Base de dados : MEDLINE
Pesquisa : N02.421.784.760 [Categoria DeCS]
Referências encontradas : 9 [refinar]
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  1 / 9 MEDLINE  
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[PMID]:29258980
[Au] Autor:Boots LM; de Vugt ME; Smeets CM; Kempen GI; Verhey FR
[Ad] Endereço:Department of Psychiatry and Neuropsychology, Alzheimer Center Limburg, School for Mental Health and Neurosciences, Maastricht University Medical Center+, Maastricht, Netherlands.
[Ti] Título:Implementation of the Blended Care Self-Management Program for Caregivers of People With Early-Stage Dementia (Partner in Balance): Process Evaluation of a Randomized Controlled Trial.
[So] Source:J Med Internet Res;19(12):e423, 2017 Dec 19.
[Is] ISSN:1438-8871
[Cp] País de publicação:Canada
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Caring for a family member with dementia puts caregivers at risk of overburdening. Electronic health (eHealth) support for caregivers offers an opportunity for accessible tailored interventions. The blended care self-management program "Partner in Balance" (PiB) for early-stage dementia caregivers was executed in Dutch dementia care organizations. The program combines face-to-face coaching with tailored Web-based modules. Next to an evaluation of program effectiveness, an evaluation of sampling and intervention quality is essential for the generalizability and interpretation of results. OBJECTIVE: The aim of this study was to describe the process evaluation from the perspective of both family caregivers (participants) and professionals delivering the intervention (coaches) to determine internal and external validity before the effect analysis and aid future implementation. METHODS: Implementation, sampling, and intervention quality were evaluated with quantitative and qualitative data from logistical research data, coach questionnaires (n=13), and interviews with coaches (n=10) and participants (n=49). Goal attainment scaling was used to measure treatment-induced change. Analyses were performed with descriptive statistics and deductive content analysis. RESULTS: The participation rate of eligible caregivers was 51.9% (80/154). Recruitment barriers were lack of computer and lack of need for support. Young age and employment were considered recruitment facilitators. All coaches attended training and supervision in blended care self-management. Deviations from the structured protocol were reported on intervention time, structure, and feedback. Coaches described an intensified relationship with the caregiver post intervention. Caregivers appreciated the tailored content and positive feedback. The blended structure increased their openness. The discussion forum was appreciated less. Overall, personal goals were attained after the program (T>50). Implementation barriers included lack of financing, time, and deviating target population. CONCLUSIONS: Participants and coaches were satisfied with the intervention, but adapting the content to specific subgroups, for example, younger caregivers, was recommended. Implementation of the program requires more awareness of the benefits of blended care self-management programs and training in tailored self-management skills. TRIAL REGISTRATION: Dutch Trial Register (NTR): NTR4748; http://www.trialregister.nl (Archived by WebCite at http://www.webcitation.org/6vSb2t9Mg).
[Mh] Termos MeSH primário: Demência/terapia
Autogestão/métodos
[Mh] Termos MeSH secundário: Idoso
Cuidadores
Feminino
Seres Humanos
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171221
[St] Status:MEDLINE
[do] DOI:10.2196/jmir.7666


  2 / 9 MEDLINE  
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[PMID]:29240659
[Au] Autor:Mailhot T; Lavoie P; Maheu-Cadotte MA; Fontaine G; Cournoyer A; Côté J; Dupuis F; Karsenti T; Cossette S
[Ad] Endereço:Tanya Mailhot, RN, PhD, is Postdoctoral Fellow, Faculty of Nursing and Faculty of Medicine, Université de Montréal, Montréal Heart Institute Research Center, Canada (''spell out province in bio). Patrick Lavoie, RN, PhD, is Postdoctoral Fellow, William F. Connell School of Nursing, Boston College, Massachusetts. Marc-André Maheu-Cadotte, RN, BSc, is Doctoral Student and Guillaume Fontaine, RN, MSc, is Doctoral Student, Faculty of Nursing, Université de Montréal, Montréal Heart Institute Research Center, Canada. Alexis Cournoyer, MD, is Doctoral Student, Université de Montréal, Hôpital du Sacré-CÅ“ur de Montréal, Canada. José Côté, RN. PhD, is Professor, Faculty of Nursing, Université de Montréal, and Researcher, Centre Hospitalier de l'Université de Montréal Research Center, Canada. France Dupuis, RN, PhD, is Associate Professor, Faculty of Nursing, Université de Montréal, and Researcher, Sainte-Justine Research Center, Montréal, Canada. Thierry Karsenti, MA, MEd, PhD, is Professor, Faculty of Education Sciences, Université de Montréal, Canada. Sylvie Cossette, RN, PhD, is Professor, Faculty of Nursing, Université de Montréal, and Researcher, Montréal Heart Institute Research Center, Canada.
[Ti] Título:Using a Wireless Electroencephalography Device to Evaluate E-Health and E-Learning Interventions.
[So] Source:Nurs Res;67(1):43-48, 2018 Jan/Feb.
[Is] ISSN:1538-9847
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Measuring engagement and other reactions of patients and health professionals to e-health and e-learning interventions remains a challenge for researchers. OBJECTIVE: The aim of this pilot study was to assess the feasibility and acceptability of using a wireless electroencephalography (EEG) device to measure affective (anxiety, enjoyment, relaxation) and cognitive (attention, engagement, interest) reactions of patients and healthcare professionals during e-health or e-learning interventions. METHODS: Using a wireless EEG device, we measured patient (n = 6) and health professional (n = 7) reactions during a 10-minute session of an e-health or e-learning intervention. The following feasibility and acceptability indicators were assessed and compared for patients and healthcare professionals: number of eligible participants who consented to participate, reasons for refusal, time to install and calibrate the wireless EEG device, number of participants who completed the full 10-minute sessions, participant comfort when wearing the device, signal quality, and number of observations obtained for each reaction. The wireless EEG readings were compared to participant self-rating of their reactions. RESULTS: We obtained at least 75% of possible observations for attention, engagement, enjoyment, and interest. EEG scores were similar to self-reported scores, but they varied throughout the sessions, which gave information on participants' real-time reactions to the e-health/e-learning interventions. Results on the other indicators support the feasibility and acceptability of the wireless EEG device for both patients and professionals. DISCUSSION: Using the wireless EEG device was feasible and acceptable. Future studies must examine its use in other contexts of care and explore which components of the interventions affected participant reactions by combining wireless EEG and eye tracking.
[Mh] Termos MeSH primário: Eletroencefalografia/utilização
Promoção da Saúde/métodos
Educação de Pacientes como Assunto/métodos
Telemedicina/utilização
[Mh] Termos MeSH secundário: Instrução por Computador/utilização
Estudos de Viabilidade
Seres Humanos
Projetos Piloto
Autogestão/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:171215
[St] Status:MEDLINE
[do] DOI:10.1097/NNR.0000000000000260


  3 / 9 MEDLINE  
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[PMID]:29357380
[Au] Autor:Debussche X; Besançon S; Balcou-Debussche M; Ferdynus C; Delisle H; Huiart L; Sidibe AT
[Ad] Endereço:Department of Endocrinology Diabetology Nutrition, Felix Guyon University Hospital, Saint-Denis, La Réunion.
[Ti] Título:Structured peer-led diabetes self-management and support in a low-income country: The ST2EP randomised controlled trial in Mali.
[So] Source:PLoS One;13(1):e0191262, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Our objective was to evaluate the effectiveness of peer-led self-management education in improving glycaemic control in patients with type 2 diabetes in a low-income country (Mali). METHODS: We conducted an open-label randomised controlled trial. A total of 151 adults (76% women, mean age 52.5) with type 2 diabetes (HbA1c≥8%), treated in the diabetes consultation units of two secondary health centres in Bamako, were allocated to peer-led structured patient education (n = 76) or conventional care alone (n = 75). The intervention group received 1 year of culturally tailored structured patient education (3 courses of 4 sessions) delivered in the community by five trained peer educators. Both groups underwent conventional diabetes monitoring and follow-up. Primary outcome was the mean absolute change in HbA1c from baseline to 12 months. RESULTS: 177 education sessions were delivered to the intervention group. Patient attrition was 8%. From baseline to 12 months, the decrease in HbA1c levels was 1.05% (SD = 2.0; CI95%: 1.54;-0.56) in the intervention group compared with 0.15% (SD = 1.7; CI95%: -0.56; 0.26) in the control group, p = 0.006. Mean BMI change was -1.65 kg/m2 (SD = 2.5; CI95%: -2.25; -1.06) in the intervention group and +0.05 kg/m2 (SD = 3.2; CI95%: -0.71; 0.81) in the control group, p = 0.0005. Mean waist circumference decreased by 3.34 cm (SD = 9.3; CI95%: -5.56;-1.13) in the intervention group and increased by 2.65 cm (SD = 10.3; CI95%: 0.20; 5.09) in the control group, p = 0.0003. CONCLUSIONS: Peer-led structured patient education delivered over 1 year to patients with poorly controlled type 2 diabetes in Mali yielded substantial improvements in glycaemic control and anthropometric parameters. This is of importance for the scaling up of efficient interventions in low-resource settings in the future. TRIAL REGISTRATION: ClinicalTrials.gov NCT01485913.
[Mh] Termos MeSH primário: Diabetes Mellitus Tipo 2/terapia
Autogestão/métodos
[Mh] Termos MeSH secundário: Adulto
Países em Desenvolvimento
Diabetes Mellitus Tipo 2/sangue
Feminino
Hemoglobina A Glicada/metabolismo
Seres Humanos
Masculino
Mali
Meia-Idade
Avaliação de Resultados (Cuidados de Saúde)
Educação de Pacientes como Assunto/métodos
Grupo Associado
Autocuidado/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Glycated Hemoglobin A)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180123
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0191262


  4 / 9 MEDLINE  
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[PMID]:28744111
[Au] Autor:Park YH; Moon SH; Ha JY; Lee MH
[Ad] Endereço:College of Nursing, Seoul National University.
[Ti] Título:The long-term effects of the health coaching self-management program for nursing-home residents.
[So] Source:Clin Interv Aging;12:1079-1088, 2017.
[Is] ISSN:1178-1998
[Cp] País de publicação:New Zealand
[La] Idioma:eng
[Ab] Resumo:BACKGROUND AND AIMS: Little is known about whether a self-management program for nursing-home residents (NHR) with cognitive impairment is likely to have an impact on the care of this growing population. This study aimed to evaluate the effects of the health-coaching self-management program for NHR (HCSMP-NHR) on 1) self-efficacy and goal attainment scaling (GAS), 2) health status and quality of life (QoL) among older people, including those with cognitive impairment, in Korean nursing homes. METHODS: This was a cluster-randomized controlled trial. Participants in the intervention group (n=43, mean age =80.91±7.65 years) received the HCSMP-NHR intervention, composed of group health education and individual coaching, for 8 weeks. Conventional care was provided to the conventional group (n=47, mean age =80.19±7.53 years) during the same period. The effects of the HCSMP-NHR were measured three times: at baseline, week 9, and week 20. RESULTS: The intervention group showed better results for self-efficacy ( =0.007), health distress ( =0.007), depression ( <0.001), and QoL ( =0.04) at week 9. Mean GAS score of the intervention group gradually increased from -0.38 to 0.74. The time × group interaction showed that the intervention group had significant improvements in QoL ( =0.047), and significant reductions in health distress ( =0.016) and depression ( <0.001), while showing no deterioration in shortness of breath ( <0.001). CONCLUSION: Our study findings indicate that the HCSMP-NHR improved self-efficacy and GAS and enhanced the health status and QoL of NHR with chronic conditions who also had mild-to-moderate cognitive impairment. Moreover, these effects were successfully maintained over the 5 months of the trial. Further research is needed to establish the optimum intervention period and to assess the possibility of nationwide implementation of the HCSMP-NHR.
[Mh] Termos MeSH primário: Instituição de Longa Permanência para Idosos/organização & administração
Tutoria/organização & administração
Casas de Saúde/organização & administração
Qualidade de Vida
Autogestão/educação
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Doença Crônica
Disfunção Cognitiva/terapia
Feminino
Promoção da Saúde/organização & administração
Nível de Saúde
Seres Humanos
Masculino
República da Coreia
Autoeficácia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170727
[St] Status:MEDLINE
[do] DOI:10.2147/CIA.S137821


  5 / 9 MEDLINE  
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[PMID]:29419580
[Au] Autor:Shieh C; Draucker CB
[Ad] Endereço:Author Affiliations: Associate Professor (Dr Shieh) and Angela Barron McBride Endowed Professor of Mental Health Nursing (Dr Draucker), Department of Community Health Systems, Indiana University School of Nursing, Indianapolis.
[Ti] Título:Self-monitoring Lifestyle Behavior in Overweight and Obese Pregnant Women: Qualitative Findings.
[So] Source:Clin Nurse Spec;32(2):81-89, 2018 Mar/Apr.
[Is] ISSN:1538-9782
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Excessive maternal gestational weight gain increases pregnancy and infant complications. Self-monitoring has been shown to be an effective strategy in weight management. Literature, however, is limited in describing pregnant women's engagement in self-monitoring. AIM: This qualitative study explored the experiences of overweight and obese pregnant women who self-monitored their eating, walking, and weight as participants in an intervention for excessive gestational weight gain prevention. METHODS: Thirteen overweight and obese pregnant women participated in semistructured interviews. Reflexive iteration data analysis was conducted. FINDINGS: Five themes were identified: making self-monitoring a habit, strategies for self-monitoring, barriers to self-monitoring, benefits of self-monitoring, and drawbacks of self-monitoring. The women viewed self-monitoring as a "habit" that could foster a sense of self-control and mindfulness. Visual or tracing aids were used to maintain the self-monitoring habit. Forgetting, defective tracking aids, complexities of food monitoring, and life events could impede self-monitoring. Being unable to keep up with self-monitoring or to achieve goals created stress. CONCLUSIONS: Self-monitoring is a promising approach to weight management for overweight and obese pregnant women. However, healthcare providers should be aware that, although women may identify several benefits to self-monitoring, for some women, consistently trying to track their behaviors is stressful.
[Mh] Termos MeSH primário: Estilo de Vida
Obesidade/prevenção & controle
Sobrepeso/prevenção & controle
Gestantes/psicologia
Autogestão/psicologia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Obesidade/psicologia
Sobrepeso/psicologia
Gravidez
Pesquisa Qualitativa
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:180209
[St] Status:MEDLINE
[do] DOI:10.1097/NUR.0000000000000355


  6 / 9 MEDLINE  
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[PMID]:29301428
[Au] Autor:Barkil-Oteo A; Abdallah W; Mourra S; Jefee-Bahloul H
[Ad] Endereço:From the Department of Psychiatry, Yale University, New Haven, Conn.; the Department of Psychiatry, Howard University Hospital, Washington, DC; the Department of Psychiatry, David Geffen School of Medicine at UCLA, Los Angeles; and the Department of Psychiatry, UMass Medical School, Worcester, Mass.
[Ti] Título:Trauma and Resiliency: A Tale of a Syrian Refugee.
[So] Source:Am J Psychiatry;175(1):8-12, 2018 Jan 01.
[Is] ISSN:1535-7228
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Ansiedade
Depressão
Exposição à Violência/psicologia
Psicoterapia/métodos
Refugiados/psicologia
Inibidores da Captação de Serotonina/administração & dosagem
Transtornos de Estresse Pós-Traumáticos
Síncope
[Mh] Termos MeSH secundário: Adulto
Ansiedade/diagnóstico
Ansiedade/terapia
Depressão/diagnóstico
Depressão/psicologia
Feminino
Seres Humanos
Sintomas Inexplicáveis
Dor/etiologia
Dor/psicologia
Processos Psicoterapêuticos
Campos de Refugiados
Resiliência Psicológica
Autogestão/métodos
Apoio Social
Transtornos de Estresse Pós-Traumáticos/complicações
Transtornos de Estresse Pós-Traumáticos/diagnóstico
Transtornos de Estresse Pós-Traumáticos/psicologia
Síncope/etiologia
Síncope/psicologia
Síria
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Serotonin Uptake Inhibitors)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180207
[Lr] Data última revisão:
180207
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180106
[St] Status:MEDLINE
[do] DOI:10.1176/appi.ajp.2017.17030358


  7 / 9 MEDLINE  
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[PMID]:28468612
[Au] Autor:Conway J; Tsourtos G; Lawn S
[Ad] Endereço:Flinders University, Adelaide, Australia.
[Ti] Título:The barriers and facilitators that indigenous health workers experience in their workplace and communities in providing self-management support: a multiple case study.
[So] Source:BMC Health Serv Res;17(1):319, 2017 05 03.
[Is] ISSN:1472-6963
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The inequality in health outcomes between Indigenous (Throughout the paper, the term Indigenous will be used to represent both Aboriginal Australians and Torres Strait Islander Australians.) and non-Indigenous Australians continues to be a major public health issue. Chronic conditions are responsible for the majority of the gap in life expectancy for this population. Evidence suggests that chronic condition management models focusing on self-management have led to improved health outcomes in Indigenous populations. The Flinders Closing the Gap Program (FCTGP) is a chronic condition care planning tool which aims to engage Indigenous people in self-managing their chronic conditions. Indigenous health workers (IHWs) can provide culturally appropriate self-management support; however there is paucity in current literature describing specific barriers and facilitators that they may experience when attempting to deliver this support. This study aimed to explore IHWs' perceptions of the effectiveness and appropriateness of the FCTGP, as an evidence-based example of self-management support, and to explore the barriers and facilitators that IHWs experience in their workplace and communities in providing self-management support. METHODS: In-depth interviews were undertaken with five IHWs, drawn from five different states in Australia. Their selection was aided by key informants from the FCTGP training unit. Interviews were recorded and transcribed verbatim, and were analysed using thematic analysis. RESULTS: The following themes were identified. IHWs reported that the FCTGP was appropriate, flexible and acceptable in their communities. Facilitators included factors improving client and worker empowerment, and activities around sharing knowledge. Barriers included competing priorities that clients experience relating to social determinants of health, and negative experiences within mainstream health services. IHW burnout from time pressures, lack of support, and high staff turnover were also considered important barriers. CONCLUSIONS: This study contributes an insight into the experiences of IHWs who are considered important stakeholders in implementation and sustainability of chronic condition management programs, including the FCTGP. Recommendations focus on supporting and supplementing the role of IHWs and identify the FCTGP as a facilitator in providing self-management support to a population with complex needs.
[Mh] Termos MeSH primário: Doença Crônica/etnologia
Assistência à Saúde Culturalmente Competente
Pessoal de Saúde
Acesso aos Serviços de Saúde
Serviços de Saúde do Indígena/organização & administração
Grupo com Ancestrais Oceânicos
Autogestão
[Mh] Termos MeSH secundário: Austrália
Doença Crônica/terapia
Feminino
Seres Humanos
Entrevistas como Assunto
Masculino
Local de Trabalho
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180117
[Lr] Data última revisão:
180117
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1186/s12913-017-2265-5


  8 / 9 MEDLINE  
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[PMID]:27776789
[Au] Autor:Ammerlaan JW; van Os-Medendorp H; de Boer-Nijhof N; Maat B; Scholtus L; Kruize AA; Bijlsma JW; Geenen R
[Ad] Endereço:University Medical Center Utrecht, Department Rheumatology and Clinical Immunology, HPN D02.244, P.O. Box 85500, 3508 GA Utrecht, The Netherlands. Electronic address: j.ammerlaan@umcutrecht.nl.
[Ti] Título:Preferences and needs of patients with a rheumatic disease regarding the structure and content of online self-management support.
[So] Source:Patient Educ Couns;100(3):501-508, 2017 Mar.
[Is] ISSN:1873-5134
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Aim of this study was to investigate preferences and needs regarding the structure and content of a person-centered online self-management support intervention for patients with a rheumatic disease. METHODS: A four step procedure, consisting of online focus group interviews, consensus meetings with patient representatives, card sorting task and hierarchical cluster analysis was used to identify the preferences and needs. RESULTS: Preferences concerning the structure involved 1) suitability to individual needs and questions, 2) fit to the life stage 3) creating the opportunity to share experiences, be in contact with others, 4) have an expert patient as trainer, 5) allow for doing the training at one's own pace and 6) offer a brief intervention. Hierarchical cluster analysis of 55 content needs comprised eleven clusters: 1) treatment knowledge, 2) societal procedures, 3) physical activity, 4) psychological distress, 5) self-efficacy, 6) provider, 7) fluctuations, 8) dealing with rheumatic disease, 9) communication, 10) intimate relationship, and 11) having children. CONCLUSION: A comprehensive assessment of preferences and needs in patients with a rheumatic disease is expected to contribute to motivation, adherence to and outcome of self-management-support programs. PRACTICE IMPLICATIONS: The overview of preferences and needs can be used to build an online-line self-management intervention.
[Mh] Termos MeSH primário: Internet
Determinação de Necessidades de Cuidados de Saúde
Doenças Reumáticas/terapia
Autocuidado/métodos
Autogestão
Apoio Social
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
Preferência do Paciente
Doenças Reumáticas/psicologia
Autoeficácia
Grupos de Autoajuda
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180104
[Lr] Data última revisão:
180104
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE


  9 / 9 MEDLINE  
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[PMID]:29176800
[Au] Autor:Lenzen SA; Daniëls R; van Bokhoven MA; van der Weijden T; Beurskens A
[Ad] Endereço:Research Centre for Autonomy and Participation for People with a Chronic Illness, Zuyd University of Applied Sciences, Heerlen, the Netherlands.
[Ti] Título:Disentangling self-management goal setting and action planning: A scoping review.
[So] Source:PLoS One;12(11):e0188822, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: The ongoing rise in the numbers of chronically ill people necessitates efforts for effective self-management. Goal setting and action planning are frequently used, as they are thought to support patients in changing their behavior. However, it remains unclear how goal setting and action planning in the context of self-management are defined in the scientific literature. This study aimed to achieve a better understanding of the various definitions used. METHODS: A scoping review was conducted, searching PubMed, Cinahl, PsychINFO and Cochrane. Inclusion and exclusion criteria were formulated to ensure the focus on goal setting/action planning and self-management. The literature was updated to December 2015; data selection and charting was done by two reviewers. A qualitative content analysis approach was used. RESULTS: Out of 9115 retrieved articles, 58 met the inclusion criteria. We created an overview of goal setting phases that were applied (preparation, formulation of goals, formulation of action plan, coping planning and follow-up). Although the phases we found are in accordance with commonly known frameworks for goal setting, it was striking that the majority of studies (n = 39, 67%) did not include all phases. We also prepared an overview of components and strategies for each goal setting phase. Interestingly, few strategies were found for the communication between patients and professionals about goals/action plans. Most studies (n = 35, 60%) focused goal setting on one single disease and on a predefined lifestyle behavior; nearly half of the articles (n = 27, 47%) reported a theoretical framework. DISCUSSION: The results might provide practical support for developers of interventions. Moreover, our results might encourage professionals to become more aware of the phases of the goal setting process and of strategies emphasizing on patient reflection. However, more research might be useful to examine strategies to facilitate communication about goals/action plans. It might also be worthwhile to develop and evaluate goal setting/action planning strategies for people with different and multiple chronic conditions.
[Mh] Termos MeSH primário: Metas
Planejamento em Saúde
Autogestão
[Mh] Termos MeSH secundário: Seguimentos
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171219
[Lr] Data última revisão:
171219
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0188822



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