Artículos de revistas: "Chronic health condition"

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Glied, S. "Chronic condition why health reform fails". Public Health 113, n.º 1 (enero de 1999): 47–48. http://dx.doi.org/10.1016/s0033-3506(99)00114-6.

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Thorpe, Kenneth E. "Chronic Condition: Why Health Reform Fails". Journal of Health Politics, Policy and Law 24, n.º 4 (1 de enero de 1999): 845–48. http://dx.doi.org/10.1215/03616878-24-4-845.

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Mintz, Beth y Sherry Glied. "Chronic Condition: Why Health Reform Fails". Contemporary Sociology 27, n.º 6 (noviembre de 1998): 652. http://dx.doi.org/10.2307/2654293.

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Nieman, Linda Z. "Chronic condition self-management and two teaching models for chronic conditions". Chronic Illness 5, n.º 1 (marzo de 2009): 15–17. http://dx.doi.org/10.1177/1742395309102239.

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Wollenhaupt, Josanne, Beth Rodgers y Kathleen J. Sawin. "Family Management of a Chronic Health Condition". Journal of Family Nursing 18, n.º 1 (19 de diciembre de 2011): 65–90. http://dx.doi.org/10.1177/1074840711427545.

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Santoro, Maya S., Dhwani J. Kothari, Charles Van Liew y Terry A. Cronan. "Health Care Advocacy". Californian Journal of Health Promotion 12, n.º 3 (1 de diciembre de 2014): 46–55. http://dx.doi.org/10.32398/cjhp.v12i3.1580.

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Background and Purpose: The U.S. population is living longer; therefore, a relatively large proportion of the population is likely to experience chronic illnesses within their lifetime. An experimental study was conducted to examine factors influencing the likelihood of hiring a Health Care Advocate (HCA). Methods: Survey data were collected from a randomly selected community sample of participants (N = 470) over the age of 18 who were provided with a description of an HCA and a written vignette describing a medical scenario. Participants read one of eight vignettes in which they were asked to imagine they were in a car accident and required medical care. Age, injury (chronic vs. acute), and presence of comorbid chronic condition were manipulated. Results: A significant interaction indicated that when there was no pre-existing chronic health condition, sustaining a chronic injury increased the likelihood of hiring an HCA. In addition, younger adults with comorbid conditions were perceived as having greater need for an HCA than younger adults without comorbid conditions. Older adults were perceived as benefiting from HCAs regardless of comorbid conditions. Conclusion: This study demonstrates the need for patient-centered support for older adults following an injury, and for younger adults when a pre-existing chronic condition exists. Efforts should be made to target services to these populations of interest.

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Jacobs, Lawrence R. "Chronic Condition: Why Health Reform Failsby Sherry Glied". Political Science Quarterly 113, n.º 4 (diciembre de 1998): 712–14. http://dx.doi.org/10.2307/2658257.

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Kimble, Chris. "Electronic Health Records: Cure-All or Chronic Condition?" Global Business and Organizational Excellence 33, n.º 4 (23 de abril de 2014): 63–74. http://dx.doi.org/10.1002/joe.21554.

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McNeill, Ted. "Fathers of Children with a Chronic Health Condition". Men and Masculinities 9, n.º 4 (abril de 2007): 409–24. http://dx.doi.org/10.1177/1097184x05284220.

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Corrigan, John D. y Flora M. Hammond. "Traumatic Brain Injury as a Chronic Health Condition". Archives of Physical Medicine and Rehabilitation 94, n.º 6 (junio de 2013): 1199–201. http://dx.doi.org/10.1016/j.apmr.2013.01.023.

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Erickson, Cecelia DuPlessis, Patricia L. Splett, Sara Stoltzfus Mullett y Mary Bielski Heiman. "The Healthy Learner Model for Student Chronic Condition Management—Part I". Journal of School Nursing 22, n.º 6 (diciembre de 2006): 310–18. http://dx.doi.org/10.1177/10598405060220060201.

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A significant number of children have chronic health conditions that interfere with normal activities, including school attendance and active participation in the learning process. Management of students’ chronic conditions is complex and requires an integrated system. Models to improve chronic disease management have been developed for the medical system and public health. Programs that address specific chronic disease management or coordinate school health services have been implemented in schools. Lacking is a comprehensive, integrated model that links schools, students, parents, health care, and other community providers. The Healthy Learner Model for chronic condition management identifies seven elements for creating, implementing, and sustaining an efficient and effective, comprehensive community-based system for improving the management of chronic conditions for school children. It has provided the framework for successful chronic condition management in an urban school district and is proposed for replication in other districts and communities.

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Santos, Teresa, Margarida Gaspar de Matos, Maria Celeste Simões, Helena Fonseca y Maria do Céu Machado. "Individual factors related to chronic condition in Portuguese adolescents: Highlights from the HBSC/WHO study". Health 05, n.º 11 (2013): 25–34. http://dx.doi.org/10.4236/health.2013.511a2005.

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Spencer, Grace, Sophie Lewis y Megan Reid. "Living with a chronic health condition: Students’ health narratives and negotiations of (ill) health at university". Health Education Journal 77, n.º 6 (15 de noviembre de 2017): 631–43. http://dx.doi.org/10.1177/0017896917738120.

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Objective: Increasing numbers of young people live with a chronic health condition. Much research to date has explored young people’s self-management of their illness and related symptomatology. Relatively less is known about how young people manage their long-term condition in everyday social contexts. This paper reports on findings from a qualitative study examining the perspectives of university students with a chronic health condition, including how they negotiate their health (and experiences of ill health) while at university. Design: A qualitative interview study was conducted with 16 students with a medically diagnosed chronic health condition. Setting: The study was conducted at a major university in Australia. Methods: Data were collected via in-depth semi-structured interviews and analysed thematically and inductively. Results: Findings illustrate how young people sought to position themselves as being ‘healthy’ while simultaneously distancing themselves from labels of ill health and disability. The relative invisibility of their health conditions enabled participants to align with and enact a preferred health identity. Yet, this invisibility presented particular challenges for students when navigating university systems and processes. Indeed, the fluctuating nature of their (ill) health status prompted a felt need continuously to prove their ill health to the university in order to receive academic support. Inevitably, this illness identity was at odds with participants’ own health narratives – triggering additional anxieties and (academic and social) exclusions for these young people. Conclusion: These contradictory (ill) health positions carry a number of implications for how best to support young people living with chronic health conditions while at university.

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Freitas, Maria Célia de y Maria Manuela Rino Mendes. "Chronic health conditions in adults: concept analysis". Revista Latino-Americana de Enfermagem 15, n.º 4 (agosto de 2007): 590–97. http://dx.doi.org/10.1590/s0104-11692007000400011.

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This study aimed to define the concept of chronic health condition in adults as presented in literature. An evolutionary perspective of concept analysis was used, as presented by Rodgers, emphasizing the essential attributes, antecedents, consequences and related concepts. The adult's chronic health condition was presented by the characteristics of permanence, irreversibility, residual handicap, incurable and degenerative as essential attributes. The antecedents were: genetic heritage, old age, birth condition, smoking and foods with saturated fat; and, for the consequences: physical, social and psychological changes, handicaps and inabilities, life style changes, needs to adapt and cope. Related concepts were: not transmissible diseases, functional deficiency, limitations, illness or impairment for more than three months. Chronic health condition is a complex construction of concepts defined as a modifying force of the life process over time.

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Newman, Robert G. "Addiction: a chronic medical condition". Drug and Alcohol Review 27, n.º 4 (julio de 2008): 450. http://dx.doi.org/10.1080/09595230802089727.

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Menictas, Marianne, Mashfiqui Rabbi, Predrag Klasnja y Susan Murphy. "Artificial intelligence decision-making in mobile health". Biochemist 41, n.º 5 (18 de octubre de 2019): 20–24. http://dx.doi.org/10.1042/bio04105020.

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It is likely that you or someone you know is affected by a chronic health condition. For example, a staggering six in 10 adults in the USA are currently suffering from a chronic disease (National Center for Chronic Disease Prevention and Health Promotion, 2019). Unfortunately, chronic conditions are not treatable overnight, but they can often be improved by regular incorporation of preventative behaviours (e.g., taking medication, healthy sleeping habits, being physically active, healthy eating, etc.). However, due to the many contingencies that arise in our lives, regular incorporation of healthy behaviours is difficult, and often when we need help in enacting these behaviours, support from clinical professionals is not available.

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Skroumpelos, A., E. Pavi, S. Pasaloglou y J. Kyriopoulos. "Catastrophic Health Expenditures and Chronic Condition Patients in Greece". Value in Health 17, n.º 7 (noviembre de 2014): A501—A502. http://dx.doi.org/10.1016/j.jval.2014.08.1511.

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Van Cleave, Jeanee y Laurel K. Leslie. "Approaching ADHD as a Chronic Condition". Journal of Psychosocial Nursing and Mental Health Services 46, n.º 8 (1 de agosto de 2008): 28–37. http://dx.doi.org/10.3928/02793695-20080801-07.

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Petersen, Corinna, Silke Schmidt y Monika Bullinger. "Coping with a Chronic Pediatric Health Condition and Health-Related Quality of Life". European Psychologist 11, n.º 1 (enero de 2006): 50–56. http://dx.doi.org/10.1027/1016-9040.11.1.50.

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Background: Health-related quality of life (HRQOL) is increasingly considered an important outcome variable in pediatric research. Despite the growing interest little is known about the relationship between HRQOL and other significant constructs such as coping with a chronic health condition. Objective: The current paper examined age, gender, and health condition effects on coping and HRQOL scales and explored the relationship between both constructs. Methods: A study with 295 children and adolescents (8-16 years) with three different chronic health conditions (asthma, diabetes mellitus, and arthritis) was conducted in five European countries. Coping was assessed with the CODI questionnaire and HRQOL with the chronic generic module of the DISABKIDS instrument set, which was developed within the European DISABKIDS study. Results: Significant gender differences were found for the Emotional Reaction and Acceptance scale of the CODI and the Physical and Emotion domain of HRQOL. Age differences were noted for the Wishful Thinking and Avoidance scale as well as the Emotion domain of HRQOL. Interaction effects between age and gender were not detected. Significant differences were also found regarding the type of chronic health condition and the coping scales Wishful Thinking and Distance, as well as Avoidance. Moderate significant correlations were found between the coping scales Emotional Reaction and Acceptance and the HRQOL scales. Conclusion: Gender, age, and health condition differences with regard to the use of different coping strategies need to be taken into consideration. Coping and HRQOL are closely related, especially regarding the Emotional domain where a potential overlap was noted. Here, a more precise separation of constructs is needed.

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Bayog, Maria L. G. y Catherine M. Waters. "Nativity, Chronic Health Conditions, and Health Behaviors in Filipino Americans". Journal of Transcultural Nursing 29, n.º 3 (11 de abril de 2017): 249–57. http://dx.doi.org/10.1177/1043659617703164.

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Introduction: Nearly half of Americans have a chronic health condition related to unhealthful behavior. One in four Americans is an immigrant; yet immigrants’ health has been studied little, particularly among Asian American subpopulations. Methodology: Years lived in United States, hypertension, diabetes, smoking, walking, adiposity, and fruit/vegetable variables in the 2011-2012 California Health Interview Survey were analyzed to examine the influence of nativity on chronic health conditions and health behaviors in 555 adult Filipinos, the second largest Asian American immigrant subpopulation. Results: Recent and long-term immigrant Filipinos had higher odds of having hypertension and diabetes, but lower odds of smoking and overweight/obesity compared with second-generation Filipinos. Discussion: Being born in the United States may be protective against chronic health conditions, but not for healthful behaviors among Filipinos. Chronic disease prevention and health promotion strategies should consider nativity/length of residence, which may be a more consequential health determinant than other immigration and acculturation characteristics.

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Ahmad, Kabir, Enamul Kabir, Syed Afroz Keramat y Rasheda Khanam. "Maternal health and health-related behaviours and their associations with child health: Evidence from an Australian birth cohort". PLOS ONE 16, n.º 9 (13 de septiembre de 2021): e0257188. http://dx.doi.org/10.1371/journal.pone.0257188.

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Objective This study investigates the associations between maternal health and health-related behaviours (nutrition, physical activity, alcohol consumption and smoking) both during pregnancy and up to 15 months from childbirth and children’s health outcomes during infancy and adolescence (general health, presence of a chronic illness, and physical health outcome index). Methods This study used Wave 1 (2004) and Wave 7 (2016) data from the Longitudinal Survey of Australian Children (LSAC). We measured mothers’ general health, presence of a medical condition during pregnancy and mental health during pregnancy or in the year after childbirth. We subsequently measured the children’s general health, presence of a medical condition, and physical health outcome index at ages 0–1 (infancy) and 12–13 (adolescence). Binary logistic and linear regression analyses were performed to examine the association between the mothers’ health-related variables and their children’s health. Results Our results showed that poor general health of the mother in the year after childbirth was associated with higher odds of poor health in infants and adolescents in all three dimensions: poor general health (OR: 3.13, 95% CI: 2.16–4.52 for infants; OR: 1.39, 95% CI: 0.95–2.04 for adolescents), presence of a chronic condition (OR: 1.47, 95% CI: 1.19–1.81 for adolescents) and lower physical health score (b = −0.94, p-value <0.05 for adolescents). Our study also revealed that the presence of a chronic condition in mothers during pregnancy significantly increased the likelihood of the presence of a chronic condition in their offspring during infancy (OR: 1.31, 95% CI: 1.12–1.54) and during adolescence (OR: 1.45, 95% CI: 1.20–1.75). The study found that stressful life events faced by mothers increase the odds of poor general health or any chronic illness during adolescence, while stress, anxiety or depression during pregnancy and psychological distress in the year after childbirth increase the odds of any chronic illness during infancy. Conclusions The present study found evidence that poor maternal physical and mental health during pregnancy or up to 15 months from childbirth has adverse health consequences for their offspring as measured by general health, presence of chronic health conditions, and physical health index scores. This suggests that initiatives to improve maternal physical and mental health would not only improve child health but would also reduce the national health burden.

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Hickson, Louise, Gitte Keidser, Carly Meyer y Elizabeth Convery. "The Chronic Care Model and Chronic Condition Self-Management: An Introduction for Audiologists". Seminars in Hearing 40, n.º 01 (febrero de 2019): 007–25. http://dx.doi.org/10.1055/s-0038-1676780.

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AbstractHearing health care is biomedically focused, device-centered, and clinician-led. There is emerging evidence that these characteristics—all of which are hallmarks of a health care system designed to address acute, rather than chronic, conditions—may contribute to low rates of help-seeking and hearing rehabilitation uptake among adults with hearing loss. In this review, we introduce audiologists to the Chronic Care Model, an organizational framework that describes best-practice clinical care for chronic conditions, and suggest that it may be a viable model for hearing health care to adopt. We further introduce the concept of chronic condition self-management, a key component of chronic care that refers to the knowledge and skills patients use to manage the effects of a chronic condition on all aspects of daily life. Drawing on the chronic condition evidence base, we demonstrate a link between the provision of effective self-management support and improved clinical outcomes and discuss validated methods with which clinicians can support the acquisition and application of self-management skills in their patients. We examine the extent to which elements of chronic condition self-management have been integrated into clinical practice in audiology and suggest directions for further research in this area.

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Callander, Emily J., Lisa Corscadden y Jean-Frederic Levesque. "Out-of-pocket healthcare expenditure and chronic disease – do Australians forgo care because of the cost?" Australian Journal of Primary Health 23, n.º 1 (2017): 15. http://dx.doi.org/10.1071/py16005.

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Although we do know that out-of-pocket healthcare expenditure is relatively high in Australia, little is known about what health conditions are associated with the highest out-of-pocket expenditure, and whether the cost of healthcare acts as a barrier to care for people with different chronic conditions. Cross-sectional analysis using linear and logistic regression models applied to the Commonwealth Fund international health policy survey of adults aged 18 years and over was conducted in 2013. Adults with asthma, emphysema and chronic obstructive pulmonary disease (COPD) had 109% higher household out-of-pocket healthcare expenditure than did those with no health condition (95% CI: 50–193%); and adults with depression, anxiety and other mental health conditions had 95% higher household out-of-pocket expenditure (95% CI: 33–187%). People with a chronic condition were also more likely to forego care because of cost. People with depression, anxiety and other mental health conditions had 7.65 times higher odds of skipping healthcare (95% CI: 4.13–14.20), and people with asthma, emphysema and chronic obstructive pulmonary disease had 6.16 times higher odds of skipping healthcare (95% CI: 3.30–11.50) than did people with no health condition. People with chronic health conditions in Canada, the United Kingdom, Germany, France, Norway, Sweden and Switzerland were all significantly less likely to skip healthcare because of cost than were people with a condition in Australia. The out-of-pocket cost of healthcare in Australia acts as a barrier to accessing treatment for people with chronic health conditions, with people with mental health conditions being likely to skip care. Attention should be given to the accessibility and affordability of mental health services in Australia.

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Desguin, Barbara W., Ilene J. Holt y Sharon M. McCarthy. "Comprehensive care of the child with a chronic condition. Part 1. Understanding chronic conditions in childhood". Current Problems in Pediatrics 24, n.º 6 (julio de 1994): 199–218. http://dx.doi.org/10.1016/0045-9380(94)90030-2.

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Scott, K. M., J. Kokaua y J. Baxter. "Does Having a Chronic Physical Condition Affect the Likelihood of Treatment Seeking for a Mental Health Problem and Does This Vary by Ethnicity?" International Journal of Psychiatry in Medicine 42, n.º 4 (noviembre de 2011): 421–36. http://dx.doi.org/10.2190/pm.42.4.f.

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Objective: The comorbidity of mental disorders with chronic physical conditions is known to have important clinical consequences, but it is not known whether mental-physical comorbidity influences mental health treatment seeking. This study investigates whether the presence of a chronic physical condition influences the likelihood of seeking treatment for a mental health problem, and whether that varies among ethnic subgroups in New Zealand. Methods: Analyses were based on a subsample ( n = 7,435) of The New Zealand Mental Health Survey, a nationally representative household survey of adults (response rate 73.3%). Ethnic subgroups (Maori and Pacific peoples) were oversampled. DSM-IV mental disorders were measured face-to-face with the Composite International Diagnostic Interview (CIDI 3.0). Ascertainment of chronic physical conditions was via self-report. Results: In the general population, having a chronic medical condition increased the likelihood of seeking mental health treatment from a general practitioner (OR: 1.58), as did having a chronic pain condition (OR: 2.03). Comorbid chronic medical conditions increased the likelihood of seeking mental health treatment most strongly among Pacific peoples (ORs: 2.86–4.23), despite their being less likely (relative to other ethnic groups) to seek mental health treatment in the absence of physical condition comorbidity. Conclusion: In this first investigation of this topic, this study finds that chronic physical condition comorbidity increases the likelihood of seeking treatment for mental health problems. This provides reassurance to clinicians and health service planners that the difficult clinical problem of mental-physical comorbidity is not further compounded by the comorbidity itself constituting a barrier to mental health treatment seeking.

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Sun, Can-Lan, Liton Francisco, Toana Kawashima, Wendy Leisenring, Leslie L. Robison, K. Scott Baker, Daniel J. Weisdorf, Stephen J. Forman y Smita Bhatia. "Prevalence and predictors of chronic health conditions after hematopoietic cell transplantation: a report from the Bone Marrow Transplant Survivor Study". Blood 116, n.º 17 (28 de octubre de 2010): 3129–39. http://dx.doi.org/10.1182/blood-2009-06-229369.

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Abstract Long-term survival is now an expected outcome after hematopoietic cell transplantation (HCT). However, the burden of morbidity long-term after HCT remains unknown. We examined the magnitude of risk of chronic health conditions reported by 1022 HCT survivors and their siblings (n = 309). A severity score (grades 1 [mild] through 4 [life-threatening]) was assigned to each health condition using the Common Terminology Criteria for Adverse Events, Version 3. Sixty-six percent of the HCT survivors reported at least one chronic condition; 18% reported severe/life-threatening conditions; comparable values in siblings were 39% and 8%, respectively (P < .001). The cumulative incidence of a chronic health condition among HCT survivors was 59% (95% confidence interval [CI], 56%-62%) at 10 years after HCT; for severe/life-threatening conditions or death from chronic health conditions, the 10-year cumulative incidence approached 35% (95% CI, 32%-39%). HCT survivors were twice as likely as siblings to develop a chronic condition (95% CI, 1.6-2.1), and 3.5 times to develop severe/life-threatening conditions (95% CI, 2.3-5.4). HCT survivors with chronic graft-versus-host disease were 4.7 times as likely to develop severe/life-threatening conditions (95% CI, 3.0-7.2). The burden of long-term morbidity borne by HCT survivors is substantial, and long-term follow-up of patients who received transplantation is recommended.

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Holm, Kristen E., Joan M. Patterson, Martha A. Rueter y Frederick Wamboldt. "Impact of uncertainty associated with a child's chronic health condition on parents' health." Families, Systems, & Health 26, n.º 3 (2008): 282–95. http://dx.doi.org/10.1037/a0012912.

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Ingle, Barby. "Living With Chronic Pain". Creative Nursing 21, n.º 4 (2015): 250–52. http://dx.doi.org/10.1891/1078-4535.21.4.250.

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A health educator who has reflex sympathetic dystrophy, an autoimmune condition involving chronic pain, shares her knowledge about living life to the fullest while dealing with a chronic health condition. Her advice encompasses dealing with the health care system, managing information, and obtaining physical and emotional self-care.

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Hutchinson, Susan L. y Heidi Lauckner. "Recreation and collaboration within the Expanded Chronic Care Model: working towards social transformation". Health Promotion International 35, n.º 6 (28 de enero de 2020): 1531–42. http://dx.doi.org/10.1093/heapro/daz134.

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Abstract Assisting people to live well with a chronic physical or mental health condition requires the creation of intersectoral community-based supports for chronic condition self-management. One important but underutilized resource for supporting chronic condition self-management in the community is recreation, which refers to relatively self-determined and enjoyable physical, social or expressive everyday activities. The Expanded Chronic Care Model (ECCM) provides a framework for identifying systems-level strategies to support self-management through increased access to community recreation opportunities. In this article, an occupation-based social transformation approach, which involves examining assumptions, considering contexts of daily activities and partnering to create meaningful social change, is used to examine the ECCM. Recommendations related to strengthening social change with a specific focus on collaborations and networks through recreation are provided. Through such collaborations, self-management of chronic conditions in community recreation contexts is advanced. Health providers and community-based recreation services providers are invited to be part of these intersectoral changes that will promote health amongst those living with chronic conditions.

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Furler, John. "Editorial: Changing paradigms in chronic condition care". Chronic Illness 4, n.º 3 (septiembre de 2008): 157–59. http://dx.doi.org/10.1177/1742395308090064.

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Austin, Andrea M., Don Carmichael, Scott Berry, Wendolyn S. Gozansky, Eugene C. Nelson, Jonathan S. Skinner y Paul J. Barr. "Chronic Condition Measurement Requires Engagement, Not Measurement Alone". Journal of Ambulatory Care Management 42, n.º 4 (2019): 295–304. http://dx.doi.org/10.1097/jac.0000000000000300.

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Pinquart, Martin. "Health-Related Quality of Life of Young People With and Without Chronic Conditions". Journal of Pediatric Psychology 45, n.º 7 (9 de julio de 2020): 780–92. http://dx.doi.org/10.1093/jpepsy/jsaa052.

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Abstract Objective The aim of this meta-analysis was to compare levels of health-related quality of life (HRQOL) among children with and without chronic physical and/or sensory conditions, based on PedsQL 4.0 General Core Scales. Methods Studies were identified with electronic databases (CINAHL, PSYCINFO, MEDLINE, Google Scholar, PSYNDEX) and from the PedsQL website. We included controlled studies that compared PedsQL scores of children (mean age < 18 years) with and without chronic physical and/or sensory conditions and uncontrolled studies on children with chronic physical and/or sensory conditions from countries where data from peers without chronic conditions have been published. Random-effects meta-analyses were computed. Results In total, 1,231 studies fulfilled the inclusion criteria. There were large declines of the total and physical score as well as medium-sized declines of psychosocial health and its subscales, based on criteria of interpreting effect sizes by Cohen [Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155–159]. Children with cerebral palsy and spina bifida showed the largest declines across all scales, but significant declines emerged in all compared 29 chronic conditions. We identified moderating effects of duration of the chronic condition, rater, child gender, country, sociodemographic equivalence of the compared groups, type of control condition, and publication status. Conclusions Young people with chronic health conditions should be screened for HRQOL, and the profile across different domains should be preferred over the use of a sum score. Child self-reports are particularly relevant for assessing emotional and social functioning. Effective measures aimed at improving HRQOL are needed, especially if the chronic condition leads to severe declines of physical functioning.

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Svavarsdóttir, Erla Kolbrún y Brynja Örlygsdóttir. "Comparison of Health-Related Quality of Life Among 10- to 12-Year-Old Children With Chronic Illnesses and Healthy Children: The Parents’ Perspective". Journal of School Nursing 22, n.º 3 (junio de 2006): 178–85. http://dx.doi.org/10.1177/10598405060220030901.

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The purpose of this study was to evaluate mothers’ and fathers’ perception of their child’s health-related quality of life (HRQOL) among 10- to 12-year-old Icelandic children with or without chronic health condition or illness. A total of 912 Icelandic parents (510 mothers and 402 fathers) and 480 children (209 boys and 271 girls) participated in the study. The Icelandic fathers of children who visited the school nurse over a period of 1 week perceived HRQOL of their children to be significantly lower than the mothers. A gender difference was found between the parents; mothers perceived their children to have significantly higher school functioning than fathers. Both mothers and fathers of children with chronic health condition/illness perceived their children to have significantly lower HRQOL than did the parents of children without a chronic health condition. The findings underline the importance for school nurses to develop and test interventions for school-age children with chronic health conditions or illnesses.

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Ferro, M. A. "Major depressive disorder, suicidal behaviour, bipolar disorder, and generalised anxiety disorder among emerging adults with and without chronic health conditions". Epidemiology and Psychiatric Sciences 25, n.º 5 (8 de septiembre de 2015): 462–74. http://dx.doi.org/10.1017/s2045796015000700.

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Background.Despite the considerable physical, emotional and social change that occurs during emerging adulthood, there is little research that examines the association between having a chronic health condition and mental disorder during this developmental period. The aims of this study were to examine the sex-specific prevalence of lifetime mental disorder in an epidemiological sample of emerging adults aged 15–30 years with and without chronic health conditions; quantify the association between chronic health conditions and mental disorder, adjusting for sociodemographic and health factors; and, examine potential moderating and mediating effects of sex, level of disability and pain.Method.Data come from the Canadian Community Health Survey-Mental Health. Respondents were 15–30 years of age (n = 5947) and self-reported whether they had a chronic health condition. Chronic health conditions were classified as: respiratory, musculoskeletal/connective tissue, cardiovascular, neurological and endocrine/digestive. The World Health Organization Composite International Diagnostic Interview 3.0 was used to assess the presence of mental disorder (major depressive disorder, suicidal behaviour, bipolar disorder and generalised anxiety disorder).Results.Lifetime prevalence of mental disorder was significantly higher for individuals with chronic health conditions compared with healthy controls. Substantial heterogeneity in the prevalence of mental disorder was found in males, but not in females. Logistic regression models adjusting for several sociodemographic and health factors showed that the individuals with chronic health conditions were at elevated risk for mental disorder. There was no evidence that the level of disability or pain moderated the associations between chronic health conditions and mental disorder. Sex was found to moderate the association between musculoskeletal/connective tissue conditions and bipolar disorder (β = 1.71, p = 0.002). Exploratory analyses suggest that the levels of disability and pain mediate the association between chronic health conditions and mental disorder.Conclusions.Physical and mental comorbidity is prevalent among emerging adults and this relationship is not augmented, but may be mediated, by the level of disability or pain. Findings point to the integration and coordination of public sectors – health, education and social services – to facilitate the prevention and reduction of mental disorder among emerging adults with chronic health conditions.

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Runions, Kevin C., Rena Vithiatharan, Kirsten Hancock, Ashleigh Lin, Christopher G. Brennan-Jones, Caitlin Gray y Donald Payne. "Chronic health conditions, mental health and the school: A narrative review". Health Education Journal 79, n.º 4 (5 de diciembre de 2019): 471–83. http://dx.doi.org/10.1177/0017896919890898.

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Objectives: Children and adolescents with chronic physical health conditions are also at elevated risk of poor mental health; the mechanisms to account for this relationship remain unclear. In this narrative review, we used the socio-ecological model to examine research on experiences of school for children with chronic health conditions and how socio-ecology might be involved in mental health problems. Design: We conducted a scoping review of the existing literature, focused on hearing loss, cystic fibrosis and type 1 diabetes, which examined child and/or adolescent mental health and aspects of the school social setting. Method: PubMed and ScienceDirect databases were searched for the three target conditions; from 353 abstracts, 38 articles were reviewed in detail. Results: Relevant articles that examined social aspects of the experience of school for students with chronic health conditions, including absenteeism due to illness or healthcare, self-perceived difference from peers, stigmatisation and discrimination, bullying and victimisation, and positive aspects of peer support at school were reviewed. Teacher–child aspects including teacher knowledge and/or attitudes about the condition and the possibility of overdependence in the relationship were examined. Each of these processes was considered for its impact on the young person’s mental health. Conclusion: School-based social risk processes in the lives of young people with chronic health conditions, in particular in the peer microsystem, are likely to contribute to risk of psychological problems. These risks cannot be disentangled from mesosystemic, exosystemic and macrosystemic influences. Further research is required on the role of teachers and parents in the school social functioning of children with chronic health conditions.

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Chi, Mei-ju, Cheng-yi Lee y Shwu-chong Wu. "The prevalence of chronic conditions and medical expenditures of the elderly by chronic condition indicator (CCI)". Archives of Gerontology and Geriatrics 52, n.º 3 (mayo de 2011): 284–89. http://dx.doi.org/10.1016/j.archger.2010.04.017.

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Irwin, Mary Kay, Megan Elam, Ashley Merianos, Laura Nabors y Christel Murphy. "Training and Preparedness to Meet the Needs of Students with a Chronic Health Condition in the School Setting". Physical Disabilities: Education and Related Services 37, n.º 2 (30 de diciembre de 2018): 34–59. http://dx.doi.org/10.14434/pders.v37i2.26254.

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Despite the increasing prevalence of chronic health conditions among youth in schools, teachers report little exposure to specific coursework focusing on how to best support students with these conditions in the classroom. This study examined how teacher preparation programs prepare educators to meet the needs of this growing student population; findings also include survey results describing level of preparation to support students with a chronic health condition from the perspective of preservice and practicing educators enrolled in the nation’s leading colleges of education. Results suggest that dedicated curriculum to prepare teachers to work with students with chronic health conditions is largely absent from teacher preparation programming, and that teachers feel they lack knowledge to adequately support students with a chronic health condition in the classroom setting. Recommendations and implications are discussed.

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Nowakowski, Alexandra C. H., Jihyung Shin y Henry J. Carretta. "Regional Risk: Mapping Single and Multiple Chronic Conditions in the United States". SAGE Open 9, n.º 1 (enero de 2019): 215824401882238. http://dx.doi.org/10.1177/2158244018822385.

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Prevalence of single and multiple chronic conditions continues to increase in the United States. Chronic conditions predict significant morbidity and health care costs, especially when complicated by additional conditions. Likewise, many conditions are linked to health risk behaviors, and thus amenable to prevention. We examine regional differences in prevalence of single and multiple chronic conditions. In the process, we examine the ability of health risk behaviors to predict condition prevalence in each region. We recommend national prevention strategies with targeted content for specific geographic regions. We used 2009 Behavioral Risk Factor Surveillance System (BRFSS) data ( N = 432,607) for all analyses. After grouping states into nine U.S. Census divisions, we fitted generalized linear mixed regression models and compared regional odds ratios with national averages. Analyses controlled for helpful and harmful behaviors, health insurance coverage, and demographic characteristics. Odds ratios for single and multiple chronic conditions deviated significantly from national averages in all nine regions. Health behaviors significantly predicted prevalence for both single and multiple conditions within regions, but differences in behaviors between regions did not fully account for observed disparities in prevalence. Significant regional differences in disease prevalence suggest priority areas for prevention efforts. Promoting healthy behaviors and mitigating harmful behaviors in high-risk regions may help to reduce overall chronic condition prevalence, but is unlikely to obviate disparities between regions. Targeted needs assessment should be conducted within each region with higher-than-average risk to determine intervention strategies with the greatest likelihood of near-term impact.

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Lambert, Susan. "Chronic Condition Self-Management: A primary health care change management problem". Australian Journal of Primary Health 11, n.º 2 (2005): 70. http://dx.doi.org/10.1071/py05024.

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Australian general practitioners are recognising the need to implement some form of chronic condition management program to better service and cope with the ever-increasing number of patients presenting with chronic conditions. Chronic Condition Self-Management (CCSM) is one such program. In this paper it is argued that the basis of CCSM is a multi-disciplinary, care-team approach, and that implementation of such an approach represents a paradigm shift in primary health care service delivery. This equates to a significant innovation in primary health care service that, in economic terms, aims to increase primary health care outputs. Although general practitioners are at the centre of the change they cannot implement the change without the participation and collaboration of the other stakeholders. These stakeholders include other health service providers, the Divisions of General Practice, the Department of Health and Ageing, and the patient. This paper presents a general practice business model to illustrate the relationships between stakeholders in the primary health care sector and to identify the impact of CCSM on these relationships. The organisational and business issues that need to be addressed to promote the uptake of CCSM are also identified.

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Newton, Jennifer M., Leah Falkingham y Lyn Clearihan. "Better knowledge, better health: piloting an education intervention in chronic condition self-management support". Australian Journal of Primary Health 17, n.º 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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Ehrlich, Carolyn, Elizabeth Kendall y Heidi Muenchberger. "Practice-based chronic condition care coordination: challenges and opportunities". Australian Journal of Primary Health 17, n.º 1 (2011): 72. http://dx.doi.org/10.1071/py10053.

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This paper explores issues related to the types of support that practice nurses require to engage in care coordination for people with chronic conditions. A sample of practice nurses and general practitioners participated in a focus group discussion to identify their perspectives on the role of practice nurses as providers of care coordination, the specific tasks that might be conducted and the types of support that might be required. The data were analysed using thematic analysis. The findings suggested there was considerable confusion about care coordination and a lack of conceptual clarity. Nevertheless, nurses were committed to engaging in activities that would promote care coordination. Four main themes emerged that indicated the importance of a developmental and well-supported implementation process. These themes included the need for cultural change within the whole practice, increased capacity to develop trusted and tested partnerships, appropriate role definition and a full understanding of the financial models that could support care coordination. Practice nurses clearly have a role in care coordination, but models of care coordination need to be localised and contextualised within specific GP practices. Cultural change will, in many instances, be critical to the development of localised programs. Broad supportive structures, including ongoing mentorship and administrative assistance (particularly with financial and procedural aspects of care coordination) will be required when implementing programs that enhance roles for practice nurses.

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Klest, Bridget, Andreea Tamaian y Christina Mutschler. "Betrayal Trauma, Health Care Relationships, and Health in Patients with a Chronic Neurovascular Condition". Journal of Aggression, Maltreatment & Trauma 26, n.º 1 (30 de marzo de 2016): 18–33. http://dx.doi.org/10.1080/10926771.2015.1107175.

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Anđelić, Nenad, Hristo Anđelski y Slađana Mijanović. "Dental health condition and oral mucosa of patients on chronic hemodialysis". Zdravstvena zastita 40, n.º 6 (2011): 71–73. http://dx.doi.org/10.5937/zz1102071a.

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Dean, Caress A., Christian J. Geneus, Shahida Rice, Marquisha Johns, Delores Quasie-Woode, Kevin Broom y Keith Elder. "Assessing the significance of health information seeking in chronic condition management". Patient Education and Counseling 100, n.º 8 (agosto de 2017): 1519–26. http://dx.doi.org/10.1016/j.pec.2017.03.012.

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Bauer, Jean W., Tahira K. Hira, Mari S. Wilhelm, Karen P. Varcoe y Saji Thomas. "The determinants of worry over chronic health condition for rural couples". Journal of Family and Economic Issues 14, n.º 3 (1993): 275–91. http://dx.doi.org/10.1007/bf01022181.

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Bostock-Cox, Beverley. "Chronic obstructive pulmonary disease's impact on mental health". Independent Nurse 2019, n.º 8 (2 de agosto de 2019): 12–14. http://dx.doi.org/10.12968/indn.2019.8.12.

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Harvey, Peter W. y Barbara M. Docherty. "Sisyphus and self-management: the chronic condition self-management paradox". Australian Health Review 31, n.º 2 (2007): 184. http://dx.doi.org/10.1071/ah070184.

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Chronic condition self-management is promoted internationally as not only a possible solution to the health problems of our increasingly chronically ill and ageing population, but as part of a new wave of consumer-led and volunteer-managed health care initiatives. Consumers are now indicating that they want to be more involved in the management of their lives and their health care options, while, especially in rural and smaller communities in Australia, a shortage of clinicians means that health care is rapidly changing. This emphasis on self-management raises crucial questions about where consumer action and control in health care should end and where clinical and medical intervention might begin. Hence, as in the case of Sisyphus and his rock, the self-management process is a difficult and demanding one that poses major challenges and loads for health system reformers and represents a struggle in which new difficulties are constantly emerging. This paper examines some implications of new self-management approaches to chronic illness from an ideological perspective and highlights key elements that underpin the effort to promote health-related lifestyle change. While peer-led self-management programs may assist certain individuals to live engaged and meaningful lives, the essential social and economic determinants of health and wellbeing mean that these programs are not the answer to our urgent need for major reform in the health care arena. Rather, selfmanagement, from an ideological perspective, represents a minor adjustment to the fabric of our health system.

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Smith, David, Sharon Lawn, Peter Harvey y Malcolm Battersby. "Concurrent validity of the Partners in Health scale against general self-rated health in chronic conditions: A short report". Chronic Illness 15, n.º 1 (24 de noviembre de 2017): 74–77. http://dx.doi.org/10.1177/1742395317743559.

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The Partners in Health scale is a structurally valid measure of chronic condition self-management behaviours. This report describes a study that further evaluated construct validity of Partners in Health scale by assessing its relationship with a single-item measure of general self-rated health. The concurrent validity of the scale was demonstrated by a statistically significant association with general self-rated health in a population representative sample of people with chronic conditions.

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Mo, Frank, Bernard C. K. Choi, Felix C. K. Li y Joav Merrick. "Using Health Utility Index (HUI) for Measuring the Impact on Health-Related Quality of Life (HRQL) Among Individuals with Chronic Diseases". Scientific World JOURNAL 4 (2004): 746–57. http://dx.doi.org/10.1100/tsw.2004.128.

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Quality of life is an important indicator in assessing the burden of disease, especially for chronic conditions. The Health Utilities Index (HUI) is a recently developed system for measuring the overall health status and health-related quality of life (HRQL) of individuals, clinical groups, and general populations. Using the HUI (constructed based on eight attributes: vision, hearing, speech, mobility, dexterity, cognition, emotion, and pain/discomfort) to measure the HRQL for chronic disease patients and to detect possible associations between HUI system and various chronic conditions, this study provides information to improve the management of chronic diseases.This study is of interest to data analysts, policy makers, and public health practitioners involved in descriptive clinical studies, clinical trials, program evaluation, population health planning, and assessments. Based on the Canadian Community Health Survey (CCHS) for 2000–01, the HUI was used to measure the quality of life for individuals living with various chronic conditions (Alzheimer/other dementia, effects of stroke, urinary incontinence, arthritis/rheumatism, bowel disorder, cataracts, back problems, stomach/intestinal ulcers, emphysema/COPD, chronic bronchitis, epilepsy, heart disease, diabetes, migraine headaches, glaucoma, asthma, fibromyalgia, cancers, high blood pressure, multiple sclerosis, thyroid condition, and other remaining chronic diseases). Logistic Regression Model was employed to estimate the associations between the overall HUI scores and various chronic conditions. The HUI scores ranged from 0.00 (corresponding to a state close to death) to 1.00 (corresponding to perfect health); negative scores reflect health states considered worse than death. The mean HUI score by sex and age group indicated the typical quality of life for persons with various chronic conditions. Logistic Regression results showed a strong relationship between low HUI scores (≤ 0.5 and 0.06–1.0) and certain chronic conditions. Age- and sex-adjusted Odds Ratio (OR) andpvalues showed an effect among individuals diagnosed with each chronic disease on the overall HUI score. Results of this study showed that arthritis/rheumatism, heart disease, high blood pressure, cataracts, and diabetes had a severe impact on HRQL. Urinary incontinence, Alzheimer/other dementia, effects of stroke, cancers, thyroid condition, and back problems have a moderate impact. Food allergy, allergy other than food, asthma, migraine headaches, and other remaining chronic diseases have a relatively mild effect. It is concluded that major chronic diseases with significant health burden were associated with poor HRQL. The HUI scores facilitate the measurement and interpretation of results of health burden and the HRQL for individuals with chronic diseases and can be useful for development of strategies for the prevention and control of chronic diseases.

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Sawin, Kathleen J., Constance F. Buran, Timothy J. Brei y Philip S. Fastenau. "Sexuality Issues in Adolescents with a Chronic Neurological Condition". Journal of Perinatal Education 11, n.º 1 (enero de 2002): 22–34. http://dx.doi.org/10.1624/105812402x88579.

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Substantial progress in the medical treatment of individuals with spina bifida (SB) has increased the numbers who survive into adolescence and adulthood. However, sexual health in this population has not received much attention. This study explored the knowledge (SB Sexuality Knowledge Scale), worries (SB Worries Scale), romantic appeal (from Harter’s Self-Perception Scale), and access to sexuality information of a sample of 60 adolescents from a midwestern state. Study participants reported having sexual feelings like their peers, and they knew they could contract sexually transmitted diseases (STDs) if they were sexually active. However, only a moderate percentage was aware that women with SB are fertile, that adolescent women with SB should take a multivitamin with folic acid, and that latex-free condoms should be used by most adolescents with SB. They did not worry about their ability to make friends; however, these adolescents reported low levels of perceived romantic appeal and they worried about sexuality issues. These sexuality issues were not correlated to measures of SB neurological severity. Although over 50% reported having discussed sexuality with a health professional, 29% reported no one discussed sexuality and SB with them. Data from this study can affect the way health care providers and educators conduct sexuality education in health care and school settings.

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Artículos de revistas sobre el tema "Chronic health condition"

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