scholarly journals Behaviour change and social blinkers? The role of sociology in trials of self‐management behaviour in chronic conditions

2014 ◽  
Vol 36 (2) ◽  
pp. 226-238 ◽  
Author(s):  
Bie Nio Ong ◽  
Anne Rogers ◽  
Anne Kennedy ◽  
Peter Bower ◽  
Tom Sanders ◽  
...  
Keyword(s):  
Behaviour Change ◽  
Chronic Conditions ◽  
Self Management ◽  
Management Behaviour

The role of the family in supporting the self-management of chronic conditions: A qualitative systematic review

2017 ◽  
Vol 27 (1-2) ◽  
pp. 22-30 ◽  
Author(s):  
Lisa Whitehead ◽  
Elisabeth Jacob ◽  
Amanda Towell ◽  
Ma'en Abu-qamar ◽  
Amanda Cole-Heath
Keyword(s):  
Systematic Review ◽  
Chronic Conditions ◽  
The Self ◽  
Self Management ◽  
Qualitative Systematic Review ◽  
The Family

Self-efficacy in disadvantaged communities: Perspectives of healthcare providers and clients

2021 ◽  
pp. 174239532110497
Author(s):  
Ruth Hardman ◽  
Stephen Begg ◽  
Evelien Spelten
Keyword(s):  
Behaviour Change ◽  
Low Income ◽  
Self Efficacy ◽  
Resource Constraints ◽  
Outcome Expectations ◽  
Self Management ◽  
Management Support ◽  
Health Providers ◽  
Management Interventions

Objective Most chronic disease self-management interventions emphasise the integral role of self-efficacy in achieving behaviour change. We explored the applicability of this model in a low-income setting, from the perspective of both patients and clinicians. Methods Interviews with multimorbid patients and their health providers at two rural community health centres in Victoria, Australia. We used a phenomenological methodology, exploring themes of confidence to manage health, outcome expectations and goals. Results Many assumptions in which the self-efficacy model is grounded did not apply to this population. Past experiences and resource constraints, especially poverty and healthcare access, influenced confidence, expectations and the ability to achieve desired outcomes. Discussion The focus of traditional self-management support on individual behaviour change disadvantages rural low-income patients, who face barriers related to life experience and resource constraints. For this group, self-management support needs to return to its roots, moving away from a narrow conception of behaviour change and reinstating the role of ‘support’ into ‘self-management support’ interventions. Health providers working in rural low-income settings should recognise the limits inherent in self-efficacy focussed interventions and think broadly about engaging with their clients in whatever way supports them to find a life with meaning and purpose.

Coaching for behaviour change in chronic disease: A review of the literature and the implications for coaching as a self-management intervention

2003 ◽  
Vol 9 (3) ◽  
pp. 177 ◽  
Author(s):  
Helen Lindner ◽  
David Menzies ◽  
Jill Kelly ◽  
Sonya Taylor ◽  
Marianne Shearer
Keyword(s):  
Chronic Illness ◽  
Health Professional ◽  
Behaviour Change ◽  
Professional Support ◽  
Self Management ◽  
Chronic Obstructive ◽  
Review Of The Literature ◽  
Adherence To Medication ◽  
Wide Range

Self-management is a necessary aim in the treatment of chronic illnesses, such as diabetes, heart disease, arthritis, lupus, and chronic obstructive pulmonary disease. Although effective treatments are available for these serious conditions, the rate of adherence to medication, dietary changes, physical activity, blood monitoring, or attendance to regular medical screenings is reported to be approximately only 50%. The role of health professional support in effective self-management of chronic illness has been recently acknowledged. Furthermore, numerous studies on professional support for self-management of chronic illness have focused on the health professional as a ?coach?. Coaching has been defined as an interactive role undertaken by a peer or professional individual to support a patient to be an active participant in the self-management of a chronic illness. A review of the literature revealed a limited number of empirical studies on coaching, with these focusing on one of three areas: disease-related education; behaviour change strategies; or, psychosocial support. Due to the small number of research investigations, only tentative support can be given to the efficacy of the different coaching approaches. However, it was apparent that education-based interventions have a significant role in self-management, but that these were not sufficient by themselves. The role of behaviour change-focused coaching was also shown to be an important factor. However, not all patients are ready for change, and therefore the need for coach interactions that move a patient to a stage of action were evident, as was the need to consider the emotional state of the patient. The challenges for future research is to investigate the relative strengths of these coaching approaches for the support of patient self-management of chronic illness, and the means to effectively integrate these approaches into routine health care, through a wide range of health professional groups.

scholarly journals Gamification Concepts to Promote and Maintain Therapy Adherence in Children with Growth Hormone Deficiency

2018 ◽  
Author(s):  
Sally Radovick ◽  
Eli Hershkovitz ◽  
Aline Kalisvaart ◽  
Marco Koning ◽  
Kristine Paridaens ◽  
...  
Keyword(s):  
Growth Hormone ◽  
Mobile Health ◽  
Chronic Conditions ◽  
Gh Deficiency ◽  
Smart Phone ◽  
Hormone Deficiency ◽  
Self Management ◽  
Target Height ◽  
Management Behaviour ◽  
Adherence To Therapy

Growth hormone (GH) deficiency affects up to 1 in 4,000 children and is usually treated with daily injections of GH whilst the child is still growing. With children typically diagnosed around 5 years old, this can mean over 10 years of therapy, which can place a considerable burden on the child and parent. Over three-quarters of children are estimated to be not fully compliant with therapy, which can compromise their chances of attaining their target height. In recent years, interactive mobile health (smart phone or tablet) interventions using game-like concepts, so called ‘gamification’, have increased in popularity and have demonstrated success in promoting positive self-management behaviour in children with chronic conditions, such as diabetes. The application of gamified interventions has the potential to support adherence to therapy and positive behaviour in children with GH deficiency in a number of ways: 1) By providing education in a format that the child understands and accepts (e.g. using behavioural constructs to facilitate explaining why adherence is important); 2) By providing a mechanism to reduce the anxiety and stress associated with administering the injection (e.g. diversion with a virtual pet); and 3) By providing feedback to encourage on-going engagement (e.g. rewards, progression through levels).

GPS' PERCEPTION OF THE PATIENT ORIENTED INTERVENTIONS AS KEY ELEMENTS OF PATIENT CENTRED CARE FOR PEOPLE WITH MULTIMORBIDITY.pdf

2018 ◽  
Vol 28 (2) ◽  
pp. 561-565
Author(s):  
Radost Assenova ◽  
Levena Kireva ◽  
Gergana Foreva
Keyword(s):  
Chronic Conditions ◽  
Patient Centered Care ◽  
Self Management ◽  
Multiple Chronic Conditions ◽  
Positive Health ◽  
Patient Centered ◽  
Effective Response ◽  
Patient Centred Care ◽  
Centered Care ◽  
Health Related

Background: Patients with multimorbidity represent a significant portion of the primary healthcare population. For healthcare providers, managing patients with multiple chronic conditions represents a challenge given the complexity and the intensity of interventions. Integrated and patient-centered care is considered an effective response to the needs of people who suffer from multiple chronic conditions. According to the literature providing patient-centered care is one of the most important interventions in terms of positive health-related outcomes for patients with multimorbidity.Aim: The aim of the study is to evaluate the GPs’ perception of patient oriented interventions as key elements of patient centred care for patients with multimorbidity.Material and methods: A cross-sectional pilot study was conducted among randomly selected 73 GPs. A direct individual anonymous survey was performed to explore the opinion of respondents about the importance of two patient-oriented interventions, each one including specific elements of patient-centered care for patients with multimorbidity. The tool was developed as a result of the scoping review performed by Smith et al. (2012;2016). A 5-point Likert scale (0-not at all, 1-little, 2-rather, 3-much, 4-very strong) was used. The data were analysed using descriptive statistics. In processing the data, the software product for statistical analyses - SPSS version 17 was performed for Windows XP.Results: Our results show that both categories - providing patient-oriented approach and self-management support interventions were highly accessed by the respondents. The most frequent categories of interventions identified in our study were Creating individualized and adapted interventions, Performing regular contacts and Reinforcing adherence. Less frequently reported elements such as Considering relatives’ needs and Developing self-management plan are still underestimated by the Bulgarian GPs.Conclusions: The acceptance and understanding of innovative patient-centered interventions adapted to patients with multimorbidity could be accepted as a good indicator for improving health-related outcomes and care for patients with multiple chronic conditions.

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