scholarly journals A Study Of Certified Diabetes Educators: A Descriptive Exploration Of The Delivery Of Diabetes Self Management Support In Community Based Settings In Ontartio

2021 ◽  
Author(s):  
Evelyn Haalstra
Keyword(s):  
Self Management ◽  
Multidisciplinary Teams ◽  
Team Approach ◽  
Management Support ◽  
Community Settings ◽  
Related Factors ◽  
Convenience Sample ◽  
Support Element ◽  
Organizational Element ◽  
Diabetes Educators

There has been a recent shift in diabetes care from hospitals to community settings. This exploratory descriptive study used a convenience sample (n=33) recruited from the Canadian Diabetes Association Educator Sections, in Ontario, to examine the extent to which certified diabetes educators (CDEs) perceive the delivery of diabetes self management support (DSMS), in community settings and the supports and barriers that influence DSMS delivery. Overall, CDEs reported delivering DSMS at a level that reflected consistent implementation at the team level, but lacked system wide consistency. The patient support element most consistently delivered was patient involvement in decisions; the organizational element most frequently endorsed was multidisciplinary teams. Patient related factors were the most frequently reported barriers; the most frequently reported support was a multidisciplinary team approach. This is the first study to examine DSMS delivery in community settings, thus these findings serve as a baseline for future comparison.

scholarly journals A Study Of Certified Diabetes Educators: A Descriptive Exploration Of The Delivery Of Diabetes Self Management Support In Community Based Settings In Ontartio

2021 ◽  
Author(s):  
Evelyn Haalstra
Keyword(s):  
Self Management ◽  
Multidisciplinary Teams ◽  
Team Approach ◽  
Management Support ◽  
Community Settings ◽  
Related Factors ◽  
Convenience Sample ◽  
Support Element ◽  
Organizational Element ◽  
Diabetes Educators

There has been a recent shift in diabetes care from hospitals to community settings. This exploratory descriptive study used a convenience sample (n=33) recruited from the Canadian Diabetes Association Educator Sections, in Ontario, to examine the extent to which certified diabetes educators (CDEs) perceive the delivery of diabetes self management support (DSMS), in community settings and the supports and barriers that influence DSMS delivery. Overall, CDEs reported delivering DSMS at a level that reflected consistent implementation at the team level, but lacked system wide consistency. The patient support element most consistently delivered was patient involvement in decisions; the organizational element most frequently endorsed was multidisciplinary teams. Patient related factors were the most frequently reported barriers; the most frequently reported support was a multidisciplinary team approach. This is the first study to examine DSMS delivery in community settings, thus these findings serve as a baseline for future comparison.

scholarly journals Social Media Content Analysis of Public Diabetes Facebook Groups

2019 ◽  
Vol 13 (3) ◽  
pp. 428-438 ◽  
Author(s):  
Michael Stellefson ◽  
Samantha Paige ◽  
Avery Apperson ◽  
Susannah Spratt
Keyword(s):  
Social Media ◽  
Emotional Support ◽  
Self Management ◽  
Management Support ◽  
Online Forums ◽  
Media Content Analysis ◽  
Regular User ◽  
Group Engagement ◽  
Group Characteristics ◽  
Diabetes Educators

Introduction: Relatively little is known about how Facebook groups are used to facilitate diabetes self-management support. This study provides a critical analysis of public diabetes Facebook groups and their content. Methods: Two trained researchers independently identified 34 public Facebook diabetes groups. A coding and classification scheme was applied to the 20 most recent “wall posts” within 15 of the 34 (44.1%) largest groups (n = 300 posts). Nonparametric Mann-Whiney U tests examined differences in group characteristics between groups with more (active) and less (inactive) than 50 posts in the past month. Multivariable logistic regressions evaluated associations between group purpose, post types, membership (engagement leader vs regular user), and modality. Results: We identified 193 458 members of the 34 largest diabetes Facebook groups (Mdn size = 3124 members, IQR = 1298-8523 members). Many groups (20/34, 58.8%) were created to provide instrumental support, while fewer (12/34, 35.8%) aimed to provide emotional support. Nutrition was the only diabetes self-management topic addressed in more than 30% of posts (n = 107). Posts made by engagement leaders were almost five times more likely to appear within inactive compared to active groups. Discussion: Diabetes Facebook groups are used to share both information and emotional support, with greater emphasis placed on sharing information about nutrition. While engagement leaders should theoretically increase the credibility of online forums, frequent posts by group engagement leaders may actually lead to group decay. Health and diabetes educators should consider how to more effectively leverage social media engagement leaders to disseminate valid health information on diabetes self-management.

scholarly journals Exploring Patients’ Experiences of Internet-Based Self-Management Support for Low Back Pain in Primary Care

Pain Medicine ◽  
2019 ◽  
Vol 21 (9) ◽  
pp. 1806-1817 ◽  
Author(s):  
Adam W A Geraghty ◽  
Lisa C Roberts ◽  
Rosie Stanford ◽  
Jonathan C Hill ◽  
Dinesh Yoganantham ◽  
...  
Keyword(s):  
Primary Care ◽  
Low Back Pain ◽  
Back Pain ◽  
Ease Of Use ◽  
Internet Intervention ◽  
Feasibility Trial ◽  
Self Management ◽  
Low Back ◽  
Management Support ◽  
Convenience Sample

Abstract Objective We explored patients’ experiences of using Internet-based self-management support for low back pain (LBP) in primary care, with and without physiotherapist telephone guidance. Design Exploratory descriptive qualitative study using thematic analysis, nested within a randomized feasibility trial. Methods Patients with LBP who participated in a feasibility trial of the SupportBack Internet intervention (ISRCTN: 31034004) were invited to take part in semistructured telephone interviews after the three-month intervention period (a convenience sample from within the trial population). Fifteen participants took part (age range = 36–87 years, 66.7% female, characteristics representative of the trial population). Data were analyzed thematically. Results Analysis resulted in the development of six themes (subthemes in parentheses): Perceptions of SupportBack’s design (Clarity and ease of use, Variety and range of information provided, Need for specificity and flexibility), Engaging with the SupportBack intervention, Promoting positive thought processes (Reassurance, Awareness of self-management), Managing behavior with SupportBack (Motivation and goal setting, Using activity as a pain management strategy, Preferences for walking or gentle back exercises), Feeling supported by telephone physiotherapists (Provision of reassurances and clarity, Physiotherapists are motivating), Severity and comorbidity as barriers (Preexisting condition or severity acting as a barrier, Less useful for mild low back pain). Conclusions The Internet intervention SupportBack appeared to feasibly support self-management of LBP. Reassurance and ongoing support to implement behavioral changes were central to reported benefits. The addition of physiotherapist telephone support further enhanced the patient experience and the potential utility of the intervention.

scholarly journals Providing and receiving self-management support for chronic illness: Patients and health practitioners' assessments

2010 ◽  
Vol 2 (2) ◽  
pp. 124 ◽  
Author(s):  
Jenny Carryer ◽  
Claire Budge ◽  
Chiquita Hansen ◽  
Katherine Gibbs
Keyword(s):  
Chronic Illness ◽  
Self Report ◽  
Self Management ◽  
Health Board ◽  
Team Approach ◽  
Management Support ◽  
Primary Nursing ◽  
Primary Health ◽  
Health Practitioners ◽  
The Individual

INTRODUCTION: Providing care for people with chronic illness is a major issue for health practitioners around the world, especially as populations age. Encouraging self-management is beneficial in terms of relieving the burden on the health system and promoting better health and adherence to medication and advice amongst this group. AIM: To measure the level of self-management support being provided to and received by people living with chronic illness in a District Health Board (DHB) region. METHODS: Self-report questionnaires (PACIC) were completed by 341 people living with chronic illness to measure the self-management support they receive from general practitioners and nurses. A modified version of the PACIC was used with 12 GPs and 77 primary health nurses in the same region to assess the provision of self-management support. RESULTS: Patients’ assessments suggest that they are receiving intermittent self-management support for their chronic illness. A comparison of ratings of different health practitioners revealed that nurses were reported to be providing support more consistently than GPs. The health practitioners rated themselves as providing self-management support more often than the patients reported receiving it. Many clinicians also suggested that not all forms of support are appropriate for everyone, suggesting the need to tailor support to the individual. DISCUSSION: Chronic illness support needs to be considered within the context of the individual and to be embedded in an ongoing relationship between the person and the provider. Findings highlight the benefits of a multidisciplinary team approach to self-management support and education in chronic illness care. KEYWORDS: Chronic disease; self care; primary health care; primary nursing care; physicians, family

Self-Management Support in Chronic Illness Care: A Concept Analysis

2012 ◽  
Vol 26 (2) ◽  
pp. 108-125 ◽  
Author(s):  
Jennifer Kawi
Keyword(s):  
Chronic Illness ◽  
Theory Development ◽  
Concept Analysis ◽  
Self Management ◽  
Chronic Illness Care ◽  
Team Approach ◽  
Clear Understanding ◽  
Management Support ◽  
Patient Centered ◽  
Adequate Knowledge

Purpose: This article reports on the concept analysis of self-management support (SMS) to provide clarity for systematic implementation in practice. Background: SMS is a concept in its early phase of development. It is increasingly evident in literature on chronic illness care. However, the definition has been simplified or vague leading to variable SMS programs and inconsistent outcomes. Elucidation of SMS is necessary in chronic illness care to facilitate clear understanding and implementation. Method: Rodgers’ evolutionary concept analysis method was used to examine SMS. Data sources included systematic multidisciplinary searches of multiple search engines. Results: SMS refers to comprehensive sustaining approaches toward improving chronic illness outcomes consisting of patient-centered attributes (involving patients as partners; providing diverse, innovative educational modalities specific to patients’ needs; individualizing patient care), provider attributes (possessing adequate knowledge, skills, attitudes in providing care), and organizational attributes (putting an organized system of care in place, having multidisciplinary team approach, using tangible and social support). Implications: A well-clarified SMS concept is important in theory development. The attributes offer necessary components in SMS programs for systematic implementation, evaluation, and research. There is great potential that SMS can help improve outcomes of chronic illness care.

scholarly journals Psychological and self-management support for people with vasculitis or connective tissue diseases: UK health professionals’ perspectives

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Joanna C Robson ◽  
Michael Shepherd ◽  
Lorraine Harper ◽  
Mwidimi Ndosi ◽  
Keziah Austin ◽  
...  
Keyword(s):  
Health Professionals ◽  
Online Survey ◽  
Connective Tissue Diseases ◽  
Psychological Support ◽  
Care Staff ◽  
Self Management ◽  
Free Text ◽  
Team Approach ◽  
Management Support ◽  
Survey Responses

Abstract Objectives CTD and systemic vasculitis impact on health-related quality of life. Treatment can be complex, involving multiple medical specialities. The aim of this study was to investigate psychological and self-management support for patients in secondary care. Methods An online survey of health professionals in the UK, including 45 multiple-choice and free-text questions, was analysed descriptively. Free-text survey responses were analysed thematically to identify health professionals’ perceptions of best practice and unmet needs. Results The online survey included 120 health professionals (34% specialist nurses, 51% doctors and 12% allied health professionals), predominantly working in rheumatology (52.9%) and nephrology (21.5%) departments. Access to self-management programmes or clinics for people with CTD or vasculitis was available in 23% of rheumatology and 8% of nephrology departments. In response to ‘How well is your team providing self-management support to people with CTD or vasculitis?’, 38% of respondents reported ‘not very well’ or ‘not well at all’. Direct access to psychological support was available in 76.9% of nephrology and 32.8% of rheumatology departments. More than 80% of respondents would like additional training. Key themes from the qualitative data (free-text survey responses) included the importance of: dedicated psychological support and self-management programmes for people with CTD and vasculitis, a whole-team approach (specialist teams empowering people to manage their own care), staff training (e.g. brief psychological interventions) and signposting to resources, including patient charities. Conclusion People with CTD and vasculitis have complex needs, and improvements in self-management and psychological support are required in UK rheumatology and nephrology departments.

Getting better my way: Feasibility study of a self-management support tool for people with mood and anxiety disorders.

2019 ◽  
Vol 42 (2) ◽  
pp. 158-168
Author(s):  
Janie Houle ◽  
Stephanie Radziszewski ◽  
Préscilla Labelle ◽  
Simon Coulombe ◽  
Matthew Menear ◽  
...  
Keyword(s):  
Anxiety Disorders ◽  
Feasibility Study ◽  
Self Management ◽  
Management Support ◽  
Support Tool ◽  
Mood And Anxiety Disorders
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