Connecting self-monitoring device and hypertension management: A qualitative inquiry of women with hypertension in rural Bangladesh (Preprint)

2020 ◽  
Author(s):  
Atiqur Rahman ◽  
Yasmin Jahan
Keyword(s):  
Salt Intake ◽  
Management Strategies ◽  
Qualitative Inquiry ◽  
Management Tool ◽  
Self Management ◽  
Future Research ◽  
Monitoring Device ◽  
Self Monitoring ◽  
Cultural Aspects ◽  
High Salt Intake

BACKGROUND Like many other developing countries, the implementation of urinary salt-monitoring devices in hypertension (HTN) management is lagging behind in Bangladesh. One possible reason is the limited resources and lack of awareness that impede to get access to home-based HTN management strategies. OBJECTIVE This study has implemented a self-monitoring device (KME-03) with an objective to explore the feasibility of such a device in a rural community level setting to manage HTN. Secondly, the study aimed at showcasing if and how associated socio-cultural aspects influence the understanding of salt intake. METHODS A qualitative approach was adopted for data collection using focus group discussion and key informant interviews. Participants (n=24) were recruited from two different categories namely, community health worker (CHW) (n=8), and hypertensive women (n=16) and the result is reported following the Standards for Reporting Qualitative Research (SRQR) guideline. Data were analyzed using the framework method. RESULTS Two potential themes were emerged (a) perceptions on KME-03: CHW and hypertensive patient; and (b) beliefs of salt intake: Socio-cultural cohesion. The main finding indicated the KME-03 device was effective for urinary salt excretion measurement and can potentially be applicable to HTN self-management. Participants were comfortable with the usage and functionalities of KME-03 and had identified some technical errors. The majority of them have disagreed that the device has reduced extra paperwork. Although few of the participants were aware of the detrimental effects of high salt intake, the majority agreed on unawareness which was stimulated by a number of socio-cultural perceptions. The arbitrarily defined cut-points towards salt intake reported that some individuals were susceptible to salt reduction whereas others did not. CONCLUSIONS The CHWs and hypertensive patients found KME-03 device a useful self-management tool in HTN management. The functionalities of the device motivated the participants to integrate HTN management strategies into their everyday life and made them feel like promising perceptions regarding KME-03. However, the findings also denote noteworthy perceptions of salt ingesting practice among HTN patients that are entangled with socio-cultural aspects. This finding has public health significance. Future research should look into this issue more closely to identify components may have an insidious impact on the positive use of self-monitoring device in HTN management. CLINICALTRIAL Bangladesh Medical Research Council (BMRC) registration number 06025072017.

scholarly journals Self-management of salt intake: clinical significance of urinary salt excretion estimated using a self-monitoring device

2015 ◽  
Vol 39 (3) ◽  
pp. 127-132 ◽  
Author(s):  
Kenichiro Yasutake ◽  
Noriko Horita ◽  
Yoko Umeki ◽  
Yukiko Misumi ◽  
Yusuke Murata ◽  
...  
Keyword(s):  
Clinical Significance ◽  
Salt Intake ◽  
Self Management ◽  
Monitoring Device ◽  
Self Monitoring ◽  
Salt Excretion

Self-management in children and young people with epilepsy: A systematic review and qualitative meta-synthesis

2020 ◽  
pp. 135910532096353
Author(s):  
Orla Mooney ◽  
Aoife McNicholl ◽  
Veronica Lambert ◽  
Pamela Gallagher
Keyword(s):  
Social Support ◽  
Systematic Review ◽  
Young People ◽  
Management Strategies ◽  
The Self ◽  
Self Management ◽  
Future Research ◽  
Limited Evidence ◽  
Self Monitoring ◽  
Children And Young People

The aim of this review was to conduct a meta-synthesis of qualitative studies exploring the self-management experiences, attitudes and perspectives of children and young people (CYP) living with epilepsy. Five databases were systematically searched up to September 2019. Fourteen papers were included. One analytical theme: self-management strategies was generated informed by four descriptive themes; concealment; medicine adherence; self-monitoring of activities; and seeking social support. The synthesis identified that while CYP with epilepsy engage in specific self-management strategies, there is limited evidence in understanding self-management and the processes underlying the use of it. Future research examining self-management in childhood is required.

scholarly journals A qualitative investigation of LGBTQ+ young people’s experiences and perceptions of self-managing their mental health

2021 ◽  
Author(s):  
Rosa Town ◽  
Daniel Hayes ◽  
Peter Fonagy ◽  
Emily Stapley
Keyword(s):  
Mental Health ◽  
Young People ◽  
Management Strategies ◽  
Intervention Development ◽  
Community Support ◽  
Self Management ◽  
Future Research ◽  
Youth Groups ◽  
Coping Methods ◽  
Group A

AbstractThere is evidence that young people generally self-manage their mental health using self-care strategies, coping methods and other self-management techniques, which may better meet their needs or be preferable to attending specialist mental health services. LGBTQ+ young people are more likely than their peers to experience a mental health difficulty and may be less likely to draw on specialist support due to fears of discrimination. However, little is known about LGBTQ+ young people’s experiences and perceptions of self-managing their mental health. Using a multimodal qualitative design, 20 LGBTQ+ young people participated in a telephone interview or an online focus group. A semi-structured schedule was employed to address the research questions, which focussed on LGBTQ+ young people’s experiences and perceptions of self-managing their mental health, what they perceived to stop or help them to self-manage and any perceived challenges to self-management specifically relating to being LGBTQ+ . Reflexive thematic analysis yielded three key themes: (1) self-management strategies and process, (2) barriers to self-management and (3) facilitators to self-management. Participants’ most frequently mentioned self-management strategy was ‘speaking to or meeting up with friends or a partner’. Both barriers and facilitators to self-management were identified which participants perceived to relate to LGBTQ+ identity. Social support, LGBTQ+ youth groups and community support were identified as key facilitators to participants’ self-management of their mental health, which merits further investigation in future research. These findings also have important implications for policy and intervention development concerning LGBTQ+ young people’s mental health.

A cross-sectional content analysis of Android applications for asthma

2016 ◽  
Vol 23 (2) ◽  
pp. 83-95 ◽  
Author(s):  
Mowafa Househ ◽  
Nassif Hossain ◽  
Amr Jamal ◽  
Nasriah Zakaria ◽  
Ashraf Elmetwally ◽  
...  
Keyword(s):  
Content Analysis ◽  
Health Information ◽  
Information Quality ◽  
Self Management ◽  
Future Research ◽  
Positive Health ◽  
Cross Sectional ◽  
Self Monitoring ◽  
Android Platform ◽  
Search Feature

Providing patients opportunities for self-management and education about their disease, asthma applications designed for use on an Android operating system can have positive health outcomes across the range of demographics who use mHealth applications. This study provides a content analysis of freely available Google Android Platform Mobile Applications for Asthma. A list of applications was collected on 26 October 2014, using the search feature of the Google Play Android platform and using the words and phrases “Asthma,” “Lung Function” and “Peak Flow.” Each application was coded for its approach to asthma self-management, based on categories adapted by Huckvale et al., which are based on the Global Initiative for Asthma and the National Asthma Education and Prevention Program. The characteristics of the 15 asthma applications are described. Most of the asthma applications’ primary function focused on patient self-monitoring and self-assessment. Using the HON Code, we found low health information quality across all asthma applications. Android asthma applications can have positive outcomes in helping patients as they provide opportunities for self-management and education about their disease. Future research should continue to monitor and evaluate the development and use of mHealth Asthma Applications. Based on these findings, and their indication of a gap in existing research, subsequent studies can continue to evaluate the development and use of mHealth Asthma Applications with increasing methodological consistency to improve the quality of in-app health information.

Supporting Self-Management and Quality of Life in Bipolar Disorder with the Beta PolarUs App: Protocol for a Mixed-Methods Study (Preprint)

2022 ◽  
Author(s):  
Erin E Michalak ◽  
Steven J Barnes ◽  
Emma Morton ◽  
Heather O'Brien ◽  
Greg Murray ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mixed Methods ◽  
Management Strategies ◽  
Community Based Participatory Research ◽  
Self Management ◽  
Community Based ◽  
Self Monitoring ◽  
Web Based ◽  
Beta Version

BACKGROUND Quality of life (QoL) is increasingly recognised as a key outcome of self-management interventions for bipolar disorder (BD). Mobile phone applications (apps) can increase access to evidence-based self-management strategies and provide real-time support. However, while individuals with lived experience desire support with monitoring and improving broader health domains, existing BD apps largely target mood symptoms only. Further, evidence from the broader mHealth literature has shown that the desires and goals of end-users are not adequately taken into account during app development, and as a result engagement with mental health apps is suboptimal. To capitalise on the potential of apps to optimise wellness in BD, there is a need for interventions developed in consultation with real-world users that are designed to support QoL self-monitoring and self-management. Objective: This mixed methods pilot study is designed to evaluate the beta version of the newly developed PolarUs app, which aims to support QoL self-monitoring and self-management in people with BD. Developed using a community-based participatory research framework, the PolarUs app builds on the web-based adaptation of a BD-specific QoL self-assessment measure, and integrates material from a web-based portal providing information on evidence-informed self-management strategies in BD. OBJECTIVE The primary objectives of this project are to: (1) evaluate PolarUs app feasibility (via behavioral usage metrics); (2) evaluate PolarUs impact (via the Brief Quality of Life in Bipolar Disorders, QoL.BD scale, our primary outcomes measure); and (3) explore engagement with the PolarUs app (via both quantitative and qualitative methods). METHODS Study participants will be North American residents (N=150) aged 18-65 years with a DSM-5 diagnosis of BD-I, BD-II or BD not otherwise specified (NOS) as assessed by a structured diagnostic interview. An embedded mixed-methods research design will be adopted; qualitative interviews with a purposefully selected sub-sample (~n=30) of participants will be conducted to explore in more depth feasibility, impact and engagement with the PolarUs app over the 12-week study period. RESULTS At the time of publication of this protocol, the development of the beta version of the PolarUs app is complete. Participant enrollment is expected to begin in February 2022. Data collection is expected to be completed by December 2022. CONCLUSIONS Beyond contributing knowledge on the feasibility and impacts of a novel app to support QoL and self-management in BD, this study is also expected to provide new knowledge on engagement with mHealth apps. Furthermore, it is expected to function as a case study of successful co-design between individuals living with BD, clinicians who specialise in the treatment of BD, and BD researchers, providing a template for future use of community-based participatory research frameworks in mHealth intervention development. Results will be used to further refine the PolarUs app and inform the design of a larger clinical trial.

Self-Management with Behaviorally Disordered Students in School Settings: A Promise Unfulfilled?

1989 ◽  
Vol 14 (4) ◽  
pp. 250-262 ◽  
Author(s):  
Charles A. Hughes ◽  
Kathy L. Ruhl ◽  
Anjali Misra
Keyword(s):  
Self Management ◽  
Future Research ◽  
Professional Literature ◽  
Behaviorally Disordered ◽  
Self Monitoring ◽  
Self Evaluation ◽  
School Settings ◽  
Management Procedures ◽  
Procedural Concerns ◽  
Self Instruction

Self-management procedures have been promoted in the professional literature as effective in producing, maintaining, and generalizing behavior changes in behaviorally disordered students. Additional purported advantages are increased student involvement in the behavior change process with a concurrent decrease in teacher involvement. The present review was conducted to evaluate studies of self-management procedures (i.e., self-evaluation, self-instruction, self-monitoring, and self-reinforcement) used with behaviorally disordered students in school settings. While general support for these techniques was found, many procedural concerns must be addressed in future research before educators can use them with confidence and efficiency.

scholarly journals Salt Induces Adipogenesis/Lipogenesis and Inflammatory Adipocytokines Secretion in Adipocytes

2019 ◽  
Vol 20 (1) ◽  
pp. 160 ◽  
Author(s):  
Myoungsook Lee ◽  
Sungbin Richard Sorn ◽  
Yunkyoung Lee ◽  
Inhae Kang
Keyword(s):  
Defense Mechanisms ◽  
Salt Intake ◽  
High Salt ◽  
Mitogen Activated Protein Kinase ◽  
Future Research ◽  
High Dose ◽  
Obesity Prevalence ◽  
Salt Loading ◽  
Lipogenic Genes ◽  
High Salt Intake

It is well known that high salt intake is associated with cardiovascular diseases including hypertension. However, the research on the mechanism of obesity due to high salt intake is rare. To evaluate the roles of salt on obesity prevalence, the gene expression of adipogenesis/lipogenesis and adipocytokines secretion according to adipocyte dysfunction were investigated in salt-loading adipocytes. High salt dose-dependently increased the expression of adipogenic/lipogenic genes, such as PPAR-γ, C/EBPα, SREBP1c, ACC, FAS, and aP2, but decreased the gene of lipolysis like AMPK, ultimately resulting in fat accumulation. With SIK-2 and Na+/K+-ATPase activation, salt increased the metabolites involved in the renin-angiotensin-aldosterone system (RAAS) such as ADD1, CYP11β2, and MCR. Increasing insulin dependent insulin receptor substrate (IRS)-signaling, resulting in the insulin resistance, mitogen-activated protein kinase/extracellular signal-regulated kinase (MAPK/ERK) and Akt-mTOR were activated but AMPK(Thr172) was depressed in salt-loading adipocytes. The expression of pro-inflammatory adipocytokines, TNFα, MCP-1, COX-2, IL-17A, IL-6, leptin, and leptin to adiponectin ratio (LAR) were dose-dependently increased by salt treatment. Using the inhibitors of MAPK/ERK, U0126, we found that the crosstalk among the signaling pathways of MAPK/ERK, Akt-mTOR, and the inflammatory adipogenesis can be the possible mechanism of salt-linked obesity. The possibilities of whether the defense mechanisms against high dose of intracellular salts provoke signaling for adipocytes differentiation or interact with surrounding tissues through other pathways will be explored in future research.

scholarly journals A review of literature on diabetes self-management: Scope for research and practice in India

2016 ◽  
Vol 04 (02) ◽  
pp. 108-114 ◽  
Author(s):  
Subha Sridharan ◽  
Mahati Chittem ◽  
Nagesh Muppavaram
Keyword(s):  
Diabetes Management ◽  
Self Management ◽  
Future Research ◽  
Review Of Literature ◽  
Self Monitoring ◽  
Research And Practice ◽  
Indian Context ◽  
Strict Diet ◽  
Facilitators And Barriers ◽  
Evidence Based Programs

AbstractDiabetes self-management is a complex phenomenon which refers to patients' attending checkups regularly and adhering to a physician-prescribed regimen including following a strict diet, exercise, self-monitoring of blood glucose (SMBG), and medication. This review will unpack the facilitators and barriers for each of the recommended lifestyle change for improving diabetes management (i.e. the behaviors of diet, exercise, SMBG, and medication). Referred to as the “diabetes capital” of the world, the review will focus on diabetes self-management research and interventions in India, highlighting the dearth for appropriate evidence-based programs in the country. Finally, the review will discuss the scope for future research and practice within this field in the Indian context.

Mentoring and Self-Management Career Strategies for Entrepreneurs

2000 ◽  
Vol 1 (2) ◽  
pp. 99-108 ◽  
Author(s):  
Ellen A. Ensher ◽  
Susan E. Murphy ◽  
Charles M. Vance
Keyword(s):  
Career Development ◽  
Goal Setting ◽  
Career Success ◽  
Management Strategies ◽  
Self Management ◽  
Future Research ◽  
Role Modelling ◽  
Self Talk ◽  
Career Strategies ◽  
Management Career

The purpose of this article is to examine the literature on self-management and mentoring to develop practical methods of enhancing the career success of entrepreneurs. The authors believe that both behavioural and cognitive self-management strategies can be useful to entrepreneurs. These techniques include goal-setting, self-observation, self-rewards, cueing, self-talk, visualization and the active reframing of obstacles into opportunities. In addition, the varying roles and functions of mentors, including emotional, vocational and role modelling support, will have many positive benefits for both entrepreneurial protégés and mentors. Recommendations for future research and an entrepreneurial model of career development are provided.

scholarly journals Use of a Personal Sleep Self-Monitoring Device for Sleep Self-Management: A Feasibility Study

2021 ◽  
Vol 47 (1) ◽  
pp. 28-34
Author(s):  
Maral Torossian ◽  
Raeann G. LeBlanc ◽  
Cynthia S. Jacelon
Keyword(s):  
Feasibility Study ◽  
Self Management ◽  
Monitoring Device ◽  
Self Monitoring
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