scholarly journals Predictors of fatigue self-management behaviors in adults with multiple sclerosis

2021 ◽  
pp. 1-13
Author(s):  
Emily Wang ◽  
Julia H.C. Chang ◽  
Matthew Plow
Keyword(s):  
Multiple Sclerosis ◽  
Health Status ◽  
Symptom Severity ◽  
Self Efficacy ◽  
Outcome Expectations ◽  
Self Management ◽  
Management Behavior ◽  
Management Processes ◽  
The Impact ◽  
Management Behaviors

BACKGROUND: Fatigue is one of the most common and disabling symptoms in people with multiple sclerosis (MS). Fatigue self-management behaviors may be effective in reducing the impact of fatigue in people with MS. However, few studies have examined the factors that influence engagement in fatigue self-management behaviors. OBJECTIVE: Identify factors that directly and indirectly influence fatigue self-management behaviors. METHODS: Participants with MS (n = 300) completed online questionnaires at baseline and 6-weeks. Using the Self- and Family Management Framework, we examined the influence of health status, resources and environment, healthcare utilization, and self-management processes on fatigue self-management behaviors at 6-weeks. Multiple regression and path analyses were conducted. RESULTS: The final regression model variables accounted for 41.58% of the variance in fatigue self-management behavior, which included outcome expectation (β= 0.287), disability (β= 0.265), environmental barriers (β= 0.188), self-efficacy (β= 0.153), symptom severity (β= 0.113), living in a rural community (β= –0.108), and living alone (β= 0.103). Path analysis indicated that outcome expectations may mediate the relationship between disability levels and fatigue self-management behavior. CONCLUSIONS: Health status (i.e., disability and symptom severity), environmental factors (e.g., living situation), and self-management processes (i.e., self-efficacy and outcome expectations) may play an important role in influencing engagement in fatigue self-management behaviors.

Intervention Mediators in a Randomized Controlled Trial to Increase Physical Activity and Fatigue Self-management Behaviors Among Adults With Multiple Sclerosis

2019 ◽  
Author(s):  
Matthew Plow ◽  
Robert W Motl ◽  
Marcia Finlayson ◽  
Francois Bethoux
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Goal Setting ◽  
Self Efficacy ◽  
Outcome Expectations ◽  
Step Count ◽  
Self Management ◽  
Post Test ◽  
The Impact

Abstract Background People with multiple sclerosis (MS) often experience fatigue, which is aggravated by inactivity. Identifying mediators of changes in physical activity (PA) and fatigue self-management (FSM) behaviors could optimize future interventions that reduce the impact of MS fatigue. Purpose To examine the effects of telephone-delivered interventions on Social Cognitive Theory constructs and test whether these constructs mediated secondary outcomes of PA and FSM behaviors. Methods Participants with MS (n = 208; Mean age = 52.1; Female = 84.6%) were randomized into contact–control intervention (CC), PA-only intervention, and PA+FSM intervention. Step count (Actigraphy) and FSM behaviors as well as self-efficacy, outcome expectations, and goal setting for PA and FSM were measured at baseline, post-test (12 weeks), and follow-up (24 weeks). Path analyses using bias-corrected bootstrapped 95% confidence intervals (CI) determined whether constructs at post-test mediated behaviors at follow-up when adjusting for baseline measures. Results Path analysis indicated that PA-only (β = 0.50, p < .001) and PA+FSM interventions (β = 0.42, p < .010) had an effect on goal setting for PA, and that PA + FSM intervention had an effect on self-efficacy for FSM (β = 0.48, p = .011) and outcome expectations for FSM (β = 0.42, p = .029). Goal setting for PA at post-test mediated the effects of PA-only (β = 159.45, CI = 5.399, 371.996) and PA + FSM interventions (β = 133.17, CI = 3.104, 355.349) on step count at follow-up. Outcome expectations for FSM at post-test mediated the effects of PA + FSM intervention on FSM behaviors at follow-up (β = 0.02, CI = 0.001, 0.058). Conclusions Goal setting for PA and outcome expectations for FSM may be important constructs to target in telephone-delivered interventions designed to reduce the impact of MS fatigue. Trial registration Clinicaltrials.gov (NCT01572714)

scholarly journals A Smart Mobile Health Tool Versus a Paper Action Plan to Support Self-Management of Chronic Obstructive Pulmonary Disease Exacerbations: Randomized Controlled Trial

10.2196/14408 ◽  
2019 ◽  
Vol 7 (10) ◽  
pp. e14408 ◽  
Author(s):  
Lonneke Boer ◽  
Erik Bischoff ◽  
Maarten van der Heijden ◽  
Peter Lucas ◽  
Reinier Akkermans ◽  
...  
Keyword(s):  
Health Care ◽  
Health Status ◽  
Health Care Utilization ◽  
Self Efficacy ◽  
Respiratory Symptoms ◽  
Action Plan ◽  
Intervention Group ◽  
Self Management ◽  
Care Utilization ◽  
Management Behavior

Background Many patients with chronic obstructive pulmonary disease (COPD) suffer from exacerbations, a worsening of their respiratory symptoms that warrants medical treatment. Exacerbations are often poorly recognized or managed by patients, leading to increased disease burden and health care costs. Objective This study aimed to examine the effects of a smart mobile health (mHealth) tool that supports COPD patients in the self-management of exacerbations by providing predictions of early exacerbation onset and timely treatment advice without the interference of health care professionals. Methods In a multicenter, 2-arm randomized controlled trial with 12-months follow-up, patients with COPD used the smart mHealth tool (intervention group) or a paper action plan (control group) when they experienced worsening of respiratory symptoms. For our primary outcome exacerbation-free time, expressed as weeks without exacerbation, we used an automated telephone questionnaire system to measure weekly respiratory symptoms and treatment actions. Secondary outcomes were health status, self-efficacy, self-management behavior, health care utilization, and usability. For our analyses, we used negative binomial regression, multilevel logistic regression, and generalized estimating equation regression models. Results Of the 87 patients with COPD recruited from primary and secondary care centers, 43 were randomized to the intervention group. We found no statistically significant differences between the intervention group and the control group in exacerbation-free weeks (mean 30.6, SD 13.3 vs mean 28.0, SD 14.8 weeks, respectively; rate ratio 1.21; 95% CI 0.77-1.91) or in health status, self-efficacy, self-management behavior, and health care utilization. Patients using the mHealth tool valued it as a more supportive tool than patients using the paper action plan. Patients considered the usability of the mHealth tool as good. Conclusions This study did not show beneficial effects of a smart mHealth tool on exacerbation-free time, health status, self-efficacy, self-management behavior, and health care utilization in patients with COPD compared with the use of a paper action plan. Participants were positive about the supportive function and the usability of the mHealth tool. mHealth may be a valuable alternative for COPD patients who prefer a digital tool instead of a paper action plan. Trial Registration ClinicalTrials.gov NCT02553096; https://clinicaltrials.gov/ct2/show/NCT02553096.

Testing a Social Cognitive Model of Workplace Sexual Identity Management

2016 ◽  
Vol 25 (1) ◽  
pp. 107-120 ◽  
Author(s):  
Alexander K. Tatum ◽  
Louis J. Formica ◽  
Steven D. Brown
Keyword(s):  
Sexual Identity ◽  
Self Efficacy ◽  
Social Cognitive ◽  
Identity Management ◽  
Outcome Expectations ◽  
Positive Outcome ◽  
Self Management ◽  
Sexual Identity Management ◽  
Social Cognitive Career ◽  
Management Behaviors

Lent and Brown proposed a social cognitive career self-management process model that extended prior social cognitive career theory (SCCT) content models to explain the conditions under which people will engage in career management behaviors (e.g., career exploration). We tested the SCCT self-management model in the context of workplace sexual identity management. The model hypothesizes that engagement in sexual identity management strategies in the workplace is facilitated by strong sexual identity management self-efficacy beliefs and positive outcome expectations for engaging in sexual identity management behaviors. The model also posits that additional person and contextual variables will influence engagement in sexual identity management behaviors directly as well as indirectly via self-efficacy beliefs and outcome expectations. Using a sample of 152 sexual minority participants drawn from community Internet mailing lists, partial and full mediation models of workplace sexual identity disclosure were tested using theoretically relevant person input (i.e., concealment motivation) and contextual (i.e., workplace climate) variables. Results supported a partially mediated model suggesting that concealment motivation and workplace climate influence workplace disclosure directly as well as indirectly through self-efficacy and positive outcome expectations. Policy and social justice implications for the results are discussed and future research directions are considered.

scholarly journals Self-Efficacy as a Predictor of Self-Management Behavior Practice Among People with Type 2 Diabetes Mellitus (T2DM)

2021 ◽  
pp. 440-453
Author(s):  
Hertuida Clara ◽  
Dewi Irawaty ◽  
Debie Dahlia
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Self Efficacy ◽  
Diabetes Management ◽  
Educational Background ◽  
Self Management ◽  
Management Behavior ◽  
Management Behaviors

Diabetes mellitus is a major health challenge associated with morbidity and mortality. Self-management behaviors are a critical part of diabetes disease management. Empowered or activated patients are more likely to practice better implementation of self-management behaviors. However, self-management behavior practice has not always been applied effectively among these populations. Further investigations are necessary to evaluate the status and factors that influence the practice of selfmanagement behaviors among patients with diabetes. The purpose of this research is to identify the relationship between self-efficacy and self-management behaviors of people with type 2 Diabetes Mellitus. A cross-sectional research design was used in this study; 112 eligible people with type 2 Diabetes were recruited. Several questionnaires were used in this study including demographic and patient characteristics, Diabetes Management Self Efficacy Scale (DMSES), Summary Diabetes Self Care Activity (SDSCA), and Diabetes Knowledge (DKN) Scale. Data analysis was performed through univariate, bivariate, and multivariate analyzes. Most of the respondents studied were women, aged 34-74 years and the highest educational background was secondary education, 33.9% of respondents have a good level of knowledge, and 59.8% have good self-efficacy. The results show the significant relationship between self-efficacy and self-management behaviors (p-value < 0.001). The results of multivariate analysis showed that there was a relationship between self-efficacy and self-management behavior after being controlled by the knowledge and the duration of diabetes. Therefore, nurses need to improve the self-efficacy of people with type 2 Diabetes by providing education about the management of Diabetes, as well as supporting and motivating them.   Keywords: self-efficacy, self-management behaviors, people with type 2 Diabetes Mellitus

scholarly journals Self-Efficacy, Problem Solving, and Social-Environmental Support Are Associated With Diabetes Self-Management Behaviors

Diabetes Care ◽  
2010 ◽  
Vol 33 (4) ◽  
pp. 751-753 ◽  
Author(s):  
D. K. King ◽  
R. E. Glasgow ◽  
D. J. Toobert ◽  
L. A. Strycker ◽  
P. A. Estabrooks ◽  
...  
Keyword(s):  
Problem Solving ◽  
Self Efficacy ◽  
Self Management ◽  
Environmental Support ◽  
Social Environmental ◽  
Management Behaviors

scholarly journals Self Management Behaviors in Rheumatoid Arthritis Patients and Associated Factors in Tehran 2013

2015 ◽  
Vol 8 (3) ◽  
pp. 156 ◽  
Author(s):  
Mosharafeh Chaleshgar Kordasiabi ◽  
Maassoumeh Akhlaghi ◽  
Mohammad Hossein Baghianimoghadam ◽  
Mohammad Ali Morowatisharifabad ◽  
Mohsen Askarishahi ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Health Status ◽  
Associated Factors ◽  
Demographic Variables ◽  
Self Management ◽  
Measurement Scale ◽  
Unknown Etiology ◽  
Physician Global Assessment ◽  
Impact Measurement ◽  
Management Behaviors

<p><strong>INTRODUCTION:</strong> Rheumatoid Arthritis (RA) is a systemic, autoimmune and inflammatory disease with an unknown etiology that is associated with progressive joint degeneration, limitation of physical activity and disability. The aim of the study was to evaluate self-management behaviors and their associated factors in RA patients.</p><p><strong>MATERIAL &amp; METHOD: </strong>This cross-sectional study was performed in 2013 on185 patients in Iran. Data were selected through convenient sampling. The collected data included demographic variables, disease related variables, Arthritis Impact Measurement Scale 2 (AIMS-2SF), and Self-Management Behaviors (SMB). Data were analyzed by SPSS17 using Spearman correlation and logistic regression test.</p><p><strong>RESULT:</strong> In this study drug management, regular follow-up, and food supplement were used as the most frequently applied SMB and aquatic exercise, diet, massage therapy, and relaxation were the least common SMBs. Age, education, health status, occupation, marital status, sex, DAS28 (Disease Activity Score 28 joints), and PGA (Physician Global Assessment) were significantly related with SMB.</p><p><strong>CONCLUSION:</strong> The result of the study highlight the influence of demographic variables, health status, and disease related data on SMB. Thus, more studies are required to find factors influencing SMB in order to improve SMB.</p>

Examining the Career Self-Management Model Among Native American Students With STEM Career Goals

2020 ◽  
pp. 089484532095946
Author(s):  
Sherri L. Turner ◽  
Hangshim Lee ◽  
Aaron P. Jackson ◽  
Steve Smith ◽  
Gale Mason-Chagil ◽  
...  
Keyword(s):  
College Students ◽  
Native American ◽  
Native Americans ◽  
Self Efficacy ◽  
Outcome Expectations ◽  
Career Goals ◽  
Self Management ◽  
Native American Students ◽  
Stem Career ◽  
Csm Model

Native Americans are highly underrepresented in science, technology, engineering, and math (STEM) careers; however, little research exists concerning how to promote Native Americans’ participation in STEM. In this study, we address this gap by examining variables hypothesized to promote participation using the career self-management (CSM) model among Native American college students with STEM career goals. Results of stepwise regressions demonstrated that academic achievement along with the problem-solving aspects of career self-management (CSM) self-efficacy and instrumental assistance from parents, peers, and others in students’ schools and communities predicts clearer, more specific, and more personally congruent goals; and that these goals along with self-efficacy and instrumental assistance predict career exploration. Contrary to hypotheses, neither STEM outcome expectations nor gender was related to goals or exploration. These findings suggest that CSM can be used to guide research regarding the STEM career development of Native American college students.

Habitual and Low-Intensity Physical Activity in People with Multiple Sclerosis

2016 ◽  
Vol 17 (1) ◽  
pp. 77-86 ◽  
Author(s):  
Hannah L. Gullo ◽  
Anna L. Hatton ◽  
Sally Bennett ◽  
Jennifer Fleming ◽  
David H. K. Shum
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Health Status ◽  
Activity Level ◽  
Low Intensity ◽  
Habitual Activity ◽  
Intensity Physical Activity ◽  
Insufficient Physical Activity ◽  
Potential Benefits ◽  
The Impact

People with Multiple Sclerosis (MS) undertake insufficient physical activity based on current guidelines. Recent work points to the benefits of increasing the amount of time spent in all non-sedentary physical activity. The current study sought to explore the potential benefits to community participation, as well as examine factors predictive, of engagement in ‘habitual’ and/or low-intensity physical activity. Seventy-four people with MS were compared to 67 healthy controls using the Frenchay Activities Index (FAI). Findings revealed differences in habitual activity level (p < .001), and low-intensity physical activity (p < .001), with people with MS having a lower level of engagement than healthy people. After controlling for the impact of MS on mobility, years since symptom onset, physical fatigue and reduced positive affect were the most significant predictors of engagement in ‘at least weekly’ low-intensity physical activity. Higher frequency of low-intensity physical activity was significantly associated with greater home, social and occupational participation (all p < .05), and physical health status (p < .01), but not mental health status (p = .964) in people with MS. Results suggest that improving habitual activity level and engagement in low-intensity physical activity may be of benefit for people with MS.

Anticipated Multiple Role Management in Emerging Adults

2016 ◽  
Vol 25 (1) ◽  
pp. 121-134 ◽  
Author(s):  
Meghan K. Roche ◽  
Plamena Daskalova ◽  
Steven D. Brown
Keyword(s):  
Self Efficacy ◽  
Process Model ◽  
Outcome Expectations ◽  
Efficacy Beliefs ◽  
Self Management ◽  
Multiple Role ◽  
Role Balance ◽  
Life Roles ◽  
Multiple Role Management ◽  
Role Management

Lent and Brown presented a social cognitive career theory (SCCT) self-management process model aimed at understanding how and under what conditions individuals will navigate adaptive career behaviors. The current study tested the self-management model as applied to young peoples’ anticipated multiple role balance intentions, hypothesizing that self-efficacy beliefs and outcome expectations for balancing multiple life roles would predict intentions to balance multiple life roles. Given that multiple role balancing behaviors require good self-organization capacities, trait conscientiousness was incorporated into the model as a potential person input variable. Gender was also included as a person input. The best fitting model suggested that, consistent with SCCT hypotheses, self-efficacy beliefs related to role balance intentions. Outcome expectation’s relationship to intentions was smaller and did not reach statistical significance. The relation of conscientiousness to intentions was fully mediated by self-efficacy. Gender showed only a direct relation to intentions, suggesting that women have stronger intentions to balance multiple roles than do men, apart from their feelings of confidence and expected outcomes. These results suggest that interventions designed to aid multiple role balance in young women and men may usefully target their self-efficacy beliefs and outcome expectations for multiple role management.

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