Implementation of a Self-management Programme for People with Long-Term Medical Conditions in a Workplace Setting

2007 ◽  
Vol 38 (2) ◽  
pp. 24-34 ◽  
Author(s):  
Julie H. Barlow ◽  
David R. Ellard
Keyword(s):  
Working Life ◽  
Support Staff ◽  
Self Management ◽  
Medical Conditions ◽  
Management Intervention ◽  
Organisational Support ◽  
Before And After ◽  
The Uk ◽  
Workplace Setting

The Expert Patient Programme (EPP) is a lay-led self management intervention, delivered in the community and is designed for people with long-term medical conditions (LTMCs). It is now widely used and accepted in the UK. The aims of this qualitative study were to examine whether implementation of the lay-led EPP in a workplace setting is perceived to benefit employees with LTMCs and to examine their existing organisational support. This article presents the results of interviews with employees before and after they attended the work-based EPP and also the views of managers that have to support staff that work with LTMCs. The results suggest that having LTMCs interferes with working life and that managers perceive that they do not have enough support to help people with LTMCs. The EPP proved to be of assistance to participants and could, with minor adaptations, be used effectively in a workplace setting.

scholarly journals Exploring student perceptions and awareness of social prescribing

2019 ◽  
Vol 69 (suppl 1) ◽  
pp. bjgp19X703649 ◽  
Author(s):  
Hannah Mulligan ◽  
Daisy Kirtley ◽  
Claudia Santoni ◽  
Joel Chilaka ◽  
Bogdan Chiva Giurca
Keyword(s):  
Medical Students ◽  
Student Perceptions ◽  
Well Being ◽  
Medical Schools ◽  
Social Prescribing ◽  
Student Views ◽  
Before And After ◽  
The Uk ◽  
New Strategies

BackgroundThe importance of social prescribing has been illustrated by the NHS Long Term Plan, as well as the GP Forward View published in 2016. Social prescribing is enabling healthcare professionals to refer patients to a link worker, to co-design a non-clinical social prescription to improve their health and well-being. A lack of awareness of social prescribing has been suggested in the past, although no studies have been formally conducted to date to provide the evidence basis for this statement.AimExploring perceptions, understanding, and awareness of social prescribing among medical students across the UK.MethodStudent views were collected using a survey delivered before and after teaching sessions as part of the NHS England National Social Prescribing Student Champion Scheme. A total of 932 responses were recorded from 27 different medical schools.ResultsPre-session surveys suggested that 91% (n = 848) of medical students have never heard of the concept of social prescribing before the teaching session. Post-session surveys highlighted that 98% (n = 913) of students regarded the concept as useful and relevant to their future careers following teaching on the subject.ConclusionSurvey findings confirm a significant lack of awareness regarding social prescribing among medical students from 27 different medical schools across the UK. New strategies are needed to ensure the doctors of tomorrow are equipped with the necessary tools to achieve the recent outcomes for graduates which highlight the importance of personalised care and social sciences.

scholarly journals Long-term effectiveness and costs of a brief self-management intervention in women with pregnancy-related low back pain after delivery

2008 ◽  
Vol 8 (1) ◽  
Author(s):  
Caroline HG Bastiaenen ◽  
Rob A de Bie ◽  
Johan WS Vlaeyen ◽  
Mariëlle EJB Goossens ◽  
Pieter Leffers ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Self Management ◽  
Low Back ◽  
Management Intervention

IAPT and Long Term Medical Conditions: What Can We Offer?

2014 ◽  
Vol 43 (4) ◽  
pp. 412-425 ◽  
Author(s):  
Abigail L. Wroe ◽  
Edward W. Rennie ◽  
Sarah Gibbons ◽  
Arek Hassy ◽  
Judith E. Chapman
Keyword(s):  
Psychological Wellbeing ◽  
Self Management ◽  
Service Development ◽  
Medical Conditions ◽  
Client Group ◽  
Department Of Health ◽  
Outcomes Measures ◽  
Pilot Work

Background: The proposal of a 4-year plan to integrate treatment of people with long term medical conditions (LTCs) into the IAPT service (Department of Health, 2011) seeks for research to understand the effectiveness of IAPT interventions for this patient group. Aim: The aim of this service development pilot work was to develop an intervention that is effective for people with Type 2 Diabetes Mellitus (T2DM). It was hypothesized that the standard IAPT intervention would not be effective, but that it can be adapted so that it is effective both in terms of mood and self-management of T2DM. Method: Clients (n = 95) who experienced mild to moderate depression and/or anxiety and had a diagnosis of T2DM opted to attend. The intervention was adapted over a series of cohorts from a standard Step 2 intervention. A team of Psychological Wellbeing Practitioners (PWPs), a Clinical Health Psychologist and a General Practitioner worked in collaboration, using outcomes measures and feedback from service users and facilitators. Results: The standard IAPT Step 2 intervention met with challenges when specifically targeting this client group. Using paired t-tests, the modified Step 2 intervention demonstrated significant improvements from pre- to postintervention measures both in terms of psychological (n = 17) and physical (n = 9) outcomes. Conclusion: It is concluded that it may be possible to modify a generic Step 2 IAPT intervention to demonstrate improvements both in terms of psychological wellbeing and self-management of T2DM. The main adaptations were related to more targeted recruitment and linking of diabetes specifically into the CBT model.

An Embodied Conversational Agent in an eHealth Self-management Intervention for Chronic Obstructive Pulmonary Disease and Chronic Heart Failure: Exploratory Study in a Real-life Setting (Preprint)

2020 ◽  
Author(s):  
Silke ter Stal ◽  
Joanne Sloots ◽  
Aniel Ramlal ◽  
Harm op den Akker ◽  
Anke Lenferink ◽  
...  
Keyword(s):  
Heart Failure ◽  
Exploratory Study ◽  
Self Management ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Small Talk ◽  
Management Intervention ◽  
Agent Characteristics ◽  
Over Time

BACKGROUND Embodied Conversational Agents (ECAs) have the potential to stimulate actual use of eHealth applications. An ECA’s design influences the user’s perception during short interactions, but daily life evaluations of ECAs in healthcare are scarce. OBJECTIVE this is an exploratory, long-term study on the design of ECAs for eHealth. The study investigates how patients perceive the design of the ECA over time with regard to the ECA’s characteristics – friendliness, trustworthiness, involvement, expertise and authority –, small talk interaction, and likeliness of following the agent’s advice. METHODS we developed an ECA within an eHealth self-management intervention for patients with both Chronic Obstructive Pulmonary Disease (COPD) and Chronic Heart Failure (CHF), which we offered for four months. Patients rated five agent characteristics and likeliness of following the agent’s advice before use and after three and nine weeks of use. The amount of patients’ small talk interaction was assessed by log data. Lastly, individual semi-structured interviews were used to triangulate results. RESULTS eleven patients (7 male and 4 female) with COPD and CHF participated (median age 70 years). Patients’ perceptions of the agent characteristics did not change over time (P > 0.05 for all characteristics) and only one participant finished all small talk dialogues. After three weeks of use, the patients were less likely to follow the agent’s advice (P = .01). The agent’s messages were perceived as non-personalized and the feedback as inappropriate, affecting the agent’s perceived reliability. CONCLUSIONS this exploratory study provides first insights into ECA design for eHealth. The impression of an ECA’s design seems to remain during long-term use. To investigate future added value of ECAs in eHealth, perceived reliability should be improved by managing users’ expectations of the ECA’s capabilities and creating ECA designs fitting individual needs. CLINICALTRIAL Netherlands Trial register, NL6480. Registered 14 August 2017, https://www.trialregister.nl/trial/6480

scholarly journals Quality of Warfarin Therapy and Quality of Life are Improved by Self-Management for Two Years

2019 ◽  
Vol 119 (10) ◽  
pp. 1632-1641 ◽  
Author(s):  
Una Ørvim Sølvik ◽  
Elisabeth Løkkebø ◽  
Ann Helen Kristoffersen ◽  
Ellen Brodin ◽  
Maria Averina ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Warfarin Therapy ◽  
International Normalized Ratio ◽  
Vitamin K Antagonist ◽  
Self Management ◽  
Prospective Design ◽  
Conventional Management ◽  
Before And After

Background Studies from several countries show that self-management of vitamin K antagonist (e.g., warfarin) therapy reduce the risk of complications compared with conventional management. Objectives The aim of this study was to investigate the quality of warfarin management when patients were transferred from conventional management to self-management in Norway. In addition, quality of life (QoL) before and after 2 years of warfarin self-management was investigated. Materials and Methods The study was longitudinal with a retrospective and prospective design where 126 patients on conventional management of long-term warfarin therapy underwent a 21-week training program of warfarin self-management followed by 2 years of self-management. The outcomes of the study were time in therapeutic range (TTR), the variance of international normalized ratio (INR) values, extreme INR values (INR ≤ 1.5 and ≥ 5), complications, and QoL, comparing the 2-year period of the conventional management with the 2-year period with the self-management. Results The median TTR was higher during self-management compared with conventional management (78.1% vs. 65.9%, respectively, p < 0.001). In addition, self-management resulted in lower INR variance (0.22 vs. 0.33, p < 0.001), reduced percentage of extreme INR values (1.8% vs. 5.3%, p < 0.001), less complications (0% vs. 5.6%), and improved QoL (p < 0.001) compared with conventional management. Conclusion We used five different measures and found improved quality of warfarin self-management 2 years after patients were transferred from the conventional management.

scholarly journals Effectiveness of a Self-Management Intervention to Promote an Active Lifestyle in Persons With Long-Term Spinal Cord Injury: The HABITS Randomized Clinical Trial

2017 ◽  
Vol 31 (12) ◽  
pp. 991-1004 ◽  
Author(s):  
Hedwig Kooijmans ◽  
Marcel W. M. Post ◽  
Henk J. Stam ◽  
Lucas H. V. van der Woude ◽  
Dorien C. M. Spijkerman ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Stages Of Change ◽  
Behavioral Control ◽  
Self Management ◽  
Perceived Behavioral Control ◽  
Active Lifestyle ◽  
Management Intervention ◽  
Cord Injury ◽  
Secondary Outcomes

Background. Most people with long-term spinal cord injury (SCI) have a very inactive lifestyle. Higher activity levels have been associated with health benefits and enhanced quality of life. Consequently, encouraging an active lifestyle is important and behavioral interventions are needed to establish durable lifestyle changes. Objective. The Healthy Active Behavioral Intervention in SCI (HABITS) study was aimed to evaluate the effectiveness of a structured self-management intervention to promote an active lifestyle in inactive persons with long-term SCI. Methods. This assessor-blinded randomized controlled trial was conducted at 4 specialized SCI units in the Netherlands. Sixty-four individuals with long-term SCI (>10 years), wheelchair-user and physically inactive, were included. Participants were randomized to either a 16-week self-management intervention consisting of group meetings and individual counseling and a book, or to a control group that only received information about active lifestyle by one group meeting and a book. Measurements were performed at baseline, 16 weeks, and 42 weeks. Primary outcome measures were self-reported physical activity and minutes per day spent in wheelchair driving. Secondary outcomes included perceived behavioral control (exercise self-efficacy, proactive coping), stages of change concerning exercise, and attitude toward exercise. Results. Mixed models analyses adjusted for age, sex, level of SCI, time since injury, baseline body mass index, and location did not show significant differences between the intervention and control groups on the primary and secondary outcomes ( P ≥ .05). Conclusions. A structured 16-week self-management intervention was not effective to change behavior toward a more active lifestyle and to improve perceived behavioral control, stages of change, and attitude.

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