scholarly journals Self-management Support to Prevent Recurrences of Stroke by Multidisciplinary teams: The Integrated Care Initiative in K-city, Japan

2021 ◽  
Vol 21 (S1) ◽  
pp. 263
Author(s):  
Masaaki Otaga
Keyword(s):  
Integrated Care ◽  
Self Management ◽  
Multidisciplinary Teams ◽  
Management Support

scholarly journals Self-management in older adults: how to delineate self-management ability, self-management behavior, and self-management support?

2020 ◽  
Author(s):  
Klaske Wynia ◽  
Karin Veldman ◽  
Sophie Spoorenberg ◽  
Maarten Lahr ◽  
Menno Reijneveld
Keyword(s):  
Older Adults ◽  
Integrated Care ◽  
Elderly Care ◽  
Self Management ◽  
Complex Care ◽  
Management Support ◽  
Care Needs ◽  
Risk Profiles ◽  
Management Ability ◽  
Complex Care Needs

Abstract Background: Self-management is a key element in person-centered and integrated care. It involves several related concepts, such as self-management ability, behavior, and support. These concepts are poorly delineated. The aim of this study was to examine hypothesized associations between self-management ability, behavior, and support in older adults (taking their frailty and complexity of care needs into account) and to examine underlying aspects of these concepts, if these hypotheses lacksupport.Methods: Cross-sectional data from the Embrace study, a stratified randomized controlled trial, evaluating person-centered and integrated care in Dutch community-living older adults, were used. Participants (n=537) were aged 75 and older, assigned to health-related risk profiles based on self-reported frailty and complexity of care needs. Ability was assessed with the Self-Management Ability Scale, behavior with the Partner in Health Scale for Older Adults, and support with the Patient Assessment of Integrated Elderly Care.Results: Ability and behavior were positively associated for participants with the risk profiles “Robust” and “Complex care needs” (betas are 0.38 and 0.46). Coping (an aspect of behavior) turned out to be a key element for participants with risk profiles “Robust” and “Complex care needs” (betas ranging from 0.13 to 0.45). Support was associated with aspects of behavior, varying per risk profile.Conclusion: We found no associations for self-management on the conceptual level, but the aspect coping did appear to play a major role. Improving coping strategies of older adults may be a promising way of enhancing self-management ability, and of reducing the need for self-management support.

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 What is the answer to the challenge of multimorbidity in New Zealand?

2020 ◽  
Vol 12 (2) ◽  
pp. 118 ◽  
Author(s):  
Anna Askerud ◽  
Chrystal Jaye ◽  
Eileen McKinlay ◽  
Fiona Doolan-Noble
Keyword(s):  
Primary Care ◽  
New Zealand ◽  
Health System ◽  
Integrated Care ◽  
Self Management ◽  
Ageing Population ◽  
Management Support ◽  
Primary Care System ◽  
Health Records ◽  
Care System

ABSTRACT The increasing prevalence of multimorbidity, a growing ageing population and lack of success in addressing the negative effect of socioeconomic and cultural determinants of health are major challenges for New Zealand’s primary care sector. Self-management support strategies, personalised care planning, integrated care and shared health records have all been proposed as mechanisms to address these challenges. The organisation of the health system, however, remains largely unchanged, with limited accommodation and few funding concessions made for the requirements of these different approaches and tools. As a result, the primary care system is no longer a good match for the population it serves. With one in four New Zealanders reporting multimorbidity, and people aged >65 years predicted to double in number by 2050, this article argues that over the next decade, New Zealand requires a health system focused on incorporating self-management support, personalised and integrated care and shared health records. This will require further educating of not only health professionals, but also patients in the purpose behind these approaches. In addition, it will mean transitioning to a primary care system more suited to the needs of people with long-term conditions. The key gain from a radical redesign will be a more equitable health system focused on a broader range of health needs.

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

scholarly journals The effectiveness of nurse-led self-management support program for people with chronic kidney disease stage 3-4 (CKD-NLSM): Study protocol for a randomized controlled trial

2021 ◽  
Vol 104 (2) ◽  
pp. 003685042110261
Author(s):  
Al Sawad Ayat Ali ◽  
Soo Kun Lim ◽  
Li Yoong Tang ◽  
Aneesa Abdul Rashid ◽  
Boon-How Chew
Keyword(s):  
Kidney Disease ◽  
Controlled Trial ◽  
Self Management ◽  
Control Group ◽  
Management Support ◽  
Disease Knowledge ◽  
Management Intervention ◽  
Randomized Controlled ◽  
Ckd Stage ◽  
Management Behaviors

The complexity of chronic kidney disease (CKD) and its treatments have made self-management behaviors inevitably challenging. However, supplementing education with self-management skills may improve numerous health outcomes in people with nondialysis CKD. This study protocol describes a randomized controlled trial (RCT) aimed to evaluate the effects of a nurse-led self-management support program as an intervention for kidney disease knowledge and CKD self-management behaviors among people with pre-dialysis CKD. In Phase 1, people with CKD stage 3–4 and their family members are involved in co-designing, development and pilot testing of a theory-based self-management intervention. In Phase 2, we perform a cross-cultural adaptation of the Kidney Disease Knowledge Survey, CKD Self-Management and Self-efficacy for Managing Chronic Disease questionnaires. In Phase 3, a parallel RCT will be conducted to evaluate the intervention where 154 participants with CKD stage 3–4 will be randomly assigned to either the intervention ( n = 77) or control group ( n = 77). The intervention group will receive 6-week self-management program from a nurse-coach in addition to standard usual care, while the control group will receive only standard usual care. Outcome measures include kidney disease knowledge, CKD self-management behavior, self-efficacy, quality of life, blood pressure control and adherence to CKD diet as indicated by 24-h urine urea nitrogen, 24-h urine sodium and net endogenous acid production. Data will be collected at baseline and 12-week post-baseline. The between- and within-group intervention effects will be estimated using the Generalized Estimating Equations. The self-management intervention offers strategies to delay CKD progression and to encourage motivation to better self-manage at home. This study integrates self-management education and psychosocial support with culturally relevant scenarios, and evaluates important self-reported and objective outcomes. Clinical Trials Registration: www.ClinicalTrials.gov , identifier: NCT03974646.

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