330 A NEW GROUP MODEL FOR IMPROVING SELF-EFFICACY IN THE SELF-MANAGEMENT OF DIABETES.

2006 ◽  
Vol 54 (1) ◽  
pp. S136.6-S136
Author(s):  
J. P. Lemos ◽  
R. Koshi
2018 ◽  
Vol 8 (4) ◽  
pp. 146-157
Author(s):  
Fedai Kabadayı ◽  
Mustafa Şahin

The aim of this study is to predict career search self-efficacy. In this context, predictive variables are self-transcendence, self-consciousness and self-control and self-management. The research data obtained from 1278 university students. 786 (61.5%) were girls. Regression analysis and correlation analysis were used. According to the findings, it was determined that self- transcendence, self-control and self-management, social anxiety, appearance consciousness and internal self-awareness were significant predictors of career search self-efficacy. The strongest predictor is the variable self-transcendence. In this context, experimental interventions or psycho-educational programs based on these skills, which are related to the self, can be tested in order to increase career search self-efficacy.


CHEST Journal ◽  
1993 ◽  
Vol 103 (5) ◽  
pp. 1524-1530 ◽  
Author(s):  
L. Kay Bartholomew ◽  
Guy S. Parcel ◽  
Paul R. Swank ◽  
Danita I. Czyzewski

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Somsak Thojampa

Abstract Background/Purpose: Type 2 diabetes mellitus (DM) is increasingly becoming common in developing countries including Thailand. Uncontrolled hyperglycemia can lead to progression of severe complications for persons with DM which include diabetic nephropathy and can, later on, lead to kidney failure. Self-management support and participation of social groups, specifically the family of the patient, can help people with DM in controlling the complications of their disease from progressing; in this case, the advancement of diabetic nephropathy. The aim of this research is to develop a program and determine if self-management support with the participation of the family members will have an effect in delaying the progress of diabetic nephropathy in adults with type 2 DM. Theoretical Framework: Self-management based on social cognitive and self-regulation theories were used in this study to set a framework which utilizes social support from the family and self-efficacy of patients in implementing self-management activities. Methods: This is a quasi-experimental research. The sample consisted of 50 Thai adults with type 2 DM, 25 for the control group and 25 for the experimental group. The participants in the experimental group attended a self-management support and family participation enhancing the program for 8 weeks. The interventions included a video presentation, manual, and health education with a family member in a focus group. Data were collected before attending the program and evaluated on the 8th and 12 weeks after the program. The instruments used for the data collection were (1) Self-Management Activity Questionnaire (SMAQ), (2) Self- Efficacy Questionnaire (SEQ). The data collected for clinical outcome used the automatic physiological measures: Systolic and Diastolic blood pressure, Hemoglobin A1c (HbA1c), serum creatinine (SCr) and estimated glomerular filtration rate (eGFR).  Data were analyzed using descriptive statistics, Independent t-test and Paired t-test and repeated measurement ANOVA. Results: The mean scores of the self-management activity and self-efficacy of the experimental group were significantly higher, their clinical outcomes for blood pressure, SCr and HbA1C levels were significantly lower, and eGFR results were significantly higher after attending the self-management support and family participation enhancing the program. Conclusions and Implications: The findings of this study indicate that the self-management and family participation enhancing program promote and support health behavior change and leads to better control of the delayed progression of diabetic nephropathy in Thai adults with type 2 DM. This can be applied by health care professionals in health care centers as a supplement to their usual care in dealing with persons with type 2 DM.


2020 ◽  
Author(s):  
Garuth Chalfont ◽  
Céu Mateus ◽  
Sandra Varey ◽  
Christine Milligan

Abstract Background and Objectives Although telehealth research among the general population is voluminous, the quality of studies is low and results are mixed. Little is known specifically concerning older people and their self-efficacy to engage with and benefit from such technologies. This article reviews the evidence for which self-care telehealth technology supports the self-efficacy of older people with long-term conditions (LTCs) living at home. Research Design and Methods Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement (PRISMA) guidelines, this overview of systematic reviews focused on four LTCs and the concept of “self-efficacy.” Quality was appraised using R-AMSTAR and study evaluation was guided by the PRISMS taxonomy for reporting of self-management support. Heterogeneous data evidencing technology-enhanced self-efficacy were narratively synthesized. Results Five included articles contained 74 primary studies involving 9,004 participants with chronic obstructive pulmonary disease, hypertension, heart failure, or dementia. Evidence for self-care telehealth technology supporting the self-efficacy of older people with LTCs living at home was limited. Self-efficacy was rarely an outcome, also attrition and dropout rates and mediators of support or education. The pathway from telehealth to self-efficacy depended on telehealth modes and techniques promoting healthy lifestyles. Increased self-care and self-monitoring empowered self-efficacy, patient activation, or mastery. Discussion and Implications Future research needs to focus on the process by which the intervention works and the effects of mediating variables and mechanisms through which self-management is achieved. Self-efficacy, patient activation, and motivation are critical components to telehealth’s adoption by the patient and hence to the success of self-care in self-management of LTCs. Their invisibility as outcomes is a limitation.


2021 ◽  
Vol 2 ◽  
pp. 161
Author(s):  
Chimwemwe Kwanjo Banda ◽  
Belinda T. Gombachika ◽  
Moffat J. Nyirenda ◽  
Adamson Sinjani Muula

Background: Self-management is key to the control of glycaemia and prevention of complications in people with diabetes. Many people with diabetes in Malawi have poorly controlled glucose and they experience diabetes-related complications. This study aimed to assess diabetes self-management behaviours and to identify factors associated with it among people with diabetes at Queen Elizabeth Central Hospital, Blantyre, Malawi. Methods: This cross-sectional study recruited 510 adults attending a diabetes clinic at a teaching referral hospital in southern Malawi. The social cognitive theory was applied to identify factors associated with following all recommended self-management behaviours. Data on participants’ demographics, clinical history, diabetes knowledge, self-efficacy, outcome expectations, social support, environmental barriers and diabetes self-management were collected. Univariate and multivariate logistic regression analyses were conducted to identify factors associated with following all self-management behaviours. Results: The mean age of participants was 53.6 (SD 13.3) years. The majority (82%) were females. Self-reported medication adherence within the last seven days was 88.6%; 77% reported being physically active for at least 30 minutes on more than three days in the previous seven days; 69% reported checking their feet every day and inspecting inside their shoes; 58% reported following a healthy diet regularly. Only 33% reported following all the self-management behaviours regularly.  Multiple logistic regression analysis showed that self-efficacy was the only social cognitive factor associated with following all the self-management practices (p < 0.001). Conclusions: Participants in our study were not consistently achieving all self-management practices with dietary practices being the least adhered to behaviour by many. To improve self-management practices of people with diabetes, current health education programs should not only aim at improving diabetes related knowledge but also self-efficacy. Adopting interventions that promote self-efficacy in diabetes patients such as exposure to role models, peer education, providing positive feedback, and counselling is recommended.


10.2196/15514 ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. e15514
Author(s):  
Manuela Glattacker ◽  
Martin Boeker ◽  
Robin Anger ◽  
Frank Reichenbach ◽  
Adrian Tassoni ◽  
...  

Background Mobile health apps have great potential to support the self-management of chronic conditions such as allergic diseases, which constitute significant challenges in health care. However, the health app market is confusing for users, as it is vast, dynamic, and lacks scientific evidence regarding the effectiveness of the apps on offer. To our knowledge, no health app for pollen-related allergic rhinitis has been evaluated. Objective The aim of our study was to evaluate the Husteblume mobile phone health app, developed in Germany to facilitate the self-management of pollen-related allergic rhinitis. Methods We evaluated usability and changes in quality of life, health literacy, and self-efficacy for managing one’s chronic disease. We conducted 2 online surveys of registered users of the app, 1 before and 1 after the 2017 pollen season, allowing for the analysis of both cross-sectional and longitudinal data in a field setting. Results The sample comprised 661 app users at the first measurement point and 143 users at follow-up. The subgroup of study participants at follow-up rated the usability of the app as good or very good. There were no significant changes in patient-reported outcomes such as quality of life, health literacy, and self-efficacy between the 2 measurement points (P>.05). However, those reached at follow-up perceived subjective improvements due to the app: 55.9% (80/143) reported being subjectively better informed about their allergy, 27.3% (39/143) noted improved quality of life, 33.6% (48/143) reported subjectively better coping with their allergy, and 28.0% (40/143) felt better prepared for the consultation with their physician. Finally, 90.9% (130/143) users did not identify any adverse effects of the app. Conclusions Despite some methodological caveats, the results of the evaluation of the Husteblume app are encouraging for the subgroup using the app in the long term. However, further studies evaluating the effectiveness of the app are needed. Trial Registration German Clinical Trials Register DRKS00011897; https://tinyurl.com/yxxrg9av


2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Agavia Kristi Purba ◽  
Etika Emaliyawati ◽  
Aat Sriati

Introduction, the success of treatment in chronic renal failure patients with hemodialysis required the existence of self-management and self-efficacy. Previous studies showed that self-efficacy had the influence to bring up self-management behavior. The purpose of this study was to determine patients’ self-management and self-efficacy in chronic renal failure patients who had hemodialysis at Advent’s Hospital Bandung. Methods, this study was a quantitative descriptive research.  The study samples were chosen using consecutive sampling technique. The number of samples was 75 patients. Data were collected using the SMBQ and PEPPI+Life Options DeNovo instruments. Data were analyzed using the quantitative descriptive approach with mean value and frequency distribution. The results of self-efficacy in patients with chronic renal failure with hemodialysis was   high (54.7%) and the self-management behavior was in a good category (53.3%). The conclusion of this study is that the patient has a good self-management as well as self-efficacy.  However, this study found the poor category of the partnership in caring aspect. Recommendation There is a need for a strategy to improve the self-management in the partnership in caring aspect by providing emotional support, educating patients related to treatment and care, and evaluating patients’ health development periodically.


Geriatrics ◽  
2021 ◽  
Vol 7 (1) ◽  
pp. 9
Author(s):  
Murad H. Taani ◽  
Immaculate Apchemengich ◽  
Christina Diane Sima

Malnutrition–sarcopenia syndrome (MSS) might put older adults at higher risk for disability, frailty, and mortality. This study examined the prevalence and association of the self-management-process factors (i.e., self-efficacy and aging expectations) and behaviors (protein and caloric intake and sedentary and physical-activity behaviors) to MSS among older adults living in continuing care retirement communities (CCRCs). Using a cross-sectional correlational design, data of 96 CCRC residents (82.4 ± 7.4 years) were analyzed. Muscle mass, strength, function, nutritional status, sedentary time, physical activity levels, protein and caloric intake, self-efficacy for physical activity, aging expectations, and physical and mental health-related quality of life were measured. Results show that 36 (37.5%) had sarcopenia, 21 (21.9%) had malnutrition risk, 13 (13.4%) had malnutrition, and 12 (12.5%) had MSS. We also found that high time spent in sedentary behaviors (OR = 1.041; 95% CI: 1.011–1.071) was associated with higher odds of having MSS and high expectations regarding aging (OR = 0.896; 95% CI: 0.806–0.997) was associated with less likelihood of having MSS. Findings suggest that CCRC residents should be screened for MSS. Self-management interventions that consider the self-management-process factors are needed to prevent MSS and mitigate its negative outcomes among CRCC residents.


Author(s):  
G. O. Oriarewo ◽  
S. A. Ofobruku ◽  
K. Agbaezee ◽  
Z. A. Tor

The research argues that employees’ emotional stability will enable workers of the organisation to achieve better performance. This study interrogated and affirms the nexus between emotional stability and employees’ performance, zeroing – in on self-awareness as the taxonomy for guaranteeing the ability for employees’ to meet the organisation expected requirement from time to time and establish the relationship existed between self-management and employees’ commitment. The research engaged a qualitative method with reliance on secondary data; the study also used the self-efficacy theory (ability to execute a particular behaviour pattern) as the framework for the textual analysis of apprehensions/themes floodlit the discussion, conclusion, and recommendations. Findings of this study revealed that employees’ performance is a product of emotional stability. The recommendations proffered are capable of addressing the holes and challenges.


2021 ◽  
Vol 15 (Supplement_1) ◽  
pp. S280-S280
Author(s):  
M Tanaka ◽  
A Kawakami ◽  
K Sakagami ◽  
T Terai ◽  
H Ito

Abstract Background In chronic diseases like inflammatory bowel disease (IBD), self-efficacy is one of important health outcomes. The IBD-Self-Efficacy Scale (IBD-SES) is an outcome measure used in research settings. In this study, we aimed to develop a Japanese version of IBD-SES and investigate the self-efficacy of IBD patients in Japan. Methods We conducted a questionnaire survey with IBD patients from two different sources: outpatients of a specialized IBD clinic and respondents recruited online. The original 29-item IBD-SES, with scores from 1 (not at all) to 10 (totally) in each item, and higher scores indicating greater self-management efficacy, was translated into Japanese with permission of the original author and was used for the surveys after confirming its linguistic equivalence with the original version. The reliability of the scale was assessed by calculating the Cronbach’s alpha coefficient for internal consistency, and the validity was assessed by disease activity (remission vs. active period) for known-group validity. Items of IBD-SES score comparison between the outpatient clinic group and online group were performed by t-test. Results A total of 919 valid responses were obtained, 482 patients (ulcerative colitis (UC): 184, Crohn’s disease (CD): 298) from the specialized IBD clinic and 437 (UC: 255, CD: 182) online. The mean score per item for each subscale [Stress & Emotion Management], [Outpatient care & medication management], [Symptom & disease management] and [Maintenance of remission] was 4.7, 7.3, 4.9, and 4.9, respectively. Internal consistency was confirmed on each subscale (Cronbach’s α: 0.85–0.94). Comparing remission and active periods, significant differences were observed in three subscales: [Stress & Emotion Management (p &lt; 0.001)], [Symptom & disease management (p &lt; 0.001)] and [Maintenance of remission (p &lt; 0.001)], and the known group validity was mostly confirmed. Conclusion This study demonstrates the reliability and validity of the Japanese version of the IBD-SES and reveals the current status of self-efficacy of the self-management of IBD patients in Japan. Compared to previous studies using IBD-SES in the USA or Canada, scores observed with Japanese IBD patients are lower. It might reflect a cultural difference.


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