Effectiveness of an empowerment-based educational program in self-efficacy perception in patients with diabetes

Almeida, M Pais De; Sousa, Maria Rui; Loureiro, Helena

doi:10.12707/riv19037

Cited by 5 publications

(10 citation statements)

References 9 publications

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“…Of 39 included studies, 32 (85%) were RCTs [ 19 , 21 , 37 , 38 , 41 , 43 , 45 , 46 , 49 , 52 – 54 , 57 – 64 , 66 , 68 – 71 , 74 – 80 ]. Seven studies used other methods including five quasi-randomized trials, [ 39 , 56 , 65 , 72 , 73 ] one pre-post design, [ 51 ] and one partially randomized patient preference trial [ 48 ]. All studies were published in English within the 5-year period spanning 2016–2020, inclusive.…”

Section: Resultsmentioning

confidence: 99%

“… Akturan et al 2017 [ 38 ] X 4: Therapeutic interview techniques by doctor 1 3. Almeida et al 2019 [ 39 ] X X 1: Modul 2: How diabetes affects my daily life 3: Decision making and daily problem-solving skills 2 4. Aslani et al 2019 [ 41 ] X?…”

Section: Resultsmentioning

confidence: 99%

“…Control gr: patients of physicians without this training 1: A 21-item Turkish version of the diabetes empowerment process scale (DES) was used to assess the participants’ perceptions of empowerment provided by healthcare providers Self-report questionnaires: Baseline + in the 6th month Increase in the DES total score for the intervention group was higher than for the control group (Δ = 10.56 ± 8.97; Δ = 5.64 ± 7.36; p < 0.001). The BATHE intervention showed a significant predictor of the DES difference (B: 8.861; CI: 6.092–11.629; p < 0.001) Almeida et al (2019) [ 39 ] Iran To assess the effectiveness of the Living Harmoniously with Diabetes program in self-efficacy perceptions in patients with type 2 DM Quasi randomized Theory: Health Belief Model (Becker, 1974) [ 40 ] N = 42 adult Type 2 DM patients diagnosed for more than a year, and possess skills to manage their disease autonomously Study Group : ( n = 19). Control Group : ( n = 23) Setting : Outpatient public health center Mode: Group Study gr: Mode: six two-hour group sessions held once a week.…”

Section: Methodsmentioning

confidence: 98%

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Empowerment interventions designed for persons living with chronic disease - a systematic review and meta-analysis of the components and efficacy of format on patient-reported outcomes

Stepanian,

Larsen,

Mendelsohn

et al. 2023

BMC Health Serv Res

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Background Empowerment approaches are essential for building the capacity of individuals with chronic disease to be in control of their health. Reviews of empowerment interventions have been focused on specific chronic diseases, thereby limiting the scope of findings. This study had three aims: 1) to describe the characteristics of empowerment interventions covering a broad range of chronic diseases, 2) to clarify consistency with the World Health Organization`s (WHO) definition of empowerment as a process composed of four fundamental components and 3) to summarize outcome measures and estimate the effects in group and individual intervention formats. Methods Systematic literature review and meta-analysis. CINAHL, Medline, Embase, PsycINFO, Web of Science, COCHRANE and Central Register of Controlled Trials were searched using Chronic Disease, NCD, Empowerment, as MeSH terms. Eligible randomized and quasi randomized controlled trials were included. Review Manager 5.4 was used to conduct the meta-analysis. Risk of bias was assessed with the Cochrane risk-of-bias tool (ROB 2). Results Thirty-nine articles representing 8,011 participants were included in the review. A majority (82%) of studies reported robust evidence for changes on study-defined outcome measures in favor of interventions. Intervention content was assessed against WHO’s four fundamental components of empowerment, showing that all studies incorporated one component, but none targeted all components. Components reflecting knowledge acquisition, patient engagement with their health care providers and facilitating environment were scarcely reported. Meta-analyses found evidence for positive effects of group-format interventions measuring empowerment, HbA1c, and self-efficacy. Effects on empowerment were also found in some individual-format interventions. High levels of heterogeneity and variability among the conceptual frameworks were identified. Conclusion Empowerment interventions in group-format were most efficient, however, considerable conceptual inconsistencies were identified. Future studies should consolidate conceptual understandings by using WHO’s empowerment framework to ensure that fundamental components of empowerment are explicitly included in intervention design. Furthermore, there is a need to clarify the role of empowerment through pathways that include patient activation, self- management, and clinical outcomes. This systematic review will inform the clinicians and researchers who aim to develop novel empowerment interventions to assist patients in the process of gaining control of their health. Trial registration PROSPERO: International Prospective register of systematic reviews ID=CRD42020178286.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 98%

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Empowerment interventions designed for persons living with chronic disease - a systematic review and meta-analysis of the components and efficacy of format on patient-reported outcomes

Stepanian,

Larsen,

Mendelsohn

et al. 2023

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…Educational programs conducted in patients with other chronic conditions have also shown the significant potential to improve their lives. A study conducted by Almeida et al 19 found that participants who received an educational intervention compared to the group that received only conventional care had better self-care outcomes in managing the therapeutic regimen. 21 When patients know their perceptions of the disease, it is possible to understand how the condition influenced their life and emotions and how misconceptions can be addressed in tailored educational programs.…”

Section: Discussionmentioning

confidence: 99%

Expectations and Experiences of a Group of Patients Enrolled in an Educational Program for Rheumatoid Arthritis at a Specialized Care Center in Colombia

Montañez¹,

Buitrago-Garcia²,

Velandia³

et al. 2023

JMDH

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Introduction Rheumatoid arthritis is a chronic inflammatory disease diagnosed in a productive stage of life. Patients with RA experience changes in their musculoskeletal system, overall health and quality of life. It has been identified that patients with RA do not have appropriate knowledge about their condition. Educational programs can provide new knowledge, accompaniment, and closer follow-up to improve empowerment and quality of life in patients with RA. Purpose To describe rheumatoid arthritis patients’ experiences, perceptions, and expectations when enrolling on a multicomponent educational program in a specialized RA setting. Patients and Methods A qualitative study was done. Patients with RA who attended a specialized center and enrolled in an educational program participated in two focus groups. The focus group discussions and the interviews were recorded, transcribed verbatim, analyzed, and emerging themes were constructed. Results Thirty-one participants were included in the focus groups. The median age was 60 years IQR (54–67), 92% were female. Two relevant categories emerged: first, the experience of being diagnosed with RA. Second, the program’s ability to empower participants with knowledge and the possibility of transferring knowledge to other patients with the same condition. In addition, patients gave a high score to the expectations regarding the educational program. Conclusion Understanding patients’ expectations when enrolling in an educational program allows educators and clinicians to understand their motivations to create tailored programs that can contribute to acquiring empowerment in the educational process and managing their disease. Stakeholders should consider patients’ expectations when implementing these interventions for patients with RA to adapt the intervention according to the patient’s context and needs, which will directly affect the patient’s adherence and lead to better use and allocation of resources for educational activities.

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“…But, in addition to encouraging knowledge acquisition, it is necessary to motivate individuals about their self‐efficacy. Feeling confident in one's knowledge is an important motivator for the adherence to healthy habits and behavior modification (Almeida et al., 2019; Lee et al., 2019). This confidence or self‐efficacy is individual's belief in himself and his ability to perform a given activity successfully (Fontes & Azzi, 2012).…”

Section: Introductionmentioning

confidence: 99%

Audiovisual and printed technology to prevent childhood diarrhea: A clinical trial

Melo

Oliveira

Melo

et al. 2021

Public Health Nursing

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Objective: To compare the effect of using an educational booklet and a video alone or together in promoting maternal self-efficacy to prevent childhood diarrhea. Design and sample:Randomized multicenter clinical trial with 522 mothers of children under 5 years of age from northeastern Brazil. They were allocated into eight groups, according to the city: metropolis − video alone (N = 61), booklet alone (N = 60), booklet and video along (N = 60), without intervention (N = 60); countryside − booklet alone (N = 70), video alone (N = 70), booklet and video along (N = 71), without intervention (N = 70).Measurements: A sociodemographic form and the Maternal Self-Efficacy Scale for preventing early childhood diarrhea.Results: Increases in self-efficacy scores were observed in all experimental groups after the educational intervention. Urban mothers living had greater self-efficacy than rural mothers. This result was verified in the video alone group (p = .036) and without intervention group (p = .003). Mothers in all intervention groups, regardless of the educational intervention used, had higher self-efficacy scores than the comparison group mothers (p < .05). Conclusion:The tested educational technologies promoted maternal self-efficacy to prevent childhood diarrhea, regardless of whether they are applied alone or in combination.

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Effectiveness of an empowerment-based educational program in self-efficacy perception in patients with diabetes

Cited by 5 publications

References 9 publications

Empowerment interventions designed for persons living with chronic disease - a systematic review and meta-analysis of the components and efficacy of format on patient-reported outcomes

Empowerment interventions designed for persons living with chronic disease - a systematic review and meta-analysis of the components and efficacy of format on patient-reported outcomes

Expectations and Experiences of a Group of Patients Enrolled in an Educational Program for Rheumatoid Arthritis at a Specialized Care Center in Colombia

Audiovisual and printed technology to prevent childhood diarrhea: A clinical trial

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