scholarly journals Chronic-Care-Management Programs for Multimorbid Patients with Diabetes in Europe: A Scoping Review with the Aim to Identify the Best Practice

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Julia Heike Brettel ◽  
Ulf Manuwald ◽  
Henriette Hornstein ◽  
Joachim Kugler ◽  
Ulrike Rothe
Keyword(s):  
Scoping Review ◽  
Chronic Care ◽  
Best Practice ◽  
Chronically Ill ◽  
Comprehensive Overview ◽  
Patients With Diabetes ◽  
Primary Care Sector ◽  
European Health ◽  
In The Beginning ◽  
Multimorbid Patients

Aim. This scoping review is aimed at providing a current descriptive overview of care programs based on the chronic care model (CCM) according to E. H. Wagner. The evaluation is carried out within Europe and assesses the methodology and comparability of the studies. Methods. A systematic search in the databases PubMed, Embase, and MEDLINE via OVID was conducted. In the beginning, 2309 articles were found and 48 full texts were examined, 19 of which were incorporated. Included were CCM-based programs from Belgium, Cyprus, Germany, Italy, Switzerland, and the Netherlands. All 19 articles were presented descriptively whereof 11 articles were finally evaluated in a checklist by Rothe et al. (2020). In this paper, the studies were tabulated and evaluated conforming to the same criteria. Results. Due to the complexity of the CCM and the heterogeneity of the studies in terms of setting and implementation, a direct comparison proved difficult. Nevertheless, the review shows that CCM was successfully implemented in various care situations and also can be useful in single practices, which often dominate the primary care sector in many European health systems. The present review was able to provide a comprehensive overview of the current care situation of chronically ill patients with multimorbidities. Conclusions. A unified nomenclature concerning the distinction between disease management programs and CCM-based programs should be aimed for. Similarly, homogeneous quality standards and a Europe-wide evaluation strategy would be necessary to identify best practice models and to provide better care for the steadily growing number of chronically multimorbid patients.

Process and outcomes evaluation of smartphone applications for Bipolar Disorder: A Scoping Review (Preprint)

2021 ◽  
Author(s):  
Iona Tatham ◽  
Ellisiv Clarke ◽  
Kelly Grieve ◽  
Pulkit Kaushal ◽  
Jan Smeddinck ◽  
...  
Keyword(s):  
Mental Health ◽  
Bipolar Disorder ◽  
Scoping Review ◽  
Best Practice ◽  
Energy Levels ◽  
Health Science ◽  
Solid Base ◽  
Type I ◽  
Comprehensive Overview ◽  
Outcomes Evaluation

BACKGROUND Mental Health Applications (MHAs) provide opportunities for accessible, immediate and innovative approaches to better understand mental health disorders especially those with high burden such as Bipolar Disorder (BD). Many MHAs have been developed but few have had their effectiveness evaluated. OBJECTIVE This systematic scoping review explores current process and outcome measures of MHAs for BD (MHA-BD) with an aim to provide a comprehensive overview of current research. This will identify best practice for evaluating MHA-BDs and provide a solid base for future studies whilst also aiding professionals on MHA selection in BD. METHODS A systematic literature search of the health science databases PsycINFO, Medline, Embase, EBSCO, Scopus and Web of Science was undertaken up to January 2021 to narratively assess how other studies had evaluated MHAs for BD. RESULTS A total of 3342 articles were identified, and 12 were included. Across all studies, 507 participants were studied, 376 with BD Type I or II. Data from 372 participants were analysed. Of the 507, the mean age of participants in 11 of the studies was 36.5 years, with 302 being females. The final study did not collect age data. The most widely employed validated outcome measure were YMRS used 8 times, HDRS-17 & HAMD were both applied three times and ASRM, QID and FAST used twice, while CISS, EQ-5D, GAD-7, IDS-C, MASS, MDI, Morisky-Green 8-item, PSS and WHOQOL-BREF were all utilised once. Subjective markers were also measured in 9 different studies, 6 of which used MONARCA. Mood and energy levels were the most commonly utilised subjective markers, being used 4 four times each. Eleven of the 12 studies discussed the various confounding factors and barrier to MHA-BD usage. CONCLUSIONS Reported low adherence rates, usability challenges and privacy concerns act as barriers to usage of MHA-BD. Moreover, as MHA evaluation is itself developing, so must guidance for clinicians in how to aid patient choices in m-Health. These obstacles could be ameliorated by incorporating co-production and co-design using participatory patient approaches during the development and evaluation stages of MHA-BD. Further, including qualitative aspects in trials that examine patient experience of both mental ill health and the MHA itself could result in a more patient-friendly, fit-for-purpose MHA-BD. CLINICALTRIAL Not applicable

A Scoping Review of Interventions Aimed at Improving Knowledge, Detection Practices and Management of Dementia among Health Professionals (Preprint)

2020 ◽  
Author(s):  
Krishna Krishna Prasad Pathak
Keyword(s):  
Health Care ◽  
Scoping Review ◽  
Health Professionals ◽  
Educational Program ◽  
Best Practice ◽  
Intervention Studies ◽  
Educational Interventions ◽  
Learning Activities ◽  
Inclusion Criteria ◽  
Improving Health Care

BACKGROUND Health professionals (HPs) play a key role in dementia management and detection. However, there is a gap in the literature as to what represents best practice with regard to educating HPs to improve their dementia detection practices and management. OBJECTIVE The objective of this scoping review is to synthesize the aggregated studies aimed at improving health care knowledge, detection practices and management of dementia among HPs. METHODS We searched electronically published relevant articles with inclusion criteria; (1) intervention studies aimed at improving HPs practices concerning dementia care and (2) educational interventions focused on nurses and doctors’ knowledge, detection practice and management of dementia. Twenty-five articles fit the inclusion criteria. RESULTS Collaborative programs of practice based workshops, interactive learning activities with community and multi-faced educational program were the most effective. CONCLUSIONS HPs should be supported to improve their knowledge, tackle behavioural problems associated with dementia, be made aware of services and be enabled to engage in more early diagnosis. CLINICALTRIAL no applicable

School Administrators and Physical Educators: A Scoping Review of Perceptions and Partnerships From 2000 to 2020

2021 ◽  
pp. 105268462199061
Author(s):  
Scott McNamara ◽  
Matthew Townsley ◽  
Kelly Hangauer
Keyword(s):  
Scoping Review ◽  
School Administrators ◽  
Physical Educators ◽  
Inclusion Criteria ◽  
Comprehensive Overview ◽  
Physically Active ◽  
Full Inclusion ◽  
Teachers Perceptions ◽  
Scoping Reviews ◽  
Perceptions Of School

Physical education (PE) is an academic subject that delivers students a standards-based program designed to foster the knowledge and skills needed to be physically active for a lifetime. Although there is a dearth of research that has examined school administrators’ perceptions and interactions with PE, it has been reported that school administrators often are a barrier that disrupts effective PE programming. This study aimed to conduct a scoping review of the literature to capture a comprehensive view of the peer-reviewed research that has focused on physical educators’ collaboration with and perceptions of school administrators, and literature related to school administrators’ collaboration and perceptions of physical educators. Preferred Reporting Items for Systematic Reviews extension for Scoping Reviews Checklist guided this investigation. Seven databases were searched, and 29 articles met the full inclusion criteria. This scoping review provides a comprehensive overview of the evidence and research trends; nonetheless, the heterogeneity of the studies and limited literature on this topic make it difficult to form any substantial conclusions. The need for additional research is especially true for research examining PE teachers’ perceptions and interactions with school administrators, as only three of the identified studies in this review focused on this topic. The recognition of these gaps in the literature may be important to the fields of educational leadership and PE, as it may lead to more concerted efforts to examine how these fields interact and how they can collaborate more effectively.

735-P: Effects of Insulin Degludec in Patients with Diabetes Using Continuous Glucose Monitoring: A Scoping Review

Diabetes ◽  
2021 ◽  
Vol 70 (Supplement 1) ◽  
pp. 735-P
Author(s):  
CHAOFAN WANG ◽  
WEN XU ◽  
XUBIN YANG ◽  
JINHUA YAN ◽  
DAIZHI YANG ◽  
...  
Keyword(s):  
Continuous Glucose Monitoring ◽  
Scoping Review ◽  
Glucose Monitoring ◽  
Insulin Degludec ◽  
Patients With Diabetes

scholarly journals RESILIENCE OF CHRONICALLY ILL: A SCOPING REVIEW

2021 ◽  
Vol 7 ◽  
pp. 239-248
Author(s):  
Elīna Zelčāne ◽  
Anita Pipere
Keyword(s):  
Scoping Review ◽  
Quantitative Research ◽  
Healthy Lifestyle ◽  
Qualitative Content Analysis ◽  
Chronically Ill ◽  
Qualitative Studies ◽  
Self Management ◽  
Negative Events ◽  
Quantitative Research Methods ◽  
Changes Over Time

In the field of psychology resilience of the chronically ill has been studied mostly using quantitative research methods, but there are much fewer qualitative studies. This scoping review aims to collect definitions of resilience, find out, whether resilience development strategies are mentioned and what research approaches are used in qualitative studies about the resilience of the chronically ill. The review was conducted, following the 5-stage framework by Arksey and O’Malley, PRISMA guidelines, and searching in PubMed, PsychInfo, and Scopus databases. The main keywords (patients with chronic illness, resilience, strategies, qualitative studies) were selected according to the Participants/Concept/Context (PCC) framework, 21 articles were included in the review. Resilience mostly was defined as the ability to recover, return to normality, and adapt to new conditions after experiencing stress, illness, or other negative events. In several studies, other terms like coping, personal strength, self-management, and psychological growth were used instead. Lived experiences of the chronically ill show that resilience is not a stable ability, it changes over time. Resilience can be developed, using different strategies, such as having a positive mindset, learning new skills, accepting help, or promoting a healthy lifestyle. Qualitative content analysis and thematic analysis were the most often used research approaches in qualitative studies about the resilience of the chronically ill.  

scholarly journals User involvement in developing community-based public health services: a scoping review of methods

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
K S Petersen ◽  
J F Pedersen ◽  
B Egilstroed ◽  
C Overgaard
Keyword(s):  
Public Health ◽  
Health Services ◽  
Scoping Review ◽  
User Involvement ◽  
Community Services ◽  
Cochrane Library ◽  
Public Health Services ◽  
Community Based ◽  
Comprehensive Overview ◽  
The Impact

Abstract Background User involvement in developing community-based public health services has been on the agenda for decades. User involvement refers to the variety of ways in which service users or public citizens participate in the development of health services: from proving information on their needs to actively being involved in decisions about future services. Former studies found that user involvement is meaningful to the people involved and could have a favorable impact on the quality of services. Thus, it is timely to systematically identify and provide a comprehensive overview of user involvement methods used in public health studies. The aim of this scoping review is to provide an overview of the current body of empirical research where user involvement methods have been used to develop community public health services and identify its possible impact on the individual as well as services. Methods A systematic scoping review of user involvement methods aiming to develop public health services followed Arksey and O'Malley, 2005 framework. Six databases: CINAHL, Cochrane Library, Embase, PsycINFO. PubMed, Scopus and ProQuest, were searched from October till November, 2019. Search terms were: user involvement, methods and health care with corresponding synonym. All hits were double screened. Results 6.044 studies were identified of which 38 studies lived up to the criteria. Preliminary findings from coding and synthesizing studies have identified a variety of user involvement Methods 19 of the studies used complex, multi-facetted packages of methods aiming to identify needs, prioritize and formulate recommendations for future services. 19 studies used different kinds of group meetings and some used certain techniques to facilitate the process. Many reported the impact, and 13 evaluated the methods. The impact of using the methods varied from impact on individual, group, or service/political level. Final results will be presented at the conference. Key messages Studies on user involvement methods in developing community public health services and its impact are sparse. User involvement is privotal in developing sustainable public health community services.

Teaching end-of-life communication: priorities, challenges, scope—systematic review

2021 ◽  
pp. bmjspcare-2020-002725
Author(s):  
Jack K H Pun ◽  
Ka Man Cheung ◽  
Chung Hang James Chow
Keyword(s):  
End Of Life ◽  
Scoping Review ◽  
Search Strategy ◽  
Medical Providers ◽  
Comprehensive Overview ◽  
Qualitative And Quantitative ◽  
Quantitative Studies ◽  
End Of Life Communication ◽  
Future Practice

BackgroundWithout a well-rounded syllabus to teach end-of-life (EOL) communication, medical providers find it challenging to enhance their patients’ quality of life at the final stage of life.AimThe aim of this scoping review was to explore studies about the teaching of EOL communication and to detail how educators can approach the teaching of EOL communication.MethodsA scoping review of both qualitative and quantitative studies was conducted according to the methodological framework of scoping review. The PsycINFO, PubMed, ERIC, CINAHL and EMBASE databases were searched for studies using the keywords ‘teach’, ‘educat*’, ‘end of life’, ‘terminal care’, ‘communication’ and ‘palliative care’. Sixteen studies were appraised, and none was rejected on the grounds of quality.ResultsThe search strategy yielded 22 278 entries and 16 studies were included. Two themes were identified from the priorities in teaching EOL communication: (1) challenges to teaching EOL communication and (2) methods of teaching EOL communication. To present a comprehensive overview of EOL communication teaching, we provide directions for priorities of topics and approaches when teaching EOL communication.ConclusionsThe review detailed the complexity of teaching EOL communication, which indicates the need for a well-rounded syllabus that includes skills such as non-verbal social cues, communication strategies and understanding EOL communication in various cultural contexts to facilitate a well-rounded EOL communication experience for students’ future practice.

Understanding Dementia

2012 ◽  
Author(s):  
Jan Dewing
Keyword(s):  
Best Practice ◽  
International Classification ◽  
Mental Ability ◽  
Acute Confusional State ◽  
Comprehensive Overview ◽  
People With Dementia ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
Health Nursing ◽  
Mental Health Foundation

This chapter presents a comprehensive understanding of dementia as a commonly encountered condition/syndrome in the nursing care of older adults and offers insights into the health challenges faced by people living with dementia. It will provide nurses with the knowledge to be able to assess, manage, and care for people with dementia in an evidence-based and person-centred way. After a comprehensive overview of the causes, risk factors, and impact of dementia, it will outline best practice to deliver care, as well as to prevent or minimize further ill-health. Nursing assessments and priorities are highlighted throughout, and the nursing management of the symptoms and common health problems associated with dementia can be found in Chapters 14 and 17, respectively. In the past, dementia was most often described in terms of mental disability. However, it is now more often described in terms of neurological disability (i.e. changes in the brain). For example, the Mental Health Foundation describes dementia as:…A decline in mental ability which affects memory, thinking, problem-solving, concentration and perception….The NHS Choices website states:…Dementia describes the effects of certain conditions and diseases on a person’s mental ability, personality and behaviour….Dementia is generally classified according to two international classification systems: the American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders fourth edition (DSM-IV); and the International Classification of Diseases tenth edition (ICD-10). Dementia can be defined as a syndrome whereby there is gradual death of brain cells, resulting in a loss of brain ability that is severe enough to interfere with normal activities of living for more than 6 months. Problems with brain function should not have been present at birth and it is not associated with a loss or alteration of consciousness. This latter point distinguishes dementia from delirium, which is a state of mental disorientation that can happen if you become medically unwell, also known as an ‘acute confusional state’ (Royal College of Psychiatrists, 2009). (See Chapter 11). It is vital that nurses hold central what dementia means for people living with it. For example, people will commonly experience changes to their perception, senses, memory, and the range of skills they need to carry out everyday activities.

scholarly journals Conceptualisation and measurement of adaptation within the Roy adaptation model in chronic care: a scoping review protocol

BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e036546
Author(s):  
Xiyi Wang ◽  
Qi Zhang ◽  
Jing Shao ◽  
Zhihong Ye
Keyword(s):  
Scoping Review ◽  
Chronic Care ◽  
Meta Analysis ◽  
Empirical Studies ◽  
Roy Adaptation Model ◽  
China National Knowledge Infrastructure ◽  
Scoping Reviews ◽  
Ethical Approval ◽  
Key Terms ◽  
Adaptation Model

IntroductionThe Roy adaptation model provides a basis for developing the science of nursing. Its theoretical assumptions have been tested in empirical studies. Although several works have historically reviewed the development of this model, a refinement of its key concepts is needed. The proposed scoping review aims to describe how the concept of adaptation was defined and measured in nursing studies related to chronic health conditions.Methods and analysisThis scoping review will adopt the methodology proposed by Arksey and O’Malley. Several databases, including MEDLINE (OVID), CINAHL, EMBASE, PsycINFO, PubMed, Wan Fang, China National Knowledge Infrastructure and VIP net, will be selected and used to mine literature published in English and Chinese languages, up to December 2019. Key terms related to ‘Roy adaptation model’ will be identified and used for developing tailored search strategies for each database. Articles will be included in the analysis if they are primary research reports explaining the concept of adaptation within the field of chronic care. All screening and extraction of literature will be independently performed and checked by two authors, according to the guideline of Preferred Reporting Items for Systematic Review and Meta-Analysis-Extension for Scoping Reviews. The findings will be organised and summarised into narratives in line with the construction of conceptual–theoretical–empirical system of knowledge for further consultation and translation.Ethics and disseminationThis scoping review does not require ethical approval. The findings are expected to be published in peer-reviewed English or Chinese journals as well as conference proceedings in the area of chronic care.

Monitoring Shifts in Social Relations Among Chronically Ill Mexican Americans as a Culturally Sensitive Indicator of Depression

2013 ◽  
Vol 35 (3) ◽  
pp. 33-37 ◽  
Author(s):  
Kerstin Reinschmidt ◽  
Jenny Chong ◽  
Mark Nichter
Keyword(s):  
Social Relations ◽  
Mexican Americans ◽  
Mexican American ◽  
Health Workers ◽  
Chronically Ill ◽  
Female Community ◽  
Patients With Diabetes ◽  
Primary Care Patients ◽  
Chronically Ill Patients

Chronically ill patients commonly suffer from comorbid depression that negatively influences disease trajectories, reduces patients' quality of life, and renders them less able to cope with the challenges of daily living. Among Hispanic primary care patients, depression is often not detected until severe. According to promotoras (de salud), who are female community health workers working with Mexican American patients with diabetes in Southern Arizona, depression is commonly undiagnosed in their communities.

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