scholarly journals Assessment of an Interactive Digital Health–Based Self-management Program to Reduce Hospitalizations Among Patients With Multiple Chronic Diseases

2021 ◽  
Vol 4 (12) ◽  
pp. e2140591
Author(s):  
Scott A. Lear ◽  
Monica Norena ◽  
Davina Banner ◽  
David G. T. Whitehurst ◽  
Sabrina Gill ◽  
...  
Keyword(s):  
Chronic Diseases ◽  
Digital Health ◽  
Management Program ◽  
Self Management ◽  
Multiple Chronic Diseases

scholarly journals Impact of the chronic disease self-management program (CDSMP) on self-perceived frailty condition: the EU-EFFICHRONIC project

2021 ◽  
Vol 12 ◽  
pp. 204062232110567
Author(s):  
Sabrina Zora ◽  
Carlo Custodero ◽  
Yves-Marie Pers ◽  
Verushka Valsecchi ◽  
Alberto Cella ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Chronic Diseases ◽  
Cognitive Performance ◽  
Nutritional Assessment ◽  
Short Form ◽  
Prognostic Index ◽  
Mini Nutritional Assessment ◽  
Management Program ◽  
The Self ◽  
Self Management

Introduction: The Chronic Disease Self-Management Program (CDSMP) improves self-efficacy and health outcomes in people with chronic diseases. In the context of the EFFICHRONIC project, we evaluated the efficacy of CDSMP in relieving frailty, as assessed by the self-administered version of Multidimensional Prognostic Index (SELFY-MPI), identifying also potential predictors of better response over 6-month follow-up. Methods: The SELFY-MPI explores mobility, basal and instrumental activities of daily living (Barthel mobility, ADL, IADL), cognition (Test Your Memory-TYM Test), nutrition (Mini Nutritional Assessment-Short Form-MNA-SF), comorbidities, medications, and socio-economic conditions (social-familiar evaluation scale-SFES). Participants were stratified in three groups according to the 6-month change of SELFY-MPI: those who improved after CDSMP (Δ SELFY-MPI < 0), those who remained unchanged (Δ SELFY-MPI = 0), and those who worsened (Δ SELFY-MPI > 0). Multivariable logistic regression was modeled to identify predictors of SELFY-MPI improvement. Results: Among 270 participants (mean age = 61.45 years, range = 26–93 years; females = 78.1%) a benefit from CDSMP intervention, in terms of decrease in the SELFY-MPI score, was observed in 32.6% of subjects. SELFY-MPI improvement was found in participants with higher number of comorbidities (1–2 chronic diseases: adjusted odd ratio (aOR)=2.38, 95% confidence interval (CI) =1.01, 5.58; ⩾ 3 chronic diseases: aOR = 3.34, 95% CI = 1.25, 8.90 vs no chronic disease), poorer cognitive performance (TYM ⩽ 42: aOR = 2.41, 95% CI = 1.12, 5.19 vs TYM > 42) or higher risk of malnutrition (MNA-SF ⩽ 11: aOR = 6.11, 95% CI = 3.15, 11.83 vs MNA-SF > 11). Conclusion: These findings suggest that the CDSMP intervention contributes to decreasing the self-perceived severity of frailty (SELFY-MPI score) in more vulnerable participants with several chronic diseases and lower cognitive performance and nutritional status.

scholarly journals HOW MULTIPLE CHRONIC DISEASE BURDEN INFLUENCES COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAM PARTICIPANTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S259-S260
Author(s):  
Keith W Turner ◽  
Cheng Yin
Keyword(s):  
Behavioral Health ◽  
Chronic Diseases ◽  
Disease Burden ◽  
Health Program ◽  
Personal Characteristics ◽  
Self Management ◽  
Community Based ◽  
Disease Symptoms ◽  
Behavioral Health Program ◽  
Multiple Chronic Diseases

Abstract Background: Studies have shown that participation in community-based self-management education programs can result in improved healthful behaviors (exercise, cognitive symptom management, coping, and communications with physicians), improved health status (self-reported health, fatigue, disability, social/role activities, and health distress), and decreased days in the hospital. Problem: One of the understudied factors thought to influence efficacy in community based self-management programs is the presence and impacts of multiple chronic conditions on participants within community based behavioral health program populations. Multiple chronic diseases when scaled collectively can be considered as a participant’s individual disease burden to be included in other analyses. Methodology: This investigation explores possible ways disease burden associates with such important constructs as participant personal characteristics and participant confidence in controlling impacts of their disease symptoms and participant preferences for use of various methods of coping with disease impacts. Outcomes: Results indicate a complex pattern of relationships between such factors as personal characteristics of program participants and their perceived mastery over the impacts of their disease symptoms, and their preferred mechanisms for coping. Implications: program designers and managers can better understand the differential influences of disease burden on participants analyzed with their personal characteristics and their preferential uses for coping mechanisms and their perceived ability to withstand the added burdens of multiple chronic diseases.

scholarly journals Using Intervention Mapping to Develop a Digital Self-Management Program for People With Type 2 Diabetes: Tutorial on MyDESMOND (Preprint)

2019 ◽  
Author(s):  
Michelle Hadjiconstantinou ◽  
Sally Schreder ◽  
Christopher Brough ◽  
Alison Northern ◽  
Bernie Stribling ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Chronic Conditions ◽  
Development Process ◽  
Public Involvement ◽  
Digital Health ◽  
Intervention Mapping ◽  
Management Program ◽  
Self Management ◽  
Theoretical Frameworks

UNSTRUCTURED Digital health interventions (DHIs) are increasingly becoming integrated into diabetes self-management to improve behavior. Despite DHIs becoming available to people with chronic conditions, the development strategies and processes undertaken are often not well described. With theoretical frameworks available in current literature, it is vital that DHIs follow a shared language and communicate a robust development process in a comprehensive way. This paper aims to bring a unique perspective to digital development, as it describes the systematic process of developing a digital self-management program for people with type 2 diabetes, MyDESMOND. We provide a step-by-step guide, based on the intervention mapping (IM) framework to illustrate the process of adapting an existing face-to-face self-management program (diabetes education and self- management for ongoing and newly diagnosed, DESMOND) and translating it to a digital platform (MyDESMOND). Overall, this paper describes the 4 IM steps that were followed to develop MyDESMOND—step 1 to establish a planning group and a patient and public involvement group to describe the context of the intervention and program goals, step 2 to identify objectives and determinants at early design stages to maintain a focus on the strategies adopted, step 3 to generate the program components underpinned by appropriate psychological theories and models, and step 4 to develop the program content and describe the iterative process of refining the content and format of the digital program for implementation. This paper concludes with a number of key learnings collated throughout our development process, which we hope other researchers may find useful when developing DHIs for chronic conditions.

scholarly journals The Meaning of Work and Self-Management Experiences among Elderly Workers with Multiple Chronic Diseases: A Qualitative Study

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 471
Author(s):  
Juah Kim ◽  
Jiyeon Ha
Keyword(s):  
Qualitative Study ◽  
Work Environment ◽  
Chronic Diseases ◽  
Psychological Health ◽  
Work Environments ◽  
Self Management ◽  
Meaning Of Work ◽  
Elderly Workers ◽  
Health Related ◽  
Multiple Chronic Diseases

With population aging, increasingly many elderly individuals are expected to participate in economic activities. Elderly workers have a higher prevalence of multiple chronic diseases, making it necessary to examine elderly workers’ experiences of health-related self-management in work environments. This qualitative study investigated the meaning of work and health-related self-management experiences among elderly workers with multiple chronic diseases. The study participants were elderly workers residing in South Korea (65 years old or older) with at least two chronic diseases. Twelve participated in individual interviews, which were audio-recorded and transcribed. Qualitative content analysis was conducted with the transcribed data. Six themes, 21 sub-themes, and 40 codes were derived. The themes were “benefit of work on health and life”, “adaptation to a new work environment”, “endurance”, “continuous efforts to maintain health”, “difficulties in self-management”, and “requirements for health promotion”. The participants experienced difficulties in health-related self-management due to time constraints, poor work environment, and financial burdens. However, participants expressed their desire to invest effort into managing their physical and psychological health and to work as long as possible. Programs that consider the aging and health-related characteristics of elderly workers and their work environments should be developed and implemented.

scholarly journals A Conceptual Model on Websites Design Features for Self-Management of Chronic-Diseases Patients

2018 ◽  
Vol 7 (4.36) ◽  
pp. 479
Author(s):  
Farhana Aini Saludin ◽  
Nurazean Maarop ◽  
Norziha Megat Mohd Zainuddin ◽  
Roslina Mohammad ◽  
Sya Azmeela Shariff
Keyword(s):  
Health Information ◽  
Chronic Diseases ◽  
Health Condition ◽  
Management Program ◽  
Health Conditions ◽  
Self Management ◽  
The Internet ◽  
Design Features ◽  
Chronic Disease Patients ◽  
Time Distance

Undeniably, there are several reasons to be connected to the Internet. In healthcare, finding health information from the Internet and websites is common among the global community. Searching health information over the Internet can assists chronic-disease patients in self-managing their health condition. Self-management program with Information Technology empowerment would improve time, distance and traffic barriers because it is easily accessible, up-to-date, and offers tailored feedback to patients` health status. There is great demand of health websites use though at the same time users are facing concerns and limitations due to medical jargons use and navigational problems. Hence, there is a strong reason why more studies need to be conducted in this particular area especially in the design and development of health websites. Based on a review of relevant papers, this paper aims to propose a model for websites design features for self-management of chronic-diseases patients. Ten relevant features of health websites are extracted and proposed in this study. The study may be beneficial to health websites users and eventually improve their health conditions.  

scholarly journals The Impact of the Chronic Disease Self-Management Program on Health Literacy: A Pre-Post Study Using a Multi-Dimensional Health Literacy Instrument

2019 ◽  
Vol 17 (1) ◽  
pp. 58 ◽  
Author(s):  
Danielle Marie Muscat ◽  
Wenbo Song ◽  
Erin Cvejic ◽  
Jie Hua Cecilia Ting ◽  
Joanne Medlin ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Health Literacy ◽  
Chronic Diseases ◽  
Management Program ◽  
Self Management ◽  
Post Intervention ◽  
South Wales ◽  
Diverse Area ◽  
Potential Impact ◽  
The Impact

This study assessed the impact of the Chronic Disease Self-Management Program (CDSMP) on different domains of health literacy using a pre-post study design. Participants aged over 16 years and with one or more self-reported chronic diseases were recruited for the CDSMP in western Sydney (a highly diverse area of New South Wales, Australia) between October 2014 and September 2018. Health literacy was assessed pre- and immediately post-intervention using the Health Literacy Questionnaire (HLQ), with differences in mean scores for each HLQ domain analysed using paired sample t-tests. A total of 486 participants were recruited into the CDSMP. Of those, 316 (65.0%) completed both pre- and post-intervention surveys and were included in the analysis. The median age of the participants was 68 years, the majority were female (62.5%), and most were born in a country other than Australia (80.6%). There were statistically significant (P < 0.001) improvements across all nine domains of the HLQ. This is the first study evaluating the potential impact of the CDSMP on improving different domains of health literacy amongst a diverse sample of participants with chronic diseases using a multi-dimensional instrument. The absence of a control population in this study warrants caution when interpreting the results.

scholarly journals Using Intervention Mapping to Develop a Digital Self-Management Program for People With Type 2 Diabetes: Tutorial on MyDESMOND

10.2196/17316 ◽  
2020 ◽  
Vol 22 (5) ◽  
pp. e17316 ◽  
Author(s):  
Michelle Hadjiconstantinou ◽  
Sally Schreder ◽  
Christopher Brough ◽  
Alison Northern ◽  
Bernie Stribling ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Chronic Conditions ◽  
Development Process ◽  
Public Involvement ◽  
Digital Health ◽  
Intervention Mapping ◽  
Management Program ◽  
Self Management ◽  
Theoretical Frameworks

Digital health interventions (DHIs) are increasingly becoming integrated into diabetes self-management to improve behavior. Despite DHIs becoming available to people with chronic conditions, the development strategies and processes undertaken are often not well described. With theoretical frameworks available in current literature, it is vital that DHIs follow a shared language and communicate a robust development process in a comprehensive way. This paper aims to bring a unique perspective to digital development, as it describes the systematic process of developing a digital self-management program for people with type 2 diabetes, MyDESMOND. We provide a step-by-step guide, based on the intervention mapping (IM) framework to illustrate the process of adapting an existing face-to-face self-management program (diabetes education and self- management for ongoing and newly diagnosed, DESMOND) and translating it to a digital platform (MyDESMOND). Overall, this paper describes the 4 IM steps that were followed to develop MyDESMOND—step 1 to establish a planning group and a patient and public involvement group to describe the context of the intervention and program goals, step 2 to identify objectives and determinants at early design stages to maintain a focus on the strategies adopted, step 3 to generate the program components underpinned by appropriate psychological theories and models, and step 4 to develop the program content and describe the iterative process of refining the content and format of the digital program for implementation. This paper concludes with a number of key learnings collated throughout our development process, which we hope other researchers may find useful when developing DHIs for chronic conditions.

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