How can we realize the health promotion measures for all the people in a mature society, Japan?– Proposing for "collaboration between academy and practice" in Japanese public health by Self-Management Education, especially Chronic Disease Self-Management Program

2020 ◽  
Vol 3 (1) ◽  
Keyword(s):  
Public Health ◽  
Health Promotion ◽  
Chronic Disease ◽  
Management Education ◽  
Management Program ◽  
Self Management ◽  
The People

Do Program Implementation Factors or Fidelity Affect Chronic Disease Self-Management Education Programs’ Outcomes?

2016 ◽  
Vol 31 (5) ◽  
pp. 422-425 ◽  
Author(s):  
Teresa J. Brady ◽  
Louise B. Murphy ◽  
Benita J. O’Colmain ◽  
Reeti Desai Hobson
Keyword(s):  
Chronic Disease ◽  
Health Status ◽  
Psychological Health ◽  
Management Education ◽  
Meta Analysis ◽  
Management Program ◽  
Self Management ◽  
Care Utilization ◽  
Program Outcomes ◽  
Implementation Factors

Purpose: To evaluate whether implementation factors or fidelity moderate chronic disease self-management education program outcomes. Design: Meta-analysis of 34 Arthritis Self-Management Program and Chronic Disease Self-Management Program studies. Setting: Community. Participants: N = 10 792. Measures: Twelve implementation factors: program delivery fidelity and setting and leader and participant characteristics. Eighteen program outcomes: self-reported health behaviors, physical health status, psychological health status, and health-care utilization. Analysis: Meta-analysis using pooled effect sizes. Results: Modest to moderate statistically significant differences for 4 of 6 implementation factors; these findings were counterintuitive with better outcomes when leaders and participants were unpaid, leaders had less than minimum training, and implementation did not meet fidelity requirements. Conclusion: Exploratory study findings suggest that these interventions tolerate some variability in implementation factors. Further work is needed to identify key elements where fidelity is essential for intervention effectiveness.

Implementation and evaluation of the chronic-disease self-management program among Chinese immigrant older adults in the U.S.

2014 ◽  
Vol 35 (6) ◽  
pp. 448-450 ◽  
Author(s):  
XiaoRong Wang ◽  
Heather K. Hardin ◽  
Lei Zhou ◽  
Lei Fang ◽  
Pan Shi ◽  
...  
Keyword(s):  
Older Adults ◽  
Chronic Disease ◽  
Management Program ◽  
Self Management ◽  
Chinese Immigrant ◽  
The U.S

scholarly journals Standardising the Lay: Logics of Change in Programs of Disease Self-management

2012 ◽  
Vol 4 (3) ◽  
pp. 425-442 ◽  
Author(s):  
Annegrete Juul Nielsen ◽  
Lone Grøn
Keyword(s):  
Chronic Disease ◽  
Role Models ◽  
Chronic Condition ◽  
Expert Knowledge ◽  
Management Program ◽  
The Self ◽  
Self Management ◽  
Social Settings ◽  
Patient Centric ◽  
Forms Of Knowledge

The health political discourse on self-care is dominated by the view that the selfmanaging patient represents a more democratic and patient-centric perspective, as he or she is believed to renegotiate the terms on which patient participation in health care has hitherto taken place. The self-managing patient is intended as a challenge to traditional medical authority by introducing lay methods of knowing disease. Rather than a meeting between authoritative professionals and vulnerable patients, the self-managing patient seeks to open up new spaces for a meeting between experts. The present paper questions these assumptions through an ethnographic exploration of a patient-led self-management program called the Chronic Disease Self-Management Program. The program is concerned with what its developers call the social and mental aspects of living with a chronic disease and uses trained patients as role models and program leaders. Drawing inspiration from Annemarie Mol’s term ’logic’, we explore the rationale of ’situations of selfmanagement’ and identify what we call a ’logic of change’, which involves very specific ideas on how life with a chronic condition should be dealt with and directs attention towards particular manageable aspects of life with a chronic condition. This logic of change entails, we argue, a clash not between ’medical’ and ’lay’ forms of knowledge but between different logics or perceptions of how transformation can be achieved: through open-ended and ongoing reflection and experimentation in social settings or through standardised trajectories of change. Returning to the literature on lay forms of knowledge and illness perspectives, we question whether programs such as the Chronic Disease Self-Management Program – despite its apparent patient-centric perspective – reproduces classical hierarchical relations between lay and expert knowledge, albeit in new forms.

scholarly journals PENGARUH DIABETIK SELF MANAGEMENT EDUCATION (DSME) TERHADAP RESIKO TERJADINYA ULCUS DIABETIK

2018 ◽  
Vol 10 (1) ◽  
pp. 084-088
Author(s):  
Danur Azissah
Keyword(s):  
Health Promotion ◽  
Significant Influence ◽  
Management Education ◽  
The Self ◽  
Self Management ◽  
Self Confidence ◽  
Post Test ◽  
Quasi Experimental ◽  
Dm Type 2

The sufferers’ incapable in carried out DM type 2 is one of the most caused it. Diabetic Self-Management Education (DSME) is the method which can stimulate of patients’ knowledge; skill andability in doing the self-care for prevent the ulcers’ diabetic. The aim of this research is to find out theinfluence of DSME toward the risk of consistence of ulcers’ diabetic for path treatment’s patients ofmellitus diabetes (MD) type 2 at Pukesmas Jalan Gedang of Bengkulu’s working area in year 2016.The method of this research is quasi-experimental with pre-test and post-test approach. SimpleRandom Sampling is used to divided the 66 respondent in 2 groups i.e. intervention and controlgroups. The result showed that the influence of DSME toward risk of consistence of ulcers’ diabeticbefore DSME (p=0,329) whereas, after DSME (p=0,020); with improvement of knowledge beforeDSME (p=0,135),after DSME (p=0,027); and leg treatment behavior before DSME (p=0,135)whereas, after DSME (p=0,041); as well as self-confidence before DSME (p=0,454) whereas, afterDSME (p=0,002) by value (≤α=0,05). It can conclude that there is a significant influence of DSMEtoward risk of consistence of ulcers’ diabetic for path treatment’s patients of mellitus diabetes (MD)type 2 at Pukesmas Jalan Gedang Bengkulu’s Working Area in year 2016. This research can be inputinformation for the health’s staff. In order, it can give the knowledge and the health promotion aboutthe influence of DSME toward the risk of consistence of ulcers’ diabetic.

Sign in / Sign up

Export Citation Format

Share Document