A mixed methods study describing the self-care practices in an older working population with cardiovascular disease (CVD): Balancing work, life and health

Abstract For those who provide care to the more than 40% of persons with dementia in assisted living (AL) communities, behavioral expressions (BEs) can be challenging. The objective of this mixed-methods study was to understand how AL staff conceive of BEs and what strategies they use to address them. Staff from 250 AL communities in seven states were asked to describe one successful and unsuccessful case of care. A conceptual model related to antecedents, behaviors, and consequences was developed and expanded to include staff strategies and outcomes of care; organizational characteristics associated with care practices were examined. Anxiety/restlessness, combativeness and resistance to care were the most prevalent BEs. Medical interventions (e.g., inpatient psychiatric assessment, medication management) were used in two-thirds of cases. Person-centered care was used more often in successful cases. Respondents in dementia-only communities identified antecedents to BEs more often than those in other communities.

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Assessment of Self-Care Practices among Type 2 Diabetic Patients in a Secondary Care Teaching Hospital

Journal of Drug Delivery and Therapeutics ◽

10.22270/jddt.v10i3.4098 ◽

2020 ◽

Vol 10 (3) ◽

pp. 119-124

Author(s):

Jeeba Chinnappan ◽

Athira KP ◽

Faheem Iqbal ◽

Jasna V ◽

Purnima Ashok ◽

...

Keyword(s):

Economic Status ◽

Self Care ◽

The Self ◽

Diabetic Patients ◽

Foot Care ◽

Type 2 Diabetic Patients ◽

Socio Economic Status ◽

Care Practices ◽

Type 2 Diabetic

Background: Diabetes is one of the major health problems worldwide that can be effectively managed by good self-care activities like medication adherence, exercise, monitoring of blood glucose, foot care and diet. Objectives: The study assessed the self-care activities of diabetic patients using summary of diabetes self-care activities scale (SDSCA) and the variables (Age, gender, educational level, socioeconomic status (SES)) associated with it. Methods: A cross-sectional descriptive study was undertaken in 400 Type 2 diabetic patients. Self-care practices of the patients were evaluated by using SDSCA and correlation with variables were determined statistically. Results: Among 400 diabetic patients about 215 (53.75%) had an average score of self-care. Self-care was poor in 184 (46%) subjects, and only 1 subject (0.25%) scored good. Blood sugar monitoring was the highest (100%) followed by medication adherence (92.75%) whereas inadequate levels of self-care were reported in foot care (1.5%), and physical activity (31.5%) domains. A significant positive correlation was found between self-care practices and socio-demographic variables such as age (r=0.298, p=0.000), income (r=0.490, p=0.000) occupation (r=0.433, p=0.000), education (r=0.582, p=0.000), and Socio-Economic status (r=0.599, p=0.000). Conclusion: The study revealed higher level of adherence to self-care activities in terms of blood sugar monitoring and medication taking behaviour in the current setting, but self-care in other domains such as foot care is critically low. Age, education and Socio-Economic status seems to affect the self-care practice by the patients. Keywords: Diabetes, Diabetes self- care, Diabetic foot care, Summary of diabetes self-care activities (SDSCA) score.

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Assessment of self-care practices among hypertensive patients: a clinic based study in rural area of Singur, West Bengal

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20175794 ◽

2017 ◽

Vol 5 (1) ◽

pp. 262 ◽

Cited By ~ 1

Author(s):

Aparajita Dasgupta ◽

Sembagamuthu Sembiah ◽

Bobby Paul ◽

Ayon Ghosh ◽

Bijit Biswas ◽

...

Keyword(s):

Public Health ◽

Logistic Regression ◽

Rural Area ◽

Lifestyle Modification ◽

Self Care ◽

The Self ◽

Health Concern ◽

Hypertensive Patients ◽

Factors Associated ◽

Care Practices

Background: Hypertension, also known as high blood pressure is a global public health concern. It is an important modifiable risk factor for cardiovascular disease and stroke. It remains silent, being generally asymptomatic during its clinical course and it accounts for a large proportion of cardiovascular deaths; lifestyle modification is the first line of intervention for all patients with hypertension, yet it was never been empirical. The aim of the study was to assess the pattern of self-care practices, if any and also to find out the factors associated with it, among the hypertensive patients in the outpatient department. Methods: A clinic-based, observational, cross-sectional study was conducted at health center under RHU & TC, Singur, which is the rural field practice area of All India Institute of Hygiene and Public Health, Kolkata among 124 hypertensive subjects. Binary logistic regression was done to find out the factors associated with the self-care practices using SPSS software. Results: In the present study, 62.9% of study participants suffering from hypertension had unfavourable self-care practices. Logistic regression showed age above 60 years (OR-3.1), primary level education (OR-5.6), poor socio economic status (OR-2.4), widow/separated (OR-3.3) and people with self-perceived poor health status (OR-2.8)had significant association with unfavourable self-care practices. After adjusting with other variables, age (AOR-2.3) and education (AOR-3.8) remained significant predictor of outcome. Conclusions: The findings revealed that the self-care practices among hypertensive patients were unfavourable in rural area. This calls for a deep need in increasing the awareness about healthy lifestyle among hypertensive patients. This study provides key elements to affect policy changes and social interventions.

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Development and Initial Validation of the Self-Care Practices Scale

Social Work ◽

10.1093/sw/swz045 ◽

2019 ◽

Vol 65 (1) ◽

pp. 21-28

Author(s):

Jacquelyn J Lee ◽

Shari E Miller ◽

Brian E Bride

Keyword(s):

Social Work ◽

Construct Validity ◽

Social Workers ◽

Self Care ◽

Well Being ◽

Social Work Practice ◽

The Self ◽

Future Research ◽

Care Practice ◽

Care Practices

Abstract Self-care is regarded as essential for effective social work practice, offsetting occupational stress and promoting well-being and resiliency among practitioners. However, the literature reveals a notable absence of psychometrically sound instruments to measure self-care. The purpose of the present study was to describe the development, refinement, and construct validity of the Self-Care Practices Scale (SCPS). The piloted version of the SCPS is a 38-item instrument designed to measure frequency of engagement in personal and professional self-care practices. Data were collected through mailed surveys from a random sample of master’s-level clinical social workers and members of the National Association of Social Workers (N = 492). Analysis supports the construct validity of an 18-item SCPS with two subscales that demonstrate strong internal validity. The SCPS is useful for social work educators, practitioners, and administrators to ascertain frequency of self-care practice and build a stronger culture of self-care. The role of SCPS in future research is discussed.

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The effect of care burden on formal caregiver’s quality of work life: a mixed‐methods study

Scandinavian Journal of Caring Sciences ◽

10.1111/scs.12808 ◽

2019 ◽

Vol 34 (4) ◽

pp. 1001-1009

Author(s):

Bilge Kalanlar ◽

Nilgün Kuru Alici

Keyword(s):

Mixed Methods ◽

Work Life ◽

Mixed Methods Study ◽

Quality Of Work Life ◽

Care Burden ◽

Quality Of Work

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Legacy Beliefs Across Generations: Comparing Views of Older Parents and Their Adult Children

The International Journal of Aging and Human Development ◽

10.1177/0091415018757212 ◽

2018 ◽

Vol 88 (2) ◽

pp. 168-186

Author(s):

Thomas M. Meuser ◽

Thuli G. Mthembu ◽

Brianne L. Overton ◽

Nicolette V. Roman ◽

Rebecca D. Miller ◽

...

Keyword(s):

Mixed Methods ◽

Adult Child ◽

Structured Interview ◽

The Self ◽

Mixed Methods Study ◽

Mutual Understanding ◽

New Approach ◽

Older Parents ◽

Parents And Children ◽

Intention To Continue

This mixed-methods study examined legacy beliefs (i.e., anticipated remembrances and linkages to the self after death) as understood in 14 older parent and adult child pairs. This work validates and expands on a 2005 typology of legacy beliefs from gerontologists, Elizabeth Hunter and Graham Rowles. A structured interview was administered separately to parents and children, coded for legacy examples (i.e., those unique to the parent, overlapping, unique to the child), and analyzed with respect to expectations of similarity reported by each participant. Most predicted moderate to high overlap in mutual understanding of parent legacy. This was not the case, as there were far more unique legacy examples given than shared. Pairs agreed least with respect to material legacies, with half showing no agreement. All reported finding the structured discussion of legacy to be beneficial, with some indicating an intention to continue these discussions further. This work may constitute a new approach to intervention.

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Perspectives on Acceptance and Use of a Mobile Health Intervention for the Prevention of Atherosclerotic Cardiovascular Disease in Singapore: Mixed-Methods Study (Preprint)

10.2196/preprints.11108 ◽

2018 ◽

Cited By ~ 1

Author(s):

Victoria Haldane ◽

Yao Guo Tan ◽

Krichelle Wei Qi Teo ◽

Joel Jun Kai Koh ◽

Aastha Srivastava ◽

...

Keyword(s):

Risk Factors ◽

Cardiovascular Disease ◽

Mixed Methods ◽

Technology Acceptance ◽

Mobile Health ◽

Technology Use ◽

Mixed Methods Study ◽

Intention To Use ◽

Atherosclerotic Cardiovascular Disease ◽

Mhealth Intervention

BACKGROUND Cardiovascular disease, including atherosclerotic cardiovascular disease (ASCVD), is a growing public health threat globally and many individuals remain undiagnosed, untreated, and uncontrolled. Simultaneously, mobile health (mHealth) interventions using short messaging service (SMS) have gained popularity globally. There is an opportunity for innovative approaches such as mHealth to encourage and enable adherence to medications for ASCVD and its risk factors. OBJECTIVE This study aimed to understand mobile technology acceptance, use, and facilitating conditions among the study population ahead of the design of an mHealth intervention. METHODS Using data from a mixed-methods study conducted in Singapore, we conducted a cross-sectional survey with 100 participants and in-depth, semistructured interviews with 20 patients. All participants were over the age of 40 years with ASCVD or its risk factors. Interviews were conducted in English and Mandarin and if needed translated to English. Nvivo 11 (QSR International) was used for analyses. RESULTS Participants reported their perspectives on technology use and preferences, including low or sporadic mobile phone use and usability concerns including small screen and text size, among others; the benefit of previous mHealth use in creating a favorable opinion of SMS for health information; trust in both the source of mHealth SMS, as well as in treatment; the formation of habits; and fear of sequelae or death for facilitating intention to use an mHealth intervention and adhere to medication. We also highlighted a case that underscored the importance of the period after diagnosis in habit forming as an opportunity for an mHealth intervention. CONCLUSIONS We explored both technology- and adherence-related factors that influence a patient’s intention to use an mHealth intervention for adherence to ASCVD medication in Singapore. We highlighted the importance of identifying the right opportunity to engage with patients and promote an mHealth intervention for adherence, such as immediately following diagnosis when patients are establishing medication-taking habits.

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