Psychological impact of COVID-19 pandemic on chronic disease patients in Dessie town government and private hospitals, Northeast Ethiopia

IntroductionNovel and efficient healthcare approaches are needed to better serve increasingly older chronic disease patients. Many effective integrated chronic disease management strategies have emerged from the primary care sector. However, in many Asian and developing countries, primary care is underdeveloped, and patients prefer secondary-based services. The Integrated Generalist-led Hospital (IGH) care model is a new approach, which may be better suited for chronic disease patients in the local context.Methods and analysisA hybrid type I study on the effectiveness and implementation of the IGH care model will be conducted. Implementation evaluation will be informed by the Consolidated Framework of Implementation Research (CFIR). Quantitative and qualitative data will be collected through in-depth interviews and focus group discussions with staff, a staff survey, patient interviews, clinical outcomes and cost data. Clinical outcomes include the length of stay, readmission, emergency room visit rate and mortality. Clinical outcomes will be summarised and compared with a propensity-matched ‘usual care’ group (derived from the general medicine ward(s) at a separate hospital). The Kaplan-Meier approach will be used to estimate time until death and time until first readmission (both within 30 days of discharge) and time until discharge. Multivariate regression models will be used to investigate the association between the care model and occurrence of readmission, emergency room visit and death, all within 30 days of discharge. Qualitative data will be analysed using a thematic analysis method. Qualitative and quantitative data will also be coded according to the five domains of the CFIR.Ethics and disseminationThis protocol was reviewed and approved by the National Healthcare Group Domain Specific Review Board (NHG DSRB 2019/00308). Results will be published in peer-reviewed scientific journals and conference presentations. Findings will also be discussed with key stakeholders through local dissemination events.

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High Sedentary Behaviour and Low Physical Activity are Associated with Anxiety and Depression in Myanmar and Vietnam

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16071251 ◽

2019 ◽

Vol 16 (7) ◽

pp. 1251 ◽

Cited By ~ 6

Author(s):

Supa Pengpid ◽

Karl Peltzer

Keyword(s):

Physical Activity ◽

Chronic Disease ◽

Sedentary Behaviour ◽

Sedentary Time ◽

Anxiety And Depression ◽

Cross Sectional ◽

High Physical Activity ◽

Chronic Disease Patients ◽

General Physical ◽

Activity Questionnaire

The study aimed to estimate independent and combined associations of sedentary behaviour and physical activity with anxiety and depression among chronic disease patients in Myanmar and Vietnam. The cross-sectional sample included 3201 chronic disease patients (median age 51 years, interquartile range 25) systematically recruited from primary care facilities in 2015. Sedentary time and physical activity were assessed with the General Physical Activity Questionnaire (GPAQ). Overall, the prevalence of sedentary time per day was 51.3% < 4 h, 31.2% between 4 and 8 h, and 17.5% 8 or more hours a day), and 30.7% engaged in low physical activity, 50.0% moderate, and 23.6% high physical activity. The prevalence of anxiety and depression was 12.7% and 19.9%, respectively. In the final logistic regression model, adjusted for relevant confounders, higher sedentary time (≥8 h) did not increase the odds for anxiety or depression, but moderate to high physical activity decreased the odds for anxiety and depression. Combined regression analysis found that participants with both less than eight hours of sedentary time and moderate or high physical activity had significantly lower odds of having anxiety and depression. Findings suggest an independent and combined association between moderate or high physical activity and low sedentary time with anxiety and/or depression among chronic disease patients in Myanmar and Vietnam.

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AB1214 PRELIMINAR STUDY OF THERAPY ADHERENCE CONTROLLED BY PRESCRIPTION OF MEDICATION AND SELF-PERCEPTION ADHERENCE OF INFLAMMATORY CHRONIC DISEASE PATIENTS

10.1136/annrheumdis-2019-eular.5937 ◽

2019 ◽

Author(s):

Elena Grau García ◽

Jose Ivorra Cortés ◽

Emilio Monte Boquet ◽

Cristina Alcañiz Escandell ◽

Inmaculada Chalmeta Verdejo ◽

...

Keyword(s):

Chronic Disease ◽

Self Perception ◽

Therapy Adherence ◽

Chronic Disease Patients

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Objectively-determined Physical Activity And Its Association With Mobility Limitations In Older, Chronic Disease Patients

Medicine & Science in Sports & Exercise ◽

10.1249/01.mss.0000561137.06758.5d ◽

2019 ◽

Vol 51 (Supplement) ◽

pp. 210

Author(s):

Victoria R. DeScenza ◽

Alexander R. Lucas ◽

Christina Simpson ◽

Ciaran M. Fairman ◽

Jennifer M. Thomas-Ahner ◽

...

Keyword(s):

Physical Activity ◽

Chronic Disease ◽

Mobility Limitations ◽

Chronic Disease Patients

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Incentive-driven post-discharge compliance management for chronic disease patients in healthcare service operations

IISE Transactions on Healthcare Systems Engineering ◽

10.1080/24725579.2019.1567630 ◽

2019 ◽

Vol 9 (1) ◽

pp. 71-82

Author(s):

Aditya M. Prakash ◽

Qiao-chu He ◽

Xiang Zhong

Keyword(s):

Chronic Disease ◽

Healthcare Service ◽

Service Operations ◽

Post Discharge ◽

Compliance Management ◽

Chronic Disease Patients

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Health behaviors in major chronic diseases patients: trends and regional variations analysis, 2008–2017, Korea

BMC Public Health ◽

10.1186/s12889-020-09940-7 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Young-Jee Jeon ◽

Jeehee Pyo ◽

Young-Kwon Park ◽

Minsu Ock

Keyword(s):

Chronic Disease ◽

General Population ◽

Health Behaviors ◽

Chronic Diseases ◽

Series Data ◽

Depression Symptoms ◽

Smoking Rate ◽

Regional Variations ◽

Drinking Rate ◽

Chronic Disease Patients

Abstract Background Improving the health behaviors of those with chronic diseases such as hypertension and diabetes is important for disease management. Few in-depth studies have been conducted in Korea on the health behaviors of chronic disease patients. This study examined the health behaviors of chronic disease patients over time and compared them with those of the general population. Methods Cross-sectional time-series data obtained from the Korea Community Health Survey from 2008 to 2017 were analyzed. Thirteen diseases were included in this analysis, namely, hypertension, diabetes, dyslipidemia, stroke, myocardial infarction, angina, osteoarthritis, osteoporosis, asthma, allergic rhinitis, atopic dermatitis, cataract, and depression. The current smoking rate, drinking rate, and the walking rate, which are leading health behaviors necessary for preventing chronic diseases, were analyzed by disease type. We compared patients’ health behaviors with those of the general population and identified regional variations. Results Although the current overall smoking rate was seemingly declining, the overall monthly drinking and high-risk drinking rates were increasing. In 2017, patients experiencing depression symptoms had a higher smoking rate than did the general population; hypertension and diabetes patients had a higher risk-drinking rate than did the latter. The general population’s walking rate was highest. There were considerable variations by region among chronic disease patients. Conclusions Chronic disease patients displayed worse health behaviors than those of the general population, in some instances. Rather than focusing only on chronic disease patients’ medication adherence, strategies must be devised to increase their smoking cessation rate, decrease their drinking rate, and increase their walking rate.

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