Patient Adherence or Patient Self-Management in Transplantation: An Ethical Analysis

2009 ◽  
Vol 19 (1) ◽  
pp. 90-94 ◽  
Author(s):  
Barbara K. Redman
Keyword(s):  
Patient Adherence ◽  
Ethical Analysis ◽  
Self Management

scholarly journals The Effect of the Mobile ‘Blood Pressure Management Application’ on Hypertension Self-Management Enhancement: A Randomised Controlled Trial

2019 ◽  
Author(s):  
Ali Bozorgi ◽  
Hamed Hosseini ◽  
Hassan Eftekhar ◽  
Reza Majdzadeh ◽  
Ali Yoonessi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Clinical Trial ◽  
Repeated Measures ◽  
Patient Adherence ◽  
Intervention Group ◽  
Public Hospitals ◽  
Self Management ◽  
Control Group ◽  
Management Application

Abstract Background : Self-management of blood pressure is of great significance given the increasing incidence of hypertension and associated disabilities. With the increased use of mobile health in medicine, the present study evaluated the effect of the self-management application on patient adherence to hypertension treatment. Methods : This clinical trial was performed on 120 hypertensive patients who were provided with a mobile intervention for 8 weeks and followed-up to 24 th weeks. Data on the primary outcome (adherence to treatment) and secondary outcomes (adherence to the DASH diet, regular monitoring of blood pressure, and physical activity) were collected using a questionnaire and a mobile application, respectively. The inter-group change difference over time was analyzed using repeated measures ANOVA (General Linear Model). Results : The treatment adherence score increased by an average of 5.9 (95%CI: 5.0-6.7) in the intervention group compared to the control group. Scores of adherence to the low-fat and low-salt diet plans were 1.7 (95%CI: 1.3-2.1) and 1.5 (95%CI: 1.2-1.9), respectively. Moreover, moderate physical activity increased to 100.0 minutes (95%CI: 61.7-138.3) per week in the intervention group. Conclusion: The treatment and control of blood pressure require a multifaceted approach given its complexity and multifactorial nature. Considering the widespread use of smartphones , mhealth interventions can be effective in self-management and better patient adherence to treatments. Our results showed that this application can be used as a successful tool for hypertension self-management in patients attending public hospitals in developing countries. Trial registration: This study was registered in the Iran Randomized Clinical Trial Center under the number IRCT2015111712211N2 on 1 January 2016.

scholarly journals Challenges experienced by community health workers and their motivation to attend a self-management programme

2022 ◽  
Vol 14 (1) ◽  
Author(s):  
Levona J. Johnson ◽  
Laura H. Schopp ◽  
Firdouza Waggie ◽  
José M. Frantz
Keyword(s):  
Health Risk ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Patient Adherence ◽  
Management Programme ◽  
Self Management ◽  
Western Cape ◽  
Management Intervention ◽  
Professional Challenges

Background: Community health workers (CHWs) are change agents expected to assist in decreasing the global burden of disease in the communities they serve. However, they themselves have health risk behaviours, which predispose them to non-communicable diseases and thus need to be empowered to make better health choices. There is a gap in literature detailing the challenges faced by CHWs in addressing their own health risk behaviours.Aim: This study aimed to explore the challenges experienced by CHWs in carrying out their daily duties and the motivating factors to join a self-management programme.Setting: The study was conducted in a low socio-economic urban area of the Western Cape, South Africa.Methods: This study used a qualitative exploratory design using in-depth interviews to obtain rich data about the personal and professional challenges that CHWs experience on a daily basis.Results: Five themes emerged with regard to professional challenges (social conditions, mental health of patients, work environment, patient adherence and communication). This cadre identified ineffective self-management as a personal challenge and two themes emerged as motivation for participating in a self-management programme: empowerment and widening perspective.Conclusion: The challenges raised by the CHWs have a direct impact on their role in communities. This study therefore highlights an urgent need for policymakers and leaders who plan training programmes to take intentional strategic action to address their health challenges and to consider utilising a self-management intervention model to improve their overall health status.

scholarly journals The Effect of the Mobile ‘Blood Pressure Management Application’ on Hypertension Self-Management Enhancement: A Randomized Controlled Trial

2021 ◽  
Author(s):  
Ali Bozorgi ◽  
Hamed Hosseini ◽  
Hassan Eftekhar ◽  
Reza Majdzadeh ◽  
Ali Yoonessi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Clinical Trial ◽  
Repeated Measures ◽  
Patient Adherence ◽  
Intervention Group ◽  
Public Hospitals ◽  
Self Management ◽  
Control Group ◽  
Management Application

Abstract Background: Self-management of hypertension is of great significance given its increasing incidence and its associated disabilities. In view of the increased use of mobile health in medicine, the present study evaluated the effect of a self-management application on patient adherence to hypertension treatment.Methods: This clinical trial was performed on 120 hypertensive patients who were provided with a mobile intervention for 8 weeks and followed-up until the 24th week. Data on the primary outcome (adherence to treatment) and secondary outcomes (adherence to the DASH diet, regular monitoring of blood pressure, and physical activity) were collected using a questionnaire and a mobile application, respectively. The inter-group change difference over time was analyzed using repeated measures ANOVA (General Linear Model).Results: The treatment adherence score increased by an average of 5.9 (95% CI: 5.0-6.7) in the intervention group compared to the control group. Scores of 'adherence to the low-fat and low-salt diet plans' were 1.7 (95% CI: 1.3-2.1) and 1.5 (95% CI: 1.2-1.9), respectively. Moreover, moderate physical activity increased to 100.0 minutes (95% CI: 61.7-138.3) per week in the intervention group.Conclusion: The treatment and control of blood pressure require a multifaceted approach given its complexity and multifactorial nature. Considering the widespread use of smartphones, mHealth interventions can be effective in self-management and better patient adherence to treatments. Our results showed that this application can be used as a successful tool for hypertension self-management in patients attending public hospitals in developing countries.Trial registration: This study was registered in the Iran Randomized Clinical Trial Center under the number IRCT2015111712211N2 on January 1st 2016.

scholarly journals The Effect of the Mobile ‘Blood Pressure Management Application’ on Hypertension Self-Management Enhancement: A Randomized Controlled Trial

2020 ◽  
Author(s):  
Ali Bozorgi ◽  
Hamed Hosseini ◽  
Hassan Eftekhar ◽  
Reza Majdzadeh ◽  
Ali Yoonessi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Clinical Trial ◽  
Repeated Measures ◽  
Patient Adherence ◽  
Intervention Group ◽  
Public Hospitals ◽  
Self Management ◽  
Control Group ◽  
Management Application

Abstract Background: Self-management of hypertension is of great significance given its increasing incidence and its associated disabilities. In view of the increased use of mobile health in medicine, the present study evaluated the effect of a self-management application on patient adherence to hypertension treatment. Methods: This clinical trial was performed on 120 hypertensive patients who were provided with a mobile intervention for 8 weeks and followed-up until the 24th week. Data on the primary outcome (adherence to treatment) and secondary outcomes (adherence to the DASH diet, regular monitoring of blood pressure, and physical activity) were collected using a questionnaire and a mobile application, respectively. The inter-group change difference over time was analyzed using repeated measures ANOVA (General Linear Model). Results: The treatment adherence score increased by an average of 5.9 (95% CI: 5.0-6.7) in the intervention group compared to the control group. Scores of 'adherence to the low-fat and low-salt diet plans' were 1.7 (95% CI: 1.3-2.1) and 1.5 (95% CI: 1.2-1.9), respectively. Moreover, moderate physical activity increased to 100.0 minutes (95% CI: 61.7-138.3) per week in the intervention group. Conclusion: The treatment and control of blood pressure require a multifaceted approach given its complexity and multifactorial nature. Considering the widespread use of smartphones, mHealth interventions can be effective in self-management and better patient adherence to treatments. Our results showed that this application can be used as a successful tool for hypertension self-management in patients attending public hospitals in developing countries. Trial registration: This study was registered in the Iran Randomized Clinical Trial Center under the number IRCT2015111712211N2 on January 1st 2016.

scholarly journals The Effect of the Mobile ‘Blood Pressure Management Application’ on Hypertension Self-Management Enhancement: A Randomized Controlled Trial

2020 ◽  
Author(s):  
Ali Bozorgi ◽  
Hamed Hosseini ◽  
Hassan Eftekhar ◽  
Reza Majdzadeh ◽  
Ali Yoonessi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Clinical Trial ◽  
Repeated Measures ◽  
Patient Adherence ◽  
Intervention Group ◽  
Public Hospitals ◽  
Self Management ◽  
Control Group ◽  
Management Application

Abstract Background: Self-management of hypertension is of great significance given its increasing incidence and its associated disabilities. With the increased use of mobile health in medicine, the present study evaluated the effect of a self-management application on patient adherence to hypertension treatment. Methods: This clinical trial was performed on 120 hypertensive patients who were provided with a mobile intervention for 8 weeks and followed-up until the24th week. Data on the primary outcome (adherence to treatment) and secondary outcomes(adherence to the DASH diet, regular monitoring of blood pressure, and physical activity) were collected using a questionnaire and a mobile application, respectively. The inter-group change difference over time was analyzed using repeated measures ANOVA (General Linear Model). Results: The treatment adherence score increased by an average of 5.9 (95% CI: 5.0-6.7) in the intervention group compared to the control group. Scores of 'adherence to the low-fat and low-salt diet plans' were 1.7 (95% CI: 1.3-2.1) and 1.5 (95% CI: 1.2-1.9), respectively. Moreover, moderate physical activity increased to 100.0 minutes (95% CI: 61.7-138.3) per week in the intervention group. Conclusion: The treatment and control of blood pressure require a multifaceted approach given its complexity and multifactorial nature. Considering the widespread use of smartphones, mHealth interventions can be effective in self-management and better patient adherence to treatments. Our results showed that this application can be used as a successful tool for hypertension self-management in patients attending public hospitals in developing countries. Trial registration: This study was registered in the Iran Randomized Clinical Trial Center under the number IRCT2015111712211N2 on January 1st2016.

scholarly journals The effectiveness of an interactive theatre intervention on improving patient adherence to self-management regimens for breast cancer-related lymphedema

2016 ◽  
Author(s):  
◽  
Pamela L. Ostby
Keyword(s):  
Breast Cancer ◽  
Health Care Providers ◽  
Symptom Management ◽  
Patient Adherence ◽  
Self Regulation ◽  
Alternative Methods ◽  
Self Management ◽  
Care Providers ◽  
Interactive Theatre ◽  
Breast Cancer Related Lymphedema

Breast cancer survivors are at lifetime risk for the development of breast cancer-related lymphedema (BCRL), a chronic, potentially-debilitating, and -disfiguring condition that requires life-long symptom management. Adherence to BCRL self-management is critical to preventing BCRL progression and complications; however, barriers to effective self-management, including complexities of treatment, can negatively affect adherence. Preliminary work for this study has identified physiological, psychological, and psychosocial barriers to successful BCRL self-management. One of the main barriers identified was lack of BCRL education and support for both patients and health care providers, suggesting a need for alternative methods of providing education and support. Currently, printed information is commonly used for patient education and support. This randomized study compared printed information about BCRL to printed information about BCRL and attendance at an Interactive Theatre (IT) performance (n = 36 participants; 19/17). Circumferential and perometric measures were taken at baseline to document BCRL status and valid, reliable questionnaires relevant to symptom management, self-efficacy, and self-regulation were administered pre- and post-intervention. An interactive approach to BCRL education and support with self-management has potential to improve patient outcomes of adherence and coping with BCRL.

scholarly journals Pengaruh Penerapan Chronic Condition Self-Management (CCSM) terhadap Kepatuhan Pengobatan Pasien Hipertensi Peserta Prolanis BPJS di Malang Jawa Timur

2019 ◽  
Vol 1 (2) ◽  
pp. 82-86
Author(s):  
Lilis Sulistiya Nengrum ◽  
Angga Setya Wahyudi
Keyword(s):  
Medication Adherence ◽  
Chronic Condition ◽  
Patient Adherence ◽  
Effective Interaction ◽  
Intervention Group ◽  
Treatment Compliance ◽  
Self Management ◽  
Health Promotion Program ◽  
P Value ◽  
Chronic Hypertension

Hypertension is often called the silent killer because most people do not realize that he had hypertension. The success of the treatment is not only influenced by the quality of health services, attitudes/skills of its officers, the pattern of life of patients and their families but also influenced by patient adherence to treatment. Chronic Condition Self-Management (CCSM) is a guideline that was developed to help nurses, and health professionals on the client facilitate self-management of chronic conditions by providing a framework for effective interaction and management strategies. This study aims to determine the effect of the application of CCSM on treatment compliance. This research was conducted in the DPS dr. Suhartatik Gondang Legi in February - July 2017. The study design used was Quasi-Experimental, with pre-test and post-test with one group design. Total population 35 with a sample of 20 respondents into an intervention group, with a technique purposive sampling. The dependent variable is CCSM and independent variable and treatment compliance. Instruments using a checklist sheet and medication adherence questionnaire sheet. Based on statistical test paired t-test showed the p-value 0.000 (p <0.05), it can be concluded that there is a significant effect of the application of CCSM on treatment compliance. Based on these results, it is expected the nurse can useCCSM as a health promotion program to improve medication adherence in patients with chronic hypertension.

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