scholarly journals COMPREHENSIVE HEALTH ASSESSMENT AND MOTIVATION PROGRAM FOR PEOPLE AGING WITH DISABILITIES (CHAMP-D)

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S69-S70
Author(s):  
Patricia C Heyn ◽  
James J Carollo

Abstract We developed a Comprehensive Health Assessment and Motivation program (CHAMP-D) focused on self-health promotion and management for people aging with disabilities. The goal of the CHAMP-D is to enhance healthy lifestyle, self-health management and communications with the care team by a person-centered Health Passport tool. All study participants underwent comprehensive health, physical, and blood laboratory evaluation. CHAMP-D results were formatted into an easy to follow health passport. A follow-up survey evaluated the CHAMP-D on 59 respondents and 77% found the recommendations to be achievable and reported improved quality of life (QoL). Other improvements were noted in in self-care (54%), physical activity (49%), and diet (24%). 51% of the participants shared the Health Passport with their PCP. Overall, the CHAMP-D had a positive impact on participants’ self-reported health, self-care, and wellbeing. Empowering individuals with disabilities to take an active role in self-managing their health is feasible and can impact their QoL.

2021 ◽  
Vol 8 (4) ◽  
pp. 5-12
Author(s):  
E.A. Telnova ◽  
A.V. Belova ◽  
A.A. Zagoruichenko

The article analyzes the results of monitoring the availability and quality of the drug supply system among the population of various age groups and financial situation. The purpose of this study is to study the satisfaction of citizens in the drug supply system in Russia and to build a medical and social portrait of the patient, which was developed based on the analysis of the results of a sociological survey conducted in dynamics for 2019-2021. In the course of the research, such methods as: sociological, study and generalization of experience, analytical, methods of descriptive statistics were used. The results of the sociological study indicate the need for additional work to improve the availability and quality of LLR and the level of awareness of patients about the system of drug reimbursement. The obtained data can be used for health management bodies at various hierarchical levels, confirm the special social significance of solving this problem and the need to introduce preventive measures to involve patients in healthy lifestyle, increase public confidence in domestic drugs.


2017 ◽  
Author(s):  
Michelle L Litchman ◽  
Linda S Edelman ◽  
Gary W Donaldson

BACKGROUND Successful diabetes management requires ongoing lifelong self-care and can require that individuals with diabetes become experts in translating care recommendations into real-life day-to-day diabetes self-care strategies. The diabetes online community comprises multiple websites that include social media sites, blogs, and discussion groups for people with diabetes to chat and exchange information. Online communities can provide disease-specific practical advice and emotional support, allow users to share experiences, and encourage self-advocacy and patient empowerment. However, there has been little research about whether diabetes online community use is associated with better diabetes self-care or quality of life. OBJECTIVE The aim of this study was to survey adults with diabetes who participated in the diabetes online community to better understand and describe who is using the diabetes online community, how they are using it, and whether the use of the diabetes online community was associated with health indicators. METHODS We recruited adults diagnosed with diabetes who used at least one of 4 different diabetes-related online communities to complete an online survey. Participants’ demographics, reported glycated hemoglobin (HbA1c), health-related quality of life (SF-12v2), level of diabetes self-care (Self-Care Inventory-Revised), and diabetes online community use (level of intensity and engagement) were collected. We examined the relationships between demographics, diabetes online community use, and health indicators (health-related quality of life, self-care, and HbA1c levels). We used binary logistic regression to determine the extent to which diabetes online community use predicted an HbA1c <7% or ≥7% after controlling statistically for other variables in the model. RESULTS A total of 183 adults participated in this study. Participants were mostly female (71.6%, 131/183), white (95.1%, 174/183), US citizens (82.5%, 151/183), had type 1 diabetes (69.7%, 129/183), with a mean age of 44.7 years (SD 14) and diabetes duration of 18.2 years (SD 14.6). Participants had higher diabetes self-care (P<.001, mean 72.4, SD 12.1) and better health-related quality of life (physical component summary P<.001, mean 64.8, SD 19; mental component summary P<.001, mean 66.6, SD 21.6) when compared with norms for diabetes. Diabetes online community engagement was a strong predictor of A1c, reducing the odds of having an A1c ≥7% by 33.8% for every point increase in diabetes online community engagement (0-5). Our data also indicated that study participants are oftentimes (67.2%, 123/183) not informing their healthcare providers about their diabetes online community use even though most (91.2%, 161/181) are seeing their healthcare provider on a regular basis. CONCLUSIONS Our results suggest that individuals highly engaged with diabetes online community are more likely to have better glycemic levels compared with those with lower engagement. Furthermore, diabetes online community users have high health-related quality of life and diabetes self-care levels. Supplementing usual healthcare activities with diabetes online community use may encourage knowledge and support among a population that needs to optimize its diabetes self-care. Further studies are needed to determine how diabetes online community engagement may affect health outcomes.


2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e15593-e15593
Author(s):  
Yun Su ◽  
Helene Ostojic ◽  
Savina Jaeger

e15593 Background: REG has been shown to improve survival and delay time to quality of life deterioration over placebo (PBO) in two large randomized, double-blind, placebo-controlled multi-center phase III trials CORRECT and CONCUR for the treatment of relapsed mCRC. We report on findings of the five-dimensions of HRQoL in the two trials. Methods: The five key dimensions of HRQoL were captured in the CORRECT and CONCUR trials using EuroQol 5-Dimension questionnaire 3-level version (EQ-5D-3L). The 5 dimensions are mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 3 levels: no problems, some problems, severe problems. We calculated the proportion of intent-to-treat (ITT) patients reporting “no problems” (NP) in each of the 5 dimensions by cycle and arm of treatment in the two trials. Results: Detailed descriptions of the trials have been reported previously. Due to space, data below focuses on CORRECT. ITT patients included 760 total in the CORRECT trial, 2:1 randomized to receive REG (N=505) and PBO (N=255). At baseline (BL), 95% of the ITT patients completed the questionnaire (Table), and patients reported the highest percentage of NP in self-care (87%) and lowest in pain/discomfort (35%). EQ-5D completion rates decline with each cycle of treatment, as are the percentages reporting NP in each dimension. The declines however appeared much more rapid for PBO than for REG. Both completion rate and percentages of NP were somewhat higher for PBO than for REG at BL, this continued until only cycle 2 and reversed completely from cycle 3 onward showing increasingly diminished proportion of those on PBO able to complete the questionnaire and reporting NP in each dimension. The differences between arms became larger with each cycle beginning cycle 3. Findings were similar for CONCUR (not shown). Conclusions: REG appeared to enable patients to maintain their mobility, self-care, usual activity, being pain-free and anxiety-free as well as their ability to complete the EQ-5D questionnaire, at much higher rates than PBO. Those whose EQ-5D were no longer available were likely poor performers that discontinued due to progression, death, toxicity or other unfavorable factors associated with their treatments. For PBO, toxicity was unlikely the reason. These findings suggest REG has a positive impact on quality of survival, as well as on length of survival. Further confirmatory analyses are needed.[Table: see text]


2021 ◽  
pp. 101053952110087
Author(s):  
Nobutaka Hirooka ◽  
Takeshi Sano ◽  
Reiko Yasumura ◽  
Yuji Maeyama ◽  
Nakamoto Hidetomo

To improve health among the population and reduce the societal burden of care and health-related costs in a rapidly aging environment, the Japanese government launched the “National Health Promotion Program in the 21st Century” (HJ21), which contains goals concerning areas such as lifestyle behavior and the use of preventive medicine. While health care personnel are responsible for guiding others’ health choices, they may not maintain healthy lifestyles themselves. Whether these individuals are meeting the HJ21 goals has not yet been examined. This study aims to determine whether certified specialists in health management are meeting such goals, and to compare their performance with the national average. This is a cross-sectional survey study. Study participants, sourced from all prefectures in Japan, were specialists certified in health management. We measured data concerning demographic information, lifestyle (physical activity, nutrition, diet, sleep, rest, smoking, and alcohol use), and the use of preventive medicine. The study participants exhibited many characteristics of high health literacy. They had an overall healthy lifestyle and met most of the HJ21 goals of healthy lifestyle, and a high proportion underwent health maintenance examinations and cancer screenings. These practices and behaviors maybe associated with high health literacy and social engagement activities.


2021 ◽  
Vol 7 (5) ◽  
pp. 4914-4924
Author(s):  
Xiaohua Li ◽  
Jianbo Li ◽  
Xianchu Liu ◽  
Wenxue Tan

Objectives: At present, China’s population over 60 years old has been increasing year by year. As the problem of population aging is becoming more and more prominent, followed by a variety of health problems, which is studied. Methods: In this paper, Bayesian technology and decision tree technology are applied to the health assessment system of cardiovascular and cerebrovascular chronic diseases. Results: A health management system for chronic diseases is developed to enable health management experts to assess health according to physical examination data. Conclusion: The management of chronic cardiovascular and cerebrovascular diseases in physical examinees can reduce the incidence of chronic diseases and improve the quality of life of physical examinees.


2017 ◽  
Vol 4 (1) ◽  
pp. 20-27 ◽  
Author(s):  
Shayesteh Bairami ◽  
Yadollah Fathi ◽  
Samaneh Mohammadinasab ◽  
Majid Barati ◽  
Younes Mohammadi ◽  
...  

Author(s):  
Rashmi Negi ◽  
Khushbu Saharan ◽  
Kavita Pillai

Background: In the wake of the Covid 19 outbreak, entire mankind across the globe is suffering. Enhancing the body’s natural defence system (immunity) plays an important role in maintaining optimum health. We all know that prevention is better than cure. While there is no medicine for COVID-19 as of now, it will be good to take preventive measures which boost our immunity in these times. The COVID-19 (also commonly called coronavirus) pandemic is causing a lot of changes in the daily lives of people around the world. However, there are things that can be done to maintain a healthy lifestyle in these difficult times. First and foremost, everyone is encouraged to follow World Health Organization (WHO) and governmental advice to protect against COVID-19 infection and transmission. Physical distancing and good hygiene are the best protection for everyone against COVID-19. Experiences from previous outbreaks have shown that as an epidemic evolves, there is an urgent need to expand public health activities beyond direct clinical management. The nutritional status of individuals has for long been considered as an indicator of resilience against destabilization. Method: A web-based, survey was conducted using a structured questionnaire to obtain responses from community people during the third week of May 2020. A 30-item survey instrument was developed using course materials available on WHO’s website on emerging COVID-19. The survey covered community people’s socio demographic profile, awareness, information sources, and knowledge related to maintenance of healthy dietary measures for self-care during COVID-19 pandemic. Result: The study findings suggests that majority of the study participants have poor knowledge score (45.25%), average knowledge (25.12%) and 29.63% respondents had adequate knowledge about self-care measures to follow to boosts immunity during COVID 19. Conclusion: The study concludes that participants had considerable poor to average knowledge regarding Immunity boosting measures for self-care. The enhancement in knowledge is greatly required on Immunity boosting measures for self-care to enhance the natural defense system of individual.


2019 ◽  
Vol 4 (2) ◽  
pp. 903-906
Author(s):  
Hubari Gulo ◽  
Ayurut Desica Tinambunan ◽  
Emelia Anggraini Sitorus ◽  
Ismail Hutasoit

PHBS (Clean and Healthy Lifestyle) is all health behaviors that are carried out due to personal awareness so that the family and all members are able to help themselves in the health field and have an active role in community activities. Clean hygiene behavior is basically an effort to transmit experiences about healthy lifestyles through individuals, groups or the wider community with channels of communication as a medium for sharing information. The main objective of the PHBS movement is to improve the quality of health through an awareness process that is the beginning of the contribution of individuals - individuals in living clean and healthy daily life behaviors. The most important benefit of PHBS is the creation of a community that is health conscious and has the provision of knowledge and awareness to live life behaviors that maintain hygiene and meet health standards. Through this program, we educate both theory and practice directly to the community of Damuli Kebun Village on the importance of a Clean and Healthy Lifestyle in daily activities.


Materials ◽  
2020 ◽  
Vol 13 (23) ◽  
pp. 5486
Author(s):  
Tereza Pavlů ◽  
Kristina Fořtová ◽  
Jakub Řepka ◽  
Diana Mariaková ◽  
Jiří Pazderka

The use of recycled masonry aggregate for concrete is mostly limited by the worse properties in comparison with natural aggregate. For these reasons it is necessary to find ways to improve the quality of recycled masonry aggregate concrete and make it more durable. One possibility is utilization of crystalline admixture which was verified in this study by laboratory measurements of key material properties and durability. The positive influence of mineral admixture was proved for freeze-thaw resistance. The positive impact to carbonation resistance was not unambiguous. In conclusion, the laboratory evaluation shows how to improve the durability of recycled masonry aggregate concrete, however, it is necessary to investigate more about this topic.


2020 ◽  
Vol 17 (1) ◽  
pp. 101-106
Author(s):  
Laksita Joshi ◽  
Darshan Bhagawan ◽  
Ramesh Holla ◽  
Vaman Kulkarni ◽  
Bhaskaran Unnikrishnan ◽  
...  

Background: Diabetes mellitus is a serious chronic condition affecting millions of people globally. The focus of our future health care providers should not lie primarily on increasing the “quantity” of life but also on improving the Quality of Life of the patient. There is a serious lack of awareness and adherence regarding self-care for Diabetes in countries like India. Objectives: To determine the Quality of Life and self-care behavior among people living with Diabetes. Methods: A cross-sectional study was carried out among 190 of all patients diagnosed with Diabetes mellitus type II of the duration of one year and more who came to Government Wenlock Hospital, Mangalore. The Quality of Life was assessed using the WHO BREF questionnaire. Data was entered and analyzed using the Statistical Package for Social Sciences. Results: Amongst 190 participants, 151 (79.5%) of them had a good physical and psychological QOL. In a social relationship and environmental health domain, good quality of life was observed among 81.6% (n=155) and 89.5% (n=170) of study participants, respectively. It was noted that out of 190 people with Diabetes, only 24 (12.6%) participants inspected their feet daily. Conclusion: The Quality of Life was found to be good amongst the majority of the study participants. Results of the study point that the majority of the patients enjoy a good quality of life but also reinstate the importance of self-care activities for the betterment of health.


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