Development and validation of a new short form of the self‐management ability questionnaire for patients with chronic periodontitis

Introduction: The Chronic Disease Self-Management Program (CDSMP) improves self-efficacy and health outcomes in people with chronic diseases. In the context of the EFFICHRONIC project, we evaluated the efficacy of CDSMP in relieving frailty, as assessed by the self-administered version of Multidimensional Prognostic Index (SELFY-MPI), identifying also potential predictors of better response over 6-month follow-up. Methods: The SELFY-MPI explores mobility, basal and instrumental activities of daily living (Barthel mobility, ADL, IADL), cognition (Test Your Memory-TYM Test), nutrition (Mini Nutritional Assessment-Short Form-MNA-SF), comorbidities, medications, and socio-economic conditions (social-familiar evaluation scale-SFES). Participants were stratified in three groups according to the 6-month change of SELFY-MPI: those who improved after CDSMP (Δ SELFY-MPI < 0), those who remained unchanged (Δ SELFY-MPI = 0), and those who worsened (Δ SELFY-MPI > 0). Multivariable logistic regression was modeled to identify predictors of SELFY-MPI improvement. Results: Among 270 participants (mean age = 61.45 years, range = 26–93 years; females = 78.1%) a benefit from CDSMP intervention, in terms of decrease in the SELFY-MPI score, was observed in 32.6% of subjects. SELFY-MPI improvement was found in participants with higher number of comorbidities (1–2 chronic diseases: adjusted odd ratio (aOR)=2.38, 95% confidence interval (CI) =1.01, 5.58; ⩾ 3 chronic diseases: aOR = 3.34, 95% CI = 1.25, 8.90 vs no chronic disease), poorer cognitive performance (TYM ⩽ 42: aOR = 2.41, 95% CI = 1.12, 5.19 vs TYM > 42) or higher risk of malnutrition (MNA-SF ⩽ 11: aOR = 6.11, 95% CI = 3.15, 11.83 vs MNA-SF > 11). Conclusion: These findings suggest that the CDSMP intervention contributes to decreasing the self-perceived severity of frailty (SELFY-MPI score) in more vulnerable participants with several chronic diseases and lower cognitive performance and nutritional status.

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Development and validation of a mobile health app for the self-management and education of cardiac patients

2016 11th Iberian Conference on Information Systems and Technologies (CISTI) ◽

10.1109/cisti.2016.7521516 ◽

2016 ◽

Author(s):

Isabel de la Torre-Diez ◽

Borja Martinez-Perez ◽

Miguel Lopez-Coronado ◽

Joel J. P. C. Rodrigues ◽

Jon Arambarri

Keyword(s):

Mobile Health ◽

The Self ◽

Cardiac Patients ◽

Self Management ◽

Development And Validation

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Development and Testing of Self-Management Scale for PD Patients

Peritoneal Dialysis International ◽

10.3747/pdi.2013.00190 ◽

2015 ◽

Vol 35 (3) ◽

pp. 342-350 ◽

Cited By ~ 2

Author(s):

Xiao-hua Wang ◽

Jian-hong Pang ◽

Lu Lin ◽

Yi Xu ◽

Qing Jiang ◽

...

Keyword(s):

Social Life ◽

Reliability And Validity ◽

Preliminary Test ◽

The Self ◽

Self Management ◽

Five Factors ◽

Management Ability ◽

Initial Scale ◽

Test Retest Reliability ◽

Depth Interviews

ObjectivesTo develop and evaluate the self-management scale for peritoneal dialysis (PD) patients.MethodsThe item pool was formulated based on literature reviews and in-depth interviews. An initial scale containing five factors and 44 items was constructed through two rounds of Delphi expert consultation and a preliminary test. A total of 313 PD patients from the Jiangsu-Zhejiang-Shanghai area were surveyed to test the reliability and validity of the scale.ResultsFive factors, namely solution bag replacement, troubleshooting during operation, diet management, complication monitoring, emotion management and return to social life, were extracted by exploratory factor analysis: the 28 items could explain 64.567% of the total variance; the content validity index was 0.963; the Cronbach's α coefficient and split-half coefficient were 0.926 and 0.960 respectively; and test-retest reliability was 0.937.ConclusionThe scale has been proved to be a reliable and valid tool which allows PD nurses to evaluate the self-management ability of PD patients. The evaluation outcomes can serve as a basis for individualized nursing plans and interventions so as to provide highly effective nursing care.

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Study on Self-Сonfiguration Model and Environment Awareness Algorithm for Mission-Critical Systems

Advanced Materials Research ◽

10.4028/www.scientific.net/amr.981.240 ◽

2014 ◽

Vol 981 ◽

pp. 240-243

Author(s):

Jian Wang ◽

Guo Sheng Zhao

Keyword(s):

The Self ◽

Self Management ◽

Configuration Model ◽

Context Modeling ◽

Critical Systems ◽

Modeling Technology ◽

Management Ability ◽

Mission Critical ◽

Software Bug ◽

Environment Awareness

It is becoming more and more difficult to manage, maintain and keep the key services of mission-critical systems by manual because of hardware problems, software bug, misoperation and malicious attacks. In order to solve the above problems, a self-configuration model was proposed, and awareness algorithm was discussed. The heartbeat mechanism was utilized to realize internal environment awareness, and then the context-modeling technology was introduced to describe user activities and system resources formally, which can obtain the external environment awareness. The self-configuration model has interactivity among modules during operations, and able to improve the self-management ability of mission-critical systems effectively.

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