A Transcultural Spiritually Based Program to Enhance Caregiving Self-Efficacy: A Pilot Study

This study examined how training in a nonsectarian toolkit of spiritually based self-management techniques affected the caregiving self-efficacy (confidence) of health professionals, including physicians, nurses, psychologists, and chaplains. Before and after an 8-week, 2-hour per week training in the meditation-based Eight Point Program of Easwaran (1978/1991b), participants ( n = 14) completed a newly developed 32-item caregiving self-efficacy questionnaire. Data were also gathered regarding sociodemographic characteristics, spiritual and religious self-perceptions and practices, and program adherence. Results indicated that mean pre/post self-efficacy increases were large (Cohen's d > 0.80), statistically significant ( p < 0.01), and associated with greater use of specific pro-gram practices. Three participants reported increases in self-perceived spirituality. Self-efficacy increases were largest for participants identifying themselves as least spiritual at pretest ( p < 0.05), or reporting increases in spirituality ( p < 0.05). Although preliminary, these findings support using this already widely crossculturally disseminated toolkit for a variety of purposes in clinical practice, health promotion, and health professional education.

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Effects of self-management education programmes on self-efficacy for osteoarthritis of the knee: a systematic review of randomised controlled trials

BMC Musculoskeletal Disorders ◽

10.1186/s12891-021-04399-y ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Daisuke Uritani ◽

Hitoshi Koda ◽

Sho Sugita

Keyword(s):

Health Professionals ◽

Self Efficacy ◽

Randomised Controlled Trials ◽

Management Education ◽

Self Management ◽

Controlled Trials ◽

Face To Face ◽

Knee Oa ◽

Wide Range ◽

Randomised Controlled

Abstract Background Enhancing self-efficacy to manage symptoms and functions is an important aspect of self-management for patients with knee osteoarthritis (OA). Many reports have investigated the effects of self-management education programmes for arthritis patients. However, a study that exclusively focuses on patients with OA in the same joints is required to clarify the effects of self-management programmes because individuals with knee OA experience physical and psychological difficulties different from those experienced by individuals with other arthritis diseases. Furthermore, previous studies have reported a wide range of delivery styles of self-management education programmes. This systematic review aimed to evaluate the effects of group-based and face-to-face self-management education programmes conducted by health professionals targeting self-efficacy for knee OA exclusively. Methods The MEDLINE, CENTRAL, EMBASE, CINAHL, Web of Science, and PEDro databases were searched to identify quantitative measures used in randomised controlled trials (RCTs) to assess the effects of self-management education programmes targeting self-efficacy in patients with knee OA. We included studies in which medical professional-delivered self-management education programmes were conducted in a group-based and face-to-face manner in community or outpatient settings. Results Seven RCTs from five countries were included in this review. Our retrieved studies included various types of self-management education programmes such as cognitive behavioural counselling, pain management education, physical education, weight management education, and arthritis self-efficacy management education, and control arms. They assessed various aspects of self-efficacy, including pain, physical function, arthritis symptoms excluding pain, weight management, mobility, and self-regulation. The total score of the Arthritis Self-Efficacy Scale was also measured. Some studies have reported beneficial effects of group-based and face-to-face self-management education programmes on self-efficacy for management of pain and other symptoms and for self-regulatory, knee OA. However, the results of the included studies were varied and inconsistent. Conclusions The current review only included seven studies, and there was a wide range of clinical heterogeneity among these studies. Thus, the effects of group-based and face-to-face self-management education programmes conducted by health professionals on self-efficacy for knee OA exclusively are inconclusive to date. Therefore, high-quality studies are required to provide significant information on clinicians, patients, and healthcare professionals in the future.

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Human Rabies Postexposure Prophylaxis Knowledge and Retention Among Health Professionals by Using an Online Continuing Education Module: Arizona, 2012 to 2015

Pedagogy in Health Promotion ◽

10.1177/2373379918768329 ◽

2018 ◽

Vol 5 (1) ◽

pp. 14-23

Author(s):

Heather Venkat ◽

James Matthews ◽

Jigna Narang ◽

Rebecca Sunenshine ◽

Laura E. Adams ◽

...

Keyword(s):

Continuing Education ◽

Professional Education ◽

Health Professionals ◽

Retention Test ◽

Knowledge Retention ◽

Human Rabies ◽

Knowledge Gain ◽

Median Score ◽

Postexposure Prophylaxis ◽

Before And After

Rabies postexposure prophylaxis (PEP) is administered for rabies prevention after a human exposure to a potentially rabid animal, such as a bite. Previous studies have reported that rabies PEP is often inappropriately administered. Health professional education was proposed as one potential solution to address inappropriate PEP use. We assessed baseline knowledge, knowledge gain, and knowledge retention among health professionals in Arizona of rabies epidemiology and appropriate PEP administration. Maricopa County Department of Public Health created an online rabies PEP continuing education module and measured knowledge before and after module completion using a 10-question test. The same test was administered three times (pretest, posttest, and retention test at ≥3 months). To assess knowledge gain and retention, we compared median scores using nonparametric methods. A total of 302 respondents completed the pretest (median score, 60%) and posttest (median score, 90%; p < .001); 98 respondents completed all three tests with median scores 60% (pretest), 90% (posttest, p < .01), and 80% (retention test and compared with pretest, p < .01). Sixty-nine (70%) respondents improved their pretest to retention test score by a mean of 2.4 points out of a total 10 points (median: 2 points; range: −5 to 7 points). Only 48% of pretest respondents correctly answered that PEP should not be administered immediately to anyone bitten by a healthy dog. However, 81% and 70% answered correctly on the posttest ( p < .0001) and retention test ( p = .002), respectively. Respondents demonstrated rabies epidemiology and PEP knowledge gain and ≥3-month knowledge retention after completing the online continuing education module.

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Teknik Self Management untuk mengurangi perilaku terlambat datang di Sekolah

Counsellia Jurnal Bimbingan dan Konseling ◽

10.25273/counsellia.v10i1.6304 ◽

2020 ◽

Vol 10 (1) ◽

pp. 54

Author(s):

Anita Dewi Astuti ◽

Sri Dwi Lestari

Keyword(s):

Student Behavior ◽

Self Management ◽

Research Subjects ◽

Data Presentation ◽

Purposive Sampling ◽

Late Arrival ◽

Before And After ◽

Management Techniques ◽

Three Stages ◽

Collection Methods

Penelitian ini bertujuan untuk mengetahui keefektifan teknik self management untuk mengurangi perilaku terlambat datang di sekolah. Penelitian ini menggunakan pendekatan kualitatif dengan fokus penelitian perilaku terlambat datang di sekolah. Subjek penelitiannya adalah siswa kelas X SMK Negeri I Panjatan yang ditentukan menggunakan teknik purposive sampling. Ada 3 siswa sebagai subjek penelitian yang ditentukan berdasarkan frekuensi keterlambatan siswa datang di sekolah. Metode pengumpulan data yang digunakan adalah observasi, wawancara dan dokumentasi, sedangkan analisis datanya menggunakan tiga tahapan yaitu: (1) reduksi data, (2) penyajian data, (3) verifikasi atau penarikan kesimpulan. Berdasarkan hasil penelitian dapat disimpulkan bahwa ada perubahan perilaku yang ditandai dengan menurunnya perilaku terlambat siswa antara sebelum dan sesudah diberikan layanan teknik self management. Abstract: This research aims to find out the effectiveness of self management techniques to reduce late arrival behavior at school. This study uses a qualitative approach with a focus on late-arrival behavior research in school. The research subjects were class X student of SMK Negeri I Panjatan who were determined using purposive sampling techniques. There are 3 students as research subjects that are determined based on the frequency of late students coming to school. Data collection methods used are observation, interviews and documentation, while the data analysis use three stages, namely: (1) data reduction, (2) data presentation, (3) verification or drawing conclusions. Based on the results of the study it can be concluded that there is a change in behavior marked by a decrease in late student behavior between before and after self management techniques are provided

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Web-Based Health Coaching for Spinal Cord Injury: Results From a Mixed Methods Feasibility Evaluation (Preprint)

10.2196/preprints.16351 ◽

2019 ◽

Author(s):

Sonya Allin ◽

John Shepherd ◽

Teri Thorson ◽

Jennifer Tomasone ◽

Sarah Munce ◽

...

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Mixed Methods ◽

Self Efficacy ◽

Management Program ◽

Self Management ◽

Web Based ◽

Secondary Conditions ◽

Cord Injury ◽

Before And After

BACKGROUND Individuals with spinal cord injury (SCI) are at high risk of experiencing secondary conditions like pressure injuries. Self-management programs may reduce the risk of complications, but traditional programs have proven to be insufficiently tailored to the needs of people with SCI. To overcome barriers to self-management support, a web-based, self-management program was developed for Canadians with SCI called SCI & U. OBJECTIVE This study aims to evaluate the feasibility and potential impact of the SCI & U program in the context of a mixed methods pilot study. METHODS The study followed an explanatory, sequential mixed methods design. Participants (N=11) were Canadians with SCI who had been living in the community for more than 1 year. Each took part in a self-paced, six-session self-management program guided by a trained peer health coach. During sessions, participants could discuss a health topic with their coach from a predefined list (eg, skin or bowel management). Quantitative data were gathered before and after program participation to assess program feasibility and impact. Feasibility measures included attrition rates, frequency of topics selected, and recorded goals, whereas impact measures included measures of self-efficacy (University of Washington Self-Efficacy Scale [UW-SES]), mood (Personal Health Questionnaire Depression Scale [PHQ-8]), secondary conditions (Spinal Cord Injury Secondary Conditions Scale [SCI-SCS]), and resilience (Spinal Cord Injury Quality of Life Resilience Scale [SCI-QOL-R]). Qualitative measures were based on postintervention interviews; these were designed to confirm and expand on quantitative RESULTS Of the 11 participants, 10 completed pre- and postassessments, and 6 coaching sessions. Sessions lasted between 31 and 81 min (average 55, SD 13), and the duration of the program ranged from 35 to 88 days (average 56, SD 23). Diet and exercise were selected as topics 40% (20/50 sessions with topics) of the time, whereas topics such as mental health, bladder management, pain, and bowel management were chosen less frequently. Results gathered before and after the pilot study demonstrated improvements with moderate effect sizes on the UW-SES and the electronic health literacy scale (ie, Hedges g>0.5). Effect sizes for measures of resilience (SCI-QOL-R), depression (PHQ-8), and secondary conditions (SCI-SCS) were small (ie, Hedges g>0.3). Qualitative results confirmed a common focus on diet and exercise, and defined coaches as sources of accountability, information, reassurance and affirmation, and emotional and technical support. CONCLUSIONS Results demonstrated that a web-based self-management program is feasible and acceptable by Canadians with SCI. Results also indicated a web-based, peer-led self-management program may impact resilience, self-efficacy, mood, and secondary complications. Finally, results illuminated the role of the coach in facilitating behavior change. Future work seeks to validate results in the context of a randomized controlled trial.

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Web-Based Health Coaching for Spinal Cord Injury: Results From a Mixed Methods Feasibility Evaluation

JMIR Rehabilitation and Assistive Technologies ◽

10.2196/16351 ◽

2020 ◽

Vol 7 (2) ◽

pp. e16351

Author(s):

Sonya Allin ◽

John Shepherd ◽

Teri Thorson ◽

Jennifer Tomasone ◽

Sarah Munce ◽

...

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Mixed Methods ◽

Self Efficacy ◽

Management Program ◽

Self Management ◽

Web Based ◽

Secondary Conditions ◽

Cord Injury ◽

Before And After

Background Individuals with spinal cord injury (SCI) are at high risk of experiencing secondary conditions like pressure injuries. Self-management programs may reduce the risk of complications, but traditional programs have proven to be insufficiently tailored to the needs of people with SCI. To overcome barriers to self-management support, a web-based, self-management program was developed for Canadians with SCI called SCI & U. Objective This study aims to evaluate the feasibility and potential impact of the SCI & U program in the context of a mixed methods pilot study. Methods The study followed an explanatory, sequential mixed methods design. Participants (N=11) were Canadians with SCI who had been living in the community for more than 1 year. Each took part in a self-paced, six-session self-management program guided by a trained peer health coach. During sessions, participants could discuss a health topic with their coach from a predefined list (eg, skin or bowel management). Quantitative data were gathered before and after program participation to assess program feasibility and impact. Feasibility measures included attrition rates, frequency of topics selected, and recorded goals, whereas impact measures included measures of self-efficacy (University of Washington Self-Efficacy Scale [UW-SES]), mood (Personal Health Questionnaire Depression Scale [PHQ-8]), secondary conditions (Spinal Cord Injury Secondary Conditions Scale [SCI-SCS]), and resilience (Spinal Cord Injury Quality of Life Resilience Scale [SCI-QOL-R]). Qualitative measures were based on postintervention interviews; these were designed to confirm and expand on quantitative Results Of the 11 participants, 10 completed pre- and postassessments, and 6 coaching sessions. Sessions lasted between 31 and 81 min (average 55, SD 13), and the duration of the program ranged from 35 to 88 days (average 56, SD 23). Diet and exercise were selected as topics 40% (20/50 sessions with topics) of the time, whereas topics such as mental health, bladder management, pain, and bowel management were chosen less frequently. Results gathered before and after the pilot study demonstrated improvements with moderate effect sizes on the UW-SES and the electronic health literacy scale (ie, Hedges g>0.5). Effect sizes for measures of resilience (SCI-QOL-R), depression (PHQ-8), and secondary conditions (SCI-SCS) were small (ie, Hedges g>0.3). Qualitative results confirmed a common focus on diet and exercise, and defined coaches as sources of accountability, information, reassurance and affirmation, and emotional and technical support. Conclusions Results demonstrated that a web-based self-management program is feasible and acceptable by Canadians with SCI. Results also indicated a web-based, peer-led self-management program may impact resilience, self-efficacy, mood, and secondary complications. Finally, results illuminated the role of the coach in facilitating behavior change. Future work seeks to validate results in the context of a randomized controlled trial.

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Considerations for Deploying Web and Mobile Technologies to Support the Building of Patient Self-Efficacy and Self-Management of Chronic Illness

End-User Computing ◽

10.4018/978-1-59904-945-8.ch076 ◽

2008 ◽

pp. 1053-1064 ◽

Cited By ~ 3

Author(s):

Elizabeth Cummings ◽

Paul Turner

Keyword(s):

Information And Communication Technologies ◽

Health Professionals ◽

Self Efficacy ◽

Care Delivery ◽

Respiratory Illness ◽

Mobile Technologies ◽

Self Management ◽

Chronic Obstructive ◽

School Of Nursing ◽

Department Of Health

This chapter examines issues relating to the introduction of information and communication technologies that have emerged as part of planning for the Pathways Home for Respiratory Illness project. The project aims to assist patients with chronic respiratory conditions (chronic obstructive pulmonary disease and cystic fibrosis) to achieve increased levels of self-management and self-efficacy through interactions with case mentors and the deployment of ICTs. The chapter highlights that in deploying ICTs, it is important to ensure that solutions implemented are based on a detailed understanding of users, their needs and complex interactions with health professionals, the health system, and their wider environment. Achieving benefits from the introduction of ICTs as part of processes aimed at building sustainable self-efficacy and self-management is very difficult, not least because of a desire to avoid simply replacing patient dependency on health professionals with dependency on technology. More specifically, it also requires sensitivity toward assumptions made about the role, impact, and importance of information per se given that it is often only one factor among many that influence health attitudes, perceptions, actions, and outcomes. More broadly, the chapter indicates that as ICT-supported patient-focused interventions become more common, there is a need to consider how assessments of benefit in terms of a cohort of patients inform us about an individual patient’s experience and what this implies for terms like individualized care or patient empowerment (Muir Gray, 2004). At this level, there are implications for clinical practice and one-size-fits-all care-delivery practices. This collaborative project involves a multidisciplinary team of researchers from the University of Tasmania’s School of Medicine, School of Nursing and Midwifery, and School of Information Systems. The project is supported by the Tasmanian Department of Health and Human Services and funded by the Commonwealth Department of Health and Ageing, and is due for completion in June 2008.

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Effectiveness of group counseling services using self management techniques on aggressive student behavior

International Journal of Applied Counseling and Social Sciences ◽

10.24036/005427ijaccs ◽

2021 ◽

Vol 2 (2) ◽

pp. 140-146

Author(s):

Rita Novita ◽

Neviyarni Neviyarni

Keyword(s):

Aggressive Behavior ◽

Group Counseling ◽

Self Management ◽

Special Treatment ◽

Control Group ◽

Counseling Services ◽

Significant Difference ◽

Before And After ◽

Management Techniques ◽

Experimental Group

Aggressive behavior is behavior that aims to hurt and injure others physically and psychologically. The factors that influence the occurrence of aggressive behavior are the influence of the student's environment and violent broadcasts on television and social media (Facebook, Instagram, WhatsApp, Telegram and so on). So that efforts are needed to reduce aggressive behavior in students. The aggressive behavior that occurs is physical aggressive behavior, verbal aggressive behavior, excessive angry excessive hostile behavior and behavior. One of the efforts made to reduce students' aggressive behavior at school is to carry out group counseling services with self-management techniques, where the sample in this study was 15 people divided into an experimental group of 8 students and 7 students in the control group. using a non-test instrument, namely a questionnaire. this study aims to test the effectiveness of group counseling services using self-management techniques to reduce aggressive behavior. The findings of this study are: (1) there is a significant difference in the aggressive behavior of the experimental group before and after following self-management techniques (2) there is a significant difference in the aggressive behavior of the control group before and after being given group counseling services about aggressive behavior without special treatment, (3) ) There is a difference in the aggressive behavior of the experimental group students who were given group self-management techniques with the control group who were given group counseling services about aggressive behavior without special treatment, this can be seen in the post-test average score of the experimental group falling higher than the average postest score. control group.

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EFFORTS TO INCREASE THROUGH SELF EFFICACY WITH COUNSELING SERVICES TECHNICAL SELF MANAGEMENT TO CONVICTED CRIMINAL IN JAIL II B CLASS LABUHAN DELI 2018

JURNAL BIMBINGAN DAN KONSELING AR-RAHMAN ◽

10.31602/jbkr.v5i1.1968 ◽

2019 ◽

Vol 5 (1) ◽

pp. 43

Author(s):

Gusman Lesmana

Keyword(s):

Self Efficacy ◽

Self Management ◽

Quantitative Relation ◽

Management Technique ◽

Self Monitoring ◽

Detention Center ◽

Self Evaluation ◽

Management Techniques ◽

Class Iib ◽

Counseling Technique

Prisoners have considered themselves to be a group that is considered dangerous and who consider themselves to have a large disability and are considered low in society. Therefore, there needs to be an effort to improve the prisoners' self-efficacy to improve their motivation in interacting and interacting with other normal communities when they join later in society by using relevant methods namely self management with indicators of development at the stage of self-monitoring or self-observation , self-evaluation and then self-improvement. The phenomenon of rejection of the presence of prisoners has sounded very common. This has a major impact on the survival of prisoners after being released from prison sentences. This study aims to improve the self efficacy of individual ex-prisoners in the Labuhan Deli Class IIB Detention Center using the services of Guidance and Counseling self management techniques. The subject of this study amounted to 85 people, namely inmates in the Labuhan Deli Class IIB Detention Center with a detention period of 6 months down to be free. Self management techniques are forming and changing desired behavior through three stages. The results of the study show that self management techniques are effective in increasing prisoners' self-efficacy to interact with the general public. This research was conducted to explain the quantitative relation between service of counseling technique of Self Management with Self efficacyof convict. The results of the research conclude that the state of Self efficacyof convict community members is at a low level due to the strong rejection from the community towards the convict community. The results and conclusion to answer the positive hypothesis is (r count> r table), so, thus (0.915> 0.304) The analysis process of SPSS from the questionnaire of the research respondents is 40 prisoners sample of 0.915 which means 91.5% with sig. 0,000 the magnitude of the influence of the application of self-management technique counseling to prisoners' self-efficacy.

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‘The Doctor doesn’t need to see you now’: reduction in general practice appointments following group pain management

British Journal of Pain ◽

10.1177/2049463718812501 ◽

2018 ◽

Vol 13 (2) ◽

pp. 121-129

Author(s):

Ajay Clare ◽

Sarah MacNeil ◽

Tamzin Bunton ◽

Stephanie Jarrett

Keyword(s):

Primary Care ◽

General Practice ◽

Pain Management ◽

Clinical Effectiveness ◽

Self Management ◽

Future Research ◽

Before And After ◽

Gp Services ◽

Management Techniques ◽

Pain Patients

Background: Patients living with chronic, non-malignant, musculoskeletal pain are frequent visitors to general practice (GP) services, placing a large burden on resources. Pain management programmes (PMPs) are recommended for chronic pain patients and aim to teach self-management techniques. While there is evidence for their clinical effectiveness, few studies have explored whether there is a reduction in primary care healthcare use after attending a PMP. Aim: This study sought to address this by gathering data on pain-related primary care appointments before and after attending a PMP. Design and setting: Medical records of 50 patients attending a group outpatient PMP were obtained to determine whether the number of pain-related GP appointments differed 1 year after attending the programme compared with the year beforehand. Robust data were obtained from GP appointment systems and a retrospective observational design was utilised. Results: The results indicated a 43.9% decrease in the number of GP appointments in the year following a PMP, a change that was statistically significant. Conclusion: The findings of the study show that there are fewer pain-related appointments in primary care in the year following a group outpatient PMP compared with the preceding year. It is possible that the self-management techniques taught on the programme lead to a reduction in patient’s need to consult their GP as frequently about their pain. However, limitations in the current research mean that the reduction in appointments cannot be definitively attributed to PMP attendance and suggestions for future research are discussed.

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Anxiety, Self-Efficacy, and the Role of Study Abroad

10.37546/jaltpcp2019-25 ◽

2020 ◽

Vol 2019 (1) ◽

pp. 208

Author(s):

Marshall Klassen ◽

Nicholas Marx

Keyword(s):

Study Abroad ◽

Foreign Language ◽

English Learners ◽

Self Efficacy ◽

Language Anxiety ◽

Affective Factors ◽

Self Perceptions ◽

Studying Abroad ◽

Before And After ◽

The Individual

Research has shown that foreign language classroom anxiety often has a debilitating effect on language learners’ self-perceptions (Horwitz, 2001). Self-efficacy is also a notable concept in relation to learners’ self-perceptions of their ability to complete tasks (Bandura, 1982). Relating experiences of anxiety in the classroom with self-efficacy, in this study we looked at correlations between self-efficacy and foreign language anxiety and changes in these affective factors for university English learners. A pretest–posttest methodology was utilized before and after the participants studied abroad. Negative correlations were found between language anxiety and self-efficacy across both tests. In addition, significant findings from the individual test could be seen before and after studying abroad, showing in what ways study abroad may affect learner’s anxiety and self-efficacy. 先行研究では、外国語教室不安が言語学習者の自己認識を衰弱させる効果があることを示している（Horwitz, 2001）。また、自己効力感は、自分自身がタスクをどれだけ遂行できるかの自己認識に関連している注目すべき概念である（Bandura, 1982）。本研究では、外国語の不安と自己効力感を関連付けて、大学での英語学習者に対する感情的要因の変化を調べた。方法として、参加者が留学する前後にテストを行った。そこでは両方のテストで、言語不安と自己効力感に負の相関関係が見つかった。さらに、留学の前後の調査結果は、留学が学習者の不安や自己効力感にどのような影響を与えるかを示していた。

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