Self-Management of Chronic Diseases: A Descriptive Phenomenological Study

2020 ◽  
pp. 1-11
Author(s):  
Julide Gulizar Yildirim Duman
Keyword(s):  
Chronic Diseases ◽  
Phenomenological Study ◽  
Self Management

Theoretical and contextual considerations for self-management strategies of children and adolescents with chronic diseases: An integrative review

2021 ◽  
pp. 136749352110136
Author(s):  
Logan J Camp-Spivey ◽  
Ayaba Logan ◽  
Michelle Nichols
Keyword(s):  
Children And Adolescents ◽  
Chronic Diseases ◽  
Management Strategies ◽  
Healthcare Providers ◽  
Integrative Review ◽  
Self Management ◽  
Intervention Delivery ◽  
Management Interventions ◽  
Technological Platforms ◽  
Management Behaviors

The primary aim of this integrative review was to critically evaluate and synthesize published, peer-reviewed research to better understand self-management strategies of children and adolescents with chronic diseases. This review was guided by Whittemore and Knafl’s methodological framework. The Pediatric Self-management Model provided the theoretical framework for understanding how self-management behaviors operate within the domains of individual, family, community, and healthcare systems. In June 2019, the electronic databases of EBSCOhost, PubMed, and Scopus, along with reference lists of applicable studies, were searched for appropriate publications. The initial searches yielded 920 citations. Of these, 11 studies met inclusion criteria. A key finding was that involving children and adolescents in the design and delivery phases of interventions was most effective in improving self-management when the interventions did not outweigh cognitive ability or maturity level. In addition, incorporating self-efficacy promotion into self-management interventions may lead to greater sense of responsibility and improved health outcomes. In terms of intervention delivery of self-management strategies, the use of technological platforms and devices was revealed as a promising avenue for youth. A final implication was the importance of family members, peers, and healthcare providers in supporting children and adolescents in adopting self-management behaviors.

Strategies for tailored messages : interaction of personal value orientation and freedom threat for chronic diseases management and behavior changes

2015 ◽  
Author(s):  
◽  
Kyung Jung Han
Keyword(s):  
Chronic Diseases ◽  
Value Orientation ◽  
Value Orientations ◽  
Health Messages ◽  
Self Management ◽  
Current Status ◽  
University Of Missouri ◽  
Health News ◽  
Personal Value ◽  
Self Transcendence

[ACCESS RESTRICTED TO THE UNIVERSITY OF MISSOURI AT REQUEST OF AUTHOR.] The purpose of the overall study was to explore more effective ways of creating tailored health messages for technology-based interventions in order to help self-management of chronic diseases. The overall study is twofold: Study 1 -- systematic review and Study 2 -- experimental study. Conducting Study 1 -- review study -- has shed light on the current status of research on technology-based interventions for managing chronic diseases. Specifically, the study considered methodological quality and features of interventions as indices in order to improve the effectiveness of the technology-based interventions for chronic diseases. Accordingly, given personal value orientation and freedom threat, Study 2 investigated these as potential elements to be included in tailored health messages and leading to more or less persuasive effects for self-management. It examined whether invoking an individual’s personal value orientation between two extreme value orientations--self-enhancement and self-transcendence--and threatening an individual’s freedom in health news messages on diabetes can cause psychological reactance and affect compliance with suggested health behaviors. The details of each study will be explained.

Exploring Personal Healthcare with the Help of Two Large European Framework Programs for Healthcare

2010 ◽  
pp. 918-938
Author(s):  
Harald Reiter ◽  
Joerg Habetha
Keyword(s):  
Chronic Diseases ◽  
New Technologies ◽  
Wearable Sensors ◽  
Ease Of Use ◽  
The Self ◽  
Self Management ◽  
European Research ◽  
Research Projects ◽  
Personal Healthcare

Personal healthcare enables prevention and early diagnosis in daily life and is centered on the patient. There is a need for a new personal healthcare paradigm in the treatment of chronic diseases. This will be achieved by new technologies that are currently explored (e.g., in European Research projects such as MyHeart and HeartCycle). These projects develop technologies and application concepts for the (self-)management of chronic diseases in patients’ homes with special emphasis on usability and ease-of-use (e.g., wearable sensors and processing units that can even be integrated into the patient’s clothes). These technologies allow empowering patients, fostering self-management and therefore reducing cost, and improving patients’ quality of life.

scholarly journals Characteristics of self-management among patients with complex health needs: a thematic analysis review

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e028344 ◽  
Author(s):  
Annie-Pier Gobeil-Lavoie ◽  
Maud-Christine Chouinard ◽  
Alya Danish ◽  
Catherine Hudon
Keyword(s):  
Chronic Diseases ◽  
Thematic Analysis ◽  
Healthcare Providers ◽  
Self Management ◽  
Management Support ◽  
Management Skills ◽  
Healthcare Needs ◽  
Frequent Use ◽  
Dominant Condition ◽  
Use Of Health Services

ObjectiveThere is a gap of knowledge among healthcare providers on characteristics of self-management among patients with chronic diseases and complex healthcare needs. Consequently, the objective of this paper was to identify characteristics of self-management among patients with chronic diseases and complex healthcare needs.DesignThematic analysis review of the literature.MethodsWe developed search strategies for the MEDLINE and CINAHL databases, covering the January 2000–October 2018 period. All articles in English or French addressing self-management among an adult clientele (18 years and older) with complex healthcare needs (multimorbidity, vulnerability, complexity and frequent use of health services) were included. Studies that addressed self-management of a single disease or that did not have any notion of complexity or vulnerability were excluded. A mixed thematic analysis, deductive and inductive, was performed by three evaluators as described by Mileset al.ResultsTwenty-one articles were included. Patients with complex healthcare needs present specific features related to self-management that can be exacerbated by deprived socioeconomic conditions. These patients must often prioritise care based on one dominant condition. They are at risk for depression, psychological distress and low self-efficacy, as well as for receiving contradictory information from healthcare providers. However, the knowledge and experiences acquired in the past in relation to their condition may help them improve their self-management skills.ConclusionsThis review identifies challenges to self-management for patients with complex healthcare needs, which are exacerbated in contexts of socioeconomic insecurity and proposes strategies to help healthcare providers better adapt their self-management support interventions to meet the specific needs of this vulnerable clientele.

scholarly journals The Self-Management Experiences of Adolescents with Type 1 Diabetes: A Descriptive Phenomenology Study

2020 ◽  
Vol 17 (14) ◽  
pp. 5132
Author(s):  
Li-Chen Hung ◽  
Chu-Yu Huang ◽  
Fu-Sung Lo ◽  
Su-Fen Cheng
Keyword(s):  
Type 1 Diabetes ◽  
Glycemic Control ◽  
Phenomenological Study ◽  
Medical Center ◽  
Self Management ◽  
Good Glycemic Control ◽  
Descriptive Phenomenology ◽  
Parental Assistance ◽  
Colaizzi's Method

Many adolescents with type 1 diabetes experience challenges in achieving good glycemic control and have insufficient understanding in executing interventions for glycemic control. This study aimed to understand self-management experiences of adolescents with type 1 diabetes in Taiwan. In this descriptive phenomenological study, we conducted in-depth interviews with 18 adolescents with type 1 diabetes from the pediatric outpatient clinic of a medical center. Data were analyzed using the Colaizzi’s method. Four themes were identified: (1) misconception regarding self-management of blood glucose; (2) conflict between depending on and breaking away from parental assistance for glycemic control; (3) encounter with disruptions in glycemic control regimen due to the presence of schedule changes; and (4) lack of motivation to achieve good glycemic control. The findings indicated that the misconceptions of adolescents with type 1 diabetes about managing glycemic levels resulted from an insufficient understanding of self-management of diabetes. In Taiwan, the heavy emphasis of academic achievement and changes of schedules during breaks tended to disrupt the regimen for glycemic control. Healthcare professionals are encouraged to provide individualized education focusing on the adolescents’ misconceptions regarding self-management of diabetes.

scholarly journals Validation of Self-Management Screening (SeMaS), a tool to facilitate personalised counselling and support of patients with chronic diseases

2015 ◽  
Vol 16 (1) ◽  
Author(s):  
Nathalie Eikelenboom ◽  
Ivo Smeele ◽  
Marjan Faber ◽  
Annelies Jacobs ◽  
Frank Verhulst ◽  
...  
Keyword(s):  
Chronic Diseases ◽  
Self Management
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