scholarly journals The self-management abilities test (SMAT): a tool to identify the self-management abilities of adults with bronchiectasis

2022 ◽  
Vol 32 (1) ◽  
Author(s):  
Katelyn R. Smalley ◽  
Lisa Aufegger ◽  
Kelsey Flott ◽  
Erik K. Mayer ◽  
Ara Darzi
Keyword(s):  
Health Knowledge ◽  
Assessment Tool ◽  
Healthcare Providers ◽  
Chronic Respiratory Disease ◽  
The Self ◽  
Self Management ◽  
Knowledge And Skills ◽  
Qualitative Feedback ◽  
Building Process ◽  
High Level

AbstractBronchiectasis is an increasingly common chronic respiratory disease which requires a high level of patient engagement in self-management. Whilst the need for self-management has been recognised, the knowledge and skills needed to do so— and the extent to which patients possess these—has not been well-specified. On one hand, understanding the gaps in people’s knowledge and skills can enable better targeting of self-management supports. On the other, clarity about what they do know can increase patients’ confidence to self-manage. This study aims to develop an assessment of patients’ ability to self-manage effectively, through a consensus-building process with patients, clinicians and policymakers. The study employs a modified, online three-round Delphi to solicit the opinions of patients, clinicians, and policymakers (N = 30) with experience of bronchiectasis. The first round seeks consensus on the content domains for an assessment of bronchiectasis self-management ability. Subsequent rounds propose and refine multiple-choice assessment items to address the agreed domains. A group of ten clinicians, ten patients and ten policymakers provide both qualitative and quantitative feedback. Consensus is determined using content validity ratios. Qualitative feedback is analysed using the summative content analysis method. Overarching domains are General Health Knowledge, Bronchiectasis-Specific Knowledge, Symptom Management, Communication, and Addressing Deterioration, each with two sub-domains. A final assessment tool of 20 items contains two items addressing each sub-domain. This study establishes that there is broad consensus about the knowledge and skills required to self-manage bronchiectasis effectively, across stakeholder groups. The output of the study is an assessment tool that can be used by patients and their healthcare providers to guide the provision of self-management education, opportunities, and support.

scholarly journals Evaluating equity in healthcare: pilot implementation of a self-assessment tool

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Chiarenza ◽  
D Domenig ◽  
S Cattacin
Keyword(s):  
Quality Of Care ◽  
Assessment Tool ◽  
Healthcare Providers ◽  
The Self ◽  
Vulnerable Groups ◽  
Service Users ◽  
Cross Sectional Survey ◽  
Self Assessment ◽  
Cross Sectional

Abstract Background Several sets of standards aiming at improving access and quality of care for service users have been published in recent years. Certain standards focused on improving healthcare providers’ responsiveness to specific target groups. The general goal of this research was to improve organisations’ awareness of equity standards that are not focused on specific groups, but on all contributing factors that put vulnerable groups at risk of exclusion. The specific objective was to evaluate the degree of compliance with a set of equity standards in 52 health care organisations from 16 countries. Methods A self-assessment tool (SAT) was developed to allow healthcare organisations to measure their capacity to provide equitable care for service users. The SAT indicates the main areas that should be addressed: equity in policy; equitable access and utilisation; equitable quality of care; equity in participation; promoting equity. A cross-sectional survey addressing participants from pilot-organisations was used for data collection, concerning both the self-reported compliance score with the standards, as well as the additional information provided to support the score assigned. Data were analysed quantitatively as well as qualitatively. Results The findings confirm that healthcare providers do invest in improving equity in the access and delivery of services to vulnerable groups. However, many health organisations have inadequate strategies to address inequities and are insufficiently engaged in improving equity in participation and promoting equity outside the organisation. Conclusions The participating organisations reported a significant impact from use of the self-assessment tool: some received the support from regional/national authorities to continue working on improving equity in healthcare; others linked the equity standards to existing performance-measurement strategies; others invested in new frameworks to improve service users engagement. Key messages The implementation of the SAT contributes to a self-reflective process, involving health professionals and managers, in which gaps and potential improvements are identified. Pilot organisations utilised the SAT as part of a process of increasing their awareness of equity issues and changing their organisational culture.

scholarly journals A study of the self-perceived competencies regarding the knowledge and skills of healthcare providers in the Expanded Program on Immunization in Thailand

2019 ◽  
Vol 33 (3) ◽  
pp. 208-218
Author(s):  
Pregamol Rutchanagul ◽  
Wipada Sangnimitchaikul
Keyword(s):  
Qualitative Method ◽  
Qualitative Data ◽  
Healthcare Providers ◽  
Content Type ◽  
Knowledge And Skills ◽  
Mixed Methods Approach ◽  
And Performance ◽  
Expanded Program On Immunization ◽  
High Level

Purpose The Expanded Program on Immunization (EPI) has still been found to offer services that do not comply with standards. The purpose of this paper is to ascertain competency in terms of the knowledge and skills of the EPI staff. Design/methodology/approach The research design was a mixed-methods approach. The quantitative method employed a questionnaire survey on the perceived competency of 382 EPI staffs from six regions in Thailand. This was paired alongside of the qualitative method, where four staffs were in-depth interviewed, and the performance of the EPI staffs was observed. Findings The overall perceived competency in the work of immunization was at a high level. A comparative analysis between the quantitative and qualitative data showed findings in three categories. First, the perception of competency was high, and performance conformed to standards in the preparation of the setting and equipment for providing the service; second, the perception of competency was high, but in the performance of their work the participants did not comply completely with standards for scheduling the immunization appointments or for vaccine storage; and third, the perception of competency was either moderate or low, and the performance of work was inadequate for vaccine estimations, registering reports, and dealing with adverse events following immunization. Originality/value The findings showed a gap between perception of knowledge-and-skill competency and actual practice in EPI service. Effective cooperation among involved organizations in order to improve the standard of performance in expanding the quality of EPI service provision in Thailand is suggested.

Development and psychometric testing of a Scale for Evaluating Self-management Needs of Knee Osteoarthritis (SMNKOA) in Taiwan

2016 ◽  
Vol 33 (S1) ◽  
pp. S614-S614
Author(s):  
M.H. Kao ◽  
Y.F. Tsai
Keyword(s):  
Correlation Coefficient ◽  
Pearson Correlation ◽  
Healthcare Providers ◽  
Self Care ◽  
The Self ◽  
Adult Patients ◽  
Self Management ◽  
Care Theory ◽  
Knee Oa ◽  
New Instrument

IntroductionKnee OA is a chronic and multifactorial disease; self-management needs are complex, which requires a multidimensional management plan. There is a need for healthcare providers to provide patients with knowledge of knee OA and how to effectively manage the disease.ObjectiveSelf-management-needs scales are one means of determining the management requirements of an individual patient. There is no suitable instrument available for assessing self-management needs of adult patients with knee OA in Taiwan. This study developed an instrument that could assess the self-management needs of knee OA patients using Orem's self-care theory as a theoretical framework.AimsThis study developed and psychometrically tested a new instrument for measuring adult patients’ self-management needs of knee OA (SMNKOA).MethodsDevelopment of the instrument involved three phases: item generation and scale development; content and face validity of the initial instrument; and evaluation of validity and reliability of the new instrument. Participants (n = 372) were purposively sampled from orthopaedic clinics at medical centres in Taiwan.ResultsThe self-care theory guided the development of the 35-item SMNKOA scale. The content validity index was 0.83. Principal components analysis identified a 3-factor solution, accounting for 53.19% of the variance. The divergent validity was –0.67; convergent validity was –0.51. Cronbach's α was 0.95, Pearson correlation coefficient was 0.88, and the intraclass correlation coefficient was 0.95.ConclusionsThe SMNKOA scale can measure and identify the individual self-management needs of knee OA patients. It will help healthcare providers better evaluate strategies that can help these patients cope with this chronic disease.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals A Comparison of Competencies in the Self-Management and Task Management Domain for Marketing Course Undergraduates

2021 ◽  
Vol 17 (4) ◽  
pp. 222
Author(s):  
Ilangko Subramaniam ◽  
Paramaswari Jaganathan
Keyword(s):  
The Self ◽  
Self Management ◽  
Task Management ◽  
Management Competencies ◽  
Knowledge And Skills ◽  
Knowledge Based ◽  
Management Domain ◽  
Significant Difference ◽  
Management Domains ◽  
And Task

Abstract: The shift from knowledge-based curriculum to a competence-based curriculum for Marketing course undergraduates is crucial in producing work-ready talents. The study focuses on the comparison of Self-Management and Task Management domain attained by final-year marketing students in 5 different higher learning institutions in Malaysia. A survey questionnaire consisting 25 items was distributed to compare the competencies in the Self-Management and Task Management domains among 289 undergraduates. The data was analysed using one-way ANOVA on SPSS program version 26.0. The results indicated a significant difference among the undergraduates’ competency in Self-Management domain between the different groups of HEIs. However, there was no significant difference in the Task Management domain. The Public university and Distance Learning university displayed a high Self-Management competencies with a mean score of 4.04 and 4.02 respectively. The competencies attainment for Task Management domains were moderate. All the universities in this study recorded a high score for the knowledge and skills competencies in the Self-Management domain. This comparative study indicates the emphasis of knowledge and skills in their Marketing courses compared to other competencies. This study  is significant to identify instructional improvement to enhance competency based learning to produce work-ready marketing undergraduates.     Keywords: Competency, Higher Education, Marketing, Self-Management, Task-Management

Using Context Awareness for Self-Management in Pervasive Service Middleware

2011 ◽  
pp. 248-271 ◽  
Author(s):  
Weishan Zhang ◽  
Klaus Marius Hansen
Keyword(s):  
Context Awareness ◽  
Ambient Intelligence ◽  
The Self ◽  
Self Management ◽  
Management Approach ◽  
Context Modeling ◽  
Management Actions ◽  
Pervasive Service ◽  
High Level ◽  
Management Capabilities

Context-awareness is an important feature in Ambient Intelligence environments including in pervasive middleware. In addition, there is a growing trend and demand on self-management capabilities for a pervasive middleware in order to provide high-level dependability for services. In this chapter, we propose to make use of context-awareness features to facilitate self-management. To achieve self-management, dynamic contexts for example device and service statuses, are critical to take self-management actions. Therefore, we consider dynamic contexts in context modeling, specifically as a set of OWL/SWRL ontologies, called the Self-Management for Pervasive Services (SeMaPS) ontologies. Self-management rules can be developed based on the SeMaPS ontologies to achieve self-management goals. Our approach is demonstrated within the LinkSmart pervasive middleware. Finally, our experiments with performance, extensibility, and scalability in the context of LinkSmart show that the SeMaPS-based self-management approach is effective.

scholarly journals POS0273-HPR PHARMACIST’S IMPACT ON SELF-MANAGEMENT FOR PATIENTS WITH CHRONIC INFLAMMATORY ARTHRITIS TREATED WITH BIOLOGICAL DMARDS

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 360.2-360
Author(s):  
C. Bottois ◽  
C. López-Medina ◽  
S. Dumas ◽  
H. Julien ◽  
B. Sephora ◽  
...  
Keyword(s):  
Repeated Measures ◽  
Self Management ◽  
Controlled Study ◽  
Annual Review ◽  
Knowledge And Skills ◽  
Biological Dmards ◽  
Patient’S Satisfaction ◽  
Factors Associated ◽  
Level Of Knowledge ◽  
High Level

Background:Knowledge about chronic inflammatory rheumatisc diseases and skills to administer and manage subcutaneous (subcut) biological DMARDs (bDMARDs) are key aspects to optimize patient’s self-management. Intervention of several successive health professionals (e.g comprehensive multidisciplinary team) has proven to be an effective method to improve patient’s self-management of their disease and treatment.Objectives:To assess the pharmacist’s impact on patient’s knowledge and skills during a multidisciplinary annual review. The secondary objectives were to assess this impact on therapeutic adherence and patient’s satisfaction as well as to determine the factors associated with the level of knowledge at baseline.Methods:Study type: prospective, monocentric, 6 months-follow-up, non-controlled study approved by Local Ethical Committee. Inclusion criteria: patient with either rheumatoid arthritis (RA) or spondyloarthritis (SpA), and treated with subcut bDMARDs. Intervention: The visit with a pharmacist evaluating and discussing patient’s knowledge and treatment adherence. At baseline (M0): date of the visit and, 3 (M3) and 6 months (M6) later, knowledge and adherence were assessed using self-administered questionnaires: Biosecure and CQR-5 respectively. A questionnaire was sent at M3 in order to evaluate the patient satisfaction. Endpoints: Primary: Changes in Biosecure score Secondary: Percentage of patients with high level of knowledge (score > 84) and percentage of patients with high adherence at M3 and M6; patient’s satisfaction; identification of patient’s factors (socio-demographics, rheumatisc disease treatments) associated with different levels of knowledge at baseline.Statistical analysis: repeated measures ANOVA, Bonferroni and Generalized Estimating Equation, univariate and multivariate linear regression.Results:The study was conducted from October 2019 to July 2020; 79 patients were included (age (years) = 50±15; sex ratio = 1.1; RA=25, SpA=54). The Biosecure scores changed from 71±18 to 82±15 (M3) and to 84±14 (M6) (p<0.001). At M0, M3 and M6, the rate of patients with a high level of knowledge was 24.1%, 59.5% and 63.3% respectively (p<0.001). No difference was observed for the change in the 92% of patients considered as high adherent (92% versus 95% at M0 and M6 respectively; p=0.077). Patient’s satisfaction regarding the pharmaceutical intervention was 25±3 (max = 28).Factors associated with a better Biosecure score in the multivariate analysis were the following, lifestyle as a couple (p<0.001), information given by a nurse (p=0.033), information searched for on patient associations (p=0.013) and a low Charlson score (p=0.001)Conclusion:Pharmacist’s intervention in the comprehensive multidisciplinary annual review resulted in a beneficial impact on patients’ knowledge and skills to manage their bDMARDs with a high level of satisfaction from a patient perspective.Disclosure of Interests:None declared

Developing a Web Platform to Optimize the Self-Management of People Living with a Chronic Respiratory Disease

2020 ◽  
pp. e20190110
Author(s):  
Pamela Tanguay ◽  
Simon Décary ◽  
Justine Martineau-Roy ◽  
Emilie-Maude Gravel ◽  
Isabelle Gervais ◽  
...  
Keyword(s):  
Respiratory Disease ◽  
Chronic Respiratory Disease ◽  
The Self ◽  
Self Management ◽  
Web Platform

Exploring Cancer Pain Self-Management Needs and Preferences: A Meta-Ethnography

2021 ◽  
pp. 104973232199897
Author(s):  
Alice Anderson ◽  
Angela Starkweather ◽  
Xiaomei Cong ◽  
Kim Kyounghae ◽  
Michelle Judge ◽  
...  
Keyword(s):  
Cancer Pain ◽  
The Self ◽  
Health Care Practitioner ◽  
Self Management ◽  
Support Needs ◽  
Management Support ◽  
Knowledge And Skills ◽  
Patients With Cancer ◽  
Practical Implications

Self-management of chronic disease and related symptoms provides a framework for understanding the contextual factors that influence self-management knowledge and skills that patients and families require to manage their condition on a day-to-day basis. The management of cancer pain is a significant issue for patients and families, and their experience can provide insight on cancer pain self-management support needs and preferences. A meta-synthesis of 20 qualitative research articles on self-management of cancer pain was conducted to gain a deeper understanding of the self-management support needs of patients with cancer pain. Noblit and Hare’s meta-ethnographic model was used. The meta-synthesis resulted in increased understanding of the needs and preferences for self-management support of cancer pain and the role of the health care practitioner. Practical implications are presented.

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