Empowerment: An Idea Whose Time Has Come in Diabetes Education

Funnell, Martha M.; Anderson, Robert M.; Arnold, Marilynn S.; Barr, Patricia A.; Donnelly, Michael B.; Johnson, Patricia D.; Taylor-Moon, Denise; White, Neil H.

doi:10.1177/014572179101700108

Cited by 427 publications

(337 citation statements)

References 16 publications

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“…In this, the results link up with statements regarding patient participation being a core component of The Right to Health 6,15 , which -in addition -is consistent with empowerment theories that stress the importance of recognizing the individual's own abilities [20][21][22] . However, even though the AAAQ framework was a valid guide for structuring the rights based analysis of the health care encounter, we also learned that it did not provide practical guidance about what needs to be done for patient participation to take place.…”

Section: Discussionsupporting

confidence: 78%

Micro Level Impact of the Right to Health – A Qualitative Study of Patient Perceptions

Priebe¹

2016

Divers Equal Health Care

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Conclusion:The analysis of patient perspectives on health care experiences highlighted the significance of respectful and personalized treatment. In addition to providing functioning health care facilities, a vital part of health care quality work is securing empowering care encounters. Even though human rights inspired state regulations and health care policies are imperative, specific strategies to secure their implementation on the health care micro level is needed, e.g. staff training in communication skills as well as follow up mechanisms measuring patient satisfaction and levels of participation.Keywords: Patient RIGHTS; Patient participation; Health care quality; Access and evaluation; Guideline adherence Key Points• The Right to Health is not simply a one-directional delivery from government regulations, to health care policy and the patient, but depends -for its impact on the patient level -on the health care services ability to embrace patients' individual characteristics.• What The Right to Health means varies between different populations as its connotations are determined by marginalization indicators such as socioeconomic status, language capabilities and so forth.• Specific human rights focused training is recommended for all health care staff as the realization of The Right to Health depends on their ability to appreciate the concept's meaning, e.g. acknowledge patients' right to participate in decisions pertaining to health.

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Section: Discussionsupporting

confidence: 78%

Micro Level Impact of the Right to Health – A Qualitative Study of Patient Perceptions

Priebe¹

2016

Divers Equal Health Care

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“…30,31,38,39 We trained our class leaders to support patient autonomy by acknowledging patients' choices, to enhance self-efficacy through modeling and rehearsal of target behaviors, and to establish supportive and collaborative relationships. 19,29,40,41 The training was led by the PI (AAB), project directors (CAL, AB), CAB members, a behavioral health specialist (MTQ), and a certified diabetes educator. 42 In the training, lay leaders taught mock lessons, facilitated group discussions, and demonstrated their skill in coaching and patientcentered communication.…”

Section: Intervention: Picture Good Healthmentioning

confidence: 99%

Picture Good Health: A Church-Based Self-Management Intervention Among Latino Adults with Diabetes

et al. 2015

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BACKGROUND: Churches may provide a familiar and accessible setting for chronic disease self-management education and social support for Latinos with diabetes. OBJECTIVE: We assessed the impact of a multi-faceted church-based diabetes self-management intervention on diabetes outcomes among Latino adults. DESIGN: This was a community-based, randomized controlled, pilot study. SUBJECTS: One-hundred adults with self-reported diabetes from a Midwestern, urban, low-income MexicanAmerican neighborhood were included in the study. INTERVENTIONS: Intervention participants were enrolled in a church-based diabetes self-management program that included eight weekly group classes led by trained lay leaders. Enhanced usual care participants attended one 90-minute lecture on diabetes selfmanagement at a local church. OUTCOME MEASURES: The primary outcome was change in glycosylated hemoglobin (A1C). Secondary outcomes included changes in low-density lipoproteins (LDL), blood pressure, weight, and diabetes self-care practices. KEY RESULTS: Participants' mean age was 54±12 years, 81 % were female, 98 % were Latino, and 51 % were uninsured. At 3 months, study participants in both arms decreased their A1C from baseline (−0.32 %, 95 % confidence interval [CI]: -0.62, -0.02 %). The difference in change in A1C, LDL, blood pressure and weight from baseline to 3-month and 6-month follow-up was not statistically significant between the intervention and enhanced usual care groups. Intervention participants

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“…3 'Patient empowerment' betekent dat de zorgverlener de patiënt inlicht over diens gezondheidsstatus en hem leert een actieve rol te vervullen in beslissingen rondom de eigen behandeling. 4 'Patient empowerment' brengt een significante verbetering in het psychosociale aspect van het omgaan met een ziekte. 5 De Digitale IVF Poli is opgebouwd rond de uitgangspunten 'patient-centered care' en 'patient empowerment'.…”

Section: Inleidingunclassified

De Digitale IVF Poli, hoe zijn we begonnen en waar staan we nu?

Schoonenberg-Pomper¹

2011

Bijblijven

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De Digitale IVF Poli, hoe zijn we begonnen en waar staan we nu? J. Schoonenberg-PomperVerpleegkundig Specialist, Polikliniek Voortplantingsgeneeskunde, UMC St Radboud, Nijmegen Samenvatting Op de afdeling Verloskunde en Gynaecologie van het UMC St Radboud is in 2003de Digitale IVF Poli ontwikkeld, een via het internet benaderbaar 'persoonlijk gezondheidsdossier'. De Digitale IVF Poli is opgebouwd rond de uitgangspunten 'patient-centered care' en 'patient empowerment'. De patiënt vindt er algemene informatie, kan lotgenoten en behandelaars raadplegen op een forum en heeft toegang tot het eigen dossier. De opzet bleek zo succesvol dat zij sinds 2010 is geïntegreerd in een ruimer project, MijnZorgnet.nl, waarbinnen patiën-ten over heel Nederland eigen communities kunnen opzetten met medepatiën-ten en zorgprofessionals.

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Empowerment: An Idea Whose Time Has Come in Diabetes Education

Cited by 427 publications

References 16 publications

Micro Level Impact of the Right to Health – A Qualitative Study of Patient Perceptions

Micro Level Impact of the Right to Health – A Qualitative Study of Patient Perceptions

Picture Good Health: A Church-Based Self-Management Intervention Among Latino Adults with Diabetes

De Digitale IVF Poli, hoe zijn we begonnen en waar staan we nu?

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