Self-Management Support Program for Patients With Cardiovascular Diseases: User-Centered Development of the Tailored, Web-Based Program Vascular View

Purpose: The objective of this study was to examine the effect of dietary and exercise self-management support program on the dietary behavior, exercise behavior, and clinical outcomes of Muslim patients with poorly controlled type 2 DM in Indonesia. Methods: This study was a quasi-experimental, two group, pre-test and post-test design. The experimental group received the dietary and exercise self-management support program and usual care, whereas the control group only received the usual nursing care.Result: 35 subjects in the experimental group and 35 subjects in the control group completed the program, respectively. The findings indicated that there are significantly differences in dietary behavior (p=.00), exercise behavior (p=.00) and clinical outcomes: fasting blood glucose (FBG) (p=.00), cholesterol total level (p=.01) and systolic blood pressure (p=.00) between the experimental group and control group. However, for the BMI status (p=.84) and diastolic blood pressure (BP) (p=.32) were no significant differences between two groups. Conclusion: The dietary and exercise self-management support program was effective for improving the dietary behavior, exercise behavior, FBG, and total cholesterol level for individuals with poorly controlled type 2 diabetes mellitus. Further studies should be replicated using larger groups over a longer time frame.

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The patient’s voice: an exploratory study of the impact of a group self-management support program

BMC Family Practice ◽

10.1186/1471-2296-13-65 ◽

2012 ◽

Vol 13 (1) ◽

Cited By ~ 25

Author(s):

Sharon Johnston ◽

Hannah Irving ◽

Karina Mill ◽

Margo S Rowan ◽

Clare Liddy

Keyword(s):

Exploratory Study ◽

Support Program ◽

Self Management ◽

Management Support ◽

The Impact ◽

Group Self

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e-Learning competency for practice nurses: an evaluation report

Australian Journal of Primary Health ◽

10.1071/py13033 ◽

2013 ◽

Vol 19 (4) ◽

pp. 287 ◽

Cited By ~ 8

Author(s):

Marie Heartfield ◽

Andrea Morello ◽

Melanie Harris ◽

Sharon Lawn ◽

Vincenza Pols ◽

...

Keyword(s):

Health Care Professionals ◽

Chronic Disease Management ◽

Learning Experience ◽

Self Management ◽

Policy Outcomes ◽

Management Support ◽

Web Based ◽

Practice Nurses ◽

Web Based Learning ◽

E Learning

Practice nurses in Australia are now funded to facilitate chronic condition management, including self-management support. Chronic disease management requires an established rapport, support and proactivity between general practitioners, patients and the practice nurses. To achieve this, training in shared decision making is needed. e-Learning supports delivery and achievement of such policy outcomes, service improvements and skill development. However, e-learning effectiveness for health care professionals’ is determined by several organisational, economic, pedagogical and individual factors, with positive e-learning experience linked closely to various supports. This paper reinforces previous studies showing nurses’ expanding role across general practice teams and reports on some of the challenges of e-learning. Merely providing practice nurses with necessary information via web-based learning systems does not ensure successful learning or progress toward improving health outcomes for patients.

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Correction: A Direct-to-Public Peer Support Program (Big White Wall) Versus Web-Based Information to Aid the Self-management of Depression and Anxiety: Results and Challenges of an Automated Randomized Controlled Trial (Preprint)

10.2196/preprints.31543 ◽

2021 ◽

Author(s):

Richard Morriss ◽

Catherine Kaylor-Hughes ◽

Matthew Rawsthorne ◽

Neil Coulson ◽

Sandra Simpson ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Peer Support ◽

Controlled Trial ◽

The Self ◽

Support Program ◽

Self Management ◽

Depression And Anxiety ◽

Web Based ◽

Randomized Controlled ◽

White Wall

UNSTRUCTURED REMOVE

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Effects of a Mobile-App-Based Self-Management Support Program For Elderly Hemodialysis Patients

Healthcare Informatics Research ◽

10.4258/hir.2020.26.2.93 ◽

2020 ◽

Vol 26 (2) ◽

pp. 93-103

Author(s):

Youngsoon Min ◽

Myonghwa Park

Keyword(s):

Hemodialysis Patients ◽

Mobile App ◽

Support Program ◽

Self Management ◽

Management Support ◽

Elderly Hemodialysis Patients

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Web-based self-management support prototype My Kidneys My Health for adults with chronic kidney disease: Co-design and usability testing (Preprint)

10.2196/preprints.22220 ◽

2020 ◽

Author(s):

Maoliosa Donald ◽

Heather Beanlands ◽

Sharon Straus ◽

Michelle Smekal ◽

Sarah Gil ◽

...

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Focus Groups ◽

Usability Testing ◽

Video Production ◽

Self Management ◽

Management Support ◽

Web Based ◽

Support Tool ◽

Patient Reported

BACKGROUND Supporting patients to self-manage their chronic kidney disease (CKD) has been identified as a research priority by patients with CKD and those that care for them. Self-management has been shown to slow CKD progression and improve the quality of life for individuals living with the disease. Previous work has identified a need for a person-centered, theory-informed web-based tool for CKD self-management that can be individualized to a patient’s unique situation, priorities, and preferences. We addressed this gap using an Integrated Knowledge Translation method and patient engagement principles. OBJECTIVE The aim of this study was to implement the systematic co-design and usability testing of a web-based self-management prototype for adults with CKD (non-dialysis, non-transplant) and their caregivers to enhance self-management support. METHODS A multi-step, iterative system development cycle was used to co-design and test My Kidneys My Health prototype. The 3-step process included: (1) creating website features and content using two sequential focus groups with patients with CKD and caregivers; (2) heuristic testing using Nielsen’s 10 heuristic principles; (3) usability testing through in-person 60-minute interviews with patients with CKD and a caregiver. Patients with CKD, caregivers, clinicians, researchers, software developers, graphic designers, and policy makers were involved in all steps of this study. RESULTS In step 1, 18 participants (14 patients and 4 caregivers) attended one of the two sequential focus groups. The participants provided specific suggestions for simplifying navigation, as well as suggestions to incorporate video, text, audio, interactive components, and visuals to convey information. Five reviewers completed the heuristic analysis (step 2), identifying items mainly related to navigation and functionality. Five participants completed usability testing (step 3) and provided feedback on video production, navigation, features and functionality, and branding. Participants reported visiting the website repeatedly for the following features: personalized food tool, my health care provider question list, symptom guidance based on CKD severity, and medication advice. Usability was high, with a mean System Usability Score of 90 out of 100. CONCLUSIONS My Kidneys My Health prototype is a systematically developed, multi-faceted CKD self-management web-based support tool guided by theory and preferences of patients with CKD and their caregivers. The website is user-friendly and provides features that improve the user experience by tailoring the content and resources to their needs. A feasibility study will provide insight into the acceptability of and engagement with the prototype, and identify preliminary patient reported outcomes (e.g., self-efficacy), as well as potential factors related to implementation. This work is relevant given the shift to virtual care during a pandemic era, providing patients with support when in-person care is restricted. CLINICALTRIAL

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Using a Web-Based App to Deliver Rehabilitation Strategies to Persons With Chronic Conditions: Development and Usability Study

JMIR Rehabilitation and Assistive Technologies ◽

10.2196/19519 ◽

2021 ◽

Vol 8 (1) ◽

pp. e19519

Author(s):

Julie Richardson ◽

Lori Letts ◽

Susanne Sinclair ◽

David Chan ◽

Jordan Miller ◽

...

Keyword(s):

Focus Group ◽

Chronic Conditions ◽

Management Strategies ◽

Group Analysis ◽

End Users ◽

Self Management ◽

Management Support ◽

Web Based ◽

Usability Tests ◽

Rehabilitation Strategies

Background The global rise in the incidence of chronic conditions and aging is associated with increased disability. Physiotherapists and occupational therapists can mitigate the resulting burden on the health care system with their expertise in optimizing function. Rehabilitation self-management strategies can assist people with chronic conditions to accept, adjust, and manage different aspects of their daily functioning. Interventions delivered using technology have the potential to increase the accessibility, availability, and affordability of rehabilitation self-management support and services. Objective This study aims to describe the development and usability evaluation of iamable, a web-based app created to provide rehabilitation self-management support for people with chronic conditions. Methods The development and evaluation of iamable were undertaken in several phases. We used user-centered design principles and an iterative process that included consultations with rehabilitation experts; developed a prototype; and conducted usability tests, heuristic evaluations, and a focus group analysis. Results The iamable app was developed to provide rehabilitation self-management strategies in the areas of exercise, fall prevention, fatigue management, pain management, physical activity, and stress management. We engaged adults aged ≥45 years with at least one chronic condition (N=11) in usability testing. They identified navigation and the understanding of instructions as the primary issues for end users. During the heuristic evaluation, clinicians (N=6) recommended that some areas of app content should be more succinct and that help should be more readily available. The focus group provided input to help guide clinical simulation testing, including strategies for selecting patients and overcoming barriers to implementation. Conclusions We engaged end users and clinicians in the development and evaluation of the iamable app in an effort to create a web-based tool that was useful to therapists and their patients. By addressing usability issues, we were able to ensure that patients had access to rehabilitation strategies that could be used to help them better manage their health. Our app also provides therapists with a platform that they can trust to empower their patients to be more active in the management of chronic conditions. This paper provides a resource that can be used by others to develop and evaluate web-based health apps.

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