cross Sectional ◽  
Self Monitoring ◽  
Android Platform ◽  
Search Feature

Providing patients opportunities for self-management and education about their disease, asthma applications designed for use on an Android operating system can have positive health outcomes across the range of demographics who use mHealth applications. This study provides a content analysis of freely available Google Android Platform Mobile Applications for Asthma. A list of applications was collected on 26 October 2014, using the search feature of the Google Play Android platform and using the words and phrases “Asthma,” “Lung Function” and “Peak Flow.” Each application was coded for its approach to asthma self-management, based on categories adapted by Huckvale et al., which are based on the Global Initiative for Asthma and the National Asthma Education and Prevention Program. The characteristics of the 15 asthma applications are described. Most of the asthma applications’ primary function focused on patient self-monitoring and self-assessment. Using the HON Code, we found low health information quality across all asthma applications. Android asthma applications can have positive outcomes in helping patients as they provide opportunities for self-management and education about their disease. Future research should continue to monitor and evaluate the development and use of mHealth Asthma Applications. Based on these findings, and their indication of a gap in existing research, subsequent studies can continue to evaluate the development and use of mHealth Asthma Applications with increasing methodological consistency to improve the quality of in-app health information.

Self-Management with Behaviorally Disordered Students in School Settings: A Promise Unfulfilled?

1989 ◽  
Vol 14 (4) ◽  
pp. 250-262 ◽  
Author(s):  
Charles A. Hughes ◽  
Kathy L. Ruhl ◽  
Anjali Misra
Keyword(s):  
Self Management ◽  
Future Research ◽  
Professional Literature ◽  
Behaviorally Disordered ◽  
Self Monitoring ◽  
Self Evaluation ◽  
School Settings ◽  
Management Procedures ◽  
Procedural Concerns ◽  
Self Instruction

Self-management procedures have been promoted in the professional literature as effective in producing, maintaining, and generalizing behavior changes in behaviorally disordered students. Additional purported advantages are increased student involvement in the behavior change process with a concurrent decrease in teacher involvement. The present review was conducted to evaluate studies of self-management procedures (i.e., self-evaluation, self-instruction, self-monitoring, and self-reinforcement) used with behaviorally disordered students in school settings. While general support for these techniques was found, many procedural concerns must be addressed in future research before educators can use them with confidence and efficiency.

Abstract 311: Facilitators and Barriers to Self-management of Patients with Type 2 Diabetes in Communities in China, a Qualitative Study

Hypertension ◽  
2012 ◽  
Vol 60 (suppl_1) ◽  
Author(s):  
Xiang Y Chen ◽  
Peng Yue ◽  
Yong L Wang ◽  
Shu Q Xiao ◽  
Xin W Feng ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Qualitative Study ◽  
Management Practices ◽  
Diabetes Management ◽  
Financial Burden ◽  
Chinese Patients ◽  
Self Management ◽  
Difficult Time ◽  
Facilitators And Barriers

Background: Self-management has become a key strategy for caring chronic patients in community. However, little is known about peoples’ self-management experiences and their perceived cues and barriers to engagement in self-management. Objective: To explore issues patients with type 2 diabetes experienced in their self-management practices,to understand cues and barriers to engagement in self-management. Design: Qualitative study (Semi-structured interviews) Setting: 11 communities in Beijing, China Participants: Type 2 diabetes patients in community, aged >18, no admission in past 90 days. Methods: 40 critical incident interviews were run during Apr to Sep in 2011 using purposive sampling (20 interviews with patients whose HbA1c well-controlled (<6.5%), while 20 badly-controlled (≥8%)).Themes from interviews were identified using content analysis, which revealed cues and barriers to self-modification for diabetes management. Results: Implications for self- management practice included objectively understanding on the severity and complications of diabetes. In addition to family support such as supervision in family and fully-use of family resource, desires/duties to be responsible for whole family life as a breadwinner was emerged as a key cue to engagement in self-control. Barriers to engagement in self-management stemmed from financial burden to monitor blood glucose daily, dissatisfaction of HbA1c level after efforts, and malignant life events. It is worth mentioning that starving experience of difficult time with natural disasters in1960s- 1970s in China was identified also as a key barrier to engagement in diet management. Discussion and Conclusion: There was a strong desire for Chinese patients to comply with Chinese cultural norms; particularly those relating to family value. It was the patients’ power to be involved in self-management that they could devote their healthy life to family duty. Everyone had his/her own history so experiences in past shaped patients’ behaviors now. The findings highlighted the importance of understanding the family value and the personal experiences as facilitators and barriers to self-management of Chinese patients with type 2 diabetes living in community.

Perspectives of Fear as a Barrier to Self-Management in Non-Hispanic Black Men With Type 2 Diabetes

2018 ◽  
Vol 45 (6) ◽  
pp. 987-996 ◽  
Author(s):  
Ledric D. Sherman ◽  
Joni S. Williams
Keyword(s):  
Quality Of Life ◽  
Type 2 Diabetes ◽  
Perceived Control ◽  
Diabetes Management ◽  
Phenomenological Approach ◽  
Self Management ◽  
Semistructured Interview ◽  
Self Monitoring

Background. Self-managing type 2 diabetes (T2D) is critical but often challenging for non-Hispanic Black (NHB) men. Fears may contribute to poor self-management; however, the evidence is sparse. The purpose of this study is to examine the relationship between fear and diabetes self-management in NHB men from the southern United States. Methods. Nineteen NHB men with T2D were recruited from barbershops and churches. Interviews were conducted using a semistructured interview guide. Transcripts were analyzed using a phenomenological approach and focused on identifying common themes describing the perceptions of fear as a barrier to self-managing T2D in the study participants. Results. More than 68% of the sample was >55 years of age, where 42% reported an annual income of ≥$100,000, 74% were married, and 26% had a college degree. Fifty-three percent expressed fear with diabetes management, while 47% reported no fears with diabetes management. Direct fears associated with self-management included the use of needles and syringes for self-monitoring and medication adherence, respectively. Indirect fears were associated with the development of adverse complications resulting in poor mental and physical quality of life. No fears were reported secondary to diabetes knowledge, perceived control, and social support. Conclusions. In this sample of NHB men, fear was perceived by many as a direct barrier to self-management and an indirect barrier to optimal quality of life. These findings suggest the need to address the fears of NHB men when guiding treatment and developing research interventions to improve self-management skills.

The Mediating Role of Self-Efficacy in the Association Between Diabetes Education and Support and Self-Care Management

2021 ◽  
pp. 109019812110088
Author(s):  
Lucía D. Juarez ◽  
Caroline A. Presley ◽  
Carrie R. Howell ◽  
April A. Agne ◽  
Andrea L. Cherrington
Keyword(s):  
Care Coordination ◽  
Self Efficacy ◽  
Diabetes Management ◽  
Diabetes Education ◽  
Self Care ◽  
Mediating Effect ◽  
Self Management ◽  
Foot Care ◽  
Self Monitoring ◽  
Management Behaviors

Diabetes self-management education and support enhance self-efficacy and promote self-management behaviors essential for diabetes management. We investigated the mediating effect of self-efficacy on the association between diabetes education or care coordination and self-care activities. We surveyed a population-based sample of adults with type 2 diabetes (19–64 years of age) covered by Alabama Medicaid. We examined whether receipt of diabetes education or care coordination were associated with improvements in diabetes self-care activities. We then examined if improvements were mediated by self-efficacy. Models were adjusted for age, gender, race, education, insulin use, diabetes duration, and depressive symptoms. Results A total of 1,318 participants were included in the study (mean age = 52.9 years, SD = 9.6; 72.5% female, 56.4% Black, 3.1% Hispanic). Diabetes education was associated with increases in self-care activity scores related to general diet, physical activity, glucose self-monitoring, and foot care; care coordination was associated with glucose self-monitoring. In addition, mediation analysis models confirmed that improvements in self-efficacy led to improved self-care activities scores, mediating the association of diabetes education and self-care activities. Conclusions Diabetes education and self-efficacy were associated with better self-care. Receiving diabetes education led to a higher likelihood of engaging in self-care activities, driven in part by increases in self-efficacy. Future interventions that aim to improve diabetes self-management behaviors can benefit from targeting self-efficacy constructs and from the integration of diabetes education in the care coordination structure.

scholarly journals Self-Directed Learning on the Runway to Crafts Entrepreneurship

2020 ◽  
Vol 9 (2) ◽  
Author(s):  
Aparna Katre
Keyword(s):  
Exploratory Study ◽  
Product Market ◽  
Self Management ◽  
Future Research ◽  
Self Directed Learning ◽  
Self Monitoring ◽  
Learning Cycles ◽  
Academic Settings ◽  
Directed Learning ◽  
Legacy Cities

Many artisans practice self-directed learning to gain crafts expertise in non-academic settings. They can apply this skill for crafts entrepreneurship. A preliminary exploratory study supported by three crafts entrepreneurs cases explored their transition from artisanship to entrepreneurship. It begins to address the lack of literature at the nexus of crafts entrepreneurship and self-directed learning. Findings suggest artisans develop their product–market fit and solve business-related issues in self-directed learning cycles, exercising self-management at each step, and self-monitoring the outcomes. With profound implications to promote crafts entrepreneurship in resource-strapped small legacy cities, we present guidance for future research to develop this field.

A Component Analysis of Self-Management Training with Behaviorally Disordered Youth

1992 ◽  
Vol 17 (4) ◽  
pp. 281-290 ◽  
Author(s):  
Samuel A. Digangi ◽  
John W. Maag
Keyword(s):  
Management Training ◽  
Interaction Effects ◽  
Self Management ◽  
Behaviorally Disordered ◽  
Self Monitoring ◽  
Research And Practice ◽  
Self Evaluation ◽  
Verbal Behaviors ◽  
Self Instruction ◽  
Three Components

The purpose of this study was to analyze the interaction effects among three components of self-management training: self-monitoring, self-evaluation/self-reinforcement, and self-instruction upon the appropriate and inappropriate verbal behaviors of three behaviorally disordered students. An extension of the A-B-A-B design was used to assess interaction effects. A combination of all three components and the combination of self-instruction and self-monitoring were the most effective treatments across all three subjects. Self-monitoring and self-evaluation/self-reinforcement, when employed as individual treatments, were least effective, while self-instruction was the most effective treatment when employed in isolation. Implications for research and practice are discussed.

Connecting self-monitoring device and hypertension management: A qualitative inquiry of women with hypertension in rural Bangladesh (Preprint)

2020 ◽  
Author(s):  
Atiqur Rahman ◽  
Yasmin Jahan
Keyword(s):  
Salt Intake ◽  
Management Strategies ◽  
Qualitative Inquiry ◽  
Management Tool ◽  
Self Management ◽  
Future Research ◽  
Monitoring Device ◽  
Self Monitoring ◽  
Cultural Aspects ◽  
High Salt Intake

BACKGROUND Like many other developing countries, the implementation of urinary salt-monitoring devices in hypertension (HTN) management is lagging behind in Bangladesh. One possible reason is the limited resources and lack of awareness that impede to get access to home-based HTN management strategies. OBJECTIVE This study has implemented a self-monitoring device (KME-03) with an objective to explore the feasibility of such a device in a rural community level setting to manage HTN. Secondly, the study aimed at showcasing if and how associated socio-cultural aspects influence the understanding of salt intake. METHODS A qualitative approach was adopted for data collection using focus group discussion and key informant interviews. Participants (n=24) were recruited from two different categories namely, community health worker (CHW) (n=8), and hypertensive women (n=16) and the result is reported following the Standards for Reporting Qualitative Research (SRQR) guideline. Data were analyzed using the framework method. RESULTS Two potential themes were emerged (a) perceptions on KME-03: CHW and hypertensive patient; and (b) beliefs of salt intake: Socio-cultural cohesion. The main finding indicated the KME-03 device was effective for urinary salt excretion measurement and can potentially be applicable to HTN self-management. Participants were comfortable with the usage and functionalities of KME-03 and had identified some technical errors. The majority of them have disagreed that the device has reduced extra paperwork. Although few of the participants were aware of the detrimental effects of high salt intake, the majority agreed on unawareness which was stimulated by a number of socio-cultural perceptions. The arbitrarily defined cut-points towards salt intake reported that some individuals were susceptible to salt reduction whereas others did not. CONCLUSIONS The CHWs and hypertensive patients found KME-03 device a useful self-management tool in HTN management. The functionalities of the device motivated the participants to integrate HTN management strategies into their everyday life and made them feel like promising perceptions regarding KME-03. However, the findings also denote noteworthy perceptions of salt ingesting practice among HTN patients that are entangled with socio-cultural aspects. This finding has public health significance. Future research should look into this issue more closely to identify components may have an insidious impact on the positive use of self-monitoring device in HTN management. CLINICALTRIAL Bangladesh Medical Research Council (BMRC) registration number 06025072017.

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