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Journal articles on the topic 'Supported self-management'

Author: Grafiati

Published: 4 June 2021

Last updated: 3 February 2022

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1

Pinnock, Hilary. "Supported self-management for asthma." Breathe 11, no. 2 (June 2015): 98–109. http://dx.doi.org/10.1183/20734735.015614.

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Key pointsSelf-management education in asthma is not an optional extra. Healthcare professionals have a responsibility to ensure that everyone with asthma has personalised advice to enable them to optimise how they self-manage their condition.Overviews of the extensive evidence-base conclude that asthma self-management supported by regular professional review, improves asthma control, reduces exacerbations and admissions, and improves quality of life.Self-management education should be reinforced by a written personalised asthma action plan which provides a summary of the regular management strategy, how to recognise deterioration and the action to take.Successful implementation combines education for patients, skills training for professionals in the context of an organisation committed to both the concept and the practice of supported self-management.Educational aimsTo summarise the evidence base underpinning supported self-management for asthmaTo provide clinicians with a practical approach to providing supported self-management for asthmaTo suggest an appropriate strategy for implementing supported self-managementSummaryThe evidence in favour of supported self-management for asthma is overwhelming. Self-management including provision of a written asthma action plan and supported by regular medical review, almost halves the risk of hospitalisation, significantly reduces emergency department attendances and unscheduled consultations, and improves markers of asthma control and quality of life. Demographic and cultural tailoring enables effective programmes to be implemented in deprived and/or ethnic communities or within schools.A crucial component of effective asthma self-management interventions is the provision of an agreed, written personalised action plan which advises on using regular medication, recognising deterioration and appropriate action to take. Monitoring can be based on symptoms or on peak flows and should specify thresholds for action including increasing inhaled steroids, commencing oral steroids, and when (and how) to seek professional help. Plans should be personalised to reflect asthma severity and treatment regimes, avoidance of triggers, co-morbid rhinitis and the individual’s preferences.Implementation is a challenge. Systematic review evidence suggests that it is possible to implement asthma self-management in routine care, but that to be effective this requires a whole systems approach which considers implementation from the perspective of patient education and resources, professional skills and motivation and organisation priorities and routines.

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Lithgo, K., T. Price, and M. Johnson. "N006 Supported Self Help and Management – SSHAMP." Journal of Crohn's and Colitis 7 (February 2013): S298. http://dx.doi.org/10.1016/s1873-9946(13)60735-7.

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Whiteman, Karen L., Matthew C. Lohman, and Stephen J. Bartels. "A Peer- and Technology-Supported Self-Management Intervention." Psychiatric Services 68, no. 4 (April 2017): 420. http://dx.doi.org/10.1176/appi.ps.68404.

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4

Wilkie, Morven E. M. "Glasgow-supported self-management for patients with COPD." Thorax 67, no. 11 (May 18, 2012): 992. http://dx.doi.org/10.1136/thoraxjnl-2012-202053.

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Snippe, Amanda, Clare Brearley, and Imelda Hughes. "Promoting supported self-management for breast cancer survivors." European Journal of Surgical Oncology (EJSO) 43, no. 5 (May 2017): S35. http://dx.doi.org/10.1016/j.ejso.2017.01.137.

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Holguín-Veras, José, and Felipe Aros-Vera. "Self-supported freight demand management: pricing and incentives." EURO Journal on Transportation and Logistics 4, no. 2 (June 2015): 237–60. http://dx.doi.org/10.1007/s13676-013-0041-1.

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Stubbs, Nicola, Fiona O'Regan, and Sue Bell. "18. New Model of Breast Aftercare - Self-supported Management." European Journal of Surgical Oncology 45, no. 5 (May 2019): 881–82. http://dx.doi.org/10.1016/j.ejso.2019.01.204.

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Snell, William E., and Mark H. Davis. "Self-Perception, Impression Management, and Self-Consciousness." Imagination, Cognition and Personality 6, no. 4 (June 1987): 331–40. http://dx.doi.org/10.2190/8qpt-am5y-c7m5-m7h5.

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Consistency between behaviors and expressed attitudes has been explained in terms of two distinct tendencies: 1) self-perception processes, in which individuals “rationally” utilize past beliefs and behaviors toward some object in formulating an attitude; and 2) self-presentational concerns, in which individuals utilize memories of past behavior toward an object primarily in order to express an attitude consistent with such behavior. A study was conducted in which the influence of public and private self-consciousness on the attitude inference process was examined. It was predicted that persons higher in public self-consciousness would demonstrate a heightened responsivity of salient behavioral information, due to a concern with appearing consistent in attitude and action. It was also predicted that subjects higher in private self-consciousness would demonstrate greater responsivity to salient behavioral information because of a hypothesized tendency to make more use of salient cognitive information about themselves. Both predictions were supported.

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Ulmer, C. S., H. B. Bosworth, C. I. Voils, A. Germain, S. Macy, A. S. Jeffreys, and J. C. Beckham. "0403 Tele-Self CBTI: Provider Supported Self-Management Cognitive Behavioral Therapy for Insomnia." Sleep 41, suppl_1 (April 2018): A153. http://dx.doi.org/10.1093/sleep/zsy061.402.

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Madaan, Sanjeev, Abhishek Reekhaye, and Jonathan McFarlane. "Survivorship and prostate cancer: the TrueNTH Supported Self-Management programme." Trends in Urology & Men's Health 7, no. 1 (January 2016): 21–24. http://dx.doi.org/10.1002/tre.502.

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Allen, Daniel. "Supported self-management programme gives men with prostate cancer more control." Cancer Nursing Practice 19, no. 1 (January 7, 2020): 18–20. http://dx.doi.org/10.7748/cnp.19.1.18.s15.

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Bilsker, Dan, Elliot M. Goldner, and Ellen Anderson. "Supported Self-Management: A Simple, Effective Way to Improve Depression Care." Canadian Journal of Psychiatry 57, no. 4 (April 2012): 203–9. http://dx.doi.org/10.1177/070674371205700402.

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13

Poole, Caroline, Janice Maslen, and Lisa Joanne Taylor. "Enabling supported self-management of wound care in a community setting." Primary Health Care 26, no. 7 (August 31, 2016): 24–30. http://dx.doi.org/10.7748/phc.2016.e1137.

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Washington, Tiffany R., Chivon Mingo, and Matthew L. Smith. "SELF-MANAGEMENT INTERVENTIONS IN DIALYSIS FACILITIES." Innovation in Aging 3, Supplement_1 (November 2019): S69. http://dx.doi.org/10.1093/geroni/igz038.267.

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Abstract There have been few attempts to implement self-management interventions in dialysis facilities. This paper presentation describes four studies that constitute the formative work necessary to inform implementation. Studies one and two examined the relationship between psychosocial factors and kidney disease self-management, finding depression and cognitive decline to undermine self-management behaviors. Study three examined how dialysis patients define and think about self-management and their interest in participating in a self-management program. Among them, 78% affirmed they would participate in a self-management program if it were offered in their facility. Finally, when examining organizational readiness to implement a self-management intervention in dialysis facilities, staff perceived it to be consistent with facility values, and agreed they were well-positioned to implement the program. Taken together, these findings suggest a self-management intervention would be beneficial and supported, but would require thoughtful implementation considerations. These studies have implications for developmental self-management research with other chronic conditions.

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Krile, Srećko, and Danko Kezić. "Self-Management Principles in Autonomic Service Architecture Supported by Load Balancing Algorithm." Automatika 51, no. 2 (January 2010): 193–204. http://dx.doi.org/10.1080/00051144.2010.11828371.

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Macphee, R. "Supported self-management model reduces hospital admissions in paediatric neuro-respiratory patients." Physiotherapy 105 (January 2019): e111-e112. http://dx.doi.org/10.1016/j.physio.2018.11.093.

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Pinnock, Hilary, Liz Steed, and Rachel Jordan. "Supported self-management for COPD: making progress, but there are still challenges." European Respiratory Journal 48, no. 1 (June 30, 2016): 6–9. http://dx.doi.org/10.1183/13993003.00576-2016.

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Fortuna, Karen. "Older Peer-Delivered and Smartphone-Supported Integrated Medical and Psychiatric Self-Management Intervention." Innovation in Aging 4, Supplement_1 (December 1, 2020): 631. http://dx.doi.org/10.1093/geroni/igaa057.2156.

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Abstract PeerTECH is older peer-delivered and technology-support integrated medical and psychiatric self-management intervention developed by older adult peer support specialists. Older adult peer support specialists are older adults with a lived experience of a mental health condition, who are trained and accredited to provide support services to others with similar conditions. A pre/post trial by our group has shown PeerTECH is associated with statistically significant improvements in self-efficacy for managing chronic disease and psychiatric self-management skills. This presentation will discuss the feasibility and potential effectiveness of a 3-month pre/post study with older adults with SMI. We will discuss the potential effectiveness of PeerTECH with older adults with SMI related to loneliness, distress, and medical and psychiatric self-management. in conclusion, we will discuss the main and interactive effects of loneliness and factors linked to mortality.

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Campling, Natasha, Sue Latter, Alison Richardson, Matthew Mulvey, and Michael Bennett. "Supported self-management of analgesia and related treatments at the end of life." BMJ Supportive & Palliative Care 6, no. 3 (September 2016): 388.2–389. http://dx.doi.org/10.1136/bmjspcare-2016-001204.13.

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20

Sweeney, L., R. Moss-Morris, W. Czuber-Dochan, and C. Norton. "N09 Pain management in inflammatory bowel disease: feasibility of an online therapist-supported CBT-self-management intervention." Journal of Crohn's and Colitis 14, Supplement_1 (January 2020): S661. http://dx.doi.org/10.1093/ecco-jcc/jjz203.993.

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Abstract Background Chronic pain is a poorly managed symptom of inflammatory bowel disease (IBD). Cognitive behavioural therapy (CBT) has an evidence-base in functional gastrointestinal conditions and chronic pain. We aimed to test the feasibility and acceptability of a 9-week online facilitator-supported CBT intervention, tailored for people with chronic IBD-related pain. Methods A single arm pre-post design with nested qualitative interviews was used with 20 individuals with IBD and chronic pain. Participants were recruited online through an IBD charity and had consented to research in a previous survey or responded to an online charity advert. Individuals who met the inclusion criteria e.g. reported a pain-interference score of ≥4/10 (Brief Pain Inventory) and had no indicators of acute causes of pain, were invited to take part. Faecal calprotectin was collected. Outcomes included recruitment and retention rates, pain interference and severity (Brief Pain Inventory), quality of life, psychosocial measures and self-reported disease activity (IBD-Control). Follow-up face to face or telephone interviews were conducted following the intervention to obtain feedback on sessions and tasks, facilitator support and areas for improvement. Results Of 145 survey respondents contacted, 55 (37.9%) responded. Two additional individuals were recruited from the study advertisement. 20/57 (35.1%) met screening and eligibility criteria. Twenty consented to the study and 60% of those returning a stool sample were in clinical remission (<250ug/g). One individual withdrew after Session 1, 17 (85%) engaged with intervention sessions and 11 (55%) completed at least 5/9 sessions. 16 (80%) of recruited participants completed the post-intervention questionnaire at week 9. Mean score for overall acceptability was 43.4 (0–70). No changes were observed for pain outcomes, but quality of life and pain self-efficacy increased following the intervention. Self-reported disease activity, depression, anxiety, pain catastrophising and avoidance resting behaviour decreased. Qualitative feedback demonstrated the value of particular elements of the intervention, such as thought monitoring and facilitator support. Some participants felt content was oversimplified and that further information was needed on practical management strategies, including diet. Conclusion Online CBT for chronic IBD-related pain appears feasible and acceptable. The results demonstrate positive effects for improving quality of life and reducing psychological distress, however online and face to face recruitment methods are recommended. To establish efficacy for reducing pain and improving quality of life, larger randomised controlled trials are required.

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Rimmer, Ben, Lizzie Dutton, Joanne Lewis, Richéal Burns, Pamela Gallagher, Sophie Williams, Vera Araujo-Soares, Tracy Finch, and Linda Sharp. "Ways Ahead: developing a supported self-management programme for people living with low- and intermediate-grade gliomas - a protocol for a multi-method study." BMJ Open 10, no. 7 (July 2020): e041465. http://dx.doi.org/10.1136/bmjopen-2020-041465.

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IntroductionLiving with and beyond a diagnosis of a low- and intermediate-grade glioma (LIGG) can adversely impact many aspects of people’s lives and their quality of life (QoL). In people with chronic conditions, self-management can improve QoL. This is especially true if people are supported to self-manage. Supported self-management programmes have been developed for several cancers, but the unique challenges experienced by LIGG survivors mean these programmes may not be readily transferable to this group. The Ways Ahead study aims to address this gap by exploring the needs of LIGG survivors to develop a prototype for a supported self-management programme tailored to this group.Methods and analysisWays Ahead will follow three sequential phases, underpinned by a systematic review of self-management interventions in cancer. In phase 1, qualitative methods will be used to explore and understand the issues faced by LIGG survivors, as well as the barriers and facilitators to self-management. Three sets of interviews will be conducted with LIGG survivors, their informal carers and professionals. Thematic analysis will be conducted with reference to the Theoretical Domains Framework and Normalisation Process Theory. Phase 2 will involve co-production workshops to generate ideas for the design of a supported self-management programme. Workshop outputs will be translated into a design specification for a prototype programme. Finally, phase 3 will involve a health economic assessment to examine the feasibility and benefits of incorporating the proposed programme into the current survivorship care pathway. This prototype will then be ready for testing in a subsequent trial.Ethics and disseminationThe study has been reviewed and approved by an National Health Service Research Ethics Committee (REC ref: 20/WA/0118). The findings will be disseminated through peer-reviewed journals, conference presentations, broadcast media, the study website, The Brain Tumour Charity and stakeholder engagement activities.

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22

O’Kane, Maurice J. "Patient self-testing in chronic disease management." Journal of Laboratory Medicine 44, no. 2 (April 28, 2020): 81–87. http://dx.doi.org/10.1515/labmed-2019-0175.

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AbstractChronic disease poses a major burden to patients and health care systems. This review considers how patient self-testing can contribute to the management of chronic disease. Self-testing can only confer benefit if it occurs in the context of an empowered patient who has the skills and training to translate test results into meaningful actions. The benefits may include improved clinical outcomes, greater patient convenience and improved psychological well-being; separately and together these may contribute to reduced costs of care. As self-testing may be expensive and burdensome to patients, it is important that its use in chronic disease is supported by a robust evidence base confirming its utility and efficacy. The design of studies to assess the impact of self-testing poses challenges for the researcher and the quality of evidence presented is often variable. Randomised controlled trials (RCTs) provide more robust evidence than observational studies; the intervention under study is not just self-testing but includes the educational support to allow patients to use results effectively. This review discusses the evidence base relating to patient self-testing in diabetes, anticoagulant monitoring and in renal transplant patients and in particular highlights the impact of new technology developments such as flash glucose monitoring in diabetes.

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Larsen, M., A. Wahl, A. Krogstad, and E. Aas. "Cost-utility Analysis of Supported Self-management with Motivational Interviewing for Patients with Psoriasis." Acta Dermato Venereologica 96, no. 5 (2016): 664–68. http://dx.doi.org/10.2340/00015555-2331.

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Hurlin, Claire. "Co creating Healthy Footsteps - a supported self management programme for looking after your feet." International Journal of Integrated Care 21, S1 (September 1, 2021): 332. http://dx.doi.org/10.5334/ijic.icic20577.

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Saibil, Fred, Emily Lai, Andrew Hayward, Jeanne Yip, and Cameron Gilbert. "Self-Management for People with Inflammatory Bowel Disease." Canadian Journal of Gastroenterology 22, no. 3 (2008): 281–87. http://dx.doi.org/10.1155/2008/428967.

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In North America and the United Kingdom, we are in the age of self-management. Many patients with chronic diseases are ready to participate in the therapeutic decision-making process, and join their physicians in a co-management model. It is particularly useful to consider this concept at a time when physician shortages and waiting times are on the front page every day, with no immediate prospect of relief. Conditions such as diabetes, asthma, chronic obstructive pulmonary disease, recurrent urinary tract infections and others lend themselves to this paradigm of medical care for the informed patient. The present paper reviews some of the literature on self-management for the patient with inflammatory bowel disease (IBD), and provides a framework for the use of self-management in the IBD population, with emphasis on the concept of a patient passport, and the use of e-mail, supported by an e-mail contract, as proposed by the Canadian Medical Protective Association. Examples of specific management strategies are provided for several different IBD scenarios. Eliminating the need for some office visits has clear environmental and economical benefits. Potential negative consequences of this form of patient care are also discussed.

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Foster, Michele, Elizabeth Kendall, Paul Dickson, Wendy Chaboyer, Beth Hunter, and Travis Gee. "Participation and chronic disease self-management: Are we risking inequitable resource allocation?" Australian Journal of Primary Health 9, no. 3 (2003): 132. http://dx.doi.org/10.1071/py03037.

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The Ottawa Charter for Health Promotion supported the empowerment of individuals to participate in their health care and have control over their health. For older adults with chronic conditions, the Chronic Disease Self-Management Program has been widely adopted as an adjunct to existing healthcare options. A growing body of literature has supported the positive impact of self-management programs on outcomes for people with a range of chronic conditions. However, evidence also suggests that participation in these programs is biased. This paper draws on pilot data to describe the profile of those people who inquire, enrol, attend, and complete CDSM courses in Queensland, Australia. As expected, there was evidence that males, Indigenous people, people of non-English speaking background, and those with multiple responsibilities were less likely to participate. Most importantly, participation was affected by a self-selection bias associated with health status. Those who were either unwell or well at the time of the course were unlikely to attend, minimising the preventative value of the CDSM program. Further, CDSM evaluation studies are likely to be inherently flawed and the distribution of health resources can become inequitable.

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Marshall, A., O. Medvedev, and A. Antonov. "Use of a Smartphone for Improved Self-Management of Pulmonary Rehabilitation." International Journal of Telemedicine and Applications 2008 (2008): 1–5. http://dx.doi.org/10.1155/2008/753064.

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Patients suffering from chronic respiratory disease need to follow a rehabilitative exercise programme, in order to self-manage their illness and improve quality of life. Adherence to the programme is highly dependent on professional support from a physiotherapist and hence declines when patients seek to self-manage in the home. A number of requirements were identified for a Smartphone-based application in which patients are supported remotely and given automatic feedback during exercise. An application is described which will improve adherence during pulmonary rehabilitation.

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Winstone, William, and Misia Gervis. "Countertransference and the Self-Aware Sport Psychologist: Attitudes and Patterns of Professional Practice." Sport Psychologist 20, no. 4 (December 2006): 495–511. http://dx.doi.org/10.1123/tsp.20.4.495.

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The literature in psychotherapy and sport psychology has supported the importance of self-awareness and countertransference management (Ellis, 2001; Leahy, 2001; Van Raalte & Andersen, 2000) and its applicability in all psychological settings (Hayes, 2004). This study was an audit of (n = 58) accredited UK sport psychology practitioners that explored the importance they attached to self-awareness and their behavior in practice that supported the management of these concerns. Results indicated that practitioners regarded self-insight and self-integration as important (Mdn = 4), but relied upon themselves and informal peer networks rather than regular supervision for professional support. Most practitioners never (Mdn=1) used counseling or therapy for personal support. Recommendations are made for piloting post-accreditation professional supervision in sport psychology and developing the provision of general counseling and sport psychology sessions for trainees.

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Hwang, Na-Kyoung, Ji-Su Park, and Moon-Young Chang. "Telehealth Interventions to Support Self-Management in Stroke Survivors: A Systematic Review." Healthcare 9, no. 4 (April 15, 2021): 472. http://dx.doi.org/10.3390/healthcare9040472.

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Telehealth (TH) intervention is a method to optimize self-management (SM) support in stroke survivors. Objectives of this study included identifying the TH-SM intervention’s focus and SM support components, the TH delivery type, and the TH-SM support effects on stroke survivors. Five databases were searched for the years 2005–2020 to identify TH-SM support interventions for stroke survivors. Randomized controlled trials and quasi-experimental, one-group re-post study designs were included. Ten studies were reviewed. TH-SM support focused on post-stroke depression, obesity management, participation, functional mobility, and activities of daily living. The TH delivery type most used in selected studies was messaging. Regarding the SM support components, the education component was used in all studies, and psychological support and lifestyle advice and support were used in 8 out of 10 studies. TH-SM intervention had positive effects in terms of goal achievement for SM behavior, emotional state, and mobility of clinical outcomes, and TH acceptance in stroke survivors. Although the TH-SM-supported intervention effects were not found consistently in all outcomes, this review discovered a positive effect on various SM-related outcomes. In addition, TH delivery types and SM support components showed the possibility of various options to be considered for intervention. Therefore, we suggest that TH-SM supported intervention is a positive alternative for SM support in stroke survivors.

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Captieux, Mireille, Gemma Pearce, Hannah L. Parke, Eleni Epiphaniou, Sarah Wild, Stephanie J. C. Taylor, and Hilary Pinnock. "Supported self-management for people with type 2 diabetes: a meta-review of quantitative systematic reviews." BMJ Open 8, no. 12 (December 2018): e024262. http://dx.doi.org/10.1136/bmjopen-2018-024262.

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ObjectivesSelf-management support aims to give people with chronic disease confidence to actively manage their disease, in partnership with their healthcare provider. A meta-review can inform policy-makers and healthcare managers about the effectiveness of self-management support strategies for people with type 2 diabetes, and which interventions work best and for whom.DesignA meta-review of systematic reviews of randomised controlled trials (RCTs) was performed adapting Cochrane methodology.Setting and participantsEight databases were searched for systematic reviews of RCTs from January 1993 to October 2016, with a pre-publication update in April 2017. Forward citation was performed on included reviews in Institute for Scientific Information (ISI) Proceedings. We extracted data and assessed quality with the Revised-Assessment of Multiple Systematic Reviews (R-AMSTAR).Primary and secondary outcome measuresGlycaemic control as measured by glycated haemoglobin (HbA1c) was the primary outcome. Body mass Index, lipid profiles, blood pressure and quality of life scoring were secondary outcomes. Meta-analyses reporting HbA1c were summarised in meta-forest plots; other outcomes were synthesised narratively.Results41 systematic reviews incorporating data from 459 unique RCTs in diverse socio-economic and ethnic communities across 33 countries were included. R-AMSTAR quality score ranged from 20 to 42 (maximum 44). Apart from one outlier, the majority of reviews found an HbA1c improvement between 0.2% and 0.6% (2.2–6.5 mmol/mol) at 6 months post-intervention, but attenuated at 12 and 24 months. Impact on secondary outcomes was inconsistent and generally non-significant. Diverse self-management support strategies were employed; no single approach appeared optimally effective (or ineffective). Effective programmes tended to be multi-component and provide adequate contact time (>10 hours). Technology-facilitated self-management support showed a similar impact as traditional approaches (HbA1c MD −0.21% to −0.6%).ConclusionsSelf-management interventions using a range of approaches improve short-term glycaemic control in people with type 2 diabetes including culturally diverse populations. These findings can inform researchers, policy-makers and healthcare professionals re-evaluating the provision of self-management support in routine care. Further research should consider implementation and sustainability.

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Thorstensson, Carina A., Göran Garellick, Hans Rystedt, and Leif E. Dahlberg. "Better Management of Patients with Osteoarthritis: Development and Nationwide Implementation of an Evidence‐Based Supported Osteoarthritis Self‐Management Programme." Musculoskeletal Care 13, no. 2 (October 24, 2014): 67–75. http://dx.doi.org/10.1002/msc.1085.

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Kidd, Lisa, Joanne Booth, Maggie Lawrence, and Anne Rowat. "Implementing Supported Self-Management in Community-Based Stroke Care: A Secondary Analysis of Nurses’ Perspectives." Journal of Clinical Medicine 9, no. 4 (April 1, 2020): 985. http://dx.doi.org/10.3390/jcm9040985.

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The provision of supported self-management (SSM) is recommended in contemporary guidelines to address the longer-term needs and outcomes of stroke survivors and their families, yet its implementation across stroke pathways has been inconsistent. This paper presents a secondary analysis of qualitative data, which aims to identify and offer insight into the challenges of implementing SSM from the perspectives of community stroke nurses (n = 14). The findings revealed that the implementation of SSM in stroke is influenced by factors operating at multiple levels of the healthcare system. Contextual challenges arise because of different understandings and interpretations of what SSM is, what it comprises and professionals’ perceptions of their roles in its implementation in practice. A professionally controlled, one-size-fits-all model of SSM continues to be reinforced within organizations, offering few opportunities for nurses to deliver contextually tailored and person-centred SSM. In conclusion, there are many professional concerns and organizational tensions that need to be addressed across multiple layers of the healthcare system to achieve the consistent implementation of contextually tailored and person-centred SSM following a stroke. Attempts to address these challenges will help to narrow the gap between policy and practice of implementing SSM, ensuring that stroke survivors and families benefit from SSM in the longer-term.

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Saxby, Nicole, Karen Ford, Sean Beggs, Malcolm Battersby, and Sharon Lawn. "Developmentally appropriate supported self-management for children and young people with chronic conditions: A consensus." Patient Education and Counseling 103, no. 3 (March 2020): 571–81. http://dx.doi.org/10.1016/j.pec.2019.09.029.

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Bilsker, Dan, Elliot M. Goldner, and Wayne Jones. "Health Service Patterns Indicate Potential Benefit of Supported Self-Management for Depression in Primary Care." Canadian Journal of Psychiatry 52, no. 2 (February 2007): 86–95. http://dx.doi.org/10.1177/070674370705200203.

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Storey, Keith. "Review of Research on Self-Management Interventions in Supported Employment Settings for Employees With Disabilities." Career Development for Exceptional Individuals 30, no. 1 (May 2007): 27–34. http://dx.doi.org/10.1177/08857288070300010301.

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Morais, Huana Carolina Cândido, Nathalia Costa Gonzaga, Priscila de Souza Aquino, and Thelma Leite de Araujo. "Strategies for self-management support by patients with stroke: integrative review." Revista da Escola de Enfermagem da USP 49, no. 1 (February 2015): 136–43. http://dx.doi.org/10.1590/s0080-623420150000100018.

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OBJECTIVE To analyze strategies for self-management support by patients with stroke in the light of the methodology of the five A's (ask, advice, assess, assist and arrange). METHODS Integrative review conducted at the following databases CINAHL, SCOPUS, PubMed, Cochrane and LILACS. RESULTS A total of 43 studies published between 2000 and 2013 comprised the study sample. All proposed actions in the five A's methodology and others were included. We highlight the Assist and Arrange, in which we added actions, especially with regard to the use of technological resources and joint monitoring between patients, families and professionals. No study included all five A's, which suggests that the actions of supported self-management are developed in a fragmented way. CONCLUSION The use of five A's strategy provides guidelines for better management of patients with stroke with lower cost and higher effectiveness.

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Avery, Pearl. "Using e-health tools and PROMs to support self-management in patients with inflammatory bowel disease." British Journal of Nursing 30, no. 7 (April 8, 2021): 394–402. http://dx.doi.org/10.12968/bjon.2021.30.7.394.

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Background: The use of digital health or e-health is growing. The potential positive impact on IBD care from supported self-management using these tools emerged from a literature review carried out in preparation for a service improvement project. A patient-reported outcomes measure (PROM) with validation across IBD sub-types was already available for use. This internationally recognised tool has potential for use with existing or new e-health systems. Aims: In order to test the concept of using PROMs to support practice and follow up a small-scale pilot study was designed. The aim of the study was to understand if empowering patients to undertake supported self-management could lead in turn to improved flow through outpatient services. Methods: An audit was carried out of PROMs looking at quality of life (QoL) as well as disease activity using an electronic platform in real time at the point of patient contact. The disease activity indices used were the Harvey Bradshaw Index and the Simple Clinical Colitis Activity Index, due to the author's familiarity with these tools. Results: Of the 15 participants, 10 reported themselves as ‘well’ or ‘well with questions’ all participants reported an acceptance of supported remote self-management using e-health. Conclusion: This evaluation led to PROMs being captured on a tablet in the outpatient setting in the pre-pandemic period. Allowing patients to use the PROM as a tool in the outpatient setting has led to longitudinal data being added to the e-health system for each individual. Well patients could be managed remotely, freeing capacity in outpatient clinics.

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Bishop, Malachy, and Michael Frain. "Development and Initial Analysis of Multiple Sclerosis Self-Management Scale." International Journal of MS Care 9, no. 2 (January 1, 2007): 35–42. http://dx.doi.org/10.7224/1537-2073-9.2.35.

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This article describes the development and initial psychometric analysis of the Multiple Sclerosis Self-Management Scale (MSSM). The scale was developed to provide a comprehensive and psycho-metrically sound assessment of self-management knowledge and practices among adults with multiple sclerosis (MS). Items were developed based on a review of the MS and self-management literature and professional consultation. The scale was refined after pilot testing, and the reliability, validity, and factor structure of the refined scale were then assessed in a sample of 266 adults with MS. Construct validity was supported by factor analysis and correlation of MSSM with other constructs known to be related to self-management. Specifically, MSSM was significantly positively correlated with quality-of-life ratings and significantly negatively correlated with psychological and physical impact of MS, as measured with the Multiple Sclerosis Impact Scale. Internal consistency reliability for the scale was acceptable (α = .86). Factor analysis confirms a seven-factor model for MSSM, with subscales that measure several important components of self-management in MS. Additional research with MSSM is ongoing, but initial results suggest that the measure may be useful in both research and clinical applications.

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Olsson, Christina B., Jan Ekelund, Åsa Degerstedt, and Carina A. Thorstensson. "Change in self-efficacy after participation in a supported self-management program for osteoarthritis – an observational study of 11 906 patients." Disability and Rehabilitation 42, no. 15 (January 27, 2019): 2133–40. http://dx.doi.org/10.1080/09638288.2018.1555616.

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Chan, Chun-Chen, Su-Ching Chen, Yu-Wei Lin, Tsung-Yao Liao, and Yu-En Lin. "Social Cognitive Perspective on Factors Influencing Taiwanese Sport Management Students’ Career Intentions." Journal of Career Development 45, no. 3 (December 8, 2016): 239–52. http://dx.doi.org/10.1177/0894845316681643.

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Social cognitive career theory (SCCT) was used as a basis for investigating the factors influencing the career intentions of Taiwanese sports management students. Participants ( N = 696) completed measures gauging social support, self-efficacy, outcome expectations, career interests, and career intentions. The results of a path analysis supported SCCT, indicating that self-efficacy contributed to career interests, outcome expectations, and career intentions. Social support was related to self-efficacy, and outcome expectations were related to career interests. However, the results did not support the hypotheses that social support and outcome expectations contribute to career intentions. The practical implications of these findings for counseling Taiwanese sports management students are presented.

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Captieux, Mireille, Gemma Pearce, Hannah Parke, Sarah Wild, Stephanie J. C. Taylor, and Hilary Pinnock. "Supported self-management for people with type 2 diabetes: a meta-review of quantitative systematic reviews." Lancet 390 (November 2017): S32. http://dx.doi.org/10.1016/s0140-6736(17)32967-7.

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Bucknall, C. E., G. Miller, S. M. Lloyd, J. Cleland, S. McCluskey, M. Cotton, R. D. Stevenson, P. Cotton, and A. McConnachie. "Glasgow supported self-management trial (GSuST) for patients with moderate to severe COPD: randomised controlled trial." BMJ 344, mar06 1 (March 6, 2012): e1060-e1060. http://dx.doi.org/10.1136/bmj.e1060.

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Nsaif, Mohammed Kamal, Bilal Adil Mahdi, Yusor Rafid Bahar Al-Mayouf, Omar Adil Mahdi, Ahmed J. Aljaaf, and Suleman Khan. "An online COVID-19 self-assessment framework supported by IoMT technology." Journal of Intelligent Systems 30, no. 1 (January 1, 2021): 966–75. http://dx.doi.org/10.1515/jisys-2021-0048.

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Abstract As COVID-19 pandemic continued to propagate, millions of lives are currently at risk especially elderly, people with chronic conditions and pregnant women. Iraq is one of the countries affected by the COVID-19 pandemic. Currently, in Iraq, there is a need for a self-assessment tool to be available in hand for people with COVID-19 concerns. Such a tool would guide people, after an automated assessment, to the right decision such as seeking medical advice, self-isolate, or testing for COVID-19. This study proposes an online COVID-19 self-assessment tool supported by the internet of medical things (IoMT) technology as a means to fight this pandemic and mitigate the burden on our nation’s healthcare system. Advances in IoMT technology allow us to connect all medical tools, medical databases, and devices via the internet in one collaborative network, which conveys real-time data integration and analysis. Our IoMT framework-driven COVID-19 self-assessment tool will capture signs and symptoms through multiple probing questions, storing the data to our COVID-19 patient database, then analyze the data to determine whether a person needs to be tested for COVID-19 or other actions may require to be taken. Further to this, collected data can be integrated and analyzed collaboratively for developing a national health policy and help to manage healthcare resources more efficiently. The IoMT framework-driven online COVID-19 self-assessment tool has a big potential to prevent our healthcare system from being overwhelmed using real-time data collection, COVID-19 databases, analysis, and management of people with COVID-19 concerns, plus providing proper guidance and course of action.

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Daines, Luke, Susan Morrow, Sharon Wiener-Ogilvie, Caroline Scott, Liz Steed, Stephanie JC Taylor, and Hilary Pinnock. "Understanding how patients establish strategies for living with asthma: a qualitative study in UK primary care as part of IMP2ART." British Journal of General Practice 70, no. 694 (March 23, 2020): e303-e311. http://dx.doi.org/10.3399/bjgp20x708869.

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BackgroundIn the context of a variable condition such as asthma, patient recognition of deteriorating control and knowing what prompt action to take is crucial. Yet, implementation of recommended self-management strategies remains poor.AimTo explore how patients with asthma and parents/carers of children with asthma develop and establish recommended self-management strategies for living with asthma, and how clinicians can best support the process.Design and settingA qualitative study in UK primary care.MethodPatients with asthma and parents/carers of children with asthma from 10 general practices were purposively sampled (using age, sex, and duration of asthma) to participate in focus groups or interviews between May 2016 and August 2016. Participants’ experiences of health care, management of asthma, and views on supported self-management were explored. Interviews and focus group sessions were audio-recorded and transcribed verbatim. Iterative thematic analysis was conducted, guided by the research questions and drawing on habit theory in discussion with a multidisciplinary research team.ResultsA total of 49 participants (45 patients; 4 parents/carers) took part in 32 interviews and five focus groups. Of these, 11 reported using an action plan. Patients learnt how to self-manage over time, building knowledge from personal experience and other sources, such as the internet. Some regular actions, for example, taking medication, became habitual. Dealing with new or unexpected scenarios required reflective abilities, which may be supported by a tailored action plan.ConclusionPatients reported learning intuitively how to self-manage. Some regular actions became habitual; dealing with the unexpected required more reflective cognitive skills. In order to support implementation of optimal asthma self- management, clinicians should consider both these aspects of self-management and support, and educate patients proactively.

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Barefoot, Clair, Thomas Hadjistavropoulos, R. Nicholas Carleton, and James Henry. "A Brief Report on the Evaluation of a Pain Self-Management Program for Older Adults." Journal of Cognitive Psychotherapy 26, no. 2 (2012): 157–68. http://dx.doi.org/10.1891/0889-8391.26.2.157.

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Chronic pain is often resistant to traditional medical management and other types of professional intervention. As such, several investigators have conducted studies of pain self-management programs. These self-management programs, however, were often led by therapists and shared much in common with traditional cognitive behavioral therapy (CBT); the efficacy of which, despite some inconsistencies, is largely supported in the literature. Although, like CBT, many therapist led programs involve a component of self-management in the form of “homework assignments,” it is important to evaluate the effectiveness of pain self-management, which is not therapist led. Within the context of controlled investigation, we evaluated a pain self-management program that involved use of a comprehensive self-help pain management book for older adults. Contrary to expectation, we did not identify any differences in the outcomes observed in the self-help patient group as compared to the control group (i.e., participants who did not receive the pain management book until after the study was completed) despite a great deal of satisfaction with the manualized program that was expressed by the participants. The implications of these findings are discussed.

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Bishop, Malachy L., Michael P. Frain, Jian Li, Chung-Yi Chiu, Bradley McDaniels, and Byung-Jin Kim. "The Multiple Sclerosis Self-Management Scale-2: Evaluation of an Updated Scale." Journal of Applied Rehabilitation Counseling 50, no. 3 (September 1, 2019): 210–26. http://dx.doi.org/10.1891/0047-2220.50.3.210.

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ObjectiveThe Multiple Sclerosis Self-Management Scale (MSSM) was developed to provide a multidimensional and psychometrically sound assessment of self-management knowledge and behavior among adults with multiple sclerosis (MS). The scale was recently updated with new items to address advances in MS treatment and self-management interventions. We present results of an evaluation of these updates and the psychometric adequacy of the updated MSSM.MethodParticipants were 2,393 adults with MS recruited through the North American Research Committee on Multiple Sclerosis (NARCOMS) registry and selected chapters of the National Multiple Sclerosis Society. Participants completed the MSSM and several additional instruments of function and quality of life. A seven-factor structure of the revised MSSM (MSSM-2) was identified using exploratory and confirmatory factor analysis and the stability of the factor structure was evaluated using a cross-validation approach.ResultsFactor analysis of the updated MSSM-2 revealed seven factors. Construct validity was supported by factor analysis and correlation of the MSSM with constructs related to self-management.ConclusionThe MSSM-2 provides a brief, psychometrically sound multidimensional assessment of MS self-management for research and clinical applications.

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Rees, Jessica Laura, Alexandra Burton, Kate R. Walters, Monica Leverton, Penny Rapaport, Ruminda Herat Gunaratne, Julie Beresford-Dent, and Claudia Cooper. "Exploring how people with dementia can be best supported to manage long-term conditions: a qualitative study of stakeholder perspectives." BMJ Open 10, no. 10 (October 2020): e041873. http://dx.doi.org/10.1136/bmjopen-2020-041873.

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ObjectivesTo explore how the self-management of comorbid long-term conditions is experienced and negotiated by people with dementia and their carers.DesignSecondary thematic analysis of 82 semi-structured interviews.SettingCommunity settings across the United Kingdom.Participants11 people with dementia, 22 family carers, 19 health professionals and 30 homecare staff.ResultsWe identified three overarching themes: (1) The process of substituting self-management: stakeholders balanced the wishes of people with dementia to retain autonomy with the risks of lower adherence to medical treatments. The task of helping a person with dementia to take medication was perceived as intermediate between a personal care and a medical activity; rules about which professionals could perform this activity sometimes caused conflict. (2) Communication in the care network: family carers often communicated with services and made decisions about how to implement medical advice. In situations where family carers or homecare workers were not substituting self-management, it could be challenging for general practitioners to identify changes in self-management and decide when to intervene. (3) Impact of physical health on and from dementia: healthcare professionals acknowledged the inter-relatedness of physical health and cognition to adapt care accordingly. Some treatments prescribed for long-term conditions were perceived as unhelpful when not adapted to the context of dementia. Healthcare professionals and homecare workers sometimes felt that family carers were unable to accept that available treatments may not be helpful to people with dementia and that this sometimes led to the continuation of treatments of questionable benefit.ConclusionThe process of substituting self-management evolves with advancement of dementia symptoms and relies on communication in the care network, while considering the impact on and from dementia to achieve holistic physical health management. Care decisions must consider people with dementia as a whole, and be based on realistic outcomes and best interests.

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Johnson, M. W., K. Lithgo, and T. Price. "OC-080 Ibd-Sshamp (Supported, Self help and Management Programme); UK’S first Internet based Remote Management System for Managing Stable IBD." Gut 62, Suppl 1 (June 2013): A34.3—A35. http://dx.doi.org/10.1136/gutjnl-2013-304907.079.

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Newton, Jennifer M., Leah Falkingham, and Lyn Clearihan. "Better knowledge, better health: piloting an education intervention in chronic condition self-management support." Australian Journal of Primary Health 17, no. 1 (2011): 4. http://dx.doi.org/10.1071/py10059.

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Chronic condition self-management and lifestyle risk modification education is paramount for General Practice registrars. A multi-dimensional learning package ‘Better Knowledge, Better Health’ was developed and piloted to improve General Practice registrars’ understanding of their role in supporting chronic condition self-management in patients with osteoarthritis. This pilot study was supported by the Australian Better Health Initiative. Pre-training learning needs analysis with a new intake of General Practice registrars (n = 40) indicated high levels of confidence in supporting patients in chronic condition management and lifestyle risk modification, and locating and interacting with local resources and allied health professionals. Conversely, interviews with General Practice Supervisors (n = 13) found most would not identify chronic condition self-management skills as priorities for registrar learning. Supervisors were also not familiar with core principles of chronic condition self-management, in particular application of motivational interviewing to behaviour change. Disparities between General Practice Supervisors’ perceptions of the importance of chronic condition self-management and lifestyle risk modification education and levels of access to learning opportunities in chronic condition self-management for registrars are discussed. Difficulties in implementing a pilot study within tight timeframes are also explored.

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Anctil, Tina M., and Charles Edmund Degeneffe. "Self-Management and Social Skills Training for Persons with Developmental Disabilities: Tools for the Rehabilitation Counselor To Facilitate Success in Community Settings: A Literature Review." Journal of Applied Rehabilitation Counseling 34, no. 1 (March 1, 2003): 17–24. http://dx.doi.org/10.1891/0047-2220.34.1.17.

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People with developmental disabilities often display deficiencies in self-management and social skills in community based settings. Difficulties with self-management and social skills tend to pose particular difficulties for performing valued adult roles. Tools from behavior therapy have the potential to assist rehabilitation counselors in their work with consumers with developmental disabilities to overcome the negative impacts of functional limitations on expressing behaviors needed for success in community-based settings. This article presents a review of the behavior therapy literature regarding self-management and social skills training techniques rehabilitation counselors can use in their work with consumers with developmental disabilities in areas including high school transition and supported employment.

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