Self-Management of Tinnitus

2017 ◽  
pp. 420-439
Keyword(s):  
Coping Skills ◽  
Negative Impact ◽  
Management Strategies ◽  
Healthcare Providers ◽  
Chronic Health Condition ◽  
Health Condition ◽  
Self Management ◽  
Psychosocial Effects ◽  
Acoustic Stimuli ◽  
Significant Negative Impact

Tinnitus (i.e., ringing, hissing, or buzzing in the ears) occurs without external acoustic stimuli and can be constant or intermittent. While individuals with tinnitus may be told that nothing can be done about tinnitus, multiple tinnitus management strategies exist that can help to reduce individuals’ focus on and distress due to tinnitus and to increase their coping skills. Given that at the present time there is no cure for most forms of tinnitus, it must be self-managed as a chronic health condition. This chapter discusses multiple approaches that healthcare providers can utilize to assist individuals in navigating the range of functional and psychosocial effects triggered by tinnitus, in order to help decrease the potential for it having a significant negative impact on their lives.

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.

scholarly journals Electronic, mobile and telehealth tools for vulnerable patients with chronic disease: a systematic review and realist synthesis

BMJ Open ◽  
2018 ◽  
Vol 8 (8) ◽  
pp. e019192 ◽  
Author(s):  
Sharon Parker ◽  
Amy Prince ◽  
Louise Thomas ◽  
Hyun Song ◽  
Diana Milosevic ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Health Literacy ◽  
Healthcare Providers ◽  
Chronic Health Condition ◽  
Vulnerable Groups ◽  
Self Management ◽  
Future Research ◽  
Ehealth Literacy ◽  
Health Technologies ◽  
Vulnerable Patients

ObjectivesThe objective of this review was to assess the benefit of using electronic, mobile and telehealth tools for vulnerable patients with chronic disease and explore the mechanisms by which these impact patient self-efficacy and self-management.DesignWe searched MEDLINE, all evidence-based medicine, CINAHL, Embase and PsychINFO covering the period 2009 to 2018 for electronic, mobile or telehealth interventions. Quality was assessed according to rigour and relevance. Those studies providing a richer description (‘thick’) were synthesised using a realist matrix.Setting and participantsStudies of any design conducted in community-based primary care involving adults with one or more diagnosed chronic health condition and vulnerability due to demographic, geographic, economic and/or cultural characteristics.ResultsEighteen trials were identified targeting a range of chronic conditions and vulnerabilities. The data provided limited insight into the mechanisms underpinning these interventions, most of which sought to persuade vulnerable patients into believing they could self-manage their conditions through improved symptom monitoring, education and support and goal setting. Patients were relatively passive in the interaction, and the level of patient response attributed to their intrinsic level of motivation. Health literacy, which may be confounded with motivation, was only measured in one study, and eHealth literacy was not assessed.ConclusionsResearch incorporating these tools with vulnerable groups is not comprehensive. Apart from intrinsic motivation, health literacy may also influence the reaction of vulnerable groups to technology. Social persuasion was the main way interventions sought to achieve better self-management. Efforts to engage patients by healthcare providers were lower than expected. Use of social networks or other eHealth mechanisms to link patients and provide opportunities for vicarious experience could be further explored in relation to vulnerable groups. Future research could also assess health and eHealth literacy and differentiate the specific needs for vulnerable groups when implementing health technologies.

The Contribution of mHealth in the Care of Obese Pediatric Patients

2016 ◽  
pp. 126-146 ◽  
Author(s):  
Elpis Vlachopapadopoulou ◽  
Dimitrios I. Fotiadis
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Remote Monitoring ◽  
Chronic Health Condition ◽  
Health Condition ◽  
Self Management ◽  
Closed Loops ◽  
Global Health Issue ◽  
Life Threatening ◽  
Motivational Approaches

In this chapter the evolution of mHealth solutions for monitoring and treatment of children suffering from obesity is discussed. Nowadays, obesity emerges as a major chronic health condition that affects the general population, both children and adults. mhealth solutions are already used for self-management, remote monitoring and counseling of several chronic conditions, including diabetes mellitus, heart failure, Parkinson's disease, etc. Today, those solutions can result to closed loops, which support health self-management for chronic diseases, in a personalized manner. Concerning childhood obesity, those solutions can combine targeted games and motivational approaches towards both physical activity and diet, which could help in addressing this serious and global health issue, in the direction of minimizing co-morbidities and eventually preventing serious, life threatening events.

Systemic Models of Self-Management

2017 ◽  
pp. 499-520
Keyword(s):  
Chronic Care Model ◽  
Chronic Health Condition ◽  
Health Condition ◽  
Self Management ◽  
Management Support ◽  
Integrated Healthcare ◽  
Chronic Health ◽  
Policy Analysts ◽  
Definition Of

Researchers and healthcare policy analysts have called for systemic change in healthcare systems, because those systems typically do not incorporate long-term planning of chronic health condition care. There is an international movement to create comprehensive, integrated healthcare models that can better assist individuals who have chronic health conditions. This chapter includes a discussion of the definition of self-management support (SMS) and how it is different from self-management, a description of the typical components of SMS interventions, how SMS is different than disease management programs, and some examples of SMS programs. This chapter also covers several systemic models of self-management, including the Chronic Care Model and the Innovative Care for the Chronic Conditions Framework. It ends with brief sections on the economic reasons to promote SMS and integrated healthcare and on the future of self-management.

Career attitudes and employability: analysis of mediation via career strategies

2019 ◽  
Vol 42 (2) ◽  
pp. 417-436
Author(s):  
Gina Gaio Santos ◽  
Ana Paula Ferreira ◽  
José Carlos Pinho
Keyword(s):  
Direct Effect ◽  
Negative Impact ◽  
Management Strategies ◽  
Self Management ◽  
Equation Modeling ◽  
Cross Sectional ◽  
Content Type ◽  
Career Attitudes ◽  
Boundaryless Career

Purpose The purpose of this paper is to evaluate the impact of career attitudes (traditional career vs boundaryless career) on perceived employability (internal vs external employability). In addition, the authors examine whether career self-management strategies act as mediators of these relationships. Due to high unemployment rates in the last two decades, it is important to assess the extent to which young graduates’ career attitudes affect perceived internal and external employability, along with the role of career self-management strategies as an employability enhancement tool. Design/methodology/approach As part of a cross-sectional research design, the authors administered a survey questionnaire to a sample of 131 graduates (i.e. master’s students) with at least one year of work experience. The empirical data were analyzed with partial least squares structural equation modeling, which combines confirmatory factor analysis, multiple linear regression and path analysis. Findings The results reveal that there is a positive and significant impact (direct effect) of a traditional career attitude (TCA) on internal employability, while there is no significant negative impact of a TCA on external employability. Additionally, the results show that there is a negative impact (direct effect) of a boundaryless career attitude (BCA) on internal employability, while no significant positive impact is found of a BCA on external employability. This study also confirms the mediation effect (full mediation) of career positioning strategies on the BCA-external employability relationship, and a partial mediation of career influence strategies on the TCA-internal employability relationship. Research limitations/implications Limitations of this study relate to the sample size and the use of a convenience sampling technique. Hence, some caution is needed regarding results’ generalization. In addition, this research uses a cross-sectional design, thus the authors cannot assess longitudinal causal relationships between variables. Future research should be replicated with different types of respondents and in different cultural contexts. Practical implications The results suggest that organizations would benefit more from employees that hold a TCA than those that hold a BCA, especially if they are interested in fostering the internal employability of their workforce. At the individual level, the results identify optimal career self-management strategies (internal vs external employability) for young graduates. Originality/value This study offers new empirical evidence of the predictive value of perceived internal vs external employability and the mediating role of career self-management strategies in explaining employability. Young graduates perceive a TCA as more advantageous than a BCA for both internal and external employability. This is an unexpected but interesting finding, since the bulk of the literature on contemporary career attitudes overemphasizes the advantages of a BCA, while disregarding potential disadvantages for both individuals and organizations.

Cognitive-Behavioral Therapy to Promote Self-Management

2017 ◽  
pp. 31-57
Author(s):  
Sharon Eldar ◽  
Nora M. Esser ◽  
Stefan G. Hofmann
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Chronic Health Condition ◽  
Health Condition ◽  
Cognitive Behavioral ◽  
Self Management ◽  
Great Success ◽  
Management Skills ◽  
Chronic Health ◽  
Negative Thoughts

Adjusting and adapting to a chronic health condition is a long process that involves adopting a new lifestyle. Cognitive behavioral therapy (CBT) has had great success in promoting this process and enhancing self-management skills among people with chronic conditions. The main goal of CBT is to encourage people to become their own therapist and to feel confident in managing their chronic situation. This chapter describes the main CBT ideas on how thoughts, feelings, and behaviors interact with one another and which concepts and techniques can help people break the vicious cycle of negative thoughts, difficult emotions, and nonadaptive behaviors. Following that, the chapter explains how to implement those skills and techniques specifically among people with chronic health conditions in order to increase their quality of life.

scholarly journals Understanding Multilevel Factors Related to Urban Community Trust in Healthcare and Research

2019 ◽  
Vol 16 (18) ◽  
pp. 3280 ◽  
Author(s):  
Monica Webb Hooper ◽  
Charlene Mitchell ◽  
Vanessa J. Marshall ◽  
Chesley Cheatham ◽  
Kristina Austin ◽  
...  
Keyword(s):  
Biomedical Research ◽  
Ecological Model ◽  
Healthcare Providers ◽  
Community Based Participatory Research ◽  
Chronic Health Condition ◽  
Health Condition ◽  
Health Coverage ◽  
Community Members ◽  
Sociodemographic Differences ◽  
Community Trust

Background: Community and patient engagement in the healthcare system and biomedical research are prerequisites for eliminating health disparities. We conducted a “listening tour” to enhance our understanding of multilevel factors associated with community trust. Methods: Using community-based participatory research (CBPR) methods, we conducted a phenomenological qualitative study. “Town-hall” style discussions were held at nine sites across an urban, Midwestern city. We recruited adults (N = 130) via community networks, social media, flyers, and word-of-mouth. Demographic assessments were self-administered and listening tour sessions were conducted by trained moderators. Themes were framed within the social ecological model (SEM; intrapersonal, interpersonal, institutional, community, and policy levels). Results: Participants were mostly female (68%), African American (80%), had health coverage (97%) and were diagnosed with a chronic health condition (71%). The overarching theme was sociodemographic differences in distrust, such that African Americans and deaf/hearing impaired participants perceived disparities in healthcare, a lower quality of care, and skepticism about biomedical research, relative to Whites. Conclusions: The depth of distrust for healthcare providers, systems, and researchers in underserved communities remains strong and complex. Findings highlight the need to understand the lived experiences of community members, and how distrust is maintained. Multilevel interventions to increase trust and the accrual of underrepresented populations into clinical trials are needed.

scholarly journals Self-management strategies to consider to combat endometriosis symptoms during the COVID-19 pandemic

2020 ◽  
Vol 2020 (2) ◽  
Author(s):  
Mathew Leonardi ◽  
Andrew W Horne ◽  
Katy Vincent ◽  
Justin Sinclair ◽  
Kerry A Sherman ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pain Relief ◽  
Expert Opinion ◽  
Management Strategies ◽  
Healthcare Providers ◽  
Psychological Effects ◽  
Self Management ◽  
Educational Resource ◽  
Underlying Condition

ABSTRACT The care of patients with endometriosis has been complicated by the coronavirus disease 2019 (COVID-19) pandemic. Medical and allied healthcare appointments and surgeries are being temporarily postponed. Mandatory self-isolation has created new obstacles for individuals with endometriosis seeking pain relief and improvement in their quality of life. Anxieties may be heightened by concerns over whether endometriosis may be an underlying condition that could predispose to severe COVID-19 infection and what constitutes an appropriate indication for presentation for urgent treatment in the epidemic. Furthermore, the restrictions imposed due to COVID-19 can impose negative psychological effects, which patients with endometriosis may be more prone to already. In combination with medical therapies, or as an alternative, we encourage patients to consider self-management strategies to combat endometriosis symptoms during the COVID-19 pandemic. These self-management strategies are divided into problem-focused and emotion-focused strategies, with the former aiming to change the environment to alleviate pain, and the latter address the psychology of living with endometriosis. We put forward this guidance, which is based on evidence and expert opinion, for healthcare providers to utilize during their consultations with patients via telephone or video. Patients may also independently use this article as an educational resource. The strategies discussed are not exclusively restricted to consideration during the COVID-19 pandemic. Most have been researched before this period of time and all will continue to be a part of the biopsychological approach to endometriosis long after COVID-19 restrictions are lifted.

scholarly journals Promoting physical activity in adolescent cancer survivors

2015 ◽  
Vol 5 (1) ◽  
pp. 29-32 ◽  
Author(s):  
Amanda Wurz ◽  
Jennifer Brunet
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Cancer Survivors ◽  
Management Strategies ◽  
Healthcare Providers ◽  
Self Management ◽  
Cancer Therapies ◽  
Adolescent Cancer ◽  
Recommended Guidelines

Self-management strategies, such as physical activity, have been identified to help young cancer survivors reduce or control the side effects that accompany modern cancer therapies whilst improving their overall quality of life. Despite the known benefits of physical activity, the majority of young cancer survivors not meeting recommended guidelines. In this article, we discuss knowledge translation activities that are taking place across Canada to develop and disseminate resources to healthcare providers in an effort to improve physical activity counselling, and ultimately participation for adolescent cancer survivors.

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