Design of a Rural Diabetes Self-Directed Care Program

Rugh, Douglas

doi:10.1080/00981389.2011.597496

Cited by 3 publications

(1 citation statement)

References 16 publications

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“…Clinicians and students need to incorporate community profiles in clinical practice. For example, rural and remote communities have higher burden of diabetes disease and fewer resources to manage this (Reddy et al, 2011; Rugh, 2011). Clinicians and students need to be flexible in their approach and use relationship-building skills with their clients, their colleagues, the multidisciplinary team members, and the community as a whole to achieve good clinical outcomes.…”

Section: Recommendations To Clinicians and Studentsmentioning

confidence: 99%

The Treatment of Comorbid Anxiety in a Male With Poorly Controlled Diabetes in a Very Remote Primary Health Care Service

Caldwell

Patterson-Kane

2013

Clinical Case Studies

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Rural Australians are shown to have poorer health and mental-health outcomes compared with their metropolitan counterparts, particularly for diabetes. Individuals with diabetes often meet criteria for comorbid mental-health conditions, such as anxiety and depression. Psychological treatment, as an adjunct to medical care, for individuals with diabetes is shown to improve overall health and wellbeing. This article describes a 38-year-old male who was referred to a very remote primary health care service by his diabetes educator for strategies to reduce work-related stress and improve his diabetes mismanagement. Mindfulness-based cognitive behavior therapy techniques were used, over six sessions, in the context of a rural and very remote community. Pre-and post-intervention measures showed a reduction in anxiety, distress, and improvement in his perception of his quality of life. Clinical implications for psychological treatment of diabetes and comorbid mental-health issues in rural and remote communities are discussed.

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Section: Recommendations To Clinicians and Studentsmentioning

confidence: 99%

The Treatment of Comorbid Anxiety in a Male With Poorly Controlled Diabetes in a Very Remote Primary Health Care Service

Caldwell

Patterson-Kane

2013

Clinical Case Studies

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‘Someone to Talk to’: A Short-Term Tele-Therapy Intervention with Older People during the Coronavirus Pandemic

Eliezer

Knei-Paz

Zvi

et al. 2021

The British Journal of Social Work

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The Coronavirus pandemic (COVID-19) and its concomitant social isolation have affected older citizens more than any other sector of the population. This article describes the theoretical and practical principles of a short-term tele-therapy intervention model developed and implemented as a pilot project during the Coronavirus pandemic to support older residents of the community, who faced a variety of needs stemming from the lockdowns and social isolation. The intervention was developed and directed in collaboration with faculty members from a university school of social work and social workers from the municipal social services in Israel, and was conducted by first year social work students as part of their first field experience. This intervention combined Perlman’s model of problem solving, a telephone crisis intervention model and a strengths-based approach. Participants and students indicated that they benefitted from the programme and felt that the therapeutic relationships were meaningful. These outcomes and reports suggest that this type of intervention is successful and can be applied to older people during other crises or in other populations, communities and countries as part of the field experience of social work students.

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The Role of Mutual Support Groups for the Control of Diabetes in a Mexican City: Achievements and Limitations from the Patients’ Perspective

Tejada-Tayabas¹,

Lugo²

2014

Health

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Background: Mutual Support Groups (MSG) provides to the patient, the ability to effective self-management behaviors, such as taking prescribed medications, following diet and exercise regimens, self-monitoring, and coping emotionally with the rigors of living with diabetes. Physicians, nurses and health promoters from public primary Health Care Centers (HCC) are responsible for providing follow-up care through MSGs. However, although the MSG program has been carried out, in the last decade Mexico presents the most alarming statistics in the prevalence and complications of Diabetes Mellitus type II (DM-II), suggesting a low impact of MSG in the strategy to support the effective control of the disease. Objetive: The aim of this work was to assess whether knowledge or benefits of effective management to control of DM-II, also to identify strengths and limitations of MSGs, in six different Health Care Centers (HCC), in San Luis Potosi, Mexico. This research provides an overview of patients' perception, and significant issues that demand to adjust MGSs strategies, with the goal of exceed the expectations of current health statistics. Methods: A qualitative evaluation was carried out, with an ethnographic approach design. The study included 28 diabetic persons, (21 women and 7 men from ruraland urban carecenters). Semistructured interviews, non-participant observation, and structured content analysis were used. Results: Support groups give patients a way to address emotional issues, and learn about their disease and self-care, although some patients consider participation an inconvenient obligation. Support group users mention barriers such as lack of continuity in support group activities, inconvenient meeting times, and the difficulty of commuting to attend group sessions. They also mention that overworked health care workers find it difficult to provide leadership to keep the group going. These issues have multiple implications for the success of strategies to control the disease. Conclusions: This study shows the need to apply a participatory model to disease support L. M. Tejada-Tayabas, M. J. R. Lugo 1985 group strategies to reorganize their actions in such a way as to meet the needs and requirements of patients and to ensure their participation and help them control their disease.

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Design of a Rural Diabetes Self-Directed Care Program

Cited by 3 publications

References 16 publications

The Treatment of Comorbid Anxiety in a Male With Poorly Controlled Diabetes in a Very Remote Primary Health Care Service

The Treatment of Comorbid Anxiety in a Male With Poorly Controlled Diabetes in a Very Remote Primary Health Care Service

‘Someone to Talk to’: A Short-Term Tele-Therapy Intervention with Older People during the Coronavirus Pandemic

The Role of Mutual Support Groups for the Control of Diabetes in a Mexican City: Achievements and Limitations from the Patients’ Perspective

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