A critical review of self-care for sleep disturbances: prevalence, profile, motivation, perceived effectiveness and medical provider communication

Due to the excessive use of antibiotic and antimycotic treatments, the risk of resistant microbes and fungi is rapidly emerging. Previous studies have demonstrated that many women with (recurrent) urinary tract infection (UTI) and/or vaginal infections (VIs) welcome alternative management approaches to reduce the use of antibiotics and antifungals and avoid short- and long-term adverse effects. This study aims to determine which complementary medicine (CM) and self-care strategies are being used by women suffering from (recurrent) UTI and VI in The Netherlands and how they perceive their effectiveness in order to define directions for future research on safety, cost-effectiveness, and implementation of best practices. A cross-sectional online survey was performed among women, ≥18 years old, with a history of UTIs; 162 respondents were included in the data analysis, with most participants aged between 50 and 64 years (36.4%). The women reported having consulted a CM practitioner for UTI-specific symptoms (23.5%) and VI-specific symptoms (13.6%). Consultations of homeopaths, acupuncturists, and herbal physicians are most often reported. Overall, 81.7% of the women suffering from UTI used complementary or self-care strategies besides regular treatment, and 68.7% reported using CM/self-care strategies to treat vaginal symptoms. UTI- related use of cranberries (51.9%), vitamin C (43.8%), and D-mannose (32.7%) were most reported. Perceived effectiveness was mostly reported for homeopathic remedies and D-mannose. The results showed a substantial burden of UTI and VI on daily and sexual activities. Besides the frequency of use, the indication of perceived effectiveness seems to be an important parameter for further and rigorously designed research to encourage nonantibiotic/antifungal treatment implementation into daily clinical practice.

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Abstract 112: Use of WhatsApp to Improve Medical Provider Communication for Children with Wilms Tumor in Tanzania

10.1158/1538-7755.asgcr21-112 ◽

2021 ◽

Author(s):

John Igenge ◽

Jacob Stocks ◽

Gloria Zhang ◽

Mocha George ◽

Frank Kiwara ◽

...

Keyword(s):

Wilms Tumor ◽

Provider Communication ◽

Medical Provider

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Patient-provider communication, maternal anxiety, and self-care in pregnancy

Social Science & Medicine ◽

10.1016/j.socscimed.2017.08.011 ◽

2017 ◽

Vol 190 ◽

pp. 133-140 ◽

Cited By ~ 14

Author(s):

Jennifer Nicoloro-SantaBarbara ◽

Lisa Rosenthal ◽

Melissa V. Auerbach ◽

Christina Kocis ◽

Cheyanne Busso ◽

...

Keyword(s):

Self Care ◽

Maternal Anxiety ◽

Provider Communication ◽

Patient Provider Communication ◽

In Pregnancy

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Provider communication and patient participation in diabetes self-care

Patient Education and Counseling ◽

10.1016/j.pec.2010.09.025 ◽

2011 ◽

Vol 85 (2) ◽

pp. 143-147 ◽

Cited By ~ 30

Author(s):

Ragnhild Bundesmann ◽

Stan A. Kaplowitz

Keyword(s):

Patient Participation ◽

Self Care ◽

Provider Communication

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Influence of Provider Communication on Emerging Adults’ Medication Cognitions and Provider Satisfaction

Journal of Pediatric Psychology ◽

10.1093/jpepsy/jsaa022 ◽

2020 ◽

Vol 45 (5) ◽

pp. 573-582

Author(s):

Samantha A Carreon ◽

Lindsay Durkin ◽

W Hobart Davies ◽

Rachel Neff Greenley

Keyword(s):

Medication Adherence ◽

Emerging Adults ◽

Antibiotic Use ◽

Positive Outcome ◽

Outcome Expectancy ◽

Future Research ◽

Oral Antibiotic ◽

Provider Communication ◽

Medical Provider ◽

Provider Satisfaction

Abstract Objective This study examined how the content of medical provider communication related to medication prescriptions influenced emerging adults’ (EA) medication-related cognitions and satisfaction with care. Methods In total, 257 EA (ages 18–25) were randomized to one of three audio vignettes depicting a medical appointment in which the EA imagined him/herself as the recipient of an oral antibiotic prescription. Provider communication content varied by vignette as follows: the positive outcome expectancy (POE) vignette focused on enhancing patient POE related to antibiotic use; the negative outcome expectancy (NOE) vignette focused on reducing patient NOE; and the standard care vignette focused on providing factual medication information. Following the vignette, participants self-reported on demographics, select medication-related cognitions, and provider satisfaction from vignette. Results Those in the NOE vignette condition reported higher provider satisfaction, perceived the provider to have given more information, and evidenced lower NOE and higher POE about the antibiotic compared with those in the other conditions. Intent to adhere did not vary by vignette condition. Conclusions Brief, provider-initiated communication focused on reducing patient NOE may have unique value in altering EA’s medication-related cognitions. Given that medication-related beliefs are known correlates of adherence, future research should replicate and expand these findings in the context of real-world medical encounters and through the utilization of objective indices of medication adherence to more fully understand the potential significance of provider language emphasizing reduction of NOE on medication adherence.

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Dimensions of patient-provider communication and diabetes self-care in an ethnically diverse population

Journal of General Internal Medicine ◽

10.1046/j.1525-1497.2003.31968.x ◽

2003 ◽

Vol 18 (8) ◽

pp. 624-633 ◽

Cited By ~ 148

Author(s):

John D. Piette ◽

Dean Schillinger ◽

Michael B. Potter ◽

Michele Heisler

Keyword(s):

Self Care ◽

Ethnically Diverse ◽

Provider Communication ◽

Diverse Population ◽

Patient Provider Communication

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Barriers and facilitators to self-care communication during medical appointments in the United States for adults with type 2 diabetes

Chronic Illness ◽

10.1177/1742395314525647 ◽

2014 ◽

Vol 10 (4) ◽

pp. 303-313 ◽

Cited By ~ 37

Author(s):

Marilyn D Ritholz ◽

Elizabeth A Beverly ◽

Kelly M Brooks ◽

Martin J Abrahamson ◽

Katie Weinger

Keyword(s):

Type 2 Diabetes ◽

Self Care ◽

The United States ◽

Barriers And Facilitators ◽

Provider Communication ◽

Semistructured Interview ◽

Interview Guide ◽

Clinical Benefits ◽

Patient Provider Communication

Objective Diabetes self-care is challenging and requires effective patient–provider communication to achieve optimal treatment outcomes. This study explored perceptions of barriers and facilitators to diabetes self-care communication during medical appointments. Design Qualitative study using in-depth interviews with a semistructured interview guide. Participants Thirty-four patients with type 2 diabetes and 19 physicians who treat type 2 diabetes. Results Physicians described some patients as reluctant to discuss their self-care behaviors primarily because of fear of being judged, guilt, and shame. Similarly, patients described reluctant communication resulting from fear of being judged and shame, particularly shame surrounding food intake and weight. Physicians and patients recommended trust, nonjudgmental acceptance, open/honest communication, and providing patients hope for living with diabetes as important factors for improving self-care communication. Further, patients stressed the clinical benefits of physicians directly addressing poor self-care behaviors while physicians described having few strategies to address these difficulties. Conclusions Physician–patient self-care communication barriers included patients’ reluctance to discuss self-care behaviors and physicians’ perceptions of few options to address this reluctance. Treatment recommendations stressed the importance of establishing trusting, nonjudgmental and open patient–provider communication for optimal diabetes treatment. Medical education is needed to improve physicians’ strategies for addressing self-care communication during medical appointments.

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