Perceptions of Adolescents with Overweight and Obesity for the Development of User-Centered Design Self-Management Tools within the Context of the Chronic Care Model: A Qualitative Study

2016 ◽  
Vol 116 (6) ◽  
pp. 957-967 ◽  
Author(s):  
Amy L. Knoblock-Hahn ◽  
Ricardo Wray ◽  
Cynthia M. LeRouge
PLoS ONE ◽  
2015 ◽  
Vol 10 (10) ◽  
pp. e0137803 ◽  
Author(s):  
Sophie L. W. Spoorenberg ◽  
Klaske Wynia ◽  
Andrea S. Fokkens ◽  
Karin Slotman ◽  
Hubertus P. H. Kremer ◽  
...  

2020 ◽  
Vol 35 (6) ◽  
pp. 1531-1542
Author(s):  
Susan L Hutchinson ◽  
Heidi Lauckner

Abstract Assisting people to live well with a chronic physical or mental health condition requires the creation of intersectoral community-based supports for chronic condition self-management. One important but underutilized resource for supporting chronic condition self-management in the community is recreation, which refers to relatively self-determined and enjoyable physical, social or expressive everyday activities. The Expanded Chronic Care Model (ECCM) provides a framework for identifying systems-level strategies to support self-management through increased access to community recreation opportunities. In this article, an occupation-based social transformation approach, which involves examining assumptions, considering contexts of daily activities and partnering to create meaningful social change, is used to examine the ECCM. Recommendations related to strengthening social change with a specific focus on collaborations and networks through recreation are provided. Through such collaborations, self-management of chronic conditions in community recreation contexts is advanced. Health providers and community-based recreation services providers are invited to be part of these intersectoral changes that will promote health amongst those living with chronic conditions.


2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Shantanu Nundy ◽  
Jonathan J. Dick ◽  
Anna P. Goddu ◽  
Patrick Hogan ◽  
Chen-Yuan E. Lu ◽  
...  

Background. Self-management support and team-based care are essential elements of the Chronic Care Model but are often limited by staff availability and reimbursement. Mobile phones are a promising platform for improving chronic care but there are few examples of successful health system implementation.Program Development. An iterative process of program design was built upon a pilot study and engaged multiple institutional stakeholders. Patients identified having a “human face” to the pilot program as essential. Stakeholders recognized the need to integrate the program with primary and specialty care but voiced concerns about competing demands on clinician time.Program Description. Nurse administrators at a university-affiliated health plan use automated text messaging to provide personalized self-management support for member patients with diabetes and facilitate care coordination with the primary care team. For example, when a patient texts a request to meet with a dietitian, a nurse-administrator coordinates with the primary care team to provide a referral.Conclusion. Our innovative program enables the existing health system to support ade novocare management program by leveraging mobile technology. The program supports self-management and team-based care in a way that we believe engages patients yet meets the limited availability of providers and needs of health plan administrators.


PLoS ONE ◽  
2019 ◽  
Vol 14 (7) ◽  
pp. e0220516 ◽  
Author(s):  
Clare Liddy ◽  
Esther S. Shoemaker ◽  
Lois Crowe ◽  
Lisa M. Boucher ◽  
Sean B. Rourke ◽  
...  

2017 ◽  
Vol 57 (6) ◽  
pp. 727-732 ◽  
Author(s):  
Heide Cygan ◽  
Monique Reed ◽  
Karen Lui ◽  
Mary Mullen

One-third of children in the United States are overweight or obese. Comorbidities continue into adulthood if a healthy weight is not established. While expert guidelines for management of this condition are recognized, provider adherence to guidelines is lacking. The purpose of this quality improvement project was to evaluate the effectiveness of the chronic care model (CCM) on improving primary care provider identification, prevention, and management of childhood overweight and obesity. A pre- and postintervention chart audit was completed to evaluate documentation of 20 assessment measures included in expert guidelines. A chi-square analysis was conducted to assess differences. Statistically significant improvements were found in documentation of parental obesity, family medical history, sleep assessment, endocrine assessment, and weight classification as a diagnosis. Use of the CCM had a positive impact on provider adherence to expert guidelines. Furthermore, not all aspects of the CCM must be used to see statistically significant improvements.


Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 659-P
Author(s):  
ADDIE L. FORTMANN ◽  
JESSICA L. PRECIADO ◽  
CHRIS WALKER ◽  
ROBIN MORRISEY ◽  
KELLY BARGER ◽  
...  

PLoS ONE ◽  
2018 ◽  
Vol 13 (11) ◽  
pp. e0207109 ◽  
Author(s):  
Ronald J. Uittenbroek ◽  
Sijrike F. van der Mei ◽  
Karin Slotman ◽  
Sijmen A. Reijneveld ◽  
Klaske Wynia

Sign in / Sign up

Export Citation Format

Share Document