Measures of self-efficacy: Arthritis Self-Efficacy Scale (ASES), Arthritis Self-Efficacy Scale-8 Item (ASES-8), Children's Arthritis Self-Efficacy Scale (CASE), Chronic Disease Self-Efficacy Scale (CDSES), Parent's Arthritis Self-Efficacy Scale (PASE), an

2011 ◽  
Vol 63 (S11) ◽  
pp. S473-S485 ◽  
Author(s):  
Teresa J. Brady
Keyword(s):  
Chronic Disease ◽  
Self Efficacy ◽  
Scale 8

Self-management factors associated with quality of life among women with endometriosis: a cross-sectional Australian survey

2020 ◽  
Author(s):  
Rebecca O’Hara ◽  
Heather Rowe ◽  
Jane Fisher
Keyword(s):  
Quality Of Life ◽  
Chronic Disease ◽  
Disease Management ◽  
Self Efficacy ◽  
Chronic Disease Management ◽  
Self Management ◽  
Cross Sectional ◽  
Female Population ◽  
Management Factors

Abstract STUDY QUESTION What self-management factors are associated with quality of life among women with endometriosis? SUMMARY ANSWER Greater self-efficacy was associated with improved physical and mental quality of life. WHAT IS KNOWN ALREADY Women with endometriosis have an impaired quality of life compared to the general female population. However, most studies have investigated quality of life in a hospital or clinic setting rather than a community setting and the association between self-management factors and quality of life have not, to date, been investigated. STUDY DESIGN, SIZE, DURATION A cross-sectional, population-based online survey was performed, which was advertised through women’s, community and endometriosis-specific groups. PARTICIPANTS/MATERIALS, SETTING, METHODS A total of 620 women completed the survey for this study. Mental and physical quality of life was assessed using the standardized SF36v2 questionnaire. Self-management factors included self-efficacy, partners in health (active involvement in managing the condition) and performance of self-care activities. Treatment approaches included the use of hormonal treatment, pain medications and complementary therapies and whether the participant had a chronic disease management plan. Hierarchical regression analyses were used to examine whether self-management and treatment factors were associated with quality of life. MAIN RESULTS AND THE ROLE OF CHANCE Both physical and mental quality of life were significantly lower among women with endometriosis compared to the mean scores of the general Australian female population (P < 0.001). Physical quality of life was positively associated with income sufficiency (P < 0.001) and greater self-efficacy (P < 0.001), but negatively associated with age (P < 0.001), pain severity (P < 0.001), use of prescription medications (P < 0.001), having a chronic disease management plan (P < 0.05) and number of self-care activities (P < 0.05). Mental quality of life was positively associated with being older (P < 0.001), partnered (P < 0.001), having a university education (P < 0.05), increasing self-efficacy (P < 0.001) and higher partners in health scores (P < 0.001). LIMITATIONS, REASONS FOR CAUTION Results are derived from a cross-sectional study and can only be interpreted as associations not as causal relationships. The sample was more educated, more likely to speak English and be born in Australia than the general Australian female population of the same age, which may influence the generalizability of these results. WIDER IMPLICATIONS OF THE FINDINGS This study investigated a knowledge gap by investigating quality of life of women with endometriosis in a large community sample. Self-efficacy was significantly associated with both physical and mental quality of life. Supporting women with endometriosis to improve self-efficacy through a structured chronic disease management programme may lead to improvements in this aspect of wellbeing. STUDY FUNDING/COMPETING INTEREST(S) R.O. undertook this research as part of her PhD at Monash University, which was supported by an Australian Government Research Training Program Stipend. J.F. is the Finkel Professor of Global Public Health, which was supported by the Finkel Family Foundation. There are no conflicts of interest to declare. TRIAL REGISTRATION NUMBER NA.

scholarly journals Incorporating Behavioral Trigger Messages Into a Mobile Health App for Chronic Disease Management: Randomized Clinical Feasibility Trial in Diabetes

10.2196/15927 ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. e15927
Author(s):  
Scott Sittig ◽  
Jing Wang ◽  
Sriram Iyengar ◽  
Sahiti Myneni ◽  
Amy Franklin
Keyword(s):  
Chronic Disease ◽  
Disease Management ◽  
Mobile Health ◽  
Self Efficacy ◽  
Chronic Disease Management ◽  
Text Messages ◽  
Feasibility Trial ◽  
Significant Difference ◽  
Within Subjects ◽  
The Impact

Background Although there is a rise in the use of mobile health (mHealth) tools to support chronic disease management, evidence derived from theory-driven design is lacking. Objective The objective of this study was to determine the impact of an mHealth app that incorporated theory-driven trigger messages. These messages took different forms following the Fogg behavior model (FBM) and targeted self-efficacy, knowledge, and self-care. We assess the feasibility of our app in modifying these behaviors in a pilot study involving individuals with diabetes. Methods The pilot randomized unblinded study comprised two cohorts recruited as employees from within a health care system. In total, 20 patients with type 2 diabetes were recruited for the study and a within-subjects design was utilized. Each participant interacted with an app called capABILITY. capABILITY and its affiliated trigger (text) messages integrate components from social cognitive theory (SCT), FBM, and persuasive technology into the interactive health communications framework. In this within-subjects design, participants interacted with the capABILITY app and received (or did not receive) text messages in alternative blocks. The capABILITY app alone was the control condition along with trigger messages including spark and facilitator messages. A repeated-measures analysis of variance (ANOVA) was used to compare adherence with behavioral measures and engagement with the mobile app across conditions. A paired sample t test was utilized on each health outcome to determine changes related to capABILITY intervention, as well as participants’ classified usage of capABILITY. Results Pre- and postintervention results indicated statistical significance on 3 of the 7 health survey measures (general diet: P=.03; exercise: P=.005; and blood glucose: P=.02). When only analyzing the high and midusers (n=14) of capABILITY, we found a statistically significant difference in both self-efficacy (P=.008) and exercise (P=.01). Although the ANOVA did not reveal any statistically significant differences across groups, there is a trend among spark conditions to respond more quickly (ie, shorter log-in lag) following the receipt of the message. Conclusions Our theory-driven mHealth app appears to be a feasible means of improving self-efficacy and health-related behaviors. Although our sample size is too small to draw conclusions about the differential impact of specific forms of trigger messages, our findings suggest that spark triggers may have the ability to cue engagement in mobile tools. This was demonstrated with the increased use of capABILITY at the beginning and conclusion of the study depending on spark timing. Our results suggest that theory-driven personalization of mobile tools is a viable form of intervention. Trial Registration ClinicalTrials.gov NCT04132089; http://clinicaltrials.gov/ct2/show/NCT004122089

scholarly journals IDENTIFIKASI TINGKAT KEPATUHAN PASIEN GERIATRI YANG MENDERITA HIPERTENSI DISERTAI PENYAKIT PENYERTA DI RSU PANCARAN KASIH MANADO PERIODE SEPTEMBER-OKTOBER 2018

PHARMACON ◽  
2019 ◽  
Vol 8 (1) ◽  
pp. 142
Author(s):  
Widia N Runtuwene ◽  
Weny I Wiyono ◽  
Adithya Yudistira
Keyword(s):  
Chronic Disease ◽  
Geriatric Patients ◽  
Health Workers ◽  
Sampling Technique ◽  
Descriptive Study ◽  
Low Level ◽  
Consecutive Sampling ◽  
Lack Of Information ◽  
High Level ◽  
Scale 8

ABSTRACTHypertension is one of chronic disease with commonly treatment for lifetime. The adherence of geriatric patients in following treatment very important that doesn’t happen can lead to death. This type of research is a descriptive study. The population of this study amounted to 465 patients. The number of samples taken was 40 patients. The sampling technique is consecutive sampling. The level of adherence was measured using the Modified MoriskyAdherence Scale-8 (MMAS-8)questionnaire. From the results of this study it can be concluded that geriatric patients who do treatment at the manado pancaran kasih hospital have a high level of adherence of 10%, have a moderate level of adherence of 40%, and have a low level of adherence of 50%. The results of this study found a problem related to the adherence of geriatric patients aged 60-69 years who took medication at the manado pancaran kasih hospital, namely because of forgetfulness and lack of information obtained from health workers regarding the patients condition and the importance of drugs to drink continue.Keywords : Hypertension, Geriatric, Adherence. ABSTRAKHipertensi merupakan salah satu penyakit kronis dengan pengobatan yang umumnya seumur hidup.Kepatuhan pasien geriatri dalam menjalani pengobatan sangat penting agar tidak terjadi komplikasi berbagai penyakit yang dapat berujung pada kematian. Jenis penelitian ini adalah penelitian deskriptif.Populasi dari penelitian ini berjumlah 465 pasien.Jumlah sampel yang di ambil sebanyak 40 pasien.Teknik pengambilan sampel secara consecutive sampling.Tingkat kepatuhan di ukur dengan menggunakan Kuesioner MMAS-8 (Modified MoriskyAdherence Scale). Hasil penelitian ini dapat disimpulkan pasien geriatri yang melakukan pengobatan di RSU Pancaran Kasih Manado memiliki tingkat kepatuhan tinggi sebanyak 10%, memiliki tingkat kepatuhan sedang sebanyak 40%, dan memiliki tingkat kepatuhan rendah sebanyak 50%. Hasil penelitian ini mendapatkan masalah terkait kepatuhan pasien geriatri yang berusia 60-69 yang melakukan pengobatan di RSU Pancaran Kasih Manado yaitu karena lupa dan kurangya informasi yang didapatkan pasien dari tenaga kesehatan terkait kondisi pasien dan pentingnya pengobatan secara kontinu.Kata Kunci : Hipertensi, Geriatri, Kepatuhan.

scholarly journals Health and responsibility self-efficacy, self-care and self-responsibility

2001 ◽  
Vol 57 (1) ◽  
pp. 20-25 ◽  
Author(s):  
C. J. Eales ◽  
A. V. Stewart
Keyword(s):  
Chronic Disease ◽  
Self Efficacy ◽  
Bypass Surgery ◽  
Surgical Intervention ◽  
Self Care ◽  
Optimal Outcome ◽  
Risk Factor Modification ◽  
Special Cases ◽  
Operative Outcome ◽  
Artery Disease

Self-care and self-efficacy have been discussed in the medical, psychological and sociological literature (Bandura, 1977b; Barofsky, 1978; Hickey, 1988; Mahler and Kulik, 1990; Mahler, 1991). However neither of these two concepts accurately describe the behaviour required of a patient with a chronic disease to ensure the best outcome of medical treatment. The concept of self-responsibility seems to be more appropriate. This article presents the definitions of self-efficacy, self-care and self-responsibility. An argument why self-responsibility is of importance in patients who have undergone bypass surgery will be presented. Coronary artery disease is a chronic disease, for which CABG is indicated only in special cases. The surgical intervention is costly and the operative outcome will not be successful if the patient does not comply with lifestyle and risk factor modification. In a climate where health costs are under scrutiny and attempts are being made to make the available funding accessible to a greater percentage of the population, there is a moral responsibility for patients who have undergone expensive interventions to accept the responsibility for their rehabilitation to ensure the optimal outcome of these interventions.

scholarly journals High Coping Self-Efficacy Associated With Lower Sweat Inflammatory Cytokines in Adults: A Pilot Study

2019 ◽  
Vol 22 (1) ◽  
pp. 75-81 ◽  
Author(s):  
Melissa Hladek ◽  
Jessica Gill ◽  
Chen Lai ◽  
Kate Lorig ◽  
Sarah Szanton
Keyword(s):  
Chronic Disease ◽  
Pilot Study ◽  
Self Efficacy ◽  
Emotional Regulation ◽  
Longitudinal Research ◽  
Interleukin 10 ◽  
Cross Sectional Study ◽  
Necrosis Factor Alpha ◽  
Cross Sectional ◽  
Tnf Α

Introduction/Background: Chronic diseases, like diabetes and heart disease, are considered inflammatory conditions with elevated levels of the proinflammatory cytokines interleukin-6 (IL-6) and tumor necrosis factor alpha (TNF-α) and the anti-inflammatory cytokine interleukin-10 (IL-10). Disease progression is not consistent from person to person. Psychosocial factors are hypothesized to play a modifying role. Self-efficacy, the confidence in one’s ability to perform well in a specific life domain or at a specific task, is associated with better health outcomes. Coping self-efficacy is confidence in one’s ability to handle life’s problems through emotional regulation, problem-solving, and social support. Little is known about associations between coping self-efficacy and inflammation. Aim: The purpose of this pilot study was to examine associations between coping self-efficacy and IL-6, IL-10, and TNF-α levels. Method: This was a cross-sectional study conducted over two visits. Sociodemographic variables, chronic disease count, body mass index (BMI), and coping self-efficacy were collected. Inflammatory markers were collected via sweat using the sweat patch, a noninvasive collection device. Results: Higher TNF-α and IL-10 levels were significantly associated with low coping self-efficacy (β = −.03, p = .028; β = −.017, p = .007, respectively) after adjustment for age, sex, race, BMI, and chronic disease count. IL-6 trended toward significance after adjustment as well (β = −.22, p = .054). Conclusions: This pilot study showed that high coping self-efficacy was associated with lower IL-6, IL-10, and TNF-α levels, indicating a potential buffering effect of high coping self-efficacy. Further longitudinal research with larger sample sizes is needed.

scholarly journals Self-efficacy among patients with chronic diseases and its associated factors

2018 ◽  
Vol 7 (3) ◽  
pp. 82-88
Author(s):  
Dayana Shakya
Keyword(s):  
Health Care ◽  
Body Mass Index ◽  
Chronic Disease ◽  
Chronic Diseases ◽  
Body Mass ◽  
Health Care Providers ◽  
Self Efficacy ◽  
Care Providers ◽  
Modifiable Factors ◽  
Significant Difference

Background: Chronic diseases are in an increasing trend worldwide. Although, this rise may be due to a number of factors, one reason for the worldwide increase is due to better treatment protocols and higher awareness among patients. The management of chronic disease depends on the patient’s ability to alter the modifi able risk factors. The burden of disease can be decreased with better self- efficacy. Objectives: To assess the self-efficacy among patients with chronic diseases Methodology: In this descriptive, cross sectional study, data was collected purposively from 329 patients with chronic diseases presenting in the Medical outpatient department of Kathmandu Medical College. Face to face interview method was used to collect data using Chronic Disease Self-efficacy Scale and Patient Assessment Chronic Illness Care Questionnaire. Association with selected socio demographic variables were computed with Mann Whitney U and Kruskal Wallis H tests. Results: The mean age of the patients was 62±13 years. Males, those earning, those never admitted in the hospital for their disease and those who exercised were found to have better self-efficacy. There was significant difference in self-efficacy in terms of age, education, marital status, caregivers and body mass index. Self-efficacy showed significant positive correlation with monthly family income and health care provider score whereas significant negative correlation with age and monthly cost of treatment. Conclusion: Self-efficacy of patients with chronic disease can be improved with certain modifiable factors like daily exercise and appropriate body mass index. Younger patients, males, educated, employed and married patients were found to have better self-efficacy. Proper counselling by health care providers also improves self-efficacy.

Comparison of time-use patterns and self-efficacy in family caregivers of patients with chronic disease

2020 ◽  
Vol 27 (12) ◽  
pp. 1-10
Author(s):  
Azade Riyahi ◽  
Hosseinali Abdolrazaghi ◽  
Nazanin Sarlak ◽  
Sepideh Faraji ◽  
Zahra Nobakht
Keyword(s):  
Mental Illness ◽  
Chronic Disease ◽  
Family Caregivers ◽  
Time Use ◽  
Time Management ◽  
Self Efficacy ◽  
Psychiatric Disease ◽  
Use Patterns ◽  
Demographic Questionnaire

Background/Aims Caregivers perform an important role but caring affects other roles they perform, resulting in poor time management and reduced quality of life. This study aimed to compare the time-use patterns and self-efficacy of caregivers of two groups of patients with chronic disease: those with a diagnosis of mental illness and those without a diagnosis of mental illness. Methods Family caregivers of patients with a chronic disease who were aged between 20–60 years, resident in Arak, not taking care of another patient and literate were eligible to participate. The presence of mental illness was based on a psychiatrist's diagnosis at least 6 months before the study. The Mothers' Time Use Questionnaire, Sherer Self-efficacy Scale and a demographic questionnaire were used to capture data relating to time-use, self-efficacy and participant characteristics. Data were analysed using independent t-test and Mann–Whitney U test to identify and compare time-use patterns and self-efficacy. Results There were no significant between-group differences in demographics or mean time-use scores in six domains (rest/sleep, leisure, housework, work/occupation, social participation and satisfaction with time management). Self-care time-use scores (time, quality, importance and enjoyment) were significantly higher for caregivers of patients with chronic disease with a diagnosis of mental illness. Patient care time-use scores were significantly higher for caregivers of patients with chronic disease without a diagnosis of mental illness. Mean self-efficacy score was significantly higher in the group caring for patients with a diagnosis of psychiatric disease. Conclusions Chronic physical illnesses may result in greater dependence on caregivers than mental illness, increasing the amount of time spent on care and reducing caregiver self-efficacy.

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