Abstract 59: The Efficacy of a Patient-Centered Self-Management Empowerment Intervention Program for First-Time Stroke Survivors: A Longitudinal Study

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Lu Chen ◽  
Xiaofang Shen ◽  
Fang Wang ◽  
Lin Lv ◽  
Yan Chen
Keyword(s):  
Quality Of Life ◽  
Intervention Program ◽  
Intervention Group ◽  
Self Management ◽  
Control Group ◽  
Stroke Survivors ◽  
Patient Centered ◽  
First Time ◽  
Management Behaviors

Keywords: Patient-centered; Self-management; Empowerment; Stroke Purpose: To evaluate the efficacy of a patient-centered self-management empowerment intervention (PCSMEI) program for first-time stroke survivors on self-management behaviors, stroke related depression and quality of life. Methods: One hundred and forty-four first-time stroke survivors were recruited from a comprehensive hospital in China. Patients were randomly allocated into control group (CG: n=72) and intervention group (IG: n=72) after baseline measurement. The intervention group received patient-centered self-management empowerment intervention (PCSMEI) and the control group received a routine care. The data of self-management behaviors, stroke related depression and quality of life were collected at baseline (T0), on discharge (T1), one month post-discharge (T2) and three months post-discharge (T3). Descriptive and Generalized Estimating Equations Modelling (GEE) analyses were conducted to estimate the intervention effect over time. Findings: One hundred and twenty-six participants finished the study (IG: n=64; CG: n=62). Significant improvement in self-management behaviors in the intervention group were observed in stretching or strengthening at T2 and T3; cognitive symptom management at T1, T2 and T3. The depression level was lower in IG than that in CG at T1, T2 and T3. Significant difference in quality of life between the two groups were shown in Physical Component Summary (PCS) at T3 and in Mental Component Summary (MCS) at T2 and T3. Conclusions: The patient-centered self-management empowerment intervention program appears to be an effective and well-received solution to improve first-time stroke patients’ self-management behaviors, stroke related depression and quality of life. Clinical Relevance: This program may be effective for first-time stroke patients.

scholarly journals Influence of a Multidisciplinary Program of Diet, Exercise, and Mindfulness on the Quality of Life of Stage IIA-IIB Breast Cancer Survivors

2020 ◽  
Vol 19 ◽  
pp. 153473542092475
Author(s):  
Julia Ruiz-Vozmediano ◽  
Sarah Löhnchen ◽  
Lucas Jurado ◽  
Rosario Recio ◽  
Andrea Rodríguez-Carrillo ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Cancer Survivors ◽  
Mediterranean Diet ◽  
Breast Cancer Survivors ◽  
Intervention Program ◽  
Intervention Group ◽  
Control Group ◽  
Cancer Symptoms

Background: Integrative oncology has proven to be a useful approach to control cancer symptoms and improve the quality of life (QoL) and overall health of patients, delivering integrated patient care at both physical and emotional levels. The objective of this randomized trial was to evaluate the effects of a triple intervention program on the QoL and lifestyle of women with breast cancer. Methods: Seventy-five survivors of stage IIA-IIB breast cancer were randomized into 2 groups. The intervention group (IG) received a 6-month dietary, exercise, and mindfulness program that was not offered to the control group (CG). Data were gathered at baseline and at 6 months postintervention on QoL and adherence to Mediterranean diet using clinical markers and validated questionnaires. Between-group differences at baseline and 3 months postintervention were analyzed using Student’s t test for related samples and the Wilcoxon and Mann-Whitney U tests. Results: At 6 months postintervention, the IG showed significant improvements versus CG in physical functioning ( p = .027), role functioning ( p = .028), and Mediterranean diet adherence ( p = .02) and a significant reduction in body mass index ( p = .04) and weight ( p = .05), with a mean weight loss of 0.7 kg versus a gain of 0.55 kg by the CG ( p = .05). Dyspnea symptoms were also increased in the CG versus IG ( p = .066). Conclusions: These results demonstrate that an integrative dietary, physical activity, and mindfulness program enhances the QoL and healthy lifestyle of stage IIA-IIB breast cancer survivors. Cancer symptoms may be better managed by the implementation of multimodal rather than isolated interventions.

Effect of Patient-Centered Self-Management Program on Blood Pressure, Renal Function Control, and the Quality of Life of Patients With Hypertensive Nephropathy: A Longitudinal Randomized Controlled Trial

2021 ◽  
pp. 109980042110618
Author(s):  
Mei-Chen Lee ◽  
Shu-Fang Vivienne Wu ◽  
Kuo-Cheng Lu ◽  
Wen-Hug Wang ◽  
Yen-Yen Chen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Blood Pressure ◽  
Controlled Trial ◽  
Management Program ◽  
Self Management ◽  
Control Group ◽  
Patient Centered ◽  
Hypertensive Nephropathy ◽  
Experimental Group

This longitudinal study with a randomized controlled trial evaluated the long-term effectiveness of the patient-centered self-management intervention program on the control of blood pressure and renal function, as well as the quality of life of patients with hypertensive nephropathy. The control group ( n = 38) received usual care while the experimental group ( n = 38) participated in a patient-centered self-management program. After the pre-test, the intervention was performed with the experimental group once a week for a total of 4 weeks. Then, the post-test was performed 1, 3, and 6 months later. A questionnaire was used to collect the demographic data and disease characteristics, laboratory data, and quality of life scale. This study tracked three time points (i.e., 1, 3, and 6 months) after the intervention and found that the experimental group achieved significant results in controlling systolic blood pressure ( p < 0.001), diastolic blood pressure ( p = 0.007), and eGFR ( p = 0.013). Significant results were achieved in the overall quality of life ( p < 0.001) and the quality of life in the physical (PHC; p < 0.001) and mental health components (MHC; p < 0.001). Furthermore, the effects in the experimental group lasted for as long as 6 months and were better than those in the control group. Moreover, this program can provide nursing staff with a reference different from traditional health education methods.

scholarly journals Mobile Health App With Social Media to Support Self-Management for Patients With Chronic Kidney Disease: Prospective Randomized Controlled Study (Preprint)

2020 ◽  
Author(s):  
Wen-Yi Li ◽  
Fu-Chun Chiu ◽  
Jyun-Kai Zeng ◽  
Yao-Wei Li ◽  
Su-Hua Huang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Social Media ◽  
Kidney Disease ◽  
Health Management ◽  
Intervention Group ◽  
Wearable Devices ◽  
Self Management ◽  
Control Group ◽  
Management Platform

BACKGROUND Chronic kidney disease (CKD) is a global health burden. Self-management plays a key role in improving modifiable risk factors. OBJECTIVE The aim of this study was to evaluate the effectiveness of wearable devices, a health management platform, and social media at improving the self-management of CKD, with the goal of establishing a new self-management intervention model. METHODS In a 90-day prospective experimental study, a total of 60 people with CKD at stages 1-4 were enrolled in the intervention group (n=30) and control group (n=30). All participants were provided with wearable devices that collected exercise-related data. All participants maintained dietary diaries using a smartphone app. All dietary and exercise information was then uploaded to a health management platform. Suggestions about diet and exercise were provided to the intervention group only, and a social media group was created to inspire the participants in the intervention group. Participants’ self-efficacy and self-management questionnaire scores, Kidney Disease Quality of Life scores, body composition, and laboratory examinations before and after the intervention were compared between the intervention and control groups. RESULTS A total of 49 participants completed the study (25 in the intervention group and 24 in the control group); 74% of the participants were men and the mean age was 51.22 years. There were no differences in measured baseline characteristics between the groups except for educational background. After the intervention, the intervention group showed significantly higher scores for self-efficacy (mean 171.28, SD 22.92 vs mean 142.21, SD 26.36; <i>P</i>&lt;.001) and self-management (mean 54.16, SD 6.71 vs mean 47.58, SD 6.42; <i>P</i>=.001). Kidney Disease Quality of Life scores were also higher in the intervention group (mean 293.16, SD 34.21 vs mean 276.37, SD 32.21; <i>P</i>=.02). The number of steps per day increased in the intervention group (9768.56 in week 1 and 11,389.12 in week 12). The estimated glomerular filtration rate (eGFR) of the intervention group was higher than that of the control group (mean 72.47, SD 24.28 vs mean 59.69, SD 22.25 mL/min/1.73m<sup>2</sup>; <i>P</i>=.03) and the decline in eGFR was significantly slower in the intervention group (–0.56 vs –4.58 mL/min/1.73m<sup>2</sup>). There were no differences in body composition between groups postintervention. CONCLUSIONS The use of wearable devices, a health management platform, and social media support not only strengthened self-efficacy and self-management but also improved quality of life and a slower eGFR decline in people with CKD at stages 1-4. These results outline a new self-management model to promote healthy lifestyle behaviors for patients with CKD. CLINICALTRIAL ClinicalTrials.gov NCT04617431; https://www.clinicaltrials.gov/ct2/show/NCT04617431

A mobile health application to support self-management in patients with chronic obstructive pulmonary disease: a randomised controlled trial

2020 ◽  
pp. 026921552094693
Author(s):  
LianHong Wang ◽  
YunMei Guo ◽  
Meili Wang ◽  
Yan Zhao
Keyword(s):  
Quality Of Life ◽  
Mobile Health ◽  
Intervention Group ◽  
Smartphone Application ◽  
Self Management ◽  
Control Group ◽  
Chronic Obstructive ◽  
Copd Assessment Test ◽  
Management Behaviour

Objective: To investigate the effects of a mobile health smartphone application to support self-management programmes on quality of life, self-management behaviour and exercise and smoking cessation behaviour in patients with chronic obstructive pulmonary disease (COPD). Design: A randomised controlled, single-blind trial, was carried out from November 2017 to February 2019, which included 78 participants admitted with COPD to the Affiliated Hospital of Zunyi Medical University in Guizhou. The study participants were randomised into intervention ( n = 39) and control groups ( n = 39). Methods: Participants in the intervention group undertook a mobile medical application-based programme in addition to routine care, and participants in the control group received only routine care. The outcome measures were health-related quality of life evaluated by the COPD Assessment-Test, self-management behaviour using the COPD Self-Management Scale and physical activity and smoking behaviour were measured using a self-designed questionnaire. Data collection was conducted at baseline, third month, sixth month and 12th months. Results: Thirty-five participants in the intervention group and 33 in the control group completed the study. Compared to the control group, participants in the intervention group showed statistically significant improvement in the COPD -Assessment -Test scores ( P < 0.01) and in all domains of the COPD Self-Management Scale scores ( P < 0.01) at 12th 12 months. Improvements in the COPD -Assessment -Test scores by 4.3 and 0.3 units, and in the total scores of the COPD Self-Management Scale total score by 23.01 and 2.28 units, respectively, were observed in the intervention and control groups, respectively over the 12-month study period. Meanwhile, the mobile health application programme also improved participants’ exercise and smoking cessation behaviour. Conclusions: The mobile health smartphone application to support self-management programmes was effective in improving health-related quality of life and self-management behaviour in patients with COPD. Trial registration: This study was registered in Chinese clinicaltrials.gov

scholarly journals The effect of spiritual counseling on improving of the quality of life among pregnant women: a randomized control trials

2020 ◽  
Author(s):  
Masomeh MonfaredKashki ◽  
Azam Maleki ◽  
Kourosh Amini
Keyword(s):  
Quality Of Life ◽  
Pregnant Women ◽  
Block Design ◽  
Intervention Group ◽  
Control Group ◽  
Significant Difference ◽  
Randomized Control ◽  
Spiritual Counseling ◽  
First Time

Abstract Background: To examine the effect of spiritual counseling on the quality of life (QoL) of women with the first time pregnancy.Methods: This randomized control trial was carried out on 60 pregnant women who recruited at two childbirth preparation centers of Zanjan (Iran) in 2018. The eligible women were allocated into two intervention and control groups according to the 4-block design. The spiritual counseling was carried out in eight sessions, two times per week at 20 -32 weeks of gestation. The control group only received routine cares. The quality of life were measured before and two months after intervention.Results: Overall in pre intervention phase, the quality of life did not show a statistically significant difference between the two groups (p>0.05). In Post the intervention, the overall QoL showed a statistically significant difference between the two groups (p<0.05). But the physical functioning, body pain, and social functioning domains were not statistically significant (p>0.05). According to the linear regression, the risk of poor quality of life in the intervention group was 0.78 times less than of the control group (p= 0.0001).Conclusion: Spiritual counseling had a positive impact on improving of QoL in the first time pregnant women. The integration of spiritual counseling in the childbirth education package could be improved the psychological aspect of quality of life more than the physical aspect of quality of life. It can be considered used by healthcare providers for planning childbirth interventions.Trial registration: The study was registered at the Iranian Registry of Clinical Trials under the number IRCT20150731023423N12 , 2018-11-06

scholarly journals The Effect of Diabetes Self-Management Education (DSME) on Improving Self-Management and Quality of Life in Millitus Type 2 Diabetes

2021 ◽  
Vol 4 (2) ◽  
pp. 31-37
Author(s):  
Reza Diko Utama ◽  
Indasah Indasah ◽  
Siti Farida Noor Layla
Keyword(s):  
Quality Of Life ◽  
Type Ii Diabetes ◽  
Management Education ◽  
Self Regulation ◽  
Intervention Group ◽  
Self Management ◽  
Control Group ◽  
Type Ii ◽  
Not Given

Self-management is a form of self-regulation. The purpose of this study was to determine the effect of Diabetes Self-Management Education (DSME) on the Improvement of Self-Management and Quality of Life in Type II Diabetes Millitus Patients. This research method is True-Experiment Pre-Test and Post-Test design. DSMQ and WHOQOL instruments. Independent Variable (DSME) Dependent variable Self-management and quality of life. The subjects of the control group were 55 people and the intervention group was 55 people. Wilcoxon data analysis, Maan-Whitney and Path Analysis. The results of the comparison of self-management between the intervention group and the control group, a significance value of 0.000 less than 0.05 (p <0.05), indicating that the group given effective intervention significantly improved self-management compared to the group that was not given the intervention. The results of the comparison of the quality of life of the intervention group and the control group, the significance value of 0.000 less than 0.05 (p <0.05) indicates that the group given the intervention was more effective in improving the quality of life significantly than the group that was not given the intervention. There is an effect of Diabetes Self-Management Education (DSME) on the Improvement of Self-Management and Quality of Life for Type II Diabetes Millitus Patients in the Work Area of the Kempo Health Center, Kempo District. DSME is a process to facilitate knowledge, skills and abilities in self-care (Self-Management) and quality of life

Challenges in Evaluating an Arthritis Self-management Program for People with Hip and Knee Osteoarthritis in Real-world Clinical Settings

2012 ◽  
Vol 39 (5) ◽  
pp. 1047-1055 ◽  
Author(s):  
ILANA N. ACKERMAN ◽  
RACHELLE BUCHBINDER ◽  
RICHARD H. OSBORNE
Keyword(s):  
Quality Of Life ◽  
Knee Osteoarthritis ◽  
Real World ◽  
Intervention Group ◽  
Management Program ◽  
Mean Difference ◽  
Self Management ◽  
Control Group ◽  
Clinical Settings

Objective.To evaluate the influence of a 6-week Arthritis Self-Management Program (ASMP) on health-related quality of life (HRQOL) and self-management skills in clinical settings.Methods.Individuals with hip or knee osteoarthritis referred to orthopedic surgeons or rheumatologists at 6 hospitals in Victoria, Australia, were recruited. In a randomized controlled trial, participants received the Stanford ASMP and self-help book (intervention) or book only (control). Assessments included the Assessment of Quality of Life instrument (AQoL; range −0.04 to 1.00) and Health Education Impact Questionnaire (heiQ; range 1–6) at baseline and up to 12 months. The primary outcome was HRQOL at 12 months (assessed using the AQoL).Results.Recruitment was concluded early due to persistent challenges including infrequent referrals and patient inability or disinterest in participating. Of 1125 individuals screened, only 120 were randomized (control, n = 62; intervention, n = 58). Seven ASMP were conducted while 18 scheduled ASMP were cancelled. Forty-four of 58 intervention group participants received the intervention as allocated (76%); all control group participants were sent the book (100%). Ninety-four participants (78%) completed 12-month assessments (control, 90%; intervention, 66%). There was no difference in HRQOL at 12 months (adjusted mean difference −0.02, 95% CI −0.09 to 0.05). At 6 weeks, the intervention group reported higher heiQ skill and technique acquisition scores (adjusted mean difference 0.29, 95% CI 0.04 to 0.55); however, this dissipated by 3 months.Conclusion.Significant challenges hampered this evaluation of the ASMP. The observed lack of enthusiasm from potential referrers and patients raises doubts about the practicality of this intervention in real-world settings. (ANZCTR Clinical Trials Registry no. ACTRN12606000174583)

scholarly journals Can a Self-Management Education Program for Patients with Chronic Obstructive Pulmonary Disease Improve Quality of Life ?

2011 ◽  
Vol 18 (5) ◽  
pp. e77-e81 ◽  
Author(s):  
Manon Labrecque ◽  
Khalil Rabhi ◽  
Catherine Laurin ◽  
Helene Favreau ◽  
Gregory Moullec ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Emergency Room ◽  
Management Education ◽  
Intervention Group ◽  
Self Management ◽  
Control Group ◽  
Chronic Obstructive ◽  
Emergency Room Visits ◽  
Obstructive Pulmonary Disease

OBJECTIVE: To assess the effects of a self-management program on health-related quality of life (HRQoL) and morbidity commonly associated with chronic obstructive pulmonary disease (COPD).METHODS: A total of 57 outpatients with stable COPD received four weeks of self-management education, while 45 patients received usual care. Patients were evaluated at baseline, at three months and one year following the educational intervention. The primary outcome variable was HRQoL measured by the St George’s Respiratory Questionnaire (SGRQ). The secondary outcome variables were number of emergency room visits and hospitalizations for exacerbation.RESULTS: The intervention group’s HRQoL improved significantly at three months (total score A=−5.0 [P=0.006]) and 12 months (total score A=−6.7 [P<0.001]), as evidenced by decreased scores on the SGRQ. In contrast, the SGRQ scores increased significantly in the control group at three months (total score A=+3.7 [P= 0.022]) and 12 months (total score A=+3.4 [P=0.032]). Global impact appeared to be responsible for the change in the intervention group. Moreover, in the intervention group, the number of hospitalizations dropped from 0.7/person/year to 0.3/person/year (P=0.017), and emergency room visits dropped from 1.1 person/year to 0.2/person/year (P=0.002), while subjects in the control group did not experience any significant decreases in these parameters.CONCLUSIONS: A planned education program improved HRQoL while decreasing the number of emergency room visits and hospitalizations in patients with stable COPD; this improvement persisted at 12 months.

scholarly journals Effects of A Personalized Intervention Program on the Biochemical and Hematological Profile in Community Dwelling Old Adults—The AGA@4life Intervention Model

2020 ◽  
Vol 17 (3) ◽  
pp. 718 ◽  
Author(s):  
Armando Caseiro ◽  
Clara Rocha ◽  
Ana Margarida Silva ◽  
Carla Ferreira ◽  
Isabel Silva ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Intervention Program ◽  
Intervention Group ◽  
Community Dwelling ◽  
Assessment Model ◽  
Control Group ◽  
Multidisciplinary Intervention ◽  
Old Adults ◽  
Hematological Profile

Aging is a social and economic challenge of the highest importance and a multidisciplinary intervention seems to be a promising approach for improving the quality of life of elderly individuals. This project was designed aimed at promoting an active and healthy aging through the implementation of an intervention program based on the comprehensive geriatric assessment model (AGA@4life), focused on promoting health and wellbeing, independence and autonomy, mobility, and social inclusion. A non-randomized interventional study was designed to evaluate the effect of only a dietetic and nutritional approach (control group (CG)) and the combination of a tailored exercise program and a dietetic and nutritional approach (intervention group (IG)) in the biochemical and hematological profile of older adults in the framework of AGA@4life. The 34 participants enrolled, aged 65 years or over, were subject to a thorough baseline (T0) multidisciplinary diagnostic evaluation, including the gathering of clinical information and a battery of biochemical and hematological determinations, and reevaluated after eight weeks of intervention (T1). Between T0 and T1, an increase in albumin and total proteins serum levels were observed in both groups (p < 0.01); the hematological profile in CG and IG showed an increase in red cell count and hemoglobin (p < 0.05). In IG, an increase of HDL cholesterol (p < 0.001) and a decrease of triglycerides (p = 0.001) were still observed. The AGA@4life multidisciplinary intervention improved the hematological and biochemical profile of old adults, potentially contributing to delay the development of several aging comorbidities and increase the quality of life of participants.

Sign in / Sign up

Export Citation Format

Share Document