scholarly journals Theoretical asthma self-management program for Taiwanese adolescents with self-efficacy, outcome-expectancy, health behavior, and asthma symptoms: A randomized controlled trial

2019 ◽  
Author(s):  
Tzu-Jung Tseng ◽  
Chiung-Jung (Jo) Wu ◽  
Anne M Chang
Keyword(s):  
Self Efficacy ◽  
Controlled Trial ◽  
Management Program ◽  
The Self ◽  
Outcome Expectancy ◽  
Self Management ◽  
Control Group ◽  
Asthma Symptoms ◽  
Efficacy Outcome ◽  
Asthma Prevention

Abstract Background: The asthma prevalence of Taiwanese adolescents is continued to rise and affecting sufferers’ daily life. With physical and psychological changes in adolescents, managing asthma can be quite challenges for them and could lead to negative social, emotional and physical impacts if not well managed. Literature found that adolescents with high levels of self-efficacy are more likely to be involved in prevention and management activities. The aim of this study was to develop an effective asthma self-management program by taking account for adolescents’ developmental stages and based on Bandura’s self-efficacy model for this group of young people. Methods: A randomised controlled trial was used to evaluate effects of the newly developed Asthma Self-management Program for Taiwanese adolescents. The outcomes were self-efficacy, outcome-expectancy, asthma prevention and self-management behaviour, and controlling asthma symptoms. Translation and back-translation process were used for original tools in English. Good consistent reliabilities of Chinese versions tools were identified. A t-test or Mann-Whiney U test was employed to determine any mean differences of outcome variables between groups overtime. Results: A sample of 83 patients completed (n = 43 in control group, n = 40 in experimental group) the study. The mean age was 14.3 years (SD = 1.85), two-third of the participants were males. Seventy-six percent (n = 68) had a mild to intermittent level of asthma severity. Significant improvements were found on self-efficacy, t = -2.75; outcome-expectancy, U = 646, prevention behaviours, t = -3.62, and management behaviours, t = -3.19, but non-significant results for the outcome of asthma control, U = 716. Conclusions: The results provide evidence to support the efficacy of the asthma self-management program based on the self-efficacy model that has taken considerations of developmental phases. The findings indicated the self-management program improved adolescents’ self-confidence in carrying out asthma prevention and management behaviours for effectively manage their asthma symptoms. Future clinical practice should consider delivering an educational program using multifaceted and interactive learning strategies.

scholarly journals Effect of Self-Management Program on Self-efficacy and Medication Adherence in Patients with Mechanical Heart Valve: a Randomized Clinical Trial

2019 ◽  
Vol 8 (4) ◽  
pp. 207-211
Author(s):  
Leila Javan ◽  
Aanoshirvan Kazemnejad ◽  
Mahin Nomali ◽  
Maasumeh Zakerimoghadam
Keyword(s):  
Medication Adherence ◽  
Heart Valve ◽  
Self Efficacy ◽  
Controlled Trial ◽  
Mechanical Heart Valve ◽  
International Normalized Ratio ◽  
Management Program ◽  
Self Management ◽  
Control Group ◽  
Replacement Surgery

Introduction: Patients with mechanical heart valve need anticoagulant therapy to prevent thrombotic events. The treatment interacts with some foods and drugs. The aim was to evaluate the effect of self- management program on self-efficacy and medication adherence in patients with mechanical heart valve. Methods: This was a randomized controlled trial. eighty eligible patients, with the ability to read and speak in Farsi, aged between 15 to 60, were included in the study from the cardiac surgery clinic in Imam Khomeini hospital affiliated to Tehran University of Medical Sciences (Tehran, Iran) and randomly allocated to intervention and control groups. The participants had no history of psychiatric disorders, had undergone valve replacement surgery at least one year before the study, and were being treated with Warfarin. The intervention was a combination of 2 one- hour selfmanagement education via small groups with 3 to 5 members, self-management educational booklets, and weekly call follow- ups for 8 weeks about 10- 15 minutes. The control group received no intervention. Self- efficacy was the primary outcome and medication adherence, Prothrombin Time (PT), and International Normalized Ratio (INR) were secondary outcomes. Data were analyzed using SPSS13. Results: Although the mean of self-efficacy and medication adherence, PT, and INR values were not different between the two groups at baseline, they improved significantly following the program. Conclusion: Self-management program had a positive effect on self-efficacy and medication adherence of patients with mechanical heart valve.

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.

A Brief Report on the Evaluation of a Pain Self-Management Program for Older Adults

2012 ◽  
Vol 26 (2) ◽  
pp. 157-168 ◽  
Author(s):  
Clair Barefoot ◽  
Thomas Hadjistavropoulos ◽  
R. Nicholas Carleton ◽  
James Henry
Keyword(s):  
Older Adults ◽  
Chronic Pain ◽  
Pain Management ◽  
Behavioral Therapy ◽  
Management Program ◽  
The Self ◽  
Self Management ◽  
Control Group ◽  
Self Help ◽  
Professional Intervention

Chronic pain is often resistant to traditional medical management and other types of professional intervention. As such, several investigators have conducted studies of pain self-management programs. These self-management programs, however, were often led by therapists and shared much in common with traditional cognitive behavioral therapy (CBT); the efficacy of which, despite some inconsistencies, is largely supported in the literature. Although, like CBT, many therapist led programs involve a component of self-management in the form of “homework assignments,” it is important to evaluate the effectiveness of pain self-management, which is not therapist led. Within the context of controlled investigation, we evaluated a pain self-management program that involved use of a comprehensive self-help pain management book for older adults. Contrary to expectation, we did not identify any differences in the outcomes observed in the self-help patient group as compared to the control group (i.e., participants who did not receive the pain management book until after the study was completed) despite a great deal of satisfaction with the manualized program that was expressed by the participants. The implications of these findings are discussed.

Efficacy of a symptom self-management program with virtual reality device on inpatients post-acute myocardial infarction: A pilot randomized controlled trial (Preprint)

2020 ◽  
Author(s):  
Piyanee Klainin-Yobas ◽  
Karen Wei Ling KOH ◽  
Anand Adinath AMBHORE ◽  
Ping CHAI ◽  
Ying Lau
Keyword(s):  
Myocardial Infarction ◽  
Standard Care ◽  
Psychological Symptoms ◽  
Controlled Trial ◽  
Psychosocial Interventions ◽  
Management Program ◽  
Self Management ◽  
Control Group ◽  
Educational Materials ◽  
Relaxation Practice

BACKGROUND Acute myocardial infarction (AMI) is a leading cause of morbidity and mortality worldwide. AMI is associated with poorer quality of life and other psychological symptoms (such as stress, depression and anxiety). Effective psychosocial interventions are essential to help patients post-AMI manage with the psychological symptoms. OBJECTIVE This study aimed to test the efficacy of a newly-developed symptom self-management program on health outcomes among inpatients post-AMI METHODS A pilot randomized, single-blinded, controlled trial was utilized. A convenient sample of 90 was recruited from a tertiary hospital in Singapore. Adult inpatients with stable post-AMI were randomly assigned to the following three groups: IManage-VR, IManage-FF or control group. The IManage-VR and IManage-FF groups received standard care and a symptom self-management program through virtual-reality device or face-to-face method respectively. Two researchers delivered the interventions and assisted with relaxation practice. The control group received only standard care. Data were collected through self-reported questionnaires and physiological instruments. Data analyses included univariate statistics, analysis of variance and repeated measure analysis of variance. RESULTS A total of 90 participants were recruited with 30 in each group. Results indicated that participants in the IManage-VR and IManage-FF group had significantly greater relaxation levels (Partial η2 = 0.11, 0.16), lower objective stress (Partial η2 =0.14, 0.06), and greater knowledge (Partial η2 = 0.62, 0.75) than those of the control group. The two intervention groups had lower subjective stress (Partial η2 = 0.04), depression (Partial η2 = 0.01), and anxiety (Partial η2 = 0.03) than the control but such differences did not achieve statistical significance. Furthermore, most participants (>90%) in the IManage-VR and IManage-FF groups reported that they were satisfied with the programs and they provided positive comments on the contents, educational materials and relaxation practice. CONCLUSIONS This pilot study supports the potential benefits and feasibility of the IManage-VR and IManage-FF interventions on stress, perceived relaxation, knowledge and patient satisfaction. Findings contribute to the current literature on psychosocial interventions for AMI where psychosocial educational materials could be added into the current cardiac rehabilitation programs. Future RCTs with multi-centered sites and larger sample size are required to further test the intervention. CLINICALTRIAL This study has been registered with International Standard Randomised Controlled Trial. Registration Number: ISRCTN61027816. http://www.controlled-trials.com/ ISRCTN61027816.

Engaging Adults With Chronic Disease in Online Depressive Symptom Self-Management

2017 ◽  
Vol 40 (6) ◽  
pp. 834-853 ◽  
Author(s):  
Marian Wilson ◽  
Casey Hewes ◽  
Celestina Barbosa-Leiker ◽  
Anne Mason ◽  
Katherine A. Wuestney ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Chronic Disease ◽  
Treatment Group ◽  
Self Efficacy ◽  
Management Program ◽  
Self Management ◽  
Control Group ◽  
Number Needed To Treat ◽  
Participant Engagement ◽  
Patient Health

The main purpose of this study was to evaluate participant engagement and effects of an Internet-based, self-directed program for depressive symptoms piloted among adults with a chronic disease. Eligible participants ( N = 47) were randomly assigned to either the “Think Clearly About Depression” online depression self-management program or the control group. The Patient Health Questionnaire–8 and Chronic Disease Self-Efficacy Scales were administered at baseline and at Weeks 4 and 8 after initiating the intervention. Number Needed to Treat analysis indicated that one in every three treatment group participants found clinically significant reductions in depressive symptoms by Week 8. Paired-sample t tests showed that depressive symptoms and self-efficacy in management of depressive symptoms improved over time for those in the treatment group and not for those in the control group. Participants’ engagement and satisfaction with the online program were favorable.

scholarly journals A Pilot Study to Assess the Feasibility of the Spanish Diabetes Self-Management Program in the Basque Country

2016 ◽  
Vol 2016 ◽  
pp. 1-10 ◽  
Author(s):  
Estibaliz Gamboa Moreno ◽  
Lourdes Ochoa de Retana Garcia ◽  
Maria Emma del Campo Pena ◽  
Álvaro Sánchez Perez ◽  
Catalina Martinez Carazo ◽  
...  
Keyword(s):  
Pilot Study ◽  
Self Efficacy ◽  
Dietary Habits ◽  
Controlled Trial ◽  
Basque Country ◽  
Intervention Group ◽  
Glycated Haemoglobin ◽  
Management Program ◽  
Self Management ◽  
Outcome Variable

Purpose. The purpose of this study was to assess the feasibility of the Spanish Diabetes Self-Management Program (SDSMP) in the primary care setting of the Basque Health Service and offer initial estimations of the randomized controlled trial (RCT) effects. Methods. Ten health centers (HCs) participated in a single-arm pilot study with a 6-month follow-up period between February 2011 and June 2012. Recruitment was performed via invitation letters, health professionals, and the local media. Each intervention group consisted of 8–15 people. The ability of each HC in forming up to 2 groups, participants’ compliance with the course, and coordination and data collection issues were evaluated. Glycated haemoglobin (HbA1c) was the main outcome variable. Secondary outcomes were cardiovascular risk factors, drugs consumption, medical visits, quality of life, self-efficacy, physical exercise, and diet. Results. Two HCs did not organize a course. A total of 173 patients initiated the program, 2 dropped out without baseline data, and 90% completed it. No pre-post HbA1c differences existed. Certain improvements were observed in blood pressure control, self-efficacy, physical activity, and some dietary habits. Conclusion. The SDSMP is feasible in our setting. Our experience can be of interest when planning and conducting this program in similar health settings. The trial is registered with ClinicalTrials.gov identifier NCT01642394.

scholarly journals Enhanced self-efficacy after a self-management programme in pituitary disease: a randomized controlled trial

2017 ◽  
Vol 177 (1) ◽  
pp. 59-72 ◽  
Author(s):  
Cornelie D Andela ◽  
Han Repping-Wuts ◽  
Nike M M L Stikkelbroeck ◽  
Mathilde C Pronk ◽  
Jitske Tiemensma ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Self Efficacy ◽  
Illness Perceptions ◽  
Social Issues ◽  
Controlled Trial ◽  
Self Management ◽  
Future Research ◽  
Control Group ◽  
Randomized Controlled ◽  
Pituitary Disease

ContextPatients with pituitary disease report impairments in Quality of Life (QoL) despite optimal biomedical care. Until now, the effects of a self-management intervention (SMI) addressing psychological and social issues for these patients and their partners have not been studied.ObjectiveTo examine the effects of a SMI i.e. Patient and Partner Education Programme for Pituitary disease (PPEP-Pituitary).Design and subjectsA multicentre randomized controlled trial included 174 patients with pituitary disease, and 63 partners were allocated to either PPEP-Pituitary or a control group. PPEP-Pituitary included eight weekly sessions (90 min). Self-efficacy, bother and needs for support, illness perceptions, coping and QoL were assessed before the intervention (T0), directly after (T1) and after six months (T2). Mood was assessed before and after each session.ResultsPatients in PPEP-Pituitary reported improved mood after each session (except for session 1). In partners, mood only improved after the last three sessions. Patients reported higher self-efficacy at T1 (P = 0.016) which persisted up to T2 (P = 0.033), and less bother by mood problems directly after PPEP-Pituitary (P = 0.01), but more bother after six months (P = 0.001), although this increase was not different from baseline (P = 0.346). Partners in PPEP-Pituitary reported more vitality (P = 0.008) which persisted up to T2 (P = 0.034). At T2, partners also reported less anxiety and depressive symptoms (P ≤ 0.014).ConclusionThis first study evaluating the effects of a SMI targeting psychosocial issues in patients with pituitary disease and their partners demonstrated promising positive results. Future research should focus on the refinement and implementation of this SMI into clinical practice.

Effectiveness of a group-based self-management program for people with chronic fatigue syndrome: a randomized controlled trial

2016 ◽  
Vol 31 (1) ◽  
pp. 93-103 ◽  
Author(s):  
Irma Pinxsterhuis ◽  
Leiv Sandvik ◽  
Elin Bolle Strand ◽  
Erik Bautz-Holter ◽  
Unni Sveen
Keyword(s):  
Chronic Fatigue Syndrome ◽  
Short Form ◽  
Controlled Trial ◽  
Chronic Fatigue ◽  
Management Program ◽  
Self Management ◽  
Control Group ◽  
Fatigue Syndrome ◽  
Fatigue Severity ◽  
One Year

Objective: To evaluate the effectiveness of a group-based self-management program for people with chronic fatigue syndrome. Design: A randomized controlled trial. Setting: Four mid-sized towns in southern Norway and two suburbs of Oslo. Subjects: A total of 137 adults with chronic fatigue syndrome. Intervention: A self-management program including eight biweekly meetings of 2.5 hours duration. The control group received usual care. Main measures: Primary outcome measure: Medical Outcomes Study-Short Form-36 physical functioning subscale. Secondary outcome measures: Fatigue severity scale, self-efficacy scale, physical and mental component summary of the Short Form-36, and the illness cognition questionnaire (acceptance subscale). Assessments were performed at baseline, and at six-month and one-year follow-ups. Results: At the six-month follow-up, a significant difference between the two groups was found concerning fatigue severity ( p = 0.039) in favor of the control group, and concerning self-efficacy in favor of the intervention group ( p = 0.039). These significant differences were not sustained at the one-year follow-up. No significant differences were found between the groups concerning physical functioning, acceptance, and health status at any of the measure points. The drop-out rate was 13.9% and the median number of sessions attended was seven (out of eight). Conclusions: The evaluated self-management program did not have any sustained effect, as compared with receiving usual care.

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