The effect of self-management support program on patient activation and inner strength in patients with cardiovascular disease

Purpose: The objective of this study was to examine the effect of dietary and exercise self-management support program on the dietary behavior, exercise behavior, and clinical outcomes of Muslim patients with poorly controlled type 2 DM in Indonesia. Methods: This study was a quasi-experimental, two group, pre-test and post-test design. The experimental group received the dietary and exercise self-management support program and usual care, whereas the control group only received the usual nursing care.Result: 35 subjects in the experimental group and 35 subjects in the control group completed the program, respectively. The findings indicated that there are significantly differences in dietary behavior (p=.00), exercise behavior (p=.00) and clinical outcomes: fasting blood glucose (FBG) (p=.00), cholesterol total level (p=.01) and systolic blood pressure (p=.00) between the experimental group and control group. However, for the BMI status (p=.84) and diastolic blood pressure (BP) (p=.32) were no significant differences between two groups. Conclusion: The dietary and exercise self-management support program was effective for improving the dietary behavior, exercise behavior, FBG, and total cholesterol level for individuals with poorly controlled type 2 diabetes mellitus. Further studies should be replicated using larger groups over a longer time frame.

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The patient’s voice: an exploratory study of the impact of a group self-management support program

BMC Family Practice ◽

10.1186/1471-2296-13-65 ◽

2012 ◽

Vol 13 (1) ◽

Cited By ~ 25

Author(s):

Sharon Johnston ◽

Hannah Irving ◽

Karina Mill ◽

Margo S Rowan ◽

Clare Liddy

Keyword(s):

Exploratory Study ◽

Support Program ◽

Self Management ◽

Management Support ◽

The Impact ◽

Group Self

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Using the patient activation measure to examine the self-management support needs of a population of UK workers with long-term health conditions

Chronic Illness ◽

10.1177/17423953211043492 ◽

2021 ◽

pp. 174239532110434

Author(s):

Sally Hemming ◽

Fehmidah Munir

Keyword(s):

Mental Health ◽

Patient Activation ◽

Health Conditions ◽

Self Management ◽

Support Needs ◽

Management Support ◽

Long Term Conditions ◽

Mental Health Conditions ◽

Patient Activation Measure

Objectives To examine differences in patient activation and self-management support needs in a population of UK workers with long-term health conditions. Methods Demographic, health and activation information were taken from the data of participants with long-term conditions, collected via an online cross-sectional survey of workers. The 13-item British patient activation measure measured workers knowledge, skills and confidence towards self-managing. Results Three hundred and seven workers with mental health, musculoskeletal and other conditions completed the patient activation measure. Mental health conditions were most prevalent (36.8%). Workers were higher activated, however workers with mental health conditions were significantly less activated ( p = 0.006). Differences in activation by condition severity and age were revealed. Discussion This study provides insight to the activation of UK workers with long-term conditions. Whilst workers with mental health conditions need more training and education to self-manage, workers are variably activated indicating broader support needs. There is a gap for workplace self-management support. The patient activation measure is used in healthcare to improve people’s self-management and should be considered to be included in the workplace, and could form part of interventions to support workers self-management. More rigorous studies, including the patient activation measure, are needed to identify the best approaches to identifying workers self-management support needs.

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